Journal of Clinical Medicine,
Journal Year:
2024,
Volume and Issue:
13(17), P. 5112 - 5112
Published: Aug. 28, 2024
Background:
Injury
of
the
spinal
cord
causes
motor
and
sensory
dysfunction
as
well
pathological
reflexes,
leading
to
paraplegia
or
tetraplegia.
The
sequelae
traumatic
injury
(SCI)
are
a
significant
burden
impact
on
healthcare
systems.
Despite
constant
progress
in
medicine,
SCI
still
remains
irreversible.
To
date,
no
satisfying
treatment
that
can
enable
neuronal
regeneration
recovery
function
at
damaged
level
has
been
found.
Hundreds
experiments
have
conducted
various
possibilities
influencing
regeneration;
some
them
yielded
promising
results,
but
unfortunately,
successes
obtained
experimental
animals
not
translated
into
humans.
Methods:
This
narrative
review
article
presents
application
extracorporeal
shock
wave
therapy
(eSWT)
patients
with
SCI.
divided
parts:
1)
use
for
after
injury;
2)
spasticity
injury.
In
both
cases,
hypotheses
possible
mechanisms
action
will
be
described.
Results
conclusions:
A
small
number
clinical
trials
demonstrated
potential
eSWT
influence
spine,
an
innovative,
safe,
cost-effective
option
Some
reports
shown
improve
spasticity,
walking
ability,
urological
function,
quality
life,
independence
daily
life.
Advanced Functional Materials,
Journal Year:
2024,
Volume and Issue:
34(19)
Published: Jan. 4, 2024
Abstract
The
blood–brain
barrier
(BBB)
is
a
tailored
system
of
capillary
endothelial
cells
intermixed
with
tight
junctions
and
adherent
that
regulates
the
transport
various
materials
substances
between
blood
vasculature
central
nervous
(CNS).
However,
in
cases
brain
diseases,
BBB's
protective
regulatory
effects
hamper
therapeutics
from
reaching
affected
sites
sufficient
quantities.
This
has
so
far
been
leading
challenge
treating
CNS
diseases
disorders.
For
this
problem
to
be
overcome,
recent
research
sought
develop
novel
modalities
achieve
efficient
therapy
alleviate
associated
symptoms.
Therefore,
numerous
strategies
have
operated
years
address
limitations
traditional
invasive
methods,
including
poor
penetration
serious
side
effects.
As
desperately
in‐demand
technology,
nanotheranostics
particularly
shown
promising
results.
Herein,
review
reports
advancements
techniques
nanotechnology‐based
developed
for
neurodegenerative
study
provides
comprehensive
data
on
subject
used
future
studies
management
disorders
diseases.
Small Methods,
Journal Year:
2023,
Volume and Issue:
8(1)
Published: Oct. 26, 2023
Abstract
Spinal
cord
injury
(SCI)
is
a
severe
neurodegenerative
disease
caused
by
mechanical
and
biological
factors,
manifesting
as
loss
of
motor
sensory
functions.
Inhibition
expansion
even
reversal
in
the
acute
damage
stage
SCI
are
important
strategies
for
treating
this
disease.
Hydrogels
nanoparticle
(NP)‐based
drugs
most
effective,
widely
studied,
clinically
valuable
therapeutic
field
repair
regeneration.
3D
flow
structures
that
fill
pathological
gaps
provide
microenvironment
similar
to
spinal
extracellular
matrix
nerve
cell
NP‐based
can
easily
penetrate
blood‐spinal
barrier,
target
lesions,
noninvasive.
NPs
drug
carriers
be
loaded
with
various
factors
slow
release
lesions.
They
help
function
more
efficiently
exerting
anti‐inflammatory,
antioxidant,
regeneration
effects
promote
recovery
neurological
function.
In
review,
use
hydrogels
role
both
discussed
multimodal
strategic
reference
after
SCI.
Journal of Nanobiotechnology,
Journal Year:
2024,
Volume and Issue:
22(1)
Published: July 1, 2024
Abstract
Gene
therapy
is
a
therapeutic
option
for
mitigating
diseases
that
do
not
respond
well
to
pharmacological
therapy.
This
type
of
allows
correcting
altered
and
defective
genes
by
transferring
nucleic
acids
target
cells.
