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Innovative Medicines & Omics                                         Antioxidant nanomedicines for therapies



            nitrogen-doped  carbon  nanoparticle  (Figure  34).  The   damage  spinal cord, leading  to  irreversible  disruptions
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            nanocatalyst has been demonstrated to be efficient in   of  neuronal  circuitry  and  blood  vessel.   Ischemia-
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            scavenging multiple ROS including O , H O , and •OH,   reperfusion injury is triggered subsequently and excessive
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            favorable for sepsis treatment. Yim et al. also evidenced   ROS  are  produced  to  damage  neurons.   To modulate
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            that  transition-metal  dichalcogenides,  especially  WS    the oxidative microenvironment after spinal cord injury,
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            nanosheets, can alleviate sepsis efficiently. 455  Xiong et al. used Mn O  nanoparticles to initiate catalytic
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              The endotoxin from pathogens is the pathological root   antioxidation reactions in extrinsic neural environment.
            of  sepsis  and  should  be  removed  from  the  septic  blood.   In a rat model, the antioxidant nanocatalyst can promote
            Extracorporeal blood purification has been applied to reduce   the proliferations of motor neurons, sensory neurons and
            endotoxin level in the blood using adsorbents with cationic   interneurons, facilitating motor function recovery.
            ligands that can attract the negatively-charged endotoxins.    Transplantation of stem cells has also been extensively
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            Wei et al. prepared a microparticle self-assembled from cationic   used for treating spinal cord injury, in which stem cells
            polymer polyhexamethylguanidine and tannic acid, of which   can differentiate into neurons to compensate the injured
            polyhexamethylguanidine can remove endotoxin, while   ones.  The oxidative microenvironment after spinal
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            tannic acid with polyphenol structure can alleviate oxidative   cord injury reduces the survival rate of stem cells, largely
            stress (Figure 35).  Hemoperfusion simulation experiments   compromising therapeutic efficiency.  Li et al. prepared a
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            further evidence the high efficacy of the microparticle for   MnO  nanoparticle-embedded hydrogel that can alleviate
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            sepsis treatment. This work provides a feasible approach for   oxidative stress to promote the survival of mesenchymal
            clearing endotoxin and ROS concurrently using designed   stem cells adhered on the hydrogel (Figure 36).  In a long-
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            adsorbents during blood purification.              span rat spinal cord transection model, the antioxidative
                                                               gel  facilitates  neural differentiation of  the  implanted
            12.2. Spinal cord injury treatment                 mesenchymal stem cells and regeneration of spinal cord
            Spinal cord injury is initiated by various external physical   tissue  subsequently,  enabling  significant  restoration  of
            interactions (such as traffic accidents) that severely   motor  function.  This  work  provides  a  cytoprotective
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            Figure 34. (A and B) Schematic illustration for the synthesis of single-atom Co nanocatalyst and its application in sepsis treatment. Reproduced with
            permission from Cao et al.  Copyright © 2020, Wiley-VCH.
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            Volume 1 Issue 1 (2024)                         40                               doi: 10.36922/imo.2527
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