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Role and prospects of regenerative biomaterials in the repair of spinal cord injury 被引量:21
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作者 Shuo Liu Yuan-Yuan Xie Bin Wang 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第8期1352-1363,共12页
Axonal junction defects and an inhibitory environment after spinal cord injury seriously hinder the regeneration of damaged tissues and neuronal functions. At the site of spinal cord injury, regenerative biomaterials ... Axonal junction defects and an inhibitory environment after spinal cord injury seriously hinder the regeneration of damaged tissues and neuronal functions. At the site of spinal cord injury, regenerative biomaterials can fill cavities, deliver curative drugs, and provide adsorption sites for transplanted or host cells. Some regenerative biomaterials can also inhibit apoptosis, inflammation and glial scar formation, or further promote neurogenesis, axonal growth and angiogenesis. This review summarized a variety of biomaterial scaffolds made of natural, synthetic, and combined materials applied to spinal cord injury repair. Although these biomaterial scaffolds have shown a certain therapeutic effect in spinal cord injury repair, there are still many problems to be resolved, such as product standards and material safety and effectiveness. 展开更多
关键词 nerve REGENERATION spinal CORD injury REGENERATIVE BIOMATERIALS scaffolds tissue engineering REGENERATION transplantation combination functional recovery REPAIR strategy MICROENVIRONMENT neural REGENERATION
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Neural plasticity after spinal cord injury 被引量:4
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作者 Jian Liu Xiaoyu Yang Lianying Jiang Chunxin Wang Maoguang Yang 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第5期386-391,共6页
Plasticity changes of uninjured nerves can result in a novel neural circuit after spinal cord injury, which can restore sensory and motor functions to different degrees. Although processes of neural plasticity have be... Plasticity changes of uninjured nerves can result in a novel neural circuit after spinal cord injury, which can restore sensory and motor functions to different degrees. Although processes of neural plasticity have been studied, the mechanism and treatment to effectively improve neural plasticity changes remain controversial. The present study reviewed studies regarding plasticity of the central nervous system and methods for promoting plasticity to improve repair of injured central nerves. The results showed that synaptic reorganization, axonal sprouting, and neurogenesis are critical factors for neural circuit reconstruction. Directed functional exercise, neurotrophic factor and transplantation of nerve-derived and non-nerve-derived tissues and cells can effectively ameliorate functional disturbances caused by spinal cord injury and improve quality of life for patients. 展开更多
