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自愈水凝胶在椎间盘退变治疗中的应用

Application of Self-Healing Hydrogels in the Treatment of Intervertebral Disc Degeneration.

作者信息

Guo Cunliang, Jiao Xinyi, Du Xiaoxun, Zhang Tongxing, Peng Bing, Xu Baoshan

机构信息

Tianjin University of Traditional Chinese Medicine, Tianjin, China.

Tianjin Hospital, Tianjin, China.

出版信息

J Biomed Mater Res B Appl Biomater. 2025 Feb;113(2):e35532. doi: 10.1002/jbm.b.35532.

Abstract

Intervertebral disc degeneration (IDD) is one of the leading causes of chronic pain and disability, and traditional treatment methods often struggle to restore its complex biomechanical properties. This article explores the innovative application of self-healing hydrogels in the treatment of IDD, offering new hope for disc repair due to their exceptional self-repair capabilities and adaptability. As a key support structure in the human body, intervertebral discs are often damaged by trauma or degenerative changes. Self-healing hydrogels not only mimic the mechanical properties of natural intervertebral discs but also self-repair when damaged, thereby maintaining stable functionality. This article reviews the self-healing mechanisms and design strategies of self-healing hydrogels and, for the first time, outlines their potential in the treatment of IDD. Furthermore, the article looks forward to future developments in the field, including intelligent material design, multifunctional integration, encapsulation and release of bioactive molecules, and innovative combinations with tissue engineering and stem cell therapy, offering new perspectives and strategies for IDD treatment.

摘要

椎间盘退变(IDD)是慢性疼痛和残疾的主要原因之一,传统治疗方法往往难以恢复其复杂的生物力学特性。本文探讨了自愈合水凝胶在IDD治疗中的创新应用,因其卓越的自我修复能力和适应性,为椎间盘修复带来了新希望。作为人体的关键支撑结构,椎间盘常因创伤或退行性变而受损。自愈合水凝胶不仅模仿天然椎间盘的力学性能,而且在受损时能自我修复,从而保持稳定的功能。本文综述了自愈合水凝胶的自我修复机制和设计策略,并首次概述了其在IDD治疗中的潜力。此外,本文展望了该领域的未来发展,包括智能材料设计、多功能集成、生物活性分子的封装与释放,以及与组织工程和干细胞治疗的创新结合,为IDD治疗提供了新的视角和策略。

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