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Delivery of dental pulp stem cells by an injectable ROS-responsive hydrogel promotes temporomandibular joint cartilage repair via enhancing anti-apoptosis and regulating microenvironment. 通过增强抗凋亡和调节微环境,用可注射的 ROS 响应水凝胶输送牙髓干细胞,促进颞下颌关节软骨修复。
IF 6.7 1区 工程技术 Q1 Medicine Pub Date : 2024-06-22 eCollection Date: 2024-01-01 DOI: 10.1177/20417314241260436
Jinjin Ma, Juan Li, Shibo Wei, Qinwen Ge, Jie Wu, Leilei Xue, Yezi Qi, Siyi Xu, Hongting Jin, Changyou Gao, Jun Lin

Temporomandibular joint (TMJ) cartilage repair poses a considerable clinical challenge, and tissue engineering has emerged as a promising solution. In this study, we developed an injectable reactive oxygen species (ROS)-responsive multifunctional hydrogel (RDGel) to encapsulate dental pulp stem cells (DPSCs/RDGel in short) for the targeted repair of condylar cartilage defect. The DPSCs/RDGel composite exhibited a synergistic effect in the elimination of TMJ OA (osteoarthritis) inflammation via the interaction between the hydrogel component and the DPSCs. We first demonstrated the applicability and biocompatibility of RDGel. RDGel encapsulation could enhance the anti-apoptotic ability of DPSCs by inhibiting P38/P53 mitochondrial apoptotic signal in vitro. We also proved that the utilization of DPSCs/RDGel composite effectively enhanced the expression of TMJOA cartilage matrix and promoted subchondral bone structure in vivo. Subsequently, we observed the synergistic improvement of DPSCs/RDGel composite on the oxidative stress microenvironment of TMJOA and its regulation and promotion of M2 polarization, thereby confirmed that M2 macrophages further promoted the condylar cartilage repair of DPSCs. This is the first time application of DPSCs/RDGel composite for the targeted repair of TMJOA condylar cartilage defects, presenting a novel and promising avenue for cell-based therapy.

颞下颌关节(TMJ)软骨修复是一项相当大的临床挑战,而组织工程已成为一种有前途的解决方案。在这项研究中,我们开发了一种可注射的活性氧(ROS)反应性多功能水凝胶(RDGel),用于包裹牙髓干细胞(简称DPSCs/RDGel),靶向修复髁突软骨缺损。DPSCs/RDGel 复合材料通过水凝胶成分与 DPSCs 之间的相互作用,在消除颞下颌关节 OA(骨关节炎)炎症方面表现出协同效应。我们首先证明了 RDGel 的适用性和生物相容性。在体外,RDGel包囊可以通过抑制P38/P53线粒体凋亡信号来增强DPSCs的抗凋亡能力。我们还证实,使用 DPSCs/RDGel 复合材料能有效提高颞下颌关节软骨基质的表达,促进软骨下骨结构的形成。随后,我们观察到 DPSCs/RDGel 复合物对 TMJOA 氧化应激微环境的协同改善及其对 M2 极化的调节和促进作用,从而证实 M2 巨噬细胞进一步促进了 DPSCs 对髁状突软骨的修复。这是首次应用DPSCs/RDGel复合材料靶向修复TMJOA髁突软骨缺损,为基于细胞的治疗提供了一条新颖而有前景的途径。
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引用次数: 0
Engineered phalangeal grafts for children with symbrachydactyly: A proof of concept. 为共生畸形儿童设计趾骨移植:概念验证
IF 8.2 1区 工程技术 Q1 Medicine Pub Date : 2024-06-12 eCollection Date: 2024-01-01 DOI: 10.1177/20417314241257352
Romain Schaller, Adrien Moya, Gangyu Zhang, Mansoor Chaaban, Robert Paillaud, Ewelina M Bartoszek, Dirk J Schaefer, Ivan Martin, Alexandre Kaempfen, Arnaud Scherberich

