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Bio-Design and Manufacturing  2026 Vol.9 No.2 P.335 - 356

http://doi.org/10.1631/bdm.2500461


Reconstruction of the macrophage and myelin debris ecosystem following spinal cord injury: a dual-matrix hydrogel/polycaprolactone platform


Author(s):  Tao Xu, Yuchen Zhou, Wei Han, Xiaohui Ni, Mengke Liu, Renyue Hu, Wei Shi, Yahong Zhao, Yumin Yang, Xiaoqing Chen

Affiliation(s):  1. Department of Spine Surgery, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, 226001, China more

Corresponding email(s):   zhaoyh108@ntu.edu.cn, zhaoyh108@ntu.edu.cn, zhaoyh108@ntu.edu.cn

Key Words:  Spinal cord injury (SCI), Nerve regeneration, Foam cell, Biomaterials


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Tao Xu. Reconstruction of the macrophage and myelin debris ecosystem following spinal cord injury: a dual-matrix hydrogel/polycaprolactone platform[J]. Journal of Zhejiang University Science D, 2026, 9(2): 335 - 356.

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Abstract: 
spinal cord injury (SCI) causes severe trauma to the central nervous system (CNS), involving complex pathological processes such as oxidative stress, inflammation, demyelination, and scar formation. During SCI progression, ongoing myelin degeneration leads to the release of myelin debris, which directly inhibits neural regeneration and impairs functional recovery following the injury. Moreover, bone marrow-derived macrophages (BMDMs) infiltrate the injured site and extensively phagocytose myelin debris, transforming into lipid-laden foam cells. These foam cells accumulate at the lesion core, significantly promoting fibrotic scar formation. To address these challenges, we developed a composite scaffold consisting of a foam cell membrane-coated polycaprolactone (PCL) nanofiber membrane that was integrated with a dual-matrix human acellular amniotic membrane (HAAM) hydrogel. A comprehensive evaluation combining material characterization, in vitro assays, and in vivo assessment using a SpragueDawley rat spinal cord defect model demonstrated that the scaffold retains the bioactive properties of HAAM, effectively clearing myelin debris and mitigating foam cell accumulation while concurrently promoting neural regeneration following SCI. The proposed novel biomaterial-based strategy offers a promising approach to addressing the persistent accumulation of myelin debris after SCI.

Reconstruction of the macrophage and myelin debris ecosystem following spinal cord injury: a dual-matrix hydrogel/polycaprolactone platform

脊髓损伤会对中枢神经系统造成严重创伤,引发氧化应激、炎症反应、髓鞘脱失及瘢痕形成等复杂病理过程。在损伤过程中,持续的髓鞘崩解会释放髓鞘碎片,这些碎片会直接抑制神经再生,阻碍损伤后的功能恢复。此外,髓系来源的巨噬细胞会浸润损伤部位,大量吞噬髓鞘碎片并转化为富含脂质的泡沫细胞。泡沫细胞在损伤核心区域聚集,促进纤维化瘢痕形成,进一步危害轴突再生。为解决这些问题,我们开发了一种复合支架,由泡沫细胞膜涂层的聚己内酯纳米纤维膜与双基质人脱细胞羊膜水凝胶组合而成。通过材料表征、体外实验及大鼠脊髓损伤模型的评估,我们证实该支架保留了人羊膜的生物活性特性,能有效清除髓鞘碎片、抑制泡沫细胞聚集,同时促进脊髓损伤后的神经再生。这种基于新型生物材料的创新策略,为解决脊髓损伤后持续存在的髓鞘碎片堆积问题提供了新的解决方案。
Spinal cord injury (SCI); Nerve regeneration; Foam cell; Biomaterials

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