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  4. Nanofiber Scaffolds as Drug Delivery Systems to Bridge Spinal Cord Injury

Nanofiber Scaffolds as Drug Delivery Systems to Bridge Spinal Cord Injury

Pharmaceuticals, 2017 · DOI: 10.3390/ph10030063 · Published: July 5, 2017

Spinal Cord InjuryPharmacologyBiomedical

Simple Explanation

Spinal cord injury (SCI) often leads to motor, sensory, and autonomic system dysfunctions with limited effective treatments for cell regeneration and motor function recovery. This review explores neuro-protective and neuro-regenerative approaches using nanofibers as local drug delivery systems. Nanofibers can deliver drugs to prevent secondary damage after SCI (neuro-protection) and re-establish neuronal connections through axonal sprouting (neuro-regeneration), which helps in functional recovery. Current pharmaceutical strategies, like Methylprednisolone, have limitations and side effects. Emerging nanotechnology, particularly nanofibers, offers targeted drug delivery and physical support for axonal regeneration.

Study Duration
Not specified
Participants
Animal models (rats, sheep, murine) and in vitro cell studies
Evidence Level
Review

Key Findings

  • 1
    Nanofiber scaffolds can support graft cells, reconstruct tissue loss, alleviate inflammation, improve axonal regeneration, and act as drug delivery systems in SCI treatment.
  • 2
    Aligned nanofibers mimic the oriented nerve environment, promoting higher neural cell proliferation compared to randomly oriented fibers.
  • 3
    Electrospinning, a versatile and cost-effective method, is widely used in nanofiber manufacturing for drug delivery, allowing modulation of drug release profiles using different polymers and techniques.

Research Summary

This review discusses therapeutic neuro-protective and neuro-regenerative strategies for spinal cord injury (SCI) treatment, focusing on nanofibers as drug delivery systems. It highlights the potential of nanofibers to prevent secondary damage (neuro-protection) and promote neuronal connectivity (neuro-regeneration) for functional recovery. The review also covers current pharmacological approaches, nanotechnology approaches, and the use of nanofibers as cell carriers in SCI treatment.

Practical Implications

Targeted Drug Delivery

Nanofiber scaffolds offer a method for targeted drug delivery to the injury site, enhancing therapeutic effects and minimizing systemic side effects.

Enhanced Axonal Regeneration

By mimicking the native extracellular matrix, nanofibers can promote axonal regrowth and improve functional recovery after SCI.

Combined Therapeutic Approaches

Combining drug delivery with physical support for cell growth can provide comprehensive neuro-protective and neuro-regenerative outcomes.

Study Limitations

  • 1
    The review is limited to studies published up to 2017.
  • 2
    Clinical translation of nanofiber-based therapies is still a challenge.
  • 3
    Long-term efficacy and safety of implanted nanofiber scaffolds need further investigation.

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