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中风后恢复:基于水凝胶的植物化学物质递送系统综述

Post-Stroke Recovery: A Review of Hydrogel-Based Phytochemical Delivery Systems.

作者信息

Musa Irina, Rotaru-Zavaleanu Alexandra Daniela, Sfredel Veronica, Aldea Madalina, Gresita Andrei, Glavan Daniela Gabriela

机构信息

Department of Psychiatry, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Doctoral School, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania.

出版信息

Gels. 2025 Apr 1;11(4):260. doi: 10.3390/gels11040260.

Abstract

Stroke remains a leading cause of disability worldwide, underscoring the urgent need for novel and innovative therapeutic strategies to enhance neuroprotection, support regeneration, and improve functional recovery. Previous research has shown that phytochemicals such as curcumin, tannic acid, gallic acid, ginsenosides, resveratrol, and isorhamnetin display extensive neuroprotective properties, including antioxidant, anti-inflammatory, and anti-apoptotic effects. These natural compounds could also promote neurogenesis, angiogenesis, and the preservation of the blood-brain barrier. Despite their promising bioactivities, clinical application is often limited by poor solubility, bioavailability, and suboptimal pharmacokinetics. Hydrogels offer a promising solution by encapsulating and controlling the gradual release of these phytochemicals directly at the site of injury. Recent advancements in hydrogel formulations, constructed from biopolymers and functionalized using nanotechnological approaches, could significantly improve the solubility, stability, and targeted delivery of phytochemicals. Controlled release profiles from pH-sensitive and environment-responsive hydrogels could ensure that the compounds' therapeutic effects are optimally timed with individual and critical stages of post-stroke repair. Moreover, hydrogel scaffolds with tailored material properties and biocompatibility can create a favorable microenvironment, reducing secondary inflammation, enhancing tissue regeneration, and potentially improving functional and cognitive outcomes following stroke. This review explores the potential of integrating phytochemicals within hydrogel-based delivery systems specifically designed for post-stroke recovery. The design and synthesis of biocompatible, biodegradable hydrogels functionalized especially with phytochemicals and their applications are also discussed. Lastly, we emphasize the need for additional robust and translatable preclinical studies.

摘要

中风仍然是全球残疾的主要原因,这凸显了迫切需要新颖和创新的治疗策略来增强神经保护、支持再生并改善功能恢复。先前的研究表明,姜黄素、单宁酸、没食子酸、人参皂苷、白藜芦醇和异鼠李素等植物化学物质具有广泛的神经保护特性,包括抗氧化、抗炎和抗凋亡作用。这些天然化合物还可以促进神经发生、血管生成以及血脑屏障的保护。尽管它们具有有前景的生物活性,但临床应用往往受到溶解度差、生物利用度低和药代动力学不理想的限制。水凝胶通过在损伤部位直接封装和控制这些植物化学物质的逐渐释放提供了一个有前景的解决方案。由生物聚合物构建并使用纳米技术方法进行功能化的水凝胶配方的最新进展,可以显著提高植物化学物质的溶解度、稳定性和靶向递送。pH敏感和环境响应性水凝胶的控释曲线可以确保化合物的治疗效果与中风后修复的各个关键阶段最佳同步。此外,具有定制材料特性和生物相容性的水凝胶支架可以创造一个有利的微环境,减少继发性炎症,增强组织再生,并可能改善中风后的功能和认知结果。本综述探讨了将植物化学物质整合到专门为中风后恢复设计的基于水凝胶的递送系统中的潜力。还讨论了特别用植物化学物质功能化的生物相容性、可生物降解水凝胶的设计和合成。最后,我们强调需要进行更多有力且可转化的临床前研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4931/12027092/31d8a77a0370/gels-11-00260-g001.jpg

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