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  4. The Role of Biomaterials in Peripheral Nerve and Spinal Cord Injury: A Review

The Role of Biomaterials in Peripheral Nerve and Spinal Cord Injury: A Review

International Journal of Molecular Sciences, 2022 · DOI: 10.3390/ijms23031244 · Published: January 23, 2022

Spinal Cord InjuryRegenerative MedicineBiomedical

Simple Explanation

Peripheral nerve and spinal cord injuries can have devastating consequences, often leading to permanent disabilities. Current treatments for severe cases are limited, highlighting the need for innovative solutions. Biomaterials offer a promising avenue for promoting nerve regeneration by acting as scaffolds that mimic the natural support structure of nerve tissue. These scaffolds can also deliver therapeutic agents directly to the injury site, enhancing the healing process. This review explores the principles and recent progress in utilizing biomaterials to encourage axon regrowth and repair within the nervous system, offering hope for improved treatments for nerve injuries.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

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    Biomaterials can be engineered to mimic the extracellular matrix of nerve tissue, providing a scaffold for axonal regeneration and facilitating the delivery of therapeutic agents to the injury site.
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    Surface modification of synthetic biomaterials with ECM proteins or cell-adhesive peptides enhances their bioactivity, promoting cell attachment and reducing immunological responses.
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    Topographical cues, such as microchannels and microfibers in scaffolds, can guide axonal regeneration in a linear and aligned manner, improving the quantity and directionality of regenerating axons.

Research Summary

This review explores the use of biomaterials for peripheral nerve injury (PNI) and spinal cord injury (SCI), highlighting their potential to promote axonal regeneration and nervous system repair by mimicking the extracellular matrix and delivering therapeutic agents. The review discusses various types of biomaterials, including natural and synthetic materials, and different implant designs, such as hydrogels, hollow tube conduits, and porous scaffolds, along with surface modification techniques to enhance bioactivity. The review also addresses critical factors such as biodegradation, foreign body response, topography-mediated axonal guidance, and drug release, as well as clinical translation, emphasizing the potential of biomaterials in combination with other therapies to improve outcomes for nerve injuries.

Practical Implications

Improved Nerve Repair Strategies

Biomaterials can be used to develop more effective nerve repair strategies by providing structural support, delivering therapeutic agents, and guiding axonal regeneration.

Personalized Treatments

3D printing and other advanced fabrication techniques enable the creation of patient-specific biomaterial implants tailored to the unique characteristics of the injury site.

Enhanced Functional Recovery

Combinatorial therapies involving biomaterials, growth factors, cellular treatments, and electrical stimulation may lead to significant improvements in functional recovery after nerve injuries.

Study Limitations

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