Regenerative Treatment Research Articles

A Systematic Review of Case Series and Clinical Trials Investigating Regenerative Medicine for the Treatment of Vitiligo.

The aim of this study is to examine the efficacy and safety of various regenerative medicine treatments, such as cell therapy, platelet-rich plasma (PRP), plasma-poor platelet (PPP), plasma-rich fibrin (PRF), mesenchymal stem cells, stromal vascular fraction (SVF), exosomes, adipose-derived stem cells (ADSC), and stem cell-conditioned media (SC-CM), for treating vitiligo. We conducted a thorough search of major databases such as PubMed, Scopus, and Web of Science, and selected 48 articles based on specific criteria. We used EndNote X8 and Google Sheets to review and extract data from the articles. After analyzing the studies, we categorized them accordingly. This systematic review analyzed 48 articles involving 2186 patients with vitiligo to assess the effectiveness of regenerative medicine treatments. Key findings revealed that methods such as autologous non-cultured melanocyte-keratinocyte transplantation and platelet-rich plasma (PRP) injection exhibited significant repigmentation, particularly when combined with modalities like NB-UVB phototherapy and laser treatments. Notably, the autologous melanocyte-keratinocyte transplantation achieved over 50% repigmentation within 9 months, while PRP demonstrated an average repigmentation of 58.7%, especially effective with CO2 laser treatment. Hair follicle-derived cell transplantation also showed impressive response rates, achieving good to excellent results in up to 93.8% of patients. Side effects were noted in 21 of 28 studies, primarily involving pain, with no serious adverse events reported. The risk of bias assessment indicated that 37.21% of studies were low risk, while 48.84% had high risks overall. These findings suggest that while regenerative medicine holds promise for vitiligo treatment, further clinical trials are necessary to explore additional methods like stromal vascular fraction and exosomes. We have concluded that regenerative medicine plays an effective role in the treatment of vitiligo lesions. Furthermore, this treatment method is safe and does not cause serious complications. It can be used alone or in combination with other methods for treating vitiligo. To advance the treatment of vitiligo, we recommend conducting clinical trials on the unexplored branches of regenerative medicine.

Changes in soil mechanical and hydraulic properties through regenerative cultivation measures in long-term and farm experiments in Germany

Regenerative agriculture has been associated with improved soil structure and soil fertility. However, conclusive evidence of its efficacy has remained elusive owing to a lack of long-term experimental studies. In this study, we assessed the impact of diverse regenerative agricultural measures on soil mechanical and hydraulic properties and indicators. Tested treatment factors included reduced tillage versus plowing, along with different levels of compost, mulch, and the application of ferments and compost tea. We measured in situ soil strength via soil penetration (from 0 to 0.8 m depth) and shear resistance (at 0.08 and 0.23 m depth) and assessed field-saturated hydraulic conductivity and ex situ soil aggregate stability (at 0.07 and 0.23 m depth). The experiments were conducted at five sites in Hesse, Germany, including one organic long-term experiment (LTE, since 2010) in Neu-Eichenberg and three organic and one conventional on-farm experiments to cover different soil types, weather conditions, and field practices. The soil types are classified as Luvisol and Vertic Cambisols, and the soil texture ranges from silt loam to silty clay loam. In the LTE, significant differences in aggregate stability and shear resistance were noted between treatments, with a higher geometric mean aggregate diameter at 0.07 m depth in 2021 and 2022 and a higher shear resistance at 0.19 m and 0.23 m in 2020 and in 2021, respectively, in the reduced tillage systems. However, no significant differences were observed among treatments for field-saturated hydraulic conductivity, which was overall very high, showing that reduced tillage did not negatively influence saturated infiltration, albeit bulk density is higher than in the conventionally plowed system. The soil penetration resistance was generally higher for the reduced tillage treatments across depths of 0.0–0.30 m, albeit not statistically significant (p > 0.05). Significantly higher water-stable aggregates and geometric mean diameters were observed for regenerative agricultural treatments in three of the on-farm experiments at a depth of 0.07 m. The shear resistance was significantly higher in regenerative agriculture units in specific years and depths. Although the outcomes are encouraging, the variability of the effects of reduced tillage and organic amendments in affecting soil properties highlights the need for further long-term research including farm trials. This is essential to fully understand the effects of regenerative practices on soil physical quality.