关键词 spinal cord injury PLASTICITY SYNAPSE functional exercise neurotrophic factor cell transplantation tissue transplantation REVIEWS
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Effects of amyloid precursor protein peptide APP96-110,alone or with human mesenchymal stromal cells,on recovery after spinal cord injury
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作者 Stuart I.Hodgetts Sarah J.Lovett +4 位作者 D.Baron-Heeris A.Fogliani Marian Sturm C.Van den Heuvel Alan R.Harvey 《Neural Regeneration Research》 SCIE CAS CSCD 2022年第6期1376-1386,共11页
Delivery of a peptide(APP96-110),derived from amyloid precursor protein(APP),has been shown to elicit neuroprotective effects following cerebral stroke and traumatic brain injury.In this study,the effect of APP96-110 ... Delivery of a peptide(APP96-110),derived from amyloid precursor protein(APP),has been shown to elicit neuroprotective effects following cerebral stroke and traumatic brain injury.In this study,the effect of APP96-110 or a mutant version of this peptide(mAPP96-110)was assessed following moderate(200 kdyn,(2 N))thoracic contusive spinal cord injury(SCI)in adult Nude rats.Animals received a single tail vein injection of APP96-110 or mAPP96-110 at 30 minutes post-SCI and were then assessed for functional improvements over the next 8 weeks.A cohort of animals also received transplants of either viable or non-viable human mesenchymal stromal cells(hMSCs)into the SC lesion site at one week post-injury to assess the effect of combining intravenous APP96-110 delivery with hMSC treatment.Rats were perfused 8 weeks post-SCI and longitudinal sections of spinal cord analyzed for a number of factors including hMSC viability,cyst size,axonal regrowth,glial reactivity and macrophage activation.Analysis of sensorimotor function revealed occasional significant differences between groups using Ladderwalk or Ratwalk tests,however there were no consistent improvements in functional outcome after any of the treatments.mAPP96-110 alone,and APP96-110 in combination with both viable and non-viable hMSCs significantly reduced cyst size compared to SCI alone.Combined treatments with donor hMSCs also significantly increased βIII tubulin^(+),glial fibrillary acidic protein(GFAP^(+))and laminin+expression,and decreased ED1^(+)expression in tissues.This preliminary study demonstrates that intravenous delivery of APP96-110 peptide has selective,modest neuroprotective effects following SCI,which may be enhanced when combined with hMSC transplantation.However,the effects are less pronounced and less consistent compared to the protective morphological and cognitive impact that this same peptide has on neuronal survival and behaviour after stroke and traumatic brain injury.Thus while the efficacy of a particular therapeutic approach in one CNS injury model may provide justification for its use in other neurotrauma models,similar outcomes may not necessarily occur and more targeted approaches suited to location and severity are required.All animal experiments were approved by The University of Western Australia Animal Ethics Committee(RA3/100/1460)on April 12,2016. 展开更多
关键词 amyloid precursor protein cell transplantation combination CONTUSION functional recovery mesenchymal stromal cells NEUROPROTECTION REGENERATION spinal cord injury tissue sparing
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嗅鞘细胞治疗晚期脊髓损伤短期与长期疗效的Meta分析 被引量:2
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作者 陈慧靖 陈雲 +6 位作者 邓煜二 甘燕玲 詹文刚 谭齐家 谢才军 李聪 张志强 《中国组织工程研究》 CAS 北大核心 2019年第9期1468-1476,共9页
背景:世界上已开展多项嗅鞘细胞治疗晚期脊髓损伤的临床试验,但其有效性及安全性仍有争议。目的:综合评价嗅鞘细胞移植治疗晚期脊髓损伤安全性及可行性,比较其治疗短期疗效与长期疗效。方法:于2018-07-23检索PubMed、Cochrane图书馆、EM... 背景:世界上已开展多项嗅鞘细胞治疗晚期脊髓损伤的临床试验,但其有效性及安全性仍有争议。目的:综合评价嗅鞘细胞移植治疗晚期脊髓损伤安全性及可行性,比较其治疗短期疗效与长期疗效。方法:于2018-07-23检索PubMed、Cochrane图书馆、EMBASE、知网、万方数据库,纳入嗅鞘细胞治疗晚期脊髓损伤的临床研究。安全性研究试验应详细记录不良事件的种类与例数。纳入疗效评价的研究均使用ASIA量表,评估移植前后脊髓损伤患者的运动、轻触觉及针刺觉功能,并记录随访时间。运用Review Manager5.3对疗效数据进行系统评价。结果与结论:无论短期评价还是长期随访,与嗅鞘细胞移植前相比,患者神经功能均有明显提高(P <0.05),且研究结果具有同质性(Ι~2 <50%且P> 0.1)。然而长期疗效不如短期,这可能与慢性排斥反应及嗅鞘细胞存活率相关。嗅鞘细胞治疗晚期脊髓损伤的总不良事件发生率为8.99%,未发现与嗅鞘细胞本身相关的并发症。结果表明,嗅鞘细胞移植治疗晚期脊髓损伤疗效明确,安全可行,但仍需要探索更微创的移植方式,以减少手术并发症。另外,影响嗅鞘细胞长期疗效的因素需要大量高质量的基础及临床试验予以证实。 展开更多
关键词 嗅鞘细胞 脊髓损伤 晚期脊髓损伤 细胞移植 人类 神经修复 ASIA评分 短期疗效 长期疗效 安全性 META分析 功能恢复 组织工程中
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胚胎脊髓组织移植合用神经生长因子对损伤脊髓功能恢复的影响 被引量:4
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作者 王振宇 段国升 柳川 《中华器官移植杂志》 CAS CSCD 1995年第2期81-82,共2页
将14~15天的胚胎脊髓组织移植到成年Wistar大鼠半横断脊髓损伤腔,术后1~6个月,通过爬坡、网格板走步、Tarlov运动分级和电生理的检查,评价损伤脊髓的功能恢复程度。在移植组动物,术后可见后肢运动功能逐渐恢复... 将14~15天的胚胎脊髓组织移植到成年Wistar大鼠半横断脊髓损伤腔,术后1~6个月,通过爬坡、网格板走步、Tarlov运动分级和电生理的检查,评价损伤脊髓的功能恢复程度。在移植组动物,术后可见后肢运动功能逐渐恢复。6个月时,恢复的程度接近正常水平。对照组运动功能检查未见明显的改善。结果提示,胚胎脊髓组织移植在一定程度上有助于损伤脊髓的功能恢复。 展开更多
关键词 脊髓损伤 胚胎脊髓 组织移植 修复术
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胚胎干细胞治疗脊髓损伤的实验研究 被引量:1
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作者 徐进 郑璟 +2 位作者 曹玉华 刘韬 朱肖奇 《中国热带医学》 CAS 2015年第9期1031-1036,共6页
目的探讨未经诱导的胚胎干细胞(Embryonic stem cells,ESCs)移植对SD大鼠脊髓损伤(Spinal cord injury,SCI)神经功能恢复的影响。方法取受孕昆明系小鼠的囊胚进行胚胎干细胞的提取、建系,以流式细胞仪测试阶段特异性胚胎干细胞表面... 目的探讨未经诱导的胚胎干细胞(Embryonic stem cells,ESCs)移植对SD大鼠脊髓损伤(Spinal cord injury,SCI)神经功能恢复的影响。方法取受孕昆明系小鼠的囊胚进行胚胎干细胞的提取、建系,以流式细胞仪测试阶段特异性胚胎干细胞表面抗原(stage-specific embryonic antigens 1,SSEA-1),进行干性鉴定并进行5-溴脱氧尿嘧啶核苷(5-bromodeoxyuridine,5-Brd U)染色示踪。将30只SD大鼠制备为T10脊髓损伤模型,将存活的26只大鼠随机分为对照组(A组,8只),只行脊髓损伤手术而不行特殊治疗;生理盐水治疗组(B组,9只),于损伤区域局部注射20μL生理盐水;细胞治疗组(C组,9只),于损伤区域局部注射20μL标记好的ESCs,总细胞数为2×106个。术后1、2、3、4、5、6周采用BBB后肢运动功能评分观察大鼠神经功能恢复情况,并在第6周取损伤脊髓行病理组织HE染色和免疫组织化学染色观察。结果 ESCs经体外培养,呈典型的"鸟巢"状生长,碱性磷酸酶(alkaline-phosphatase,AKP)染色阳性,SSEA-1表达阳性,并成功标记上5-Brd U。大鼠实验,BBB运动功能评分显示脊髓损伤开始0-1周内,三组大鼠运动功能恢复情况差别无统计学意义(P〉0.05)。第2-6周,C组与A、B组比较差异有统计学意义(P〈0.05)。HE染色观察:三组皆有损伤区域内空洞形成及局部细胞坏死,但C组明显较A、B两组小。免疫组化染色观察C组在损伤区域表达双染的神经巢蛋白(Neural nest protein,Nestin)、神经元特异性蛋白(Neuron-specific nuclear protein,Neu N)及神经胶质纤维酸性蛋白(Glial fibrillaryacidic protein,GFAP)。结论将未分化的ESCs局部移植入SCI大鼠体内后,能够分化成神经元及神经胶质细胞,对肢体功能的改善有一定的促进作用。 展开更多
关键词 胚胎干细胞 脊髓损伤 移植 功能恢复
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