Tissue engineering approaches hold great promise in the field of regenerative medicine, especially in the context of pediatric applications, where ideal grafts need to restore the function of the targeted tissue and consider growth. In the present study, we aimed to develop a protocol to engineer autologous phalangeal grafts of relevant size for children suffering from symbrachydactyly. This condition results in hands with short fingers and missing bones. A previously-described, developmentally-inspired strategy based on endochondral ossification (ECO)-the main pathway leading to bone and bone marrow development-and adipose derived-stromal cells (ASCs) as the source of chondroprogenitor was used. First, we demonstrated that pediatric ASCs associated with collagen sponges can generate hypertrophic cartilage tissues (HCTs) in vitro that remodel into bone tissue in vivo via ECO. Second, we developed and optimized an in vitro protocol to generate HCTs in the shape of small phalangeal bones (108-390 mm3) using freshly isolated adult cells from the stromal vascular fraction (SVF) of adipose tissue, associated with two commercially available large collagen scaffolds (Zimmer Plug® and Optimaix 3D®). We showed that after 12 weeks of in vivo implantation in an immunocompromised mouse model such upscaled grafts remodeled into bone organs (including bone marrow tissues) retaining the defined shape and size. Finally, we replicated similar outcome (albeit with a slight reduction in cartilage and bone formation) by using minimally expanded pediatric ASCs (3 × 106 cells per grafts) in the same in vitro and in vivo settings, thereby validating the compatibility of our pediatric phalanx engineering strategy with a clinically relevant scenario. Taken together, these results represent a proof of concept of an autologous approach to generate osteogenic phalangeal grafts of pertinent clinical size, using ASCs in children born with symbrachydactyly, despite a limited amount of tissue available from pediatric patients.