Neurotrophic and synaptic effects of GnRH and/or GH upon motor function after spinal cord injury in rats

Thoracic spinal cord injury (SCI) profoundly impairs motor and sensory functions, significantly reducing life quality without currently available effective treatments for neuroprotection or full functional regeneration. This study investigated the neurotrophic and synaptic recovery potential of gonadotropin-releasing hormone (GnRH) and growth hormone (GH) treatments in ovariectomized rats subjected to thoracic SCI. Employing a multidisciplinary approach, we evaluated the effects of these hormones upon gene expression of classical neurotrophins (NGF, BDNF, and NT3) as well as indicative markers of synaptic function (Nlgn1, Nxn1, SNAP25, SYP, and syntaxin-1), together with morphological assessments of myelin sheath integrity (Klüver-Barrera staining and MBP immunoreactivity) and synaptogenic proteins (PSD95, SYP) by immunohystochemistry (IHC) , and also on the neuromotor functional recovery of hindlimbs in the lesioned animals. Results demonstrated that chronic administration of GnRH and GH induced notable upregulation in the expression of several neurotrophic and synaptogenic activity genes. Additionally, the treatment showed a significant impact on the restoration of functional synaptic markers and myelin integrity. Intriguingly, while individual GnRH application induced certain recovery benefits, the combined treatment with GH appeared to inhibit neuromotor recovery, suggesting a complex interplay in hormonal regulation post-SCI. GnRH and GH are bioactive and participate in modulating neurotrophic responses and synaptic restoration under neural damage conditions, offering insights into novel therapeutic approaches for SCI. However, the intricate effects of combined hormonal treatment accentuate the necessity for further investigation that conduce to optimal and novel therapeutic strategies for patients with spinal cord lesions.

Emerging therapeutic benefit of platelet-rich fibrin as novel platelet concentrates in tissue engineering

Background: Treating irreversible cardiomyocyte loss following myocardial infarction presents several therapeutic challenges. While cell therapy shows promise as a regenerative treatment for infarcted cardiac tissue, different cell sources vary in their therapeutic potential. Adipose-derived stem cells (ADSCs) have emerged as an attractive option due to their accessibility, but their limited differentiation capacity remains a significant constraint. Recent evidence suggests that injectable platelet-rich fibrin may enhance this process by stimulating the differentiation of ADSCs into cardiomyocyte-like cells. Objective: Analyse the benefit of injectable platelet-rich fibrin to accelerate the differentiation of adipose-derived mesenchymal stem cells into cardiomyocyte-like cells. Methods: This study is a true experimental randomized post-test design study. Adipose-derived mesenchymal stem cells were isolated from adipose tissue and expanded in culture through four passages. The characteristics of adipose-derived mesenchymal stem cells were measured by the expression of CD 34-, CD 45-, and CD 105+ using flowcytometry. The samples were divided into 3 groups, i.e. negative control (α-MEM), positive control (differentiation medium) and treatment group (platelet-rich fibrin). The assessment of GATA-4 marker expression was conducted using flowcytometry on the fifth day and troponin was conducted using immunocytochemistry on the tenth day to determine the differentiation to cardiomyocyte. Statistical analysis was performed using Student's t-tests and one-way ANOVA for data that demonstrated normal distribution as verified by the Shapiro-Wilk test. Results: Flowcytometry on GATA-4 expression revealed significant difference on addition of platelet-rich fibrin compared with negative and positive controls (68.20 ± 6.82 vs 58.15 ± 1.23; p<0.05; 68.20 ± 6.82 vs 52.96 ± 2.02; p<0.05). This was supported by the results of immunocytochemistry on troponin expression which revealed significant difference between platelet-rich fibrin group compared with negative and positive controls (50.66 ± 7.2 vs 10.73 ± 2.39; p<0.05; 50.66 ± 7.2 vs 26.00 ± 0.4; p<0.05). Conclusion: Injectable platelet-rich fibrin accelerates differentiation of adipose-derived mesenchymal stem cells into cardiomyocyte-like cells.