Notably,
achieving
desirable
outcome
possible
successfully
delivering
genetic
materials
into
the
cell.
In-vivo
gene
transfer
strategies
use
two
major
classes
vectors,
namely
viral
nonviral.
Both
these
systems
have
distinct
pros
cons,
choice
delivery
system
depends
on
objectives
other
considerations.
Safe
efficient
main
feature
any
system.
Spherical
(SNAs)
are
nanotechnology-based
(i.e.,
non-viral
vectors).
They
three-dimensional
structures
consisting
hollow
or
solid
spherical
core
nanoparticle
functionalized
with
dense
highly
organized
layer
oligonucleotides.
The
unique
structural
features
SNAs
confer
them
high
potency
in
internalization
various
types
tissue
cells,
stability
against
nucleases,
efficay
penetrating
through
biological
barriers
(such
as
skin,
blood–brain
barrier,
blood–tumor
barrier).
also
show
negligible
toxicity
trigger
minimal
immune
response
reactions.
During
last
decades,
all
favorable
physicochemical
attributes
made
attractive
vehicles
drug
acid
delivery.
article
discusses
properties,
SNAs,
optimization
mechanisms
SNAs.
We
focus
recent
advances
synthesis
nanoplatforms
based
Materials Today,
Journal Year:
2024,
Volume and Issue:
79, P. 60 - 72
Published: Aug. 28, 2024
Spinal
cord
injury
(SCI)
is
a
devastating
neurotrauma,
affecting
250,000
to
500,000
people
annually,
and
typically
results
in
paralysis.
Electrostimulation
can
promote
neuronal
growth,
but
the
formation
of
lesion
cavity
post-SCI
inhibits
regrowth,
limiting
its
efficacy.
Bridging
with
structured,
electroactive
substrate
direct
electrostimulation
growing
neurites
could
support
drive
regrowth
through
enable
functional
recovery
date,
no
such
platform
exists.
This
study
describes
development
an
electroconductive
(15
±
5
S/m),
3D-printed
scaffold,
comprising
polypyrrole/polycaprolactone
framework
filled
biomimetic
&
neurotrophic
extracellular
matrix.
3D
printing
allowed
inclusion
channels
scaffold
designed
mimic
size
human
corticospinal
tracts
neurons.
Scaffolds
exhibited
excellent
biocompatibility
both
neurons
primary
astrocytes
maintained
electrical
biofunctionality
when
scaled
match
tracts.
When
were
cultured
for
7
days
on
scaffolds
under
continuous
(200
mV/mm,
12
Hz),
significantly
longer
observed
electrically
stimulated
scaffolds.
These
demonstrate
that
applied
via
anatomically-mimetic,
drives
neurite
outgrowth
represents
promising
approach
treatment
spinal
injury.
Macromolecular Bioscience,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 30, 2024
Abstract
The
incidence
of
nerve
tissue
injuries,
such
as
peripheral
injury,
spinal
cord
traumatic
brain
and
various
neurodegenerative
diseases
(NDs),
is
continuously
increasing
because
stress,
physical
chemical
trauma,
the
aging
population
worldwide.
Restoration
damaged
nervous
system
challenging
its
structural
functional
complexity
limited
regenerative
ability.
Additionally,
there
no
cure
available
for
NDs
except
medications
that
provide
symptomatic
relief.
Stem
cells
offer
an
alternative
approach
promoting
damage
repair,
but
their
efficacy
by
a
compromised
survival
rate
neurogenesis
process.
To
address
these
challenges,
neural
engineering
has
emerged
promising
strategy
in
which
stem
are
seeded
or
encapsulated
within
suitable
biomaterial
construct,
cell
neurogenesis.
Numerous
biomaterials
utilized
to
create
different
types
constructs
this
purpose.
Researchers
trying
develop
ideal
scaffolds
combine
biomaterials,
cells,
molecules
exactly
mimic
biological
mechanical
properties
achieve
recovery
associated
with
neurological
dysfunction.
This
review
focuses
on
exploring
development
applications
potential
use
diagnosis,
therapy,
regeneration,
treatment
disorders.
Advanced Healthcare Materials,
Journal Year:
2024,
Volume and Issue:
13(12)
Published: Jan. 20, 2024
Abstract
Oxidative
stress
(OS)
is
one
of
the
crucial
molecular
events
secondary
spinal
cord
injury
(SCI).
