《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (11): 1322-1333.doi: 10.3969/j.issn.1006-9771.2024.11.010
杜华勇1,2, 李泽辉1,2, 王晓昕1,2, 荆瀛黎3, 高峰1,2, 杨德刚1,2, 李建军1,2,3(
)
收稿日期:2024-06-26
修回日期:2024-10-12
出版日期:2024-11-25
发布日期:2024-12-05
通讯作者:
李建军(1962-),男,汉族,山东人,教授、主任医师,博士研究生/博士后导师,主要研究方向:骨科、脊柱脊髓外科和脊髓损伤的治疗与康复。E-mail:作者简介:杜华勇(1999-),男,汉族,贵州铜仁市人,硕士研究生,主要研究方向:脊髓损伤相关的康复。
基金资助:
DU Huayong1,2, LI Zehui1,2, WANG Xiaoxin1,2, JING Yingli3, GAO Feng1,2, YANG Degang1,2, LI Jianjun1,2,3(
)
Received:2024-06-26
Revised:2024-10-12
Published:2024-11-25
Online:2024-12-05
Contact:
LI Jianjun, E-mail: Supported by:摘要:
目的 分析脊髓损伤后微环境中免疫反应领域的研究现状、热点和发展趋势。
方法 在中国知网和Web of Science核心合集,检索自建库起至2024年3月期间脊髓损伤后微环境中免疫反应相关研究的文献,采用VOSviewer和CiteSpace对纳入文献的作者、国家、机构、期刊、共被引文献和关键词进行可视化分析并绘制知识图谱。
结果 共纳入152篇中文文献和455篇英文文献。中、英文发文量逐年增加,中国和美国是该领域的主要研究国家。中文文献中,朱悦是高产作者,中国医科大学是高产机构。英文文献中,Phillip Popovich是高产且高被引作者,俄亥俄州立大学是高产机构。Journal of Neuroscience和Experimental Neurology是重要期刊。中英文研究热点集中在免疫激活、炎症反应和功能恢复等,干细胞移植、巨噬细胞和中医药等在脊髓损伤后免疫反应调控中的研究占比较大。
结论 微环境中的免疫反应已经成为脊髓损伤领域关注的焦点,研究重点正从免疫机制转向免疫调控策略的探索,一些前沿技术在这方面展现出巨大潜力。未来需加强跨地域、跨机构合作,促进信息共享,加速研究进展和临床转化,以提升患者康复效果。
中图分类号:
杜华勇, 李泽辉, 王晓昕, 荆瀛黎, 高峰, 杨德刚, 李建军. 脊髓损伤后微环境中免疫反应的文献计量分析[J]. 《中国康复理论与实践》, 2024, 30(11): 1322-1333.
DU Huayong, LI Zehui, WANG Xiaoxin, JING Yingli, GAO Feng, YANG Degang, LI Jianjun. Immune responses in the microenvironment after spinal cord injury: a bibliometric analysis[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(11): 1322-1333.
表4
英文关键词聚类分析表"
| 标签 | 节点数 | 轮廓值 | 年份 | 规模 |
|---|---|---|---|---|
| #0 | 24 | 0.898 | 2005 | spinal cord injury; immune activation; axon |
| #1 | 15 | 0.869 | 2015 | leukocytes; adaptive immunity; immune response; neurogenesis; spinal cord injury |
| #2 | 15 | 0.901 | 2009 | innate immune response; adaptive immune response; stem cells; spinal cord injury |
| #3 | 14 | 0.913 | 2012 | dendritic cells; bone marrow; antigen presenting cells; |
| #4 | 14 | 0.935 | 2006 | monocytes; minocycline; spinal cord injury; functional recovery |
| #5 | 13 | 0.833 | 2016 | neuropathic pain; immune cells; major histocompatibility complex class; bioactive lipids |
| #6 | 11 | 0.946 | 2005 | hypothalamic-pituitary-adrenal axis; cyclooxygenase-2; TANK-binding kinase 1; NF-κB |
| #7 | 10 | 0.932 | 2016 | angiogenesis; autophagy; CXC chemokine receptor 4; lymphangiogenesis |
| [1] | 李建军, 王方永. 脊髓损伤神经学分类国际标准(2011年修订)[J]. 中国康复理论与实践, 2011, 17(10): 963-972. |
| LI J J, WANG F Y. International Standards for Neurological Classification of Spinal Cord Injury[J]. Chin J Rehabil Theory Pract, 2011, 17(10): 963-972. | |
| [2] |
DING W, HU S, WANG P, et al. Spinal cord injury: the global incidence, prevalence, and disability from the global burden of disease study 2019[J]. Spine, 2022, 47(21): 1532-1540.