Reversing metabolic reprogramming by CPT1 inhibition with etomoxir promotes cardiomyocyte proliferation and heart regeneration via DUSP1 ADP-ribosylation-mediated p38 MAPK phosphorylation

The neonatal mammalian heart has a remarkable regenerative capacity, while the adult heart has difficulty to regenerate. A metabolic reprogramming from glycolysis to fatty acid oxidation occurs along with the loss of cardiomyocyte proliferative capacity shortly after birth. In this study, we sought to determine if and how metabolic reprogramming regulates cardiomyocyte proliferation. Reversing metabolic reprogramming by carnitine palmitoyltransferase 1 (CPT1) inhibition, using cardiac-specific Cpt1a and Cpt1b knockout mice promoted cardiomyocyte proliferation and improved cardiac function post-myocardial infarction. The inhibition of CPT1 is of pharmacological significance because those protective effects were replicated by etomoxir, a CPT1 inhibitor. CPT1 inhibition, by decreasing poly(ADP-ribose) polymerase 1 expression, reduced ADP-ribosylation of dual-specificity phosphatase 1 in cardiomyocytes, leading to decreased p38 MAPK phosphorylation, and stimulation of cardiomyocyte proliferation. Our present study indicates that reversing metabolic reprogramming is an effective strategy to stimulate adult cardiomyocyte proliferation. CPT1 is a potential therapeutic target for promoting heart regeneration and myocardial infarction treatment.

Regulation of electron delocalization on porous carbon/manganese-iron oxide for enhancing nonradical processes of sulfamethoxazole: Oxidation pathway and mechanism

Transition metal oxide defect engineering can regulate the electronic properties of materials, thereby realizing nonradical reactions during catalytic processes. In this study, porous carbon/manganese-iron oxide (PC@MFO) composites with different Mn/Fe ratios were prepared via in-situ encapsulation strategy. PC@MFO exhibited superior catalytic degradation and stable recycling performance during peroxymonosulfate (PMS) activation to degrade sulfamethoxazole (SMX). After 10 min of reaction, >92 % of SMX was rapidly degraded, with high selectivity, through oxidative SMX removal from a complex aqueous solution. The kinetics of SMX degradation over different as-prepared samples were also investigated. A recycling study and regeneration treatment revealed no clear deactivation between the 1st and 6th cycles, suggesting that PC@MFO is a reusable heterogeneous catalyst for utilization in efficient oxidative SMX removal. Multiple characterization techniques and density functional theory calculations were used to study the mechanism of SMX degradation process. Nonradical oxidation was found to be the dominant reaction in the catalytic reaction, leading to SMX degradation. This was possibly due to the highly conjugated electron delocalization induced by Mn-Fe in the O-octahedra close to the oxygen vacancies, promoting rapid charge transfer and interfacial reaction kinetics. This study expands the understanding for the activation mechanism driven by Mn-Fe spinel oxides in deep-water treatment.

Perspectives of Regenerative Medicine in Dermatology and Cosmetology

Regenerative medicine has revolutionized the field of biological sciences, pharmacology and healthcare, bringing a new approach to treatments of various health conditions. Dermatology and aesthetic medicine are interested in these new scientific approaches as well. From this point of view, many areas of skin health and cosmetology may be involved, but several questions should be answered before these procedures become routine in offices and hospitals. Indeed scientific, ethical, and financial issues still have to be addressed in detail. Nevertheless, ongoing research and technological advancements are expected to further improve therapies. The integration of artificial intelligence and machine learning could enhance the precision of regenerative treatments, making them more effective and accessible in forthcoming years.

