Biomaterials in Traumatic Brain Injury: Perspectives and Challenges

<p dir="ltr">Traumatic brain injury (TBI) is a leading cause of mortality and long-term impairment globally. TBI has a dynamic pathology, encompassing a variety of metabolic and molecular events that occur in two phases: primary and secondary. A forceful external blow to the brain in...

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Main Author: Sarah Aqel (17787809) (author)
Other Authors: Najlaa A. Al Thani (17788493) (author), Mohammad Z. Haider (5429717) (author), Samar Abdelhady (22481931) (author), Asmaa A. Al Thani (22045214) (author), Firas Kobeissy (17849094) (author), Abdullah Shaito (20545181) (author)
Published: 2023
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author Sarah Aqel (17787809)
author2 Najlaa A. Al Thani (17788493)
Mohammad Z. Haider (5429717)
Samar Abdelhady (22481931)
Asmaa A. Al Thani (22045214)
Firas Kobeissy (17849094)
Abdullah Shaito (20545181)
author2_role author
author
author
author
author
author
author_facet Sarah Aqel (17787809)
Najlaa A. Al Thani (17788493)
Mohammad Z. Haider (5429717)
Samar Abdelhady (22481931)
Asmaa A. Al Thani (22045214)
Firas Kobeissy (17849094)
Abdullah Shaito (20545181)
author_role author
dc.creator.none.fl_str_mv Sarah Aqel (17787809)
Najlaa A. Al Thani (17788493)
Mohammad Z. Haider (5429717)
Samar Abdelhady (22481931)
Asmaa A. Al Thani (22045214)
Firas Kobeissy (17849094)
Abdullah Shaito (20545181)
dc.date.none.fl_str_mv 2023-10-29T03:00:00Z
dc.identifier.none.fl_str_mv 10.3390/biology13010021
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Biomaterials_in_Traumatic_Brain_Injury_Perspectives_and_Challenges/30415108
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biological sciences
Biochemistry and cell biology
Biomedical and clinical sciences
Medical biotechnology
Neurosciences
Engineering
Biomedical engineering
Health sciences
Allied health and rehabilitation science
traumatic brain injury
TBI
biomaterials
hydrogels
self-assembling peptides
electrospinning
dc.title.none.fl_str_mv Biomaterials in Traumatic Brain Injury: Perspectives and Challenges
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Traumatic brain injury (TBI) is a leading cause of mortality and long-term impairment globally. TBI has a dynamic pathology, encompassing a variety of metabolic and molecular events that occur in two phases: primary and secondary. A forceful external blow to the brain initiates the primary phase, followed by a secondary phase that involves the release of calcium ions (Ca<sup>2+</sup>) and the initiation of a cascade of inflammatory processes, including mitochondrial dysfunction, a rise in oxidative stress, activation of glial cells, and damage to the blood–brain barrier (BBB), resulting in paracellular leakage. Currently, there are no FDA-approved drugs for TBI, but existing approaches rely on delivering micro- and macromolecular treatments, which are constrained by the BBB, poor retention, off-target toxicity, and the complex pathology of TBI. Therefore, there is a demand for innovative and alternative therapeutics with effective delivery tactics for the diagnosis and treatment of TBI. Tissue engineering, which includes the use of biomaterials, is one such alternative approach. Biomaterials, such as hydrogels, including self-assembling peptides and electrospun nanofibers, can be used alone or in combination with neuronal stem cells to induce neurite outgrowth, the differentiation of human neural stem cells, and nerve gap bridging in TBI. This review examines the inclusion of biomaterials as potential treatments for TBI, including their types, synthesis, and mechanisms of action. This review also discusses the challenges faced by the use of biomaterials in TBI, including the development of biodegradable, biocompatible, and mechanically flexible biomaterials and, if combined with stem cells, the survival rate of the transplanted stem cells. A better understanding of the mechanisms and drawbacks of these novel therapeutic approaches will help to guide the design of future TBI therapies.</p><h2>Other Information</h2><p dir="ltr">Published in: Biology<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://doi.org/10.3390/biology13010021" target="_blank">https://doi.org/10.3390/biology13010021</a></p>
eu_rights_str_mv openAccess
id Manara2_a046a2e2ee7a94b5800d542a40382eeb
