血浆合成聚吡咯/碘生物聚合物对恒河猴完全脊髓横断的治疗效果展示。

Demonstration of therapeutic effect of plasma-synthesized polypyrrole/iodine biopolymer in rhesus monkey with complete spinal cord section.

作者信息

Ríos Camilo, Salgado-Ceballos Hermelinda, Grijalva Israel, Morales-Guadarrama Axayacatl, Diaz-Ruiz Araceli, Olayo Roberto, Morales-Corona Juan, Olayo María G, Cruz Guillermo J, Mondragón-Lozano Rodrigo, Alvarez-Mejia Laura, Orozco-Barrios Carlos, Sánchez-Torres Stephanie, Fabela-Sánchez Omar, Coyoy-Salgado Angélica, Hernández-Godínez Braulio, Ibáñez-Contreras Alejandra, Mendez-Armenta Marisela

机构信息

Research Direction, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, México City, México.

Medical Research Unit in Neurological Diseases, Instituto Mexicano del Seguro Social, Mexico City, México.

出版信息

J Mater Sci Mater Med. 2025 Feb 17;36(1):21. doi: 10.1007/s10856-025-06862-x.

Abstract

Spinal cord injury (SCI) can cause paralysis, and although multiple therapeutic proposals have been developed in murine models, results have hardly been replicated in humans. As non-human primates (NHP) are more similar to humans than rodents, the current study investigated whether it was possible to reproduce in a NHP, the previously obtained beneficial results by using a plasma-synthesized polypyrrole/iodine (PPy/I) biopolymer, which reduce glial scar formation and inflammatory response and promotes nerve tissue preservation, regenerative processes and functional recovery in rats. In NHPs (Rhesus monkey) with SCI by complete transection (SCT) and with plasma-synthesized PPy/I application (experimental) or without (control), the expression of pro-inflammatory cytokines in blood, preservation of nervous tissue through magnetic resonance imaging and histological and morphometric techniques, regeneration through immunohistochemistry study and functional recovery through clinical examination, were evaluated. Control NHP showed a markedly increased of pro-inflammatory cytokines vs. experimental NHP, which preserved more nerve tissue. At the end of the follow-up, a thinner glial scar in the injured spinal cord was observed in the experimental NHP as well as regenerative nerve processes (NeuN and β-III tubulin expression), while control NHP had a marked glial scar, large cysts and less nerve tissue at the injured zone. Plasma-synthesized PPy/I also reduced the loss of pelvic limb muscle mass and allowed the experimental NHP recovered knee-jerk, withdrawal and plantar reflexes as well as movement in the hind limbs. Since most of the beneficial effects of plasma-synthesized PPy/I previously reported in rats were also observed in the NHP, these preliminary findings make their replication in humans with SCI more likely.

摘要

脊髓损伤(SCI)可导致瘫痪,尽管在小鼠模型中已开发出多种治疗方案,但这些结果在人类中几乎无法复制。由于非人类灵长类动物(NHP)比啮齿动物更接近人类,因此本研究调查了是否有可能在NHP中重现先前使用血浆合成的聚吡咯/碘(PPy/I)生物聚合物所获得的有益结果,该聚合物可减少胶质瘢痕形成和炎症反应,并促进大鼠神经组织的保存、再生过程和功能恢复。在通过完全横断(SCT)造成SCI的NHP(恒河猴)中,应用血浆合成的PPy/I(实验组)或不应用(对照组),评估血液中促炎细胞因子的表达、通过磁共振成像以及组织学和形态计量学技术评估神经组织的保存情况、通过免疫组织化学研究评估再生情况以及通过临床检查评估功能恢复情况。与实验组NHP相比,对照组NHP的促炎细胞因子明显增加,而实验组NHP保留了更多的神经组织。随访结束时,在实验组NHP中观察到损伤脊髓处的胶质瘢痕较薄,同时还有再生神经突起(NeuN和β-III微管蛋白表达),而对照组NHP在损伤区域有明显的胶质瘢痕、大囊肿且神经组织较少。血浆合成的PPy/I还减少了盆腔肢体肌肉质量的损失,并使实验组NHP恢复了膝跳反射、退缩反射和足底反射以及后肢运动。由于先前在大鼠中报道的血浆合成PPy/I的大多数有益作用在NHP中也观察到了,这些初步发现使其在人类SCI患者中复制的可能性更大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41eb/11832569/076927b04ccd/10856_2025_6862_Fig1_HTML.jpg

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