Time-Dependent Morphological Changes in Traumatic Immature Teeth With Necrotic Pulps Following Regenerative Endodontic Treatment: A Retrospective Study.

Regenerative endodontic treatment is a promising approach for healing periapical lesions and continuous root maturation. Although previous studies have reported its outcomes, the dynamics of morphological changes over time remain unclear. Therefore, this study aimed to evaluate changes in the periapical status and root dimensions over a 60-month follow-up period. The follow-up duration, periapical status changes, calcific barrier formation, degree of apical closure and radiographic root area changes were compared with those of the last follow-up in this retrospective study. Radiographic root area changes were calculated as the difference between the total root and total canal areas. Fifty-eight patients (81 teeth) underwent regenerative endodontic treatment during the study period, of whom 32 patients (36 teeth, 62%) were included. The survival and success rates of the treated teeth were 100% and 94.4%, respectively. All teeth developed a calcific bridge in the cervical third of the root canal, indicating the presence of vital tissue. Apical narrowing (partial or total) was observed in 75% of the cases. The root maturation stage affected the percentage increase in the radiographic root area. Teeth in Cvek stages II-III showed a higher radiographic root area increase than more mature teeth. All tooth radiographic root areas increased significantly in the initial 20 months of the treatment and moderately thereafter. Regenerative endodontic treatment is a safe approach for traumatised immature teeth. The presence of a radiographic calcified bridge may be an early indication of treatment success. The main complete tooth morphological changes occur after approximately 20 months posttreatment. These findings may help clinicians better understand the time-dependent changes in the root morphology after treatment, improve the follow-up schedule and predict the progress of healing during follow-up visits.

Stem cell treatment for regeneration of the rotator cuff: study protocol for a prospective single-center randomized controlled trial (Lipo-cuff).

Rotator cuff tears (RCT) are a common musculoskeletal condition, especially in the aging population. The prevalence of rotator cuff tears varies based on factors like age, occupation, and activity level. In the general population, the prevalence of rotator cuff tears is estimated to be around 20 to 25%. Rotator cuff tears (RCT) have an impact in patients' pain level, shoulder function, sleep disturbance, and quality of life. Primary tendon surgery is in mostly cases necessary. This study aimed to examine if treatment of rotator cuff lesions with implantation of micro-fragmented adipose tissue can improve patients' reported pain and function compared to conventional surgery. The study is a prospective superiority parallel-group single-center randomized controlled trial including 30 patients between 40 and 69years of age in Denmark. Patients will be allocated 1:1 ratio to reconstruction of the supraspinatus tendon with an injection of micro-fragmented adipose tissue into the related muscle (stem cell treatment) or the standard of care (SOC), which is conventional surgery. Patients, project assistants, physicians, and outcome adjudicators are not blinded to randomization due to practical constraints. The radiologist and the statistician performing the analysis will be blinded. The primary outcome will be the Oxford shoulder score at 12months post-surgery. This study will assess whether adding micro-fragmented adipose tissue therapy to conventional rotator cuff tear treatment can enhance recovery, accelerate return to daily activities, and improve functional outcomes. The research will also determine if this minimally invasive procedure could be standardized for routine patient care. ClinicalTrials.gov NCT06505135. Registered on July 10, 2024.

Metal and metal oxide nanomaterials for heavy metal remediation: novel approaches for selective, regenerative, and scalable water treatment