组织工程方法在再生医学领域大有可为,尤其是在儿科应用中,理想的移植物需要恢复目标组织的功能并考虑生长。在本研究中,我们旨在为患有共生畸形的儿童制定一个方案,设计出大小合适的自体指骨移植物。这种情况会导致双手手指短小和缺骨。我们采用了一种先前描述过的、基于软骨内骨化(ECO)--导致骨骼和骨髓发育的主要途径--的发育启发策略,并将脂肪衍生基质细胞(ASCs)作为软骨原生细胞的来源。首先,我们证明了与胶原海绵相关的小儿 ASCs 可在体外生成肥大软骨组织(HCTs),并在体内通过 ECO 重塑为骨组织。其次,我们开发并优化了一种体外方案,利用从脂肪组织基质血管部分(SVF)新鲜分离的成体细胞,结合两种市售的大型胶原支架(Zimmer Plug® 和 Optimaix 3D® ),生成小趾骨形状的 HCT(108-390 立方毫米)。我们的研究表明,在免疫力低下的小鼠模型中体内植入 12 周后,这些增大的移植物重塑成了骨器官(包括骨髓组织),并保持了确定的形状和大小。最后,我们在相同的体外和体内环境中使用最小扩增的儿科 ASCs(每移植物 3 × 106 个细胞),复制了类似的结果(尽管软骨和骨形成略有减少),从而验证了我们的儿科趾骨工程策略与临床相关情况的兼容性。综上所述,这些结果证明了一种自体方法的概念,即在先天性共济失调患儿中使用ASCs生成具有相关临床尺寸的成骨性趾骨移植物,尽管可从儿科患者中获得的组织数量有限。
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引用次数: 0
Emerging strategies for tissue engineering in vascularized composite allotransplantation: A review 血管化复合体同种异体移植中组织工程的新策略:综述
IF 8.2 1区 工程技术 Q1 Medicine Pub Date : 2024-05-31 DOI: 10.1177/20417314241254508
Danyang Ren, Jun Chen, Meirong Yu, Chenggang Yi, Xueqing Hu, Junjie Deng, Songxue Guo
Vascularized composite allotransplantation (VCA), which can effectively improve quality of life, is a promising therapy for repair and reconstruction after face or body trauma. However, intractable issues are associated with VCA, such as the inevitable multiple immunogenicities of different tissues that cause severe rejection, the limited protocols available for clinical application, and the shortage of donor sources. The existing regimens used to extend the survival of patients receiving VCAs and suppress rejection are generally the lifelong application of immunosuppressive drugs, which have side effects. Consequently, studies aiming at tissue engineering methods for VCA have become a topic. In this review, we summarize the emerging therapeutic strategies for tissue engineering aimed to prolong the survival time of VCA grafts, delay the rejection and promote prevascularization and tissue regeneration to provide new ideas for future research on VCA treatment.
血管化复合异体移植(VCA)可有效改善生活质量,是面部或身体创伤后修复和重建的一种前景广阔的疗法。然而,血管化复合体同种异体移植存在一些难以解决的问题,如不同组织不可避免的多重免疫原性会导致严重的排斥反应、临床应用的方案有限以及供体来源短缺等。为了延长接受 VCA 患者的生存期并抑制排斥反应,现有的治疗方案通常是终身应用免疫抑制剂,但这些药物都有副作用。因此,针对 VCA 的组织工程学方法研究已成为一个主题。在这篇综述中,我们总结了新出现的旨在延长 VCA 移植物存活时间、延缓排斥反应、促进血管前化和组织再生的组织工程治疗策略,为今后的 VCA 治疗研究提供新思路。
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引用次数: 0
Microenvironmental dynamics of diabetic wounds and insights for hydrogel-based therapeutics. 糖尿病伤口的微环境动态和水凝胶疗法的启示。
IF 8.2 1区 工程技术 Q1 Medicine Pub Date : 2024-05-29 eCollection Date: 2024-01-01 DOI: 10.1177/20417314241253290
Ying Zhao, Yulan Zhao, Bing Xu, Hongwei Liu, Qiang Chang

