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  4. Hyaluronic Acid Biomaterials for Central Nervous System Regenerative Medicine

Hyaluronic Acid Biomaterials for Central Nervous System Regenerative Medicine

Cells, 2020 · DOI: 10.3390/cells9092113 · Published: September 17, 2020

Regenerative MedicineNeurologyBiomedical

Simple Explanation

Hyaluronic acid (HA) is a key part of the brain's support structure and affects cell behavior in the central nervous system (CNS). Following injury or disease, the balance in the brain is disrupted, altering the environment around cells and their functions, which hinders natural healing processes. To help repair the damage from injuries or diseases, tissue engineering using HA-based materials has been explored for use in CNS regenerative medicine.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    HA influences cell migration, proliferation, differentiation, and other cell behaviors, playing a significant role in maintaining homeostasis in neuronal tissue.
  • 2
    Modifications to HA are largely focused on three distinct functional groups: the glucuronic acid carboxylic acid, the primary and secondary hydroxyl groups, and the N-acetyl group
  • 3
    HA-based hydrogels also enable the localized delivery of therapeutic cargo (e.g., stem cells, drugs, growth factors) to areas of CNS damage or disease resulting in improved therapeutic efficacy.

Research Summary

This review highlights recent findings on the applications of HA-based materials in CNS regenerative medicine, emphasizing its impact on cell signaling and customizable properties. HA plays a significant role in maintaining homeostasis in neuronal tissue by influencing cell migration, proliferation, and differentiation through interactions with cell receptors like CD44 and RHAMM. HA-based materials, particularly hydrogels, granular hydrogels, and composite systems, show promise in promoting healing, modulating inflammatory responses, and delivering therapeutic molecules for CNS injuries and diseases.

Practical Implications

Enhanced CNS Repair

HA-based biomaterials offer a promising avenue for promoting healing, regeneration, and functional recovery of CNS tissues after injury or disease.

Localized Drug Delivery

HA hydrogels enable targeted delivery of therapeutic agents, such as stem cells, growth factors, and drugs, directly to the site of CNS damage, improving therapeutic efficacy.

Customizable Scaffolds

Chemical modifications and manufacturing techniques allow for the creation of customizable and versatile HA scaffolds, tailored to specific CNS tissue engineering and regenerative medicine applications.

Study Limitations

  • 1
    Extensive HA modifications can reduce the biological activity of HA by inhibiting binding to cell surface receptors
  • 2
    Noncovalent HA scaffolds have not been applied extensively for CNS applications
  • 3
    Localized adaptability is necessary to maintain and differentiate neural progenitor/stem cells in vitro

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