Advancements in Antioxidant-Based Therapeutics for Spinal Cord Injury: A Critical Review of Strategies and Combination Approaches DOI Creative Commons

Yang-Jin Shen,

Yin-Cheng Huang,

Yi‐Chuan Cheng

et al.

Antioxidants, Journal Year: 2024, Volume and Issue: 14(1), P. 17 - 17

Published: Dec. 26, 2024

Spinal cord injury (SCI) initiates a cascade of secondary damage driven by oxidative stress, characterized the excessive production reactive oxygen species and other molecules, which exacerbate cellular tissue through activation deleterious signaling pathways. This review provides comprehensive critical evaluation recent advancements in antioxidant-based therapeutic strategies for SCI, including natural compounds, RNA-based therapies, stem cell interventions, biomaterial applications. It emphasizes limitations single-regimen approaches, particularly their limited efficacy suboptimal delivery to injured spinal tissue, while highlighting synergistic potential combination therapies that integrate multiple modalities address multifaceted pathophysiology SCI. By analyzing emerging trends current limitations, this identifies key challenges proposes future directions, refinement antioxidant systems, development multi-targeted overcome structural complexities cord. work underscores pressing need innovative integrative approaches advance clinical translation interventions improve outcomes SCI patients.

Language: Английский

Intravenous Administration of Mesenchymal Stem Cell-Derived Exosome Alleviates Spinal Cord Injury by Regulating Neutrophil Extracellular Trap Formation through Exosomal miR-125a-3p DOI Open Access
Yutaka Morishima, Masahito Kawabori, Kazuyoshi Yamazaki

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(4), P. 2406 - 2406

Published: Feb. 18, 2024

Spinal cord injury (SCI) leads to devastating sequelae, demanding effective treatments. Recent advancements have unveiled the role of neutrophil extracellular traps (NETs) produced by infiltrated neutrophils in exacerbating secondary inflammation after SCI, making it a potential target for treatment intervention. Previous research has established that intravenous administration stem cell-derived exosomes can mitigate injuries. While demonstrated ability modulate microglial reactions and enhance blood-brain barrier integrity, their impact on deactivation, especially context NETs, remains poorly understood. This study aims investigate effects MSC-derived exosomes, with specific focus NET formation, elucidate associated molecular mechanisms. Exosomes were isolated from cell supernatants amnion-derived mesenchymal cells using ultracentrifugation method. injuries induced Sprague-Dawley rats (9 weeks old) clip model, 100 μg 1 mL PBS or alone intravenously administered 24 h post-injury. Motor function was assessed serially up 28 days following injury. On Day 3 28, spinal specimens analyzed evaluate extent formation NETs. Flow cytometry employed examine circulating Exogenous miRNA electroporated into effect inflammatory formation. Finally, biodistribution 64Cu-labeled animal positron emission tomography (PET). Rats treated exhibited substantial improvement motor recovery reduction size. Notably, there significant decrease infiltration within cord, as well forming NETs circulation. In vitro investigations indicated accumulated vicinity nuclei activated neutrophils, miR-125a-3p mimic significantly diminished while inhibitor reversed effect. PET studies revealed that, although majority transplanted sequestered liver spleen, notably high quantity detected damaged when compared normal rats. play pivotal alleviating injury, part through deactivation via miR-125a-3p.

Language: Английский

Citations

9

Tetramethylpyrazine alleviates ferroptosis and promotes functional recovery in spinal cord injury by regulating GPX4/ACSL4 DOI
Gang Liu, Bowen Deng,

Luyao Huo

et al.

European Journal of Pharmacology, Journal Year: 2024, Volume and Issue: 977, P. 176710 - 176710

Published: June 4, 2024

Language: Английский

Citations

8

Stem Cell-Derived Extracellular Vesicle-Mediated Therapeutic Signaling in Spinal Cord Injury DOI Open Access
Raju Poongodi,

Yung‐Wei Hsu,

Tao-Hsiang Yang

et al.