The rising prevalence of diabetes has underscored concerns surrounding diabetic wounds and their potential to induce disability. The intricate healing mechanisms of diabetic wounds are multifaceted, influenced by ambient microenvironment, including prolonged hyperglycemia, severe infection, inflammation, elevated levels of reactive oxygen species (ROS), ischemia, impaired vascularization, and altered wound physicochemical properties. In recent years, hydrogels have emerged as promising candidates for diabetic wound treatment owing to their exceptional biocompatibility and resemblance to the extracellular matrix (ECM) through a three-dimensional (3D) porous network. This review will first summarize the microenvironment alterations occurring in the diabetic wounds, aiming to provide a comprehensive understanding of its pathogenesis, then a comprehensive classification of recently developed hydrogels will be presented, encompassing properties such as hypoglycemic effects, anti-inflammatory capabilities, antibacterial attributes, ROS scavenging abilities, promotion of angiogenesis, pH responsiveness, and more. The primary objective is to offer a valuable reference for repairing diabetic wounds based on their unique microenvironment. Moreover, this paper outlines potential avenues for future advancements in hydrogel dressings to facilitate and expedite the healing process of diabetic wounds.

糖尿病发病率的上升凸显了人们对糖尿病伤口及其致残可能性的担忧。糖尿病伤口错综复杂的愈合机制是多方面的,受到周围微环境的影响,包括长期高血糖、严重感染、炎症、活性氧(ROS)水平升高、缺血、血管受损和伤口理化性质改变。近年来,水凝胶因其优异的生物相容性和通过三维多孔网络与细胞外基质(ECM)相似而成为治疗糖尿病伤口的理想候选材料。本综述将首先总结糖尿病伤口中发生的微环境变化,旨在提供对其发病机理的全面了解,然后对最近开发的水凝胶进行全面分类,包括降糖效果、抗炎能力、抗菌属性、清除 ROS 能力、促进血管生成、pH 值响应性等特性。本文的主要目的是根据糖尿病伤口的独特微环境,为糖尿病伤口的修复提供有价值的参考。此外,本文还概述了水凝胶敷料未来发展的潜在途径,以促进和加快糖尿病伤口的愈合过程。
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引用次数: 0
Revolutionizing digestive system tumor organoids research: Exploring the potential of tumor organoids. 消化系统肿瘤器官组织研究的革命性突破:探索肿瘤器官组织的潜力。
IF 8.2 1区 工程技术 Q1 Medicine Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.1177/20417314241255470
Zhian Xiu, Qian Yang, Fusheng Xie, Feng Han, Weiwei He, Weifang Liao

