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  4. Nanomaterials as therapeutic agents to modulate astrocyte-mediated inflammation in spinal cord injury

Nanomaterials as therapeutic agents to modulate astrocyte-mediated inflammation in spinal cord injury

Materials Today Bio, 2023 · DOI: https://doi.org/10.1016/j.mtbio.2023.100888 · Published: November 29, 2023

Spinal Cord InjuryImmunologyBiomedical

Simple Explanation

Traumatic spinal cord injury (TSCI) can lead to lasting dysfunction and paralysis. Current treatments often fall short, but nanomaterials offer a promising avenue by targeting astrocyte-mediated inflammation, which plays a crucial role in TSCI recovery. This review explores how different nanomaterials, including organic, bioderived, and inorganic types, can regulate astrocyte-mediated inflammation after TSCI. These nanomaterials can deliver anti-inflammatory drugs directly to the injury site, extend the life of these drugs in the body, and offer synergistic therapeutic effects. The review aims to provide a comprehensive understanding of the current research landscape, proposing innovative avenues for investigating pathogenic mechanisms and developing clinical interventions for TSCI.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    Organic nanomaterials, like PLGA nanoparticles, can effectively reduce the production of inflammatory factors by astrocytes and restrict glial scarring, improving behavioral performance in rats.
  • 2
    Bioderived nanomaterials, such as MSC-Exo, have shown potential in mitigating inflammation by downregulating the phosphorylated NF-κB P65 subunit, leading to a decrease in lesion area and improved expression of neuroprotective markers.
  • 3
    Inorganic nanomaterials, like cerium dioxide nanoparticles, can inhibit astrocyte-activation-related NF-κB expression and enhance Nrf2 expression, suggesting their potential in inhibiting inflammation and nerve injury.

Research Summary

This review summarizes the current understanding of astrocyte-mediated inflammation in TSCI and the potential of nanomaterials to manage this inflammation. It classifies nanomaterials into organic, bioderived, and inorganic categories, highlighting their functions and advantages. Nanomaterials offer favorable features such as codelivery of anti-inflammatory drugs, extended duration of bioactive molecules, and synergistic therapeutic effects. The review aims to furnish a comprehensive summary of current research advancements. Despite the promising potential, challenges remain in the clinical translation of nanomaterials, including issues related to biocompatibility, safety, and immunotoxicity. Further research is needed to refine active targeting techniques and thoroughly assess the toxicity of nanomaterials.

Practical Implications

Targeted Drug Delivery

Nanomaterials enable precise delivery of anti-inflammatory drugs to the injury site, maximizing therapeutic effects while minimizing systemic side effects.

Immunomodulation

Nanomaterials can modulate astrocyte reactivity, promoting a microenvironment conducive to mitigating secondary injury and supporting neural regeneration.

Combination Therapies

Nanomaterials facilitate the combination of multiple therapeutic strategies, addressing the complex and multidimensional nature of TSCI for greater effectiveness.

Study Limitations

  • 1
    Immunogenicity of organic nanomaterials
  • 2
    Toxicity of inorganic nanomaterials
  • 3
    Ensuring safety of immunomodulatory NPs

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