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  4. The Role of Alginate Hydrogels as a Potential Treatment Modality for Spinal Cord Injury: A Comprehensive Review of the Literature

The Role of Alginate Hydrogels as a Potential Treatment Modality for Spinal Cord Injury: A Comprehensive Review of the Literature

Neurospine, 2022 · DOI: https://doi.org/10.14245/ns.2244186.093 · Published: June 1, 2022

Spinal Cord InjuryRegenerative MedicineBiomedical

Simple Explanation

Biomaterial engineers are developing solutions to combat chronic diseases, but synthetic materials can cause cytotoxic immunological effects. Biomolecular and cell-based approaches are now prominent in treating spinal conditions. Alginate hydrogels, derived from brown algae, can mimic the mechanical integrity of human tissue, making them valuable in regenerative medicine and tissue engineering. This review describes the properties of alginate hydrogels and their functional outcomes in spinal cord injury, aiming to highlight their value in future treatment strategies.

Study Duration
Not specified
Participants
555 rat models
Evidence Level
Level 4, Literature Review

Key Findings

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    Alginate hydrogels are efficient substrates for tissue engineering, drug delivery, neural regeneration, and cell-based therapies for spinal cord injury repair.
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    Alginate hydrogels can act as pro-regenerative and antidegenerative agents, potentially improving clinical outcomes for spinal cord injuries.
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    Alginate hydrogel scaffolds can guide axonal regeneration, as demonstrated by increased axon numbers and linear orientation in rat spinal cord injury models.

Research Summary

Alginate hydrogels show promise as a treatment modality for SCI due to their versatility, biocompatibility, and biomechanical similarity to the ECM. Alginate hydrogels can be modified in their chemical composition and molecular weights to target various biomedical applications, including drug delivery and cell-based therapies. The utilization of alginate in medicine is expected to evolve considerably into a more active role, especially in drug delivery, wound healing and tissue regeneration.

Practical Implications

Drug Delivery

Alginate hydrogels can be used as drug-delivery platforms, facilitating the injection of RhoA inhibitors and other therapeutic agents to promote neuronal reconnections and axonal regeneration.

Tissue Engineering

Alginate hydrogels provide a matrix for neural stem cell growth and can be combined with other materials to create scaffolds with adjustable degradation rates.

Clinical Translation

Further research is needed to understand the biomaterial properties of alginate hydrogels to determine appropriate therapies for human subjects, including revisiting crosslinking strategies and characterizing degradation byproducts.

Study Limitations

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