Digestive system tumors are the leading cause of cancer-related deaths worldwide. Despite ongoing research, our understanding of their mechanisms and treatment remain inadequate. One promising tool for clinical applications is the use of gastrointestinal tract tumor organoids, which serve as an important in vitro model. Tumor organoids exhibit a genotype similar to the patient's tumor and effectively mimic various biological processes, including tissue renewal, stem cell, and ecological niche functions, and tissue response to drugs, mutations, or injury. As such, they are valuable for drug screening, developing novel drugs, assessing patient outcomes, and supporting immunotherapy. In addition, innovative materials and techniques can be used to optimize tumor organoid culture systems. Several applications of digestive system tumor organoids have been described and have shown promising results in related aspects. In this review, we discuss the current progress, limitations, and prospects of this model for digestive system tumors.

消化系统肿瘤是导致全球癌症相关死亡的主要原因。尽管研究仍在进行,但我们对其发病机制和治疗方法的了解仍然不足。胃肠道肿瘤器官组织是一种很有前景的临床应用工具,它是一种重要的体外模型。肿瘤器官组织表现出与患者肿瘤相似的基因型,能有效模拟各种生物过程,包括组织更新、干细胞和生态位功能,以及组织对药物、突变或损伤的反应。因此,它们在药物筛选、开发新型药物、评估患者预后和支持免疫疗法方面具有重要价值。此外,创新材料和技术可用于优化肿瘤类器官培养系统。消化系统肿瘤类器官的一些应用已被描述,并在相关方面取得了可喜的成果。在这篇综述中,我们将讨论这一消化系统肿瘤模型的当前进展、局限性和前景。
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引用次数: 0
Timely delivery of bone marrow mesenchymal stem cells based on the inflammatory pattern of bone injury environment to promote the repair of calvarial bone defects in rats: An optimized strategy for bone tissue engineering 根据骨损伤环境的炎症模式及时输送骨髓间充质干细胞,促进大鼠腓骨缺损的修复:骨组织工程的优化策略
IF 8.2 1区 工程技术 Q1 Medicine Pub Date : 2024-05-17 DOI: 10.1177/20417314241252960
Yuwei Zeng, Aiju Lou, Zhenmin Zhong, Yu Cai, Yixi Yang, Haifeng Liang, Yucong Lin, Zhuoxuan He, Lei Zhou, Zhi-Yong Zhang, Le Wang
Stem cell-based therapy plays a significant role in the repair of bone defects. However, traditional stem cell transplantation strategies in bone tissue engineering are characterized by low survival rates and unstable treatment outcomes. In this study, we propose a timely delivery strategy for inflammatory changes in the setting of bone injury to improve the survival rate of transplanted cells and bone repair. The results of cell tracing in vivo showed that this strategy could effectively improve the survival rate of low-dose exogenous transplanted cells in bone defect areas, and CD31 immunofluorescence and histological sections suggested that this strategy effectively promoted vascularization and new bone formation in the calvarial defect area. Subsequently, we analyzed the mechanism of action of the “Two-step” strategy from the perspective of inflammatory microenvironment regulation, and the results suggested that the first batch transplanted stem cells caused localized and transient increases in tissue apoptosis levels and inflammatory factors, and recruited macrophage chemotaxis, and the second batch of cells may promote pro-inflammatory - anti-inflammatory transformation of the tissue. Finally, mRNA sequencing results suggest that the first batch cells in the “Two-step” strategy are important initiators in bone repair, which not only actively regulate the immune microenvironment at the bone defect, but also guide richer cellular activity and more positive biochemical responses. Therefore, the “Two-step” strategy leads to efficient inflammatory environment regulation and superior bone repair effects, which may provide an alternative option for the treatment of bone defects in the future.
干细胞疗法在修复骨缺损方面发挥着重要作用。然而,骨组织工程中传统的干细胞移植策略存活率低,治疗效果不稳定。在本研究中,我们提出了一种针对骨损伤时炎症变化的及时输送策略,以提高移植细胞的存活率和骨修复效果。体内细胞追踪结果显示,该策略能有效提高低剂量外源移植细胞在骨缺损区的存活率,CD31免疫荧光和组织学切片显示,该策略能有效促进腓骨缺损区的血管化和新骨形成。随后,我们从炎症微环境调控的角度分析了 "两步走 "策略的作用机制,结果表明,第一批移植的干细胞会引起局部一过性的组织凋亡水平和炎症因子升高,并诱导巨噬细胞趋化,第二批细胞可能会促进组织的促炎-抗炎转化。最后,mRNA 测序结果表明,"两步法 "策略中的第一批细胞是骨修复的重要启动因子,不仅能积极调节骨缺损处的免疫微环境,还能引导更丰富的细胞活性和更积极的生化反应。因此,"两步法 "策略能有效调节炎症环境,达到良好的骨修复效果,为今后治疗骨缺损提供了另一种选择。
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引用次数: 0
Modeling of solar UV-induced photodamage on the hair follicles in human skin organoids. 模拟太阳紫外线对人体皮肤器官组织中毛囊的光损伤。
IF 8.2 1区 工程技术 Q1 Medicine Pub Date : 2024-05-08 eCollection Date: 2024-01-01 DOI: 10.1177/20417314241248753
Min-Ji Kim, Hee-Jin Ahn, Dasom Kong, Seunghee Lee, Da-Hyun Kim, Kyung-Sun Kang