International Journal of Molecular Sciences, Journal Year: 2025, Volume and Issue: 26(2), P. 723 - 723

Published: Jan. 16, 2025

Mesenchymal stem cell-derived extracellular vesicles (MSC-EVs) have emerged as a promising therapeutic strategy for spinal cord injury (SCI). These nanosized possess unique properties such low immunogenicity and the ability to cross biological barriers, making them ideal carriers delivering bioactive molecules injured tissues. MSC-EVs been demonstrated exert multiple beneficial effects in SCI, including reducing inflammation, promoting neuroprotection, enhancing axonal regeneration. Recent studies delved into molecular mechanisms underlying MSC-EV-mediated effects. Exosomal microRNAs (miRNAs) identified key regulators of various cellular processes involved SCI pathogenesis repair. miRNAs can influence oxidative stress, apoptosis by modulating gene expression. This review summarized current state MSC-EV-based therapies highlighting potential clinical applications. We discussed challenges limitations translating these practice, inconsistent EV production, complex cargo composition, need targeted delivery strategies. Future research should focus on optimizing production characterization, identifying miRNAs, developing innovative systems maximize SCI.

Language: Английский

Citations

0

Engineered hybrid exosomes responsive to reactive oxygen species target the treatment of spinal cord injury by repairing mitochondrial damage and promoting neuronal function recovery DOI

Daoyong Li,

Zhanpeng Guo,

Mingyu Bai

et al.

Chemical Engineering Journal, Journal Year: 2025, Volume and Issue: unknown, P. 160669 - 160669

Published: Feb. 1, 2025

Language: Английский

Citations

0

Tanshinone IIA mitigates postoperative cognitive dysfunction in aged rats by inhibiting hippocampal inflammation and ferroptosis: role of Nrf2/SLC7A11/GPX4 axis activation DOI
Yan Yang, Bo Wang,

Yichen Jiang

et al.

NeuroToxicology, Journal Year: 2025, Volume and Issue: 107, P. 62 - 73

Published: Feb. 16, 2025

Language: Английский

Citations

0

New Insights into Quercetin Restoring the Impairment of Testicular Angiogenesis Induced by Silicon Dioxide Particles in Food: Inhibiting ROS/PPARγ-Mediated Ferroptosis DOI
Xuejiao Yang, Ke Li, Xuewei Chen

et al.

Journal of Agricultural and Food Chemistry, Journal Year: 2025, Volume and Issue: 73(9), P. 5526 - 5536

Published: Feb. 21, 2025

Silicon dioxide particles (SiO2) have been widely used in food additives. Increasing data demonstrate that SiO2 can cause multisystem damage through oxidative stress. Quercetin (Que) is one of the most popular nutritional antioxidants. Ferroptosis reduces level angiogenesis. However, whether Que alleviates inhibition testicular angiogenesis by relieving SiO2-induced ferroptosis via ROS/PPARγ unclear. Based on this, we established SiO2-exposed mice and C166 cell models added stress activators Sanguinarine chloride (SAN), PPARγ inhibitor GW9662, activator Erastin to vitro. The results showed exposure group had antioxidant dysfunction; was significantly downregulated; levels were increased; reduced. treatment alleviate these changes. addition SAN, reduced effects activating stress, inhibiting PPARγ, ferroptosis, respectively. In general, ROS/PPARγ, thus restoring mice.

Language: Английский

Citations

0

EZH2 knockout in mice activates STAT3 signalling via STAT3 methylation and modulates ferroptosis in pulpitis‐affected dental pulp vascular endothelial cells: A laboratory investigation DOI Creative Commons
Weilin Zhou, Wei‐Li Huang,

Hongjuan You

et al.