identifier_str_mv 10.3390/biology13010021
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/30415108
publishDate 2023
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spelling Biomaterials in Traumatic Brain Injury: Perspectives and ChallengesSarah Aqel (17787809)Najlaa A. Al Thani (17788493)Mohammad Z. Haider (5429717)Samar Abdelhady (22481931)Asmaa A. Al Thani (22045214)Firas Kobeissy (17849094)Abdullah Shaito (20545181)Biological sciencesBiochemistry and cell biologyBiomedical and clinical sciencesMedical biotechnologyNeurosciencesEngineeringBiomedical engineeringHealth sciencesAllied health and rehabilitation sciencetraumatic brain injuryTBIbiomaterialshydrogelsself-assembling peptideselectrospinning<p dir="ltr">Traumatic brain injury (TBI) is a leading cause of mortality and long-term impairment globally. TBI has a dynamic pathology, encompassing a variety of metabolic and molecular events that occur in two phases: primary and secondary. A forceful external blow to the brain initiates the primary phase, followed by a secondary phase that involves the release of calcium ions (Ca<sup>2+</sup>) and the initiation of a cascade of inflammatory processes, including mitochondrial dysfunction, a rise in oxidative stress, activation of glial cells, and damage to the blood–brain barrier (BBB), resulting in paracellular leakage. Currently, there are no FDA-approved drugs for TBI, but existing approaches rely on delivering micro- and macromolecular treatments, which are constrained by the BBB, poor retention, off-target toxicity, and the complex pathology of TBI. Therefore, there is a demand for innovative and alternative therapeutics with effective delivery tactics for the diagnosis and treatment of TBI. Tissue engineering, which includes the use of biomaterials, is one such alternative approach. Biomaterials, such as hydrogels, including self-assembling peptides and electrospun nanofibers, can be used alone or in combination with neuronal stem cells to induce neurite outgrowth, the differentiation of human neural stem cells, and nerve gap bridging in TBI. This review examines the inclusion of biomaterials as potential treatments for TBI, including their types, synthesis, and mechanisms of action. This review also discusses the challenges faced by the use of biomaterials in TBI, including the development of biodegradable, biocompatible, and mechanically flexible biomaterials and, if combined with stem cells, the survival rate of the transplanted stem cells. A better understanding of the mechanisms and drawbacks of these novel therapeutic approaches will help to guide the design of future TBI therapies.</p><h2>Other Information</h2><p dir="ltr">Published in: Biology<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://doi.org/10.3390/biology13010021" target="_blank">https://doi.org/10.3390/biology13010021</a></p>2023-10-29T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3390/biology13010021https://figshare.com/articles/journal_contribution/Biomaterials_in_Traumatic_Brain_Injury_Perspectives_and_Challenges/30415108CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/304151082023-10-29T03:00:00Z
spellingShingle Biomaterials in Traumatic Brain Injury: Perspectives and Challenges
Sarah Aqel (17787809)
Biological sciences
Biochemistry and cell biology
Biomedical and clinical sciences
Medical biotechnology
Neurosciences
Engineering
Biomedical engineering
Health sciences
Allied health and rehabilitation science
traumatic brain injury
TBI
biomaterials
hydrogels
self-assembling peptides
electrospinning
status_str publishedVersion
title Biomaterials in Traumatic Brain Injury: Perspectives and Challenges
title_full Biomaterials in Traumatic Brain Injury: Perspectives and Challenges
title_fullStr Biomaterials in Traumatic Brain Injury: Perspectives and Challenges
title_full_unstemmed Biomaterials in Traumatic Brain Injury: Perspectives and Challenges
title_short Biomaterials in Traumatic Brain Injury: Perspectives and Challenges
title_sort Biomaterials in Traumatic Brain Injury: Perspectives and Challenges
topic Biological sciences
Biochemistry and cell biology
Biomedical and clinical sciences
Medical biotechnology
Neurosciences
Engineering
Biomedical engineering
Health sciences
Allied health and rehabilitation science
traumatic brain injury
TBI
biomaterials
hydrogels
self-assembling peptides
electrospinning