Advanced Functional Materials and Cell-Based Therapies for the Treatment of Ischemic Stroke and Postischemic Stroke Effects

被引:22
|
作者
Tapeinos, Christos [1 ]
Larranaga, Aitor [2 ,3 ]
Tomatis, Francesca [4 ]
Bizeau, Joelle [5 ]
Marino, Attilio [1 ]
Battaglini, Matteo [1 ,6 ]
Pandit, Abhay [5 ]
Ciofani, Gianni [1 ,4 ]
机构
[1] Ist Italiano Tecnol, Smart Biointerfaces, I-56025 Pisa, Italy
[2] Univ Basque Country, Dept Min Met Engn & Mat Sci, Bilbao 48013, Spain
[3] Univ Basque Country, POLYMAT, Bilbao 48013, Spain
[4] Politecn Torino, Dept Mech & Aerosp Engn, I-10129 Turin, Italy
[5] Natl Univ Ireland Galway, SFI Res Ctr Med Devices, Galway H91 W2TY, Ireland
[6] Scuola Super Sant Anna, Biorobot Inst, I-56025 Pisa, Italy
基金
欧盟地平线“2020”; 爱尔兰科学基金会;
关键词
biomaterials; blood-brain barrier; cell-based therapies; ischemic stroke; nanotherapeutics; MESENCHYMAL STEM-CELLS; BLOOD-BRAIN-BARRIER; ENDOTHELIAL PROGENITOR CELLS; CEREBRAL ISCHEMIA/REPERFUSION INJURY; NANOSTRUCTURED LIPID CARRIERS; TARGETED DRUG-DELIVERY; REDUCE INFARCT VOLUME; NEUROTROPHIC FACTOR; THROMBOLYTIC THERAPY; MEDIATED DELIVERY;
D O I
10.1002/adfm.201906283
中图分类号
O6 [化学];
学科分类号
0703 ;
摘要
Ischemic stroke is considered one of the most threatening neurological disorders with high percentages of mortality and morbidity worldwide. Although in recent years, several nanotechnological advances have improved the survival rates, severe untreated poststroke side-effects continue to significantly influence the way of life of many. Tissue plasminogen activator and mechanical thrombectomy are considered the gold standards for the treatment of acute cerebral ischemia. These, however, fail to improve postischemic disorders. Herein, after a brief description of the pathophysiology of ischemic stroke and the following biochemical cascade, the most recent biomaterial and cell-based strategies are reviewed for its treatment. Other therapeutics that have been proposed not only for the treatment of cerebral ischemia but also for the regeneration of the infarcted brain that is responsible for a variety of disorders, including cognitive, motor, and speech problems are also presented. Finally, a few reported studies on diagnostic and theranostic nanostructures are also provided.
引用
收藏
页数:22
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