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  4. Recent Advances in Nanotherapeutic Strategies for Spinal Cord Injury Repair

Recent Advances in Nanotherapeutic Strategies for Spinal Cord Injury Repair

Adv Drug Deliv Rev, 2019 · DOI: 10.1016/j.addr.2018.12.011 · Published: August 1, 2019

Spinal Cord InjuryPharmacologyBiomedical

Simple Explanation

Spinal cord injury (SCI) is a devastating condition with no cure. Nanoscale strategies offer promising new means of treating SCI by crossing the blood–spinal cord barrier to deliver therapeutics. Nanomaterials can modulate inflammatory signals, target inhibitory factors in the lesion, and promote axonal regeneration after SCI, offering synergistic effects with emerging research areas like optogenetics, immunotherapy and CRISPR-mediated genome editing. This review discusses different nanomaterial fabrication methods, recent studies, emerging research areas and clinical translation barriers.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    Nanocarriers enable localized, slow, and sustained delivery of therapeutics at the site of injury, overcoming limitations of systemic administration.
  • 2
    Nanomaterials presenting physical guidance cues for regenerating axons and/or loaded with therapeutic drugs show great potential for revolutionizing SCI treatment.
  • 3
    Emerging technologies like optogenetics, immunotherapy, and CRISPR/Cas9 hold great potential for revolutionizing SCI repair, especially in combination with nanosystems.

Research Summary

This review article summarizes nanomaterial fabrication and therapeutic effects achieved by nanoscale systems in pre-clinical studies of spinal cord injury (SCI). The review specifically discusses strategies to attenuate inflammatory response, target inhibitory components, and enhance axonal regeneration. It also addresses efforts and barriers to the clinical translation of nanomaterials for SCI repair, crucial for wider utilization of these materials.

Practical Implications

Localized Drug Delivery

Nanocarriers can be engineered to deliver drugs directly to the injury site, reducing side effects and increasing efficacy.

Regenerative Cues

Nanomaterials can provide physical and chemical cues to promote axonal regeneration and functional recovery.

Combination Therapies

Nanomaterials can be combined with emerging technologies for synergistic effects in SCI repair.

Study Limitations

  • 1
    Lack of standardized definition of nanoscale.
  • 2
    Complications with renal clearance and degradation products.
  • 3
    Blood-spinal cord barrier limitations.

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