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  4. Targeted tissue engineering: hydrogels with linear capillary channels for axonal regeneration after spinal cord injury

Targeted tissue engineering: hydrogels with linear capillary channels for axonal regeneration after spinal cord injury

Neural Regeneration Research, 2018 · DOI: 10.4103/1673-5374.230286 · Published: April 1, 2018

Spinal Cord InjuryNeurologyBiomedical

Simple Explanation

Spinal cord injury often leads to permanent loss of function due to the failure of axons to regenerate in the central nervous system. Researchers are exploring strategies like cell transplantation, bioactive compounds, and gene transfer to encourage axon regrowth and improve outcomes. One promising approach involves using hydrogels with linear channels to guide axon growth and create a supportive environment for regeneration.

Study Duration
Not specified
Participants
Animal models of SCI
Evidence Level
Review Article

Key Findings

  • 1
    Scaffolds with linear channels can physically guide axon growth across the lesion and reduce contact with the inhibitory microenvironment.
  • 2
    Combining biomaterials with cells improves morphological and functional outcomes by providing a matrix for cell adhesion and enhancing cell survival.
  • 3
    Channel diameter in hydrogels influences axon growth density and orientation, with smaller diameters promoting better linear orientation.

Research Summary

Anisotropic biomaterials with channels offer advantages over isotropic materials for axon orientation and guidance after spinal cord injury. Combining biomaterials with cells and neurotrophin delivery can improve anatomical and behavioral outcomes. Modifying biomaterials with bioactive molecules and altering stiffness at the host/graft interface may enhance tissue integration and vascularization.

Practical Implications

Directional Axon Growth

Hydrogels with linear channels provide physical guidance for axons, promoting directional growth across spinal cord lesions.

Enhanced Regeneration

Combining hydrogels with cells and growth factors creates a supportive microenvironment, improving axon regeneration and functional outcomes.

Improved Tissue Integration

Modifying hydrogel properties and the host/graft interface can enhance tissue integration, vascularization, and cell migration.

Study Limitations

  • 1
    Host cells responding to the lesion generate a myriad of inhibitors which impede axon extension.
  • 2
    A “gap” composed of invading cells and small cysts frequently exists between hydrogels and the rostral and caudal astrocytic edges/host parenchyma.
  • 3
    Chemotropic gradient beyond the lesion was not sufficient for axons to bridge the lesion site.

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