doi: 10.1097/BRS.0000000000004417 pmid: 35857624 |
| [3] |
JAMES S L, THEADOM A, ELLENBOGEN R G, et al. Global, regional, and national burden of traumatic brain injury and spinal cord injury, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016[J]. Lancet Neurol, 2019, 18(1): 56-87.
doi: S1474-4422(18)30415-0 pmid: 30497965 |
| [4] |
FAN B, WEI Z, YAO X, et al. Microenvironment imbalance of spinal cord injury[J]. Cell Transplant, 2018, 27(6): 853-866.
doi: 10.1177/0963689718755778 pmid: 29871522 |
| [5] | TANG H, GU Y, JIANG L, et al. The role of immune cells and associated immunological factors in the immune response to spinal cord injury[J]. Front Immunol, 2023, 13: 1070540. |
| [6] | JIN Y, SONG Y, LIN J, et al. Role of inflammation in neurological damage and regeneration following spinal cord injury and its therapeutic implications[J]. Burns Trauma, 2023, 11: tkac054. |
| [7] | DE OLIVEIRA O J, DA SILVA F F, JULIANI F, et al. Bibliometric method for mapping the state-of-the-art and identifying research gaps and trends in literature: an essential instrument to support the development of scientific projects[M]. London: IntechOpen, 2019. |
| [8] | PRICE D J D S. Little science, big science[M]. New York: Columbia University Press, 1963. |
| [9] | SCHIRRMACHER V. Bone marrow: the central immune system[J]. Immuno, 2023, 3(3): 289-329. |
| [10] | STERNER R C, STERNER R M. Immune response following traumatic spinal cord injury: pathophysiology and therapies[J]. Front Immunol, 2023, 13: 1084101. |
| [11] |
CRUSE J M, KEITH J C, BRYANT M L JR, et al. Immune system-neuroendocrine dysregulation in spinal cord injury[J]. Immunol Res, 1996, 15(4): 306-314.
doi: 10.1007/BF02935314 pmid: 8988397 |
| [12] | CRUSE J M, LEWIS R E J R, BISHOP G R, et al. Decreased immune reactivity and neuroendocrine alterations related to chronic stress in spinal cord injury and stroke patients[J]. Pathobiology, 1993, 61(3/4): 183-192. |
| [13] |
HAUBEN E, BUTOVSKY O, NEVO U, et al. Passive or active immunization with myelin basic protein promotes recovery from spinal cord contusion[J]. J Neurosci, 2000, 20(17): 6421-6430.
pmid: 10964948 |
| [14] | IBARRA A, CORREA D, WILLMS K, et al. Effects of cyclosporin: a on immune response, tissue protection and motor function of rats subjected to spinal cord injury[J]. Brain Res, 2003, 979(1/2): 165-178. |
| [15] |
SCHWARTZ M. Immunological approaches to the treatment of spinal cord injury[J]. BioDrugs, 2001, 15(9): 585-593.