Heavy metal contamination in water sources poses a significant threat to environmental and public health, necessitating effective remediation strategies. Nanomaterial-based approaches have emerged as promising solutions for heavy metal removal, offering enhanced selectivity, efficiency, and sustainability compared to traditional methods. This comprehensive review explores novel nanomaterial-based approaches for heavy metal remediation, focusing on factors such as selectivity, regeneration, scalability, and practical considerations. A systematic literature search was conducted using multiple academic databases, including PubMed, Web of Science, and Scopus, to identify relevant articles published between 2013 and 2024. The review identifies several promising nanomaterials, such as graphene oxide, carbon nanotubes, and metal-organic frameworks, which exhibit high surface areas, tunable surface chemistries, and excellent adsorption capacities. Surface functionalization with specific functional groups (e.g., carboxyl, amino, thiol) significantly enhances the selectivity for target heavy metal ions. Advances in regeneration strategies, including chemical desorption, electrochemical regeneration, and photocatalytic regeneration, have improved the reusability and cost-effectiveness of these materials. Scalability remains a critical challenge, but recent developments in synthesis methods, such as green synthesis and continuous-flow synthesis, offer promising solutions for large-scale production. The stability and longevity of nanomaterials have been improved through surface modification and the development of hybrid nanocomposites. Integrating nanomaterials with existing water treatment infrastructure and combining them with other remediation techniques, such as membrane filtration and electrochemical methods, can enhance overall treatment efficiency and feasibility. In conclusion, nanomaterial-based approaches hold immense promise for revolutionizing heavy metal remediation and advancing sustainable water management practices. As future research is geared towards retrofitting existing treatment plants, it is equally critical to mitigate unintended environmental and public health consequences associated with the widespread production and use of nanomaterials, such as their leachability into water systems and environmental persistence.

Biocompatibility and Bone Regeneration by Shape Memory Polymer Scaffolds.

Biodegradable, shape memory polymer (SMP) scaffolds based on poly(ε-caprolactone) (PCL) offer unique advantages as a regenerative treatment strategy for critical-sized bone defects. In particular, a conformal fit may be achieved following exposure to warm saline, thereby improving osseointegration and regeneration. Advancing the clinical translation of these SMP scaffolds requires establishment of efficacy not only in non-loading models, but also load-bearing or load-sharing models. Thus, the present study evaluated the biocompatibility and bone regeneration potential of SMP scaffolds in a rabbit distal femoral condyle model. Two distinct SMP scaffold compositions were evaluated, a "PCL-only" scaffold formed from PCL-diacrylate (PCL-DA) and a semi-interpenetrating network (semi-IPN) formed from PCL-DA and poly(L-lactic acid) (PCL:PLLA). Semi-IPN PCL:PLLA scaffolds possess greater rigidity and faster rates of degradation versus PCL scaffolds. In vivo biocompatibility was assessed with a rat subcutaneous implantation model, whereas osseointegration was assessed with a 4 mm × 8 mm rabbit distal femoral condyle defect model. Both types of SMP scaffolds exhibited excellent biocompatibility marked by infiltration with fibrous tissue and a minimal inflammatory response. When implanted in the rabbit distal femur, both SMP scaffolds supported bone ingrowth. Collectively, these results demonstrate that the SMP scaffolds are biocompatible and integrate with adjacent host osseous tissues when implanted in vivo in a load-sharing environment. This study provides key proof-of-concept data necessary to proceed with large animal translational studies and clinical trials in human subjects.

Delivery of a Jagged1-PEG-MAL hydrogel with pediatric human bone cells regenerates critically sized craniofacial bone defects

Current treatments for congenital and acquired craniofacial (CF) bone abnormalities are limited and costly. Conventional methods involve surgical correction, short-term stabilization, and long-term bone grafting, which may include problematic allografts and limited autografts. While bone morphogenetic protein 2 (BMP2) has been used for bone regeneration, it can cause bone overgrowth and life-threatening inflammation. Bone marrow-derived mesenchymal stem cell therapies, though promising, are not Food and Drug Administration approved and are resource intensive. Thus, there is a need for effective, affordable, and less side-effect-prone bone regenerative therapies. Previous research demonstrated that JAGGED1 induces osteoblast commitment in murine cranial neural crest cells through a NOTCH-dependent non-canonical pathway involving JAK2–STAT5. We hypothesize that delivery of JAGGED1 and induction of its downstream NOTCH non-canonical signaling in pediatric human osteoblasts constitutes an effective bone regenerative treatment. Delivering pediatric human bone-derived osteoblast-like cells to an in vivo murine bone loss model of a critically sized cranial defect, we identified that JAGGED1 promotes human pediatric osteoblast commitment and bone formation through p70 S6K phosphorylation. This approach highlights the potential of JAGGED1 and its downstream activators as innovative treatments for pediatric CF bone loss.

