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  4. Biomaterials for spinal cord repair

Biomaterials for spinal cord repair

Neurosci Bull, 2013 · DOI: 10.1007/s12264-013-1362-7 · Published: August 1, 2013

Spinal Cord InjuryBiomedical

Simple Explanation

Spinal cord injuries (SCIs) often lead to permanent loss of function because damaged nerve fibers (axons) don't regenerate, preventing the reconnection of neural circuits. Researchers are exploring biomaterials to promote axon regeneration after SCI. Biomaterials can provide structural support and deliver substances that encourage axon growth while preventing growth inhibition. The design of these materials is tailored to meet the unique needs of the injured central nervous system. This review highlights prominent biomaterials, their ideal characteristics, and their potential for repairing and regenerating damaged axons after SCI, emphasizing the importance of collaboration between engineers, scientists, and clinicians.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    Axonal regeneration is considered an important repair mechanism for the injured spinal cord and materials that have shown most promise to elicit an axonal regeneration response to foster functional restoration after SCI are reviewed.
  • 2
    Hydrogels, water-swollen cross-linked polymer networks capable of imitating the mechanical and, to some degree, the architecture of the soft spinal cord tissue, seem to fulfill many of the requirements that could support the repair of damaged nervous tissue.
  • 3
    PEG-based hydrogels meet many criteria for spinal cord repair, and when combined with the innate ability to sequester reactive oxygen species, it is reasonable to expect advances in this particular group of in situ gelling materials.

Research Summary

Spinal cord injury (SCI) results in permanent loss of function. A contributing factor to the permanence of SCI is that damaged axons do not regenerate, which prevents the re-establishment of axonal circuits involved in function. Many groups are working to develop treatments that address the lack of axon regeneration after SCI. The emergence of biomaterials for regeneration and increased collaboration between engineers, basic and translational scientists, and clinicians hold promise for the development of effective therapies for SCI. Here, we review the most prominent materials, their optimal characteristics, and their potential roles in repairing and regenerating damaged axons following SCI.

Practical Implications

Structural Support and Growth Promotion

Biomaterials provide structural support to damaged axons, aiding in regeneration and functional restoration.

Delivery of Therapeutic Agents

Biomaterials can act as delivery vehicles for growth factors and other molecules that promote axon growth and inhibit inhibitory signals.

Clinical Relevance of Injectable Materials

Injectable, in situ gelling materials, particularly PEG-based hydrogels, hold great potential for treating contusion injuries, which are the most common type of SCI in humans.

Study Limitations

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