pmid: 11580302 |
| [16] |
HAMADA Y, IKATA T, KATOH S, et al. Involvement of an intercellular adhesion molecule 1-dependent pathway in the pathogenesis of secondary changes after spinal cord injury in rats[J]. J Neurochem, 1996, 66(4): 1525-1531.
pmid: 8627308 |
| [17] | PEARSE D D, BUNGE M B. Designing cell- and gene-based regeneration strategies to repair the injured spinal cord[J]. J Neurotrauma, 2006, 23(3/4): 438-452. |
| [18] | KIGERL K A, LAI W, RIVEST S, et al. Toll‐like receptor (TLR)‐2 and TLR‐4 regulate inflammation, gliosis, and myelin sparing after spinal cord injury[J]. J Neurochem, 2007, 102(1): 37-50. |
| [19] | JI W, HU S, ZHOU J, et al. Tissue engineering is a promising method for the repair of spinal cord injuries[J]. Exp Ther Med, 2014, 7(3): 523-528. |
| [20] | TORRES ESPÍN A, REDONDO CASTRO E, HERNANDEZ J, et al. Immunosuppression of allogenic mesenchymal stem cells transplantation after spinal cord injury improves graft survival and beneficial outcomes[J]. J Neurotrauma, 2015, 32(6): 367-380. |
| [21] | MORENO MANZANO V, RODRIGUEZ JIMENEZ F J, GARCIA ROSELLO M, et al. Activated spinal cord ependymal stem cells rescue neurological function[J]. Stem Cells, 2009, 27(3): 733-743. |
| [22] |
ZHANG J, ZHANG A, SUN Y, et al. Treatment with immunosuppressants FTY720 and tacrolimus promotes functional recovery after spinal cord injury in rats[J]. Tohoku J Exp Med, 2009, 219(4): 295-302.
pmid: 19966528 |
| [23] | FEHLINGS M G, NGUYEN D H. Immunoglobulin G: a potential treatment to attenuate neuroinflammation following spinal cord injury[J]. J Clin Immunol, 2010, 30(Suppl 1): S109-S112. |
| [24] | ADHIKARY S, LI H, HELLER J, et al. Modulation of inflammatory responses by a cannabinoid-2-selective agonist after spinal cord injury[J]. J Neurotrauma, 2011, 28(12): 2417-2427. |
| [25] |
SLAETS H, NELISSEN S, JANSSENS K, et al. Oncostatin M reduces lesion size and promotes functional recovery and neurite outgrowth after spinal cord injury[J]. Mol Neurobiol, 2014, 50(3): 1142-1151.
doi: 10.1007/s12035-014-8795-5 pmid: 24996996 |
| [26] | LIU W Z, MA Z J, LI J R, et al. Mesenchymal stem cell-derived exosomes: therapeutic opportunities and challenges for spinal cord injury[J]. Stem Cell Res, 2021, 12(1): 1-15. |
| [27] | LI C J, QIN T, LIU Y D, et al. Microglia-derived exosomal microRNA-151-3p enhances functional healing after spinal cord injury by attenuating neuronal apoptosis regulating the p53/p21/CDK1 signaling pathway[J]. Front Cell Dev Biol, 2022, 9: 783017. |
| [28] | TUKMACHEV D, FOROSTYAK S, KOCI Z, et al. Injectable extracellular matrix hydrogels as scaffolds for spinal cord injury repair[J]. Tissue Eng Part A, 2016, 22(3/4): 306-317. |
| [29] |
KONG X Y, GAO J. Macrophage polarization: a key event in the secondary phase of acute spinal cord injury[J]. J Cell Mol Med, 2017, 21(5): 941-953.