International Endodontic Journal, Journal Year: 2025, Volume and Issue: unknown

Published: March 31, 2025

Abstract Aim Recent findings suggest that mitigating ferroptosis could serve as an effective strategy for treating inflammation. This study aimed to investigate the role enhancer of zeste homologue 2 ( EZH2 ) mediated signal transducer and activator transcription 3 stat3 methylation plays in modulation pulpitis. The results offer potential advancements therapeutic approaches pulpitis provide new insights strategies managing this condition. Methodology Bioinformatics analysis combined with capture sequencing fl/fl Cre +/− pulp tissue was used explore association between ferroptosis. In study, we knockout model prepared through lentiviral transduction LPS‐induced inflammatory endometrial mesenchymal stromal cells confirm EZH2/STAT3 axis Results identified a link DNA methylation. Methylation further revealed regulation STAT3 by EZH2. vitro, lipopolysaccharide (LPS) stimulation induced ferroptosis, whereas disruption suppressed expression but increased Glutathione Peroxidase 4 (GPX4) expression, leading escalation oxidative stress exacerbation illustrates complex interactions methylation, oral inflammation, highlighting targets. Conclusions Overall, crucial EZH2‐mediated activates regulating GPX4 expression. provides treatment advances our understanding pathogenesis

Language: Английский

Citations

0

Harnessing stem cell-derived exosomes: a promising cell-free approach for spinal cord injury DOI Creative Commons
Miaoman Lin,

Farzaneh Alimerzaloo,

Xingjin Wang

et al.

Stem Cell Research & Therapy, Journal Year: 2025, Volume and Issue: 16(1)

Published: April 17, 2025

Abstract Spinal cord injury (SCI) is a severe to the central nervous system that often results in permanent neurological dysfunction. Current treatments have limited efficacy and face challenges restoring function after injury. Recently, stem cell-derived exosomes gained attention as an experimental treatment for SCI due their unique properties, including superior biocompatibility, minimal immunogenicity non-tumorigenicity. With potential cell-free therapy, promote repair by enhancing nerve regeneration, reducing inflammation stabilizing blood-spinal barrier. This review summarizes advances exosome research over past years, focusing on mechanisms future prospects. Despite promising therapeutic potential, clinical translation remains challenging standardization of isolation protocols, compositional consistency long-term safety profiles require further investigation.

Language: Английский

Citations

0

Adipose-Derived Stem Cell Exosomes for Stress Urinary Incontinence: A Novel in Vivo Therapeutic Approach DOI

Basma Hamed,

Mohamed L. Salem,

Esam Mosbah

et al.

Published: April 24, 2025

Abstract This study aimed to evaluate the therapeutic effects of Adipose tissue-derived stem cell exosomes (ADSCE) in management stress urinary incontinence (SUI) using vaginal dilatation-induced acute and chronic SUI models Sprague Dawley rats. Flow cytometry confirmed mesenchymal identity isolated UC-SCs, while exosomal markers (CD9, CD63, CD81) validated successful exosome isolation. Transmission electron microscopy revealed characteristic nanoscale morphology exosomes, further supported by energy-dispersive X-ray analysis. Therapeutic efficacy was assessed through urodynamic histopathological analyses. Abdominal leak point pressure (ALPP) significantly reduced both compared controls (P < 0.0001). ADSCE therapy increased ALPP, with systemic administration demonstrating superior over local treatment 0.05). Histopathological examination indicated substantial sphincter muscle thinning, edema, fibrosis untreated models, mitigated these pathological changes. Masson’s Trichrome staining significant preservation urethral thickness treated groups 0.01), yielding moderate improvements administration. Furthermore, markedly collagen deposition, particularly groups, suggesting an antifibrotic effect enhanced tissue remodeling. These findings indicate that effectively restores function mitigates alterations SUI. Systemic demonstrates potential, highlighting as a promising regenerative strategy for management.

Language: Английский

Citations

0

Ferroptosis in the neurovascular unit after spinal cord injury DOI Creative Commons

Yushan Huang,

Jinzhu Bai

Experimental Neurology, Journal Year: 2024, Volume and Issue: 381, P. 114943 - 114943

Published: Sept. 4, 2024

Language: Английский

Citations

2