Frontiers in Neuroscience, 2018 · DOI: 10.3389/fnins.2018.00484 · Published: July 19, 2018
Spinal cord injuries (SCIs) often have debilitating effects on patients and can severely impact quality of life. Each year there are about 20,000 new injuries and currently there may be up to 350,000 SCI patients in the United States. Finding a treatment for these injuries is therefore of utmost importance and axon regeneration may prove to be one of the most promising alternatives. The first approach involves an affinity-based delivery system which essentially consists of a polymeric matrix that has a ligand for our therapeutic of interest immobilized on the matrix. The rate of release of the therapeutic can therefore be controlled by modulating the dissociation kinetics of our protein therapeutic and its matrix-immobilized ligand. The second approach involves a nanoparticle delivery system which essentially modulates release of the protein therapeutics by degradation of the particle matrix. The proteins are encapsulated in the nanoparticles and, after an initial period of rapid release, are slowly released as the particle matrix progressively degrades.
Nanoparticle-based systems offer a promising approach for delivering protein therapeutics to the spinal cord, potentially promoting axon regeneration and functional recovery after SCI.
The development of non-toxic and biodegradable nanoparticle delivery systems, such as those based on PLGA, could improve the safety and efficacy of protein-based therapies for SCI.
Effective nanoparticle systems in animal models could pave the way for clinical trials and novel treatment options for SCI patients.