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  4. Integrating hydrogels manipulate ECM deposition after spinal cord injury for specific neural reconnections via neuronal relays

Integrating hydrogels manipulate ECM deposition after spinal cord injury for specific neural reconnections via neuronal relays

Sci. Adv., 2024 · DOI: 10.1126/sciadv.ado9120 · Published: July 3, 2024

Spinal Cord InjuryRegenerative MedicineBiomedical

Simple Explanation

This research introduces a bioinspired hydrogel, HADA/HRR, to improve tissue integration after spinal cord injury (SCI). The hydrogel manipulates the behavior of cells, transforming dense scars into a supportive structure for nerve regrowth. The hydrogel incorporates NT3 and curcumin to promote nerve regrowth and the survival of interneurons, which act as relays for establishing specific nerve connections. This approach led to improvements in motor, sensory, and bladder functions in rats with complete spinal cord injury. The study also demonstrated the establishment of heterogeneous neural connections across hemisected lesions in canines, significantly improving motor functions. These findings suggest that biomaterials can stimulate beneficial biological activities for SCI repair.

Study Duration
8 Weeks
Participants
Adult female Sprague-Dawley rats, aged 8 weeks, and Beagle dogs of 1 to 1.5 years old (8-9 kg)
Evidence Level
Not specified

Key Findings

  • 1
    HADA/HRR hydrogels can reverse the formation of fibrotic scar after SCI, transforming it into a supportive substrate for regenerating axons.
  • 2
    HADA/HRR-based hydrogels regulated inflammation after SCI by decreasing ECM expression and inflammatory cytokine production.
  • 3
    HADA/HRR + NT3/Cur hydrogel facilitated specific neuronal relaying connections across lesion. HADA/HRR + NT3/Cur hydrogel promoted activation of relaying neurons to transmit signals across the lesion

Research Summary

This study introduces a bioinspired hydrogel (HADA/HRR) combined with NT3 and curcumin to enhance tissue integration and neural regeneration following spinal cord injury (SCI). The hydrogel manipulates ECM deposition by influencing PDGFRβ+ cell infiltration, transforming dense scars into aligned fibrous substrates that guide axonal regrowth. This approach also promotes interneuron survival, facilitating the establishment of target-specific neural connections. Experiments on rats and canines with SCI demonstrated significant improvements in motor, sensory, and bladder functions, suggesting that biomaterials can inspire beneficial biological activities for SCI repair.

Practical Implications

Therapeutic strategy

The findings suggest a novel therapeutic strategy for SCI by focusing on ECM remodeling and neuronal relaying.

Clinical applications

The hydrogel has strong translational potentials as a promising therapeutic approach for neural function recovery after SCI.

Biomaterial-initiated biological repair

The study provides proof-of-concept evidence that biomaterial-based treatments can promote a cascade of beneficial biological activities, demonstrating the potential for "biomaterial-initiated biological repair."

Study Limitations

  • 1
    The mechanism behind fibrotic scarring after SCI remains poorly understood
  • 2
    Long-term effects of hydrogel implantation were not evaluated
  • 3
    The origin of scar-forming fibrotic cells remains a controversial topic

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