Delivery of a Jagged1-PEG-MAL hydrogel with pediatric human bone cells regenerates critically sized craniofacial bone defects.

Current treatments for congenital and acquired craniofacial (CF) bone abnormalities are limited and costly. Conventional methods involve surgical correction, short-term stabilization, and long-term bone grafting, which may include problematic allografts and limited autografts. While bone morphogenetic protein 2 (BMP2) has been used for bone regeneration, it can cause bone overgrowth and life-threatening inflammation. Bone marrow-derived mesenchymal stem cell therapies, though promising, are not Food and Drug Administration approved and are resource intensive. Thus, there is a need for effective, affordable, and less side-effect-prone bone regenerative therapies. Previous research demonstrated that JAGGED1 induces osteoblast commitment in murine cranial neural crest cells through a NOTCH-dependent non-canonical pathway involving JAK2-STAT5. We hypothesize that delivery of JAGGED1 and induction of its downstream NOTCH non-canonical signaling in pediatric human osteoblasts constitutes an effective bone regenerative treatment. Delivering pediatric human bone-derived osteoblast-like cells to an in vivo murine bone loss model of a critically sized cranial defect, we identified that JAGGED1 promotes human pediatric osteoblast commitment and bone formation through p70 S6K phosphorylation. This approach highlights the potential of JAGGED1 and its downstream activators as innovative treatments for pediatric CF bone loss.

Movable VOC Removal System

In this study, we develop a mobile VOCs gas removal system that can remove volatile organic compound (VOCs) emissions from petrochemical facilities, metal painting factories, and surroundings of life, and can efficiently cope with situations occurring in the field. Regular repairs to petrochemical plants and semiconductor plants are carried out for a month every four to five years, and work such as replacing old pipes and repairing aging facilities, cleaning, removing residual gas, checking pipe connections and valves, and improving processes are carried out while the plant is shut down. During regular maintenance, a large-scale accident occurs in which gas remaining in the facility leaks or explodes due to rising pressure, and even after internal gas discharge and purge work is performed, it is scattered by the characteristics of raw materials remaining inside the pipe and reactor and discharged into the atmosphere. Therefore, there is always a possibility of causing safety accidents, and such accidents have a great socioeconomic impact as they are directly connected to the safety of workers as well as the safety of local residents. This system is designed to be adaptable according to the size of a number of outlets, and it is proposed to minimize the impact of VOCs harmful gases on the surroundings by developing it as a mobile type. The efficiency of collecting scattered VOCs gas is more than 90%, and the integrated operating system is demonstrated for 50 CMM class movable VOCs adsorption device, 5 CMM class treatment gas recirculation type non-flame waste heat recovery adsorbent regeneration treatment device, and two or more business sites.

Establishing a rabbit model with massive supraspinatus tendon defect for investigating scaffold-assisted tendon repair

