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用于周围神经损伤的金属基再生策略:从可生物降解离子源到稳定的导电植入物。

Metal-Based Regenerative Strategies for Peripheral Nerve Injuries: From Biodegradable Ion Source to Stable Conductive Implants.

作者信息

Kim Hyewon, Rahaman Khandoker Asiqur, Kwon Jieun, Cho Seohyeon, Chung Seok, Han Hyung-Seop, Kim Yu-Chan

机构信息

Biomaterials Research Center, Biomedical Research Division, Korea Institute of Science and Technology (KIST), Seoul 02792, Republic of Korea.

Department of Biomicro System Technology, Korea University, Seoul 02841, Republic of Korea.

出版信息

Biomater Res. 2025 Jul 22;29:0219. doi: 10.34133/bmr.0219. eCollection 2025.

DOI:10.34133/bmr.0219
PMID:40697648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12280558/
Abstract

Peripheral nerve injury is a common health issue in modern aging societies, with the only treatment available being autograft transplantation. Unfortunately, autograft is often limited due to donor availability and immune rejection. Additionally, the peripheral nervous system has limited regenerative capacity, making the treatment of peripheral nerve injuries challenging. Metal-based regenerative medicine and tissue engineering strategies provide advanced solutions to the problem. Metal-based biomaterials such as conduits, filaments, alloys, hydrogels, and ceramics can deliver biofunctional metal ions and promote axonal growth and functional recovery. In parallel, metal-based electromagnetic stimulation demonstrates potential for nerve regeneration and inflammation regulation. The potential of metal-based biomaterials in promoting peripheral nerve regeneration highlights the need for further research in tissue engineering and regenerative medicine. However, rapid degradation, long-term biocompatibility, and necessary optimization regarding injury types remain to be explored. This review summarizes the reported metal-based biomaterials utilized in peripheral nerve regeneration research. The aim is to showcase advanced technologies available in the field, which may potentially become a viable alternative to autografts, offering transformative applications in the regenerative medical field.

摘要

周围神经损伤是现代老龄化社会中常见的健康问题,目前唯一可用的治疗方法是自体移植。不幸的是,由于供体可用性和免疫排斥反应,自体移植往往受到限制。此外,周围神经系统的再生能力有限,这使得周围神经损伤的治疗具有挑战性。基于金属的再生医学和组织工程策略为该问题提供了先进的解决方案。基于金属的生物材料,如导管、细丝、合金、水凝胶和陶瓷,可以释放生物功能金属离子并促进轴突生长和功能恢复。同时,基于金属的电磁刺激在神经再生和炎症调节方面显示出潜力。基于金属的生物材料在促进周围神经再生方面的潜力凸显了在组织工程和再生医学领域进行进一步研究的必要性。然而,快速降解、长期生物相容性以及针对损伤类型的必要优化仍有待探索。本综述总结了周围神经再生研究中报道的基于金属的生物材料。目的是展示该领域可用的先进技术,这些技术可能成为自体移植的可行替代方案,在再生医学领域提供变革性应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e267/12280558/3f2b97fb1553/bmr.0219.fig.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e267/12280558/2d7170ddfd39/bmr.0219.fig.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e267/12280558/c1ae6e34d30f/bmr.0219.fig.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e267/12280558/24ceeb5870f2/bmr.0219.fig.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e267/12280558/3f2b97fb1553/bmr.0219.fig.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e267/12280558/2d7170ddfd39/bmr.0219.fig.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e267/12280558/c1ae6e34d30f/bmr.0219.fig.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e267/12280558/24ceeb5870f2/bmr.0219.fig.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e267/12280558/3f2b97fb1553/bmr.0219.fig.004.jpg

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本文引用的文献

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Controlled Magnesium Ion Delivery via Mg-Sputtered Nerve Conduit for Enhancing Peripheral Nerve Regeneration.通过镁溅射神经导管控制镁离子释放以促进周围神经再生
Adv Healthc Mater. 2025 Aug;14(20):e2500063. doi: 10.1002/adhm.202500063. Epub 2025 Apr 27.
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Regenerative Medicine: A New Horizon in Peripheral Nerve Injury and Repair.再生医学:周围神经损伤与修复的新前沿
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Epidemiology and regional variance of traumatic peripheral nerve injuries in Sweden: A 15-year observational study.
瑞典创伤性周围神经损伤的流行病学和区域差异:一项为期 15 年的观察性研究。
PLoS One. 2024 Oct 9;19(10):e0310988. doi: 10.1371/journal.pone.0310988. eCollection 2024.
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Nerve Autografts Versus Allografts for Mixed Motor/Sensory Nerve Reconstruction.用于混合运动/感觉神经重建的自体神经移植物与同种异体移植物的比较
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