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  4. Current Concepts of Biomaterial Scaffolds and Regenerative Therapy for Spinal Cord Injury

Current Concepts of Biomaterial Scaffolds and Regenerative Therapy for Spinal Cord Injury

Int. J. Mol. Sci., 2023 · DOI: 10.3390/ijms24032528 · Published: January 28, 2023

Spinal Cord InjuryRegenerative MedicineBiomedical

Simple Explanation

Spinal cord injury (SCI) is a devastating condition with significant neurological deficits and social and financial burdens. Current treatments only manage symptoms, lacking real therapeutic solutions. Recent advancements in biomaterial technology, combined with stem cell therapy, offer new therapeutic strategies from lab to patient. Biomaterial scaffolds support regeneration by delivering drugs and cells, aiding cell-material interactions, and providing neuroprotection. This review summarizes recent preclinical and clinical studies that use biomaterial scaffolds in regenerative therapy for SCI. It highlights biomaterial strategies and simplified results data, offering insights into future clinical applications.

Study Duration
Not specified
Participants
168 articles were selected in the present review
Evidence Level
Review

Key Findings

  • 1
    Hydrogels, biodegradable scaffolds, micro/nano-fibers, and drug-delivering biomaterials are key categories of biomaterial scaffolds used in spinal cord regeneration. These provide structure, physical support, and biological properties for tissue constructs.
  • 2
    Combinatory treatments, such as those pairing biomaterial scaffolds with stem cells, rehabilitation, or the release of neurotrophic factors, have shown promise in promoting differentiation, proliferation, and viability of transplanted cells.
  • 3
    Several clinical trials have demonstrated positive results, such as motor function improvement, inflammation reduction, and axon growth, with the use of biomaterial scaffold grafts, indicating their potential for radical treatment of SCI.

Research Summary

This review summarizes recent preclinical and clinical studies using biomaterial scaffolds in regenerative therapy for SCI. It also summarizes biomaterial strategies for treatment with simplified results data, focusing on 168 selected articles. The review separately summarizes preclinical experimental results for hydrogels, biodegradable scaffolds, nano-/microscale scaffolds, biomaterial scaffolds in combinatory treatment used for DDSs, combinatory with cell therapy and regeneration therapy for chronic SCI. The review also examined ongoing and recently completed clinical trials using biomaterial scaffolds for SCI. Currently, clinical and experimental studies show positive results in motor functional improvement, anti-inflammation, scar/cavity reduction, axon growth, and angiogenesis.

Practical Implications

Therapeutic Strategies

Biomaterial scaffolds, combined with stem cell therapy or drug delivery, offer potential therapeutic strategies for SCI by supporting regeneration and neuroprotection.

Clinical Translation

Ongoing and completed clinical trials show positive results, suggesting that biomaterial scaffolds can be translated into radical treatments for SCI patients in the near future.

Future Research

Future research should focus on addressing the limitations of animal experiments when applying findings to humans and on continuing basic research and clinical trials of biomaterial scaffold therapy.

Study Limitations

  • 1
    The application of animal experiments to human SCI trials has inherent limitations.
  • 2
    Some inherent limitations still exist in performing human SCI trials
  • 3
    This database could serve as a benchmark for progress in future clinical trials for SCI with biomaterial scaffolds.

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