Hydrogel in the Treatment of Traumatic Brain Injury.

IF 8.1 Q1 ENGINEERING, BIOMEDICAL Biomaterials research Pub Date : 2024-09-26 eCollection Date: 2024-01-01 DOI:10.34133/bmr.0085
Shanhe Li, Jiajun Xu, Yuqing Qian, Ruiping Zhang
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Abstract

The high prevalence of traumatic brain injury (TBI) poses an important global public health challenge. Current treatment modalities for TBI primarily involve pharmaceutical interventions and surgical procedures; however, the efficacy of these approaches remains limited. In the field of regenerative medicine, hydrogels have garnered significant attention and research efforts. This review provides an overview of the existing landscape and pathological manifestations of TBI, with a specific emphasis on delineating the therapeutic potential of hydrogels incorporated with various bioactive agents for TBI management. Particularly, the review delves into the utilization and efficacy of hydrogels based on extracellular matrix (ECM), stem cell-loaded, drug-loaded, self-assembled peptide structures or conductive in the context of TBI treatment. These applications are shown to yield favorable outcomes such as tissue damage mitigation, anti-inflammatory effects, attenuation of oxidative stress, anti-apoptotic properties, promotion of neurogenesis, and facilitation of angiogenesis. Lastly, a comprehensive analysis of the merits and constraints associated with hydrogel utilization in TBI treatment is presented, aiming to steer and advance future research endeavors in this domain.

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治疗创伤性脑损伤的水凝胶。
创伤性脑损伤(TBI)的高发病率给全球公共卫生带来了重大挑战。目前治疗创伤性脑损伤的方法主要包括药物干预和外科手术,但这些方法的疗效仍然有限。在再生医学领域,水凝胶受到了极大的关注,研究工作也十分活跃。本综述概述了创伤性脑损伤的现有情况和病理表现,特别强调了加入各种生物活性剂的水凝胶在治疗创伤性脑损伤方面的治疗潜力。特别是,该综述深入探讨了基于细胞外基质(ECM)、干细胞负载、药物负载、自组装肽结构或导电性的水凝胶在治疗创伤性脑损伤方面的应用和疗效。研究表明,这些应用可产生有利结果,如减轻组织损伤、抗炎作用、减轻氧化应激、抗凋亡特性、促进神经发生和促进血管生成。最后,本文全面分析了水凝胶在创伤性脑损伤治疗中应用的优点和制约因素,旨在引导和推动该领域未来的研究工作。
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