Basic
fibroblast
growth
factor
(bFGF)
a
multipotent
cell
with
an
anti‐oxidant
effect.
However,
bFGF
has
short
half‐life
in
vivo,
which
limits
its
therapeutic
application.
Biodegradable
polymers
excellent
biocompatibility
have
been
recently
applied
SCI.
The
negative
aspect
that
cannot
provide
significant
Betulinic
acid
(BA),
natural
anti‐inflammatory
compound,
polymerized
into
poly
(betulinic
acid)
(PBA)
to
serve
as
drug
carrier
for
bFGF.
This
study
explores
effects
and
underlying
mechanisms
PBA
nanoparticles
(NPs)
loaded
(PBA‐bFGF
NPs)
Results
show
PBA‐bFGF
NPs
produce
remarkable
vivo
vitro.
results
also
demonstrate
local
delivery
enhances
motor
function
recovery,
inhibits
OS,
mitigates
neuroinflammation,
alleviates
neuronal
apoptosis
following
Furthermore,
indicate
activates
nuclear
erythroid
2‐related
2
(Nrf‐2)
signaling
pathway
In
summary,
suggest
delivers
potential
advantages
treatment
management
Materials Today Bio,
Journal Year:
2025,
Volume and Issue:
31, P. 101556 - 101556
Published: Feb. 4, 2025
Spinal
cord
injury
(SCI)
presents
a
formidable
challenge
in
clinical
settings,
resulting
sensory
and
motor
function
loss
imposing
significant
personal
societal
burdens.
However,
owning
to
the
adverse
microenvironment
limited
regenerative
capacity,
achieving
complete
functional
recovery
after
SCI
remains
elusive.
Additionally,
traditional
interventions
including
surgery
medication
have
series
of
limitations
that
restrict
effectiveness
treatment.
Recently,
tissue
engineering
(TE)
has
emerged
as
promising
approach
for
promoting
neural
regeneration
SCI,
which
can
effectively
delivery
drugs
into
site
cells
improve
survival
differential.
Here,
we
outline
main
pathophysiology
events
post
injury,
further
discuss
materials
common
assembly
strategies
used
scaffolds
treatment,
expound
on
latest
advancements
treatment
methods
based
drug
cell
detail,
propose
future
directions
repair
with
TE
highlight
potential
applications.
North American Spine Society Journal (NASSJ),
Journal Year:
2025,
Volume and Issue:
22, P. 100601 - 100601
Published: March 5, 2025
Traumatic
spinal
cord
injury
(SCI)
remains
a
devastating
condition,
with
limited
functional
recovery
despite
advancements
in
clinical
management
and
understanding
of
its
mechanisms.
SCI
pathophysiology
involves
primary
mechanical
trauma
secondary
neuroimmune
structural
changes,
leading
to
neuronal
death
chronic
deficits.
Through
comprehensive
literature
review
articles
published
the
PubMed,
MEDLINE,
Embase,
Cochrane
Reviews
Library
databases,
this
article
provides
an
update
on
current
traumatic
focus
these
emerging
therapeutic
strategies
that
hold
potential
for
future
field.
Current
include
pre-hospital
care,
acute
interventions,
surgical
decompression
spine
destabilization,
neurorehabilitation.
Despite
patients
often
fail
fully
restore
lost
functions.
Emerging
therapies
neuroprotection,
neuroregeneration,
neuromodulation,
leveraging
advances
molecular
biomarkers,
imaging
techniques,
cell-based
treatments.
Neuroprotective
agents,
including
sodium-glutamate
antagonist
riluzole,
aim
keep
cells
alive
through
phase,
while
regenerative
utilize
neurotrophic
factors
stem
cell
transplantation
or
approaches
target
inhibitor
molecules
such
as
NOGO
RGMa
regenerate
new
cells,
axons,
neural
circuits.
Neuromodulation
electrical
magnetic
field
stimulation,
offer
promising
avenues
recovery.
Combining
novel
traditional
neurorehabilitation
holds
improved
outcomes.
While
significant
strides
have
been
made
mechanisms
underlying
developing
approaches,
challenge
opportunity
will
be
tailor
treatments
fit
heterogenous
presentation
better
understand
heterogeneity
trajectories.