BackgroundShoulder pain and disability from rotator cuff tears remain challenging clinical problem despite advancements in surgical techniques and materials. To advance our understanding of injury progression and develop effective therapeutics using tissue engineering and regenerative medicine approaches, it is crucial to develop and utilize animal models that closely resemble the anatomy and display the pathophysiology of the human rotator cuff. Among various animal models, the rabbit shoulder defect model is particularly favored due to its similarity to human rotator cuff pathology. However, a standardized protocol for creating a massive rotator cuff defect in the rabbits is not well defined. Therefore, the objective of our study was to establish a robust and reproducible model of a rotator cuff defect to evaluate the regenerative efficacy of scaffolds.ResultsIn our study, we successfully developed a rabbit model with a massive supraspinatus tendon defect that closely resembles the common rotator cuff injuries observed in humans. This defect involved a complete transection of the tendon, spanning 10 mm in length and encompassing its full thickness and width. To ensure stable scaffolding, we employed an innovative bridging suture technique that utilized a modified Mason-Allen suture as a structural support. Moreover, to assess the therapeutic effectiveness of the model, we utilized different scaffolds, including a bovine tendon extracellular matrix (ECM) scaffold and a commercial acellular dermal matrix (ADM) scaffold. Throughout the observation period, no scaffold damage was observed. Notably, comprehensive histological analysis demonstrated that the regenerative tissue in the tendon ECM scaffold group exhibited an organized and aligned fiber structure, indicating tendon-like tissue regeneration while the tissue in the ADM group showed comparatively less organization.ConclusionsThis study presents a comprehensive description of the implemented procedures for the development of a highly reproducible animal model that induces massive segmental defects in rotator cuff tendons. This protocol can be universally implemented with alternative scaffolds to investigate extensive tendon defects and evaluate the efficacy of regenerative treatments. The application of our animal model offers a standardized and reproducible platform, enabling researchers to systematically evaluate, compare, and optimize scaffold designs. This approach holds significant importance in advancing the development of tissue engineering strategies for effectively repairing extensive tendon defects.

Single-cell profiling of cellular changes in the somatic peripheral nerves following nerve injury.

Injury to the peripheral nervous system disconnects targets to the central nervous system, disrupts signal transmission, and results in functional disability. Although surgical and therapeutic treatments improve nerve regeneration, it is generally hard to achieve fully functional recovery after severe peripheral nerve injury. A better understanding of pathological changes after peripheral nerve injury helps the development of promising treatments for nerve regeneration. Single-cell analyses of the peripheral nervous system under physiological and injury conditions define the diversity of cells in peripheral nerves and reveal cell-specific injury responses. Herein, we review recent findings on the single-cell transcriptome status in the dorsal root ganglia and peripheral nerves following peripheral nerve injury, identify the cell heterogeneity of peripheral nerves, and delineate changes in injured peripheral nerves, especially molecular changes in neurons, glial cells, and immune cells. Cell-cell interactions in peripheral nerves are also characterized based on ligand-receptor pairs from coordinated gene expressions. The understanding of cellular changes following peripheral nerve injury at a single-cell resolution offers a comprehensive and insightful view for the peripheral nerve repair process, provides an important basis for the exploration of the key regulators of neuronal growth and microenvironment reconstruction, and benefits the development of novel therapeutic drugs for the treatment of peripheral nerve injury.

Duramater Healing Following Decompression And Posterior Stabilization Using Platelet Rich Plasma And Platelet Rich Fibrin: A Systematic Review

Background: Platelet-rich plasma (PRP) applications have the potential to play adjunctive roles in a variety of regenerative medicine treatment plans. PRP therapy is based on the fact that platelet growth factors (PGFs) support the three phases of wound healing and repair cascade. This systematic review evaluates the efficacy of platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) in enhancing duramater healing and reducing complications, particularly cerebrospinal fluid (CSF) leaks, following spinal surgeries. Incidental dural tears are a common complication in lumbar spine surgeries, leading to significant postoperative challenges. Methods: The review included randomized controlled trials comparing PRP and PRF with conventional treatments, sourced from databases such as PubMed, ScienceDirect, ProQuest, and Cochrane Library. Results: PRP and PRF are rich in growth factors such as platelet-derived growth factor (PDGF), vascular endothelial growth factor (VEGF), and transforming growth factor-beta (TGF-β), all of which play crucial roles in wound healing. Conclusion: Both PRP and PRF significantly improve duramater healing, with PRF offering a more sustained release of growth factors, thereby enhancing watertight dura closure and reducing CSF leakage.

Successful management of intrabony periodontal defect with regenerative treatment

Successful management of intrabony periodontal defect with regenerative treatment

Regenerative endodontic treatment with T-PRF after delayed trauma

Regenerative endodontic treatment with T-PRF after delayed trauma

Regenerative endodontic treatment of immature tooth with chronic lesion

Regenerative endodontic treatment of immature tooth with chronic lesion