Solar ultraviolet (sUV) exposure is known to cause skin damage. However, the pathological mechanisms of sUV on hair follicles have not been extensively explored. Here, we established a model of sUV-exposed skin and its appendages using human induced pluripotent stem cell-derived skin organoids with planar morphology containing hair follicles. Our model closely recapitulated several symptoms of photodamage, including skin barrier disruption, extracellular matrix degradation, and inflammatory response. Specifically, sUV induced structural damage and catagenic transition in hair follicles. As a potential therapeutic agent for hair follicles, we applied exosomes isolated from human umbilical cord blood-derived mesenchymal stem cells to sUV-exposed organoids. As a result, exosomes effectively alleviated inflammatory responses by inhibiting NF-κB activation, thereby suppressing structural damage and promoting hair follicle regeneration. Ultimately, our model provided a valuable platform to mimic skin diseases, particularly those involving hair follicles, and to evaluate the efficacy and underlying mechanisms of potential therapeutics.

众所周知,太阳紫外线(sUV)照射会造成皮肤损伤。然而,人们尚未广泛探讨紫外线对毛囊的病理机制。在这里,我们利用人体诱导多能干细胞衍生的、具有平面形态的、含有毛囊的皮肤器官组织,建立了一个受紫外线照射的皮肤及其附属器官模型。我们的模型密切再现了光损伤的几种症状,包括皮肤屏障破坏、细胞外基质降解和炎症反应。特别是,紫外线会诱导毛囊结构损伤和衰老转变。作为一种潜在的毛囊治疗剂,我们将从人脐带血间充质干细胞中分离出的外泌体应用于紫外线照射下的毛囊组织。结果,外泌体通过抑制NF-κB活化有效缓解了炎症反应,从而抑制了结构损伤并促进了毛囊再生。最终,我们的模型为模拟皮肤病(尤其是涉及毛囊的皮肤病)以及评估潜在疗法的疗效和基本机制提供了一个宝贵的平台。
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引用次数: 0
Additively manufactured bioceramic scaffolds based on triply periodic minimal surfaces for bone regeneration 基于三周期性最小表面的添加式制造生物陶瓷支架用于骨再生
IF 8.2 1区 工程技术 Q1 Medicine Pub Date : 2024-04-12 DOI: 10.1177/20417314241244997
Hong Zhu, Jinsi Wang, Shengfa Wang, Yue Yang, Meiyi Chen, Qifei Luan, Xiaochuan Liu, Ziheng Lin, Jiaqi Hu, Kenny Man, Jingying Zhang
The study focused on the effects of a triply periodic minimal surface (TPMS) scaffolds, varying in porosity, on the repair of mandibular defects in New Zealand white rabbits. Four TPMS configurations (40%, 50%, 60%, and 70% porosity) were fabricated with β-tricalcium phosphate bioceramic via additive manufacturing. Scaffold properties were assessed through scanning electron microscopy and mechanical testing. For proliferation and adhesion assays, mouse bone marrow stem cells (BMSCs) were cultured on these scaffolds. In vivo, the scaffolds were implanted into rabbit mandibular defects for 2 months. Histological staining evaluated osteogenic potential. Moreover, RNA-sequencing analysis and RT-qPCR revealed the significant involvement of angiogenesis-related factors and Hippo signaling pathway in influencing BMSCs behavior. Notably, the 70% porosity TPMS scaffold exhibited optimal compressive strength, superior cell proliferation, adhesion, and significantly enhanced osteogenesis and angiogenesis. These findings underscore the substantial potential of 70% porosity TPMS scaffolds in effectively promoting bone regeneration within mandibular defects.
这项研究的重点是孔隙率不同的三重周期性最小表面(TPMS)支架对新西兰白兔下颌骨缺损修复的影响。四种 TPMS 构型(孔隙率分别为 40%、50%、60% 和 70%)是通过增材制造技术用 β 磷酸三钙生物陶瓷制成的。通过扫描电子显微镜和机械测试评估了支架的特性。为了进行增殖和粘附试验,在这些支架上培养了小鼠骨髓干细胞(BMSCs)。在体内,将支架植入兔下颌骨缺损处 2 个月。组织学染色评估了成骨潜能。此外,RNA 序列分析和 RT-qPCR 显示,血管生成相关因子和 Hippo 信号通路对 BMSCs 的行为有显著影响。值得注意的是,孔隙率为 70% 的 TPMS 支架表现出最佳的抗压强度、优异的细胞增殖性和粘附性,并显著增强了骨生成和血管生成。这些发现强调了 70% 多孔性 TPMS 支架在有效促进下颌骨缺损骨再生方面的巨大潜力。
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引用次数: 0
Current progress and challenges in the development of brain tissue models: How to grow up the changeable brain in vitro? 脑组织模型开发的当前进展与挑战:如何在体外培养可变化的大脑?
IF 8.2 1区 工程技术 Q1 Medicine Pub Date : 2024-03-20 eCollection Date: 2024-01-01 DOI: 10.1177/20417314241235527
Alla B Salmina, Olga P Alexandrova, Anton S Averchuk, Sofia A Korsakova, Mikis R Saridis, Sergey N Illarioshkin, Stanislav O Yurchenko

