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  4. Modulating neuroinflammation through molecular, cellular and biomaterial-based approaches to treat spinal cord injury

Modulating neuroinflammation through molecular, cellular and biomaterial-based approaches to treat spinal cord injury

Bioeng Transl Med, 2023 · DOI: 10.1002/btm2.10389 · Published: March 1, 2023

Spinal Cord InjuryImmunologyBiomedical

Simple Explanation

Spinal cord injury (SCI) leads to neuroinflammation, which contributes to both tissue damage and repair processes. The immune cells and their factors become imbalanced in the spinal cord microenvironment. To heal and repair, immunological pathways during neuroinflammation must be manipulated. Recent advancements in molecular, cellular, and biomaterial-based therapies to modulate inflammation and promote tissue regeneration and functional recovery are discussed. Neuroinflammation, an inflammatory response in the brain or spinal cord, is a key component after SCI. It persists from the primary phase to the secondary phase of injury.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review Article

Key Findings

  • 1
    Neuroinflammation after spinal cord injury involves a complex interplay of immune cells, cytokines, chemokines, and neurotrophic factors, leading to both tissue damage and repair.
  • 2
    Molecular- and cell-based therapies, including depletion of immune cells and mediators, and transplantation of reparative cells, can improve SCI recovery by modulating neuroinflammation.
  • 3
    Biomaterial-based therapies, such as localized drug delivery and tissue engineering scaffolds, offer promising approaches to modulate neuroinflammation and promote tissue regeneration after SCI.

Research Summary

The review discusses the complex neuroinflammatory response after spinal cord injury (SCI), which involves both tissue damage and reparative processes. It highlights the imbalance of immune cells and their modulatory factors within the spinal cord microenvironment. Recent advancements in molecular-, cellular-, and biomaterial-based therapies aimed at modulating neuroinflammation to promote tissue regeneration and functional recovery after SCI are examined. The review emphasizes the importance of manipulating immunological pathways during neuroinflammation to achieve successful therapeutic interventions for SCI.

Practical Implications

Localized Drug Delivery

Localized drug delivery using biomaterials can bypass the blood-spinal cord barrier (BSCB) and reduce side effects of immunomodulation drugs.

Immunomodulatory Scaffold Design

SCI scaffolds should be designed to be immunomodulatory through manipulating material chemistry and mechanical properties to achieve better recovery outcomes.

Combination Therapy

Combining biomaterial design, drug delivery, cell therapy, and rehabilitation can target neuroinflammation and neuroregeneration to achieve a synergistic effect in promoting functional recovery after SCI.

Study Limitations

  • 1
    Route of drug delivery to alleviate immune responses is limited.
  • 2
    Non-invasive route of drug delivery is less efficient in accessing the CNS due to the BSCB.
  • 3
    Clinical trials of corticosteroids in SCI have been relatively small.

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