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  4. Hydrogel scaffolds in the treatment of spinal cord injury: a review

Hydrogel scaffolds in the treatment of spinal cord injury: a review

Frontiers in Neuroscience, 2023 · DOI: 10.3389/fnins.2023.1211066 · Published: May 31, 2023

Spinal Cord InjuryNeurologyBiomedical

Simple Explanation

Spinal cord injury (SCI) is a central nervous system disease often caused by accidents, leading to long-term adverse effects. Treatment focuses on improving the microenvironment at the injury site and reconstructing axons. Hydrogels, with their biocompatibility and adjustability, can fill pathological defects and mimic the natural extracellular matrix for cell colonization and axon extension. Composite hydrogel scaffolds, enhanced with different materials, can further improve performance, making them useful in SCI treatment.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

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    Hydrogels provide three-dimensional support for neuronal regeneration and axonal extension, which is conducive to cell growth, proliferation and migration and promotes neural reconstruction.
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    Hydrogels act as carriers to load stem cells to the injury site, reducing cell loss and off-targeting.
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    Hydrogels slowly release bioactive factors or chemical drugs for sustained and stable release, enhancing performance.

Research Summary

This review discusses the application of hydrogels in treating spinal cord injuries (SCI), focusing on their ability to improve the microenvironment at the injury site and promote axon regeneration. Composite hydrogels, combining natural and synthetic materials, offer enhanced cell adhesion and mechanical properties, improving their effectiveness in tissue engineering. Smart hydrogels respond to stimuli like temperature, light, and pH, enabling controlled drug release and better tissue integration, showing promise for SCI treatment.

Practical Implications

Enhanced Nerve Regeneration

Hydrogels provide structural support and promote axonal growth, facilitating nerve regeneration in damaged spinal cords.

Targeted Drug Delivery

Smart hydrogels enable controlled and localized release of therapeutic agents, maximizing efficacy and minimizing side effects.

Improved Clinical Outcomes

Clinical trials show that hydrogel-based therapies, especially when combined with cells or growth factors, can improve sensory and motor functions in SCI patients.

Study Limitations

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