In vitro modeling of brain tissue is a promising but not yet resolved problem in modern neurobiology and neuropharmacology. Complexity of the brain structure and diversity of cell-to-cell communication in (patho)physiological conditions make this task almost unachievable. However, establishment of novel in vitro brain models would ultimately lead to better understanding of development-associated or experience-driven brain plasticity, designing efficient approaches to restore aberrant brain functioning. The main goal of this review is to summarize the available data on methodological approaches that are currently in use, and to identify the most prospective trends in development of neurovascular unit, blood-brain barrier, blood-cerebrospinal fluid barrier, and neurogenic niche in vitro models. The manuscript focuses on the regulation of adult neurogenesis, cerebral microcirculation and fluids dynamics that should be reproduced in the in vitro 4D models to mimic brain development and its alterations in brain pathology. We discuss approaches that are critical for studying brain plasticity, deciphering the individual person-specific trajectory of brain development and aging, and testing new drug candidates in the in vitro models.

脑组织体外建模是现代神经生物学和神经药理学中一个前景广阔但尚未解决的问题。大脑结构的复杂性和(病理)生理条件下细胞间交流的多样性使得这项任务几乎无法完成。然而,建立新型体外大脑模型最终将有助于更好地理解与发育相关或由经验驱动的大脑可塑性,从而设计出有效的方法来恢复异常的大脑功能。本综述的主要目的是总结目前正在使用的方法学方法的现有数据,并确定神经血管单元、血脑屏障、血-脑脊液屏障和神经源龛体外模型发展的最前沿趋势。手稿的重点是成人神经发生、脑微循环和体液动态的调控,这些都应在体外 4D 模型中再现,以模拟大脑发育及其在大脑病理学中的改变。我们讨论了对研究大脑可塑性、破译大脑发育和衰老的个体特异性轨迹以及在体外模型中测试候选新药至关重要的方法。
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引用次数: 0
Nanodrug delivery systems for regulating microglial polarization in ischemic stroke treatment: A review. 在缺血性中风治疗中调节小胶质细胞极化的纳米药物输送系统:综述。
IF 8.2 1区 工程技术 Q1 Medicine Pub Date : 2024-03-13 eCollection Date: 2024-01-01 DOI: 10.1177/20417314241237052
Shuang-Yin Lei, Yu-Qian Yang, Jia-Cheng Liu, Dian-Hui Zhang, Yang Qu, Ying-Ying Sun, Hong-Jing Zhu, Sheng-Yu Zhou, Yi Yang, Zhen-Ni Guo

The incidence of ischemic stroke (IS) is rising in tandem with the global aging population. There is an urgent need to delve deeper into the pathological mechanisms and develop new neuroprotective strategies. In the present review, we discuss the latest advancements and research on various nanodrug delivery systems (NDDSs) for targeting microglial polarization in IS treatment. Furthermore, we critically discuss the different strategies. NDDSs have demonstrated exceptional qualities to effectively permeate the blood-brain barrier, aggregate at the site of ischemic injury, and target specific cell types within the brain when appropriately modified. Consequently, NDDSs have considerable potential for reshaping the polarization phenotype of microglia and could be a prospective therapeutic strategy for IS. The treatment of IS remains a challenge. However, this review provides a new perspective on neuro-nanomedicine for IS therapies centered on microglial polarization, thereby inspiring new research ideas and directions.

随着全球人口老龄化的加剧,缺血性脑卒中(IS)的发病率也在不断上升。目前迫切需要深入研究其病理机制并开发新的神经保护策略。在本综述中,我们讨论了各种纳米给药系统(NDDSs)在针对小胶质细胞极化治疗 IS 方面的最新进展和研究。此外,我们还对不同的策略进行了批判性讨论。NDDSs 已显示出卓越的品质,能有效渗透血脑屏障,在缺血损伤部位聚集,并在适当修饰后靶向脑内特定细胞类型。因此,NDDSs 在重塑小胶质细胞的极化表型方面具有相当大的潜力,可作为治疗 IS 的一种前瞻性策略。治疗 IS 仍是一项挑战。然而,本综述为以小胶质细胞极化为中心的 IS 治疗提供了神经纳米医学的新视角,从而启发了新的研究思路和方向。
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引用次数: 0
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