Click chemistry extracellular vesicle/peptide/chemokine nanocarriers for treating central nervous system injuries

Review Chemistry, Multidisciplinary

Emerging porous organic polymers for biomedical applications

Youlong Zhu et al.

Summary: This review summarizes the recent progress in the biomedical applications of porous organic polymers (POPs), including drug delivery, bioimaging, and photothermal therapy.

CHEMICAL SOCIETY REVIEWS (2022)

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Article Multidisciplinary Sciences

Microalgae-based oral microcarriers for gut microbiota homeostasis and intestinal protection in cancer radiotherapy

Dongxiao Zhang et al.

Summary: In this study, researchers have successfully developed an oral delivery system using Spirulina platensis as a microcarrier to protect the whole small intestine from radiation-induced injury during radiotherapy. The system accumulates the drug effectively and provides superior radioprotection compared to free drug and enteric capsules, preventing radiation-induced intestinal injury without affecting tumor regression. It also has benefits on gut microbiota homeostasis and long-term safety.

NATURE COMMUNICATIONS (2022)

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Article Engineering, Biomedical

An NIR photothermal-responsive hybrid hydrogel for enhanced wound healing

Lin Jin et al.

Summary: This study developed a band-aid with a core-shell structure to modulate vascularization and the immune microenvironment, leading to scarless wound healing. The band-aid released H2S and a growth factor, which controlled macrophage polarization and inhibited excessive inflammation, thereby promoting skin cell proliferation and facilitating wound healing.

BIOACTIVE MATERIALS (2022)

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Article Cell Biology

The effect of aging on VEGF/VEGFR2 signal pathway genes expression in rat liver sinusoidal endothelial cell

Wan-Li Wang et al.

Summary: Aging LSECs exhibit structural changes and abnormal expression of VEGF/VEGFR2 and its pathway genes, affecting liver regeneration and resulting in a numerical disadvantage in hepatic regeneration.

MOLECULAR AND CELLULAR BIOCHEMISTRY (2021)

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Article Engineering, Environmental

Stapled RAP12 peptide ligand of LRP1 for micelles-based multifunctional glioma-targeted drug delivery

Huitong Ruan et al.

Summary: By optimizing the structure and stability of RAP12 peptide, a novel ST-RAP12 peptide was developed with enhanced α-helical content, binding affinity, and cellular internalization, showing promising capabilities in penetrating the blood-brain barrier and targeting glioma. ST-RAP12 was also utilized to construct micelles for effective drug delivery to glioma cells, demonstrating significant anti-cancer efficacy.

CHEMICAL ENGINEERING JOURNAL (2021)

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Article Biochemistry & Molecular Biology

miR-221/222 suppression induced by activation of the cAMP/PKA/CREB1 pathway is required for cAMP-induced bidirectional differentiation of glioma cells

Qian Liu et al.

Summary: The study identified that increasing cAMP levels can induce lineage-specific differentiation of glioma cells, with miR-221/222 suppression contributing to neuronal differentiation. The findings highlight the crucial role of the miR-221/222 cluster as an epigenetic brake during glioma differentiation.

FEBS LETTERS (2021)

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Review Clinical Neurology

Neuroinflammation and microglial activation in Alzheimer disease: where do we go from here?

Fangda Leng et al.

Summary: Microglial activation and neuroinflammation play important roles in Alzheimer's disease, affecting disease progression and pathologies. Current research focuses on the interplay between neuroinflammation and amyloid and tau pathologies, with a specific interest in modulating microglia as a therapeutic strategy for AD.

NATURE REVIEWS NEUROLOGY (2021)

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Review Materials Science, Multidisciplinary

Biologically modified nanoparticles as theranostic bionanomaterials

Jielai Yang et al.

Summary: Inspired by natural biology, cell membrane-mimetic surface engineering and cell membrane camouflaging technology have gained significant attention in biomedical fields. The cell membrane-camouflaged nanoparticles (CM-NPs) exhibit unique properties such as elongated circulation time, immune evading and active targeting, showing great potential in various biomedical applications. The evolution from cell membrane-mimetic surface engineering to cell membrane camouflaging technology has led to the exploration of numerous applications and highlighted both challenges and opportunities in the field.

PROGRESS IN MATERIALS SCIENCE (2021)

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Article Multidisciplinary Sciences

Capturing functional two-dimensional nanosheets from sandwich-structure vermiculite for cancer theranostics

Xiaoyuan Ji et al.

Summary: Clay-based nanomaterials hold great potential, but challenges in extracting 2D functional core layers have constrained their applications. Wet exfoliation of vermiculite by alkali etching to obtain the core layers is explored, with potential applications in cancer theranostics highlighted.

NATURE COMMUNICATIONS (2021)

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Article Multidisciplinary Sciences

Stroke subtype-dependent synapse elimination by reactive gliosis in mice

Xiaojing Shi et al.

Summary