doi: 10.1111/jcmm.13034 pmid: 27957787 |
| [30] | HUANG Y, WU Q, TAM P K H. Immunomodulatory mechanisms of mesenchymal stem cells and their potential clinical applications[J]. Int J Mol Sci, 2022, 23(17): 10023. |
| [31] | ACEVEDO O A, BERRIOS R V, RODRÍGUEZ-GUILARTE L, et al. Molecular and cellular mechanisms modulating trained immunity by various cell types in response to pathogen encounter[J]. Front Immunol, 2021, 12: 745332. |
| [32] | BONOSI L, SILVEN M P, BIANCARDINO A A, et al. Stem cell strategies in promoting neuronal regeneration after spinal cord injury: a systematic review[J]. Int J Mol Sci, 2022, 23(21): 12996. |
| [33] |
FENG Y, LI Y, SHEN P P, et al. Gene-modified stem cells for spinal cord injury: a promising better alternative therapy[J]. Stem Cell Rev Rep, 2022, 18(8): 2662-2682.
doi: 10.1007/s12015-022-10387-z pmid: 35587330 |
| [34] | RIBEIRO B F, DA CRUZ B C, DE SOUSA B M, et al. Cell therapies for spinal cord injury: a review of the clinical trials and cell-type therapeutic potential[J]. Brain, 2023, 146(7): 2672-2693. |
| [35] | DAMIANAKIS E I, BENETOS I S, EVANGELOPOULOS D S, et al. Stem cell therapy for spinal cord injury: a review of recent clinical trials[J]. Cureus, 2022, 14(4): e24575. |
| [36] | 魏延冕, 周玫彤. 脊髓损伤的中医现代化治疗研究进展[J]. 中国当代医药, 2024, 31(13): 175-179. |
| WEI Y M, ZHOU M T. Research progress on modernized treatment of spinal cord injury in traditional Chinese medicine[J]. Chin Modern Med, 2024, 31(13): 175-179. | |
| [37] |
LIU S, WANG Z F, SU Y S, et al. Somatotopic organization and intensity dependence in driving distinct NPY-expressing sympathetic pathways by electroacupuncture[J]. Neuron, 2020, 108(3): 436-450.e7.
doi: 10.1016/j.neuron.2020.07.015 pmid: 32791039 |
| [38] | ZHENG Y, QI S, WU F, et al. Chinese herbal medicine in treatment of spinal cord injury: a systematic review and meta-analysis of randomized controlled trials[J]. Am J Chin Med, 2020, 48(7): 1593-1616. |
| [39] | 徐振华, 李彦杰, 秦合伟, 等. 中药单体治疗脊髓损伤后神经炎症:核转录因子κB信号通路的作用[J]. 中国组织工程研究, 2025, 29(3): 590-598. |
| XU Z H, LI Y J, QIN H W, et al. Traditional Chinese medicine monomer in treatment of neuroinflammation after spinal cord injury: effects of nuclear transcription factor kappa B signaling pathway[J]. Chin J Tissue Eng Res, 2025, 29(3): 590-598. | |
| [40] | 彭毛, 东智. 巨噬细胞极化调控炎症反应的研究进展[J]. 临床医学进展, 2022, 12: 6796. |
| PENG M, DONG Z. Research progress in the regulation of inflammatory response by macrophage polarization[J]. Adv Clin Med, 2022, 12: 6796. | |
| [41] | GUO X, JIANG C, CHEN Z, et al. Regulation of the JAK/STAT signaling pathway in spinal cord injury: an updated review[J]. Front Immunol, 2023, 14: 1276445. |
| [42] | ELMALKY M I, ALVAREZ BOLADO G, YOUNSI A, et al. Axonal regeneration after spinal cord injury: molecular mechanisms, regulatory pathways, and novel strategies[J]. Biology, 2024, 13(9): 703. |
| [43] | KHAN S I, AHMED N, AHSAN K, et al. An insight into the prospects and drawbacks of stem cell therapy for spinal cord injuries: ongoing trials and future directions[J]. Brain Sci, 2023, 13(12): 1697. |
| [44] | 何宛俞, 程乐平. 干细胞移植修复脊髓损伤的策略与进展[J]. 中国组织工程研究, 2024, 28(19): 3090-3096. |
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