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  4. Matrices, scaffolds & carriers for cell delivery in nerve regeneration

Matrices, scaffolds & carriers for cell delivery in nerve regeneration

Exp Neurol, 2019 · DOI: 10.1016/j.expneurol.2018.09.020 · Published: September 1, 2019

NeurologyBiomedical

Simple Explanation

Nerve injuries, especially those involving large gaps in peripheral nerves or spinal cord injuries, are difficult to treat effectively. This review explores the use of biomaterials as scaffolds to support cell transplantation as a promising strategy for nerve regeneration. The review discusses important factors to consider when designing biomaterial scaffolds for cell transplantation, such as biocompatibility, biodegradability, porosity, mechanical properties, and cell adhesion. It also provides an overview of current biomaterials, both natural and synthetic, used for creating scaffolds that provide a supportive environment for transplanted cells to enhance nerve regeneration.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Not specified

Key Findings

  • 1
    Biomaterial scaffolds must be biocompatible, biodegradable, permeable/porous, biomechanically suitable, and capable of promoting cell adhesion, migration, and encapsulation to support nerve regeneration.
  • 2
    Natural biomaterials, like collagen and hyaluronic acid, offer inherent bioactivity but may lack control over degradation rates and mechanical properties.
  • 3
    Synthetic polymers offer tunable properties but may have limited biocompatibility and lack natural cell adhesion sites, making the combination of natural and synthetic biomaterials a promising approach.

Research Summary

This review examines the use of biomaterial scaffolds as cell carriers for nerve regeneration, highlighting the challenges of treating peripheral nerve injuries with critical gaps and spinal cord injuries. Key considerations for scaffold design, including biocompatibility, biodegradability, permeability, biomechanical properties, cell adhesion, and cell encapsulation, are discussed in detail. The review concludes that combining natural and synthetic biomaterials functionalized with biochemical molecules is a promising approach for creating effective neural scaffolds for cell delivery and enhanced nerve regeneration.

Practical Implications

Improved Scaffold Design

The insights provided can inform the design of more effective neural scaffolds for cell transplantation, leading to better nerve regeneration outcomes.

Enhanced Cell Therapies

A better understanding of cellular behaviors within scaffolds can improve the development of cell-based therapies for nerve injuries.

Clinical Translation

The review highlights promising materials and strategies that can be further developed and translated into clinical applications for treating nerve injuries.

Study Limitations

  • 1
    Complete functional recovery remains a challenge for PNI with critical gap and SCI.
  • 2
    Current neural scaffolds can influence stem cell differentiation towards neuronal lineages, but differentiation specificity of each neuronal and glial subtypes are still being elucidated.
  • 3
    It is often difficult to control degradation rates and mechanical properties for natural biomaterials.

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