
Chemical materials involved in neural tissue engineering scaffold techniques: a narrative reviewLi, Miao1,#; Zhou, Jiakang1,#; Ning, Yuxiang1; Xiong, Yan1,2,* 1 Zhongnan Hospital of Wuhan University, Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, National Quality Control Center for Donated Organ Procurement, Hubei Key Laboratory of Medical Technology on Transplantation, Hubei Clinical Research Center for Natural Polymer Biological Liver, Hubei Engineering Center of Natural Polymer-based Medical Materials, Wuhan, Hubei Province, China 2 Division of Transplant Immunology, Department of Pathology and Laboratory Medicine, Children’s Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA *Correspondence to: Yan Xiong, PhD, xiongyan198500@163.com. Funding: This work was supported by the National Natural Science Foundation of China, No. 82271810 (to YX) #These authors contributed equally to this work. This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License (http://creativecommons.org/licenses/by-nc-sa/4.0/), which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Nerve injury often leads to degeneration or necrosis of damaged nerve cells, which can result in regeneration disorders during the repair process. Promoting nerve regeneration is a critical challenge in the treatment of nervous system diseases. With rapid advancements in related research, chemical materials have shown significant promise in facilitating nerve regeneration because of their excellent biocompatibility and degradability. The use of tissue-engineered chemical material scaffolds can provide physical channels for nerve regeneration. These scaffolds can create optimal conditions for cell growth and migration and effectively regulate physiological processes during nerve repair. Therefore, chemical materials have a wide range of applications in the field of nerve regeneration. This review highlights the technological tools available for nerve regeneration and repair involving chemical materials. (1) Conductive hydrogels: Novel conductive hydrogels have been developed by integrating conductive materials such as graphene, carbon nanotubes, and polypyrrole, which can promote the growth and functional recovery of nerve cells through electrical stimulation. (2) Three-dimensional printing: Three-dimensional printing technology contributes to precise control of the shape, porosity and degradation rate of the scaffolds, providing a customized microenvironment for nerve regeneration. (3) Nanomaterials: The unique physicochemical properties of nanoparticles and nanofibers give them great potential to penetrate the blood‒brain barrier, guide nerve growth and provide targeted drug delivery. (4) Local release of bioactive molecules: Through the design of chemical materials, the controlled release of bioactive molecules such as nerve growth factor, brain-derived neurotrophic factor and fibroblast growth factor has been realized, which effectively promotes nerve regeneration. (5) Photothermal and photoacoustic stimulation: The combination of photothermal and photoacoustic technologies has led to the development of nerve regeneration materials capable of responding to photostimulation, providing new avenues for noninvasive neurostimulation. These new technological tools for nerve engineering involving chemical materials are highly effective in promoting nerve regeneration and can significantly improve the efficiency and quality of nerve repair. In clinical practice, these techniques are expected to provide more effective strategies for patients with nerve injuries, improving their function and quality of life. This review also discusses in detail the properties of different chemical materials, such as their biocompatibility, mechanical strength, and degradability, which are critical for nerve regeneration. A variety of chemical materials have been shown to promote nerve cell regeneration through neural tissue engineering scaffold techniques, including the provision of physical support, release of bioactive molecules, and direct interaction with nerve cells. Although these new technological tools show great potential, several challenges, including biocompatibility, long-term stability, individual variation in response, and large-scale production, still need to be addressed before they can be translated into clinical applications. In addition, a comprehensive assessment of the long-term safety and efficacy of these materials is also a focus of future research. Future research will focus on improving the biocompatibility of the materials, optimizing the material design and conducting large-scale clinical trials to validate the safety and efficacy of these chemical materials in neural tissue engineering scaffold techniques. 摘要 神经损伤通常会导致受损神经细胞变性或坏死,从而在修复过程中出现再生障碍。促进神经再生是治疗神经系统疾病的关键挑战。随着相关研究的快速发展,化学材料因其良好的生物相容性和可降解性,在促进神经再生方面显示出巨大的前景。组织工程化学材料支架可为神经再生提供物理通道。这些支架可为细胞生长和迁移创造最佳条件,并有效调节神经修复过程中的生理过程。因此,化学材料在神经再生领域有着广泛的应用。此综述重点介绍了涉及化学材料的神经再生和修复技术:(1)导电水凝胶:通过整合石墨烯、碳纳米管和聚吡咯等导电材料,开发出新型导电水凝胶,可通过电刺激促进神经细胞的生长和功能恢复。(2)三维打印:三维打印技术有助于精确控制支架的形状、孔隙率和降解率,为神经再生提供量身定制的微环境。(3) 纳米材料:纳米颗粒和纳米纤维独特的物理化学特性使其在穿透血脑屏障、引导神经生长和靶向给药方面具有巨大潜力。(4) 生物活性分子的局部释放:通过化学材料的设计,实现了神经生长因子、脑源性神经营养因子、成纤维细胞生长因子等生物活性分子的可控释放,有效促进了神经再生。(5) 光热和光声刺激:光热和光声技术相结合,开发出了能够对光刺激做出反应的神经再生材料,为非侵入性神经刺激提供了新途径。这些涉及化学材料的神经工程新技术工具在促进神经再生方面非常有效,可显著提高神经修复的效率和质量。在临床实践中,这些技术有望为神经损伤患者提供更有效的治疗策略,改善他们的功能和生活质量。综述还详细讨论了不同化学材料的特性,如生物相容性、机械强度和可降解性,这些特性对神经再生至关重要。各种化学材料已被证明可通过神经组织工程支架技术促进神经细胞再生,包括提供物理支持、释放生物活性分子以及与神经细胞直接相互作用。尽管这些新技术手段显示出巨大的潜力,但在将其转化为临床应用之前,仍需应对包括生物相容性、长期稳定性、反应的个体差异以及大规模生产等在内的挑战。此外,全面评估这些材料的长期安全性和有效性也是未来研究的重点。未来研究的重点是提高材料的生物相容性,优化材料设计,并开展大规模临床试验,以验证这些化学材料在神经组织工程支架技术中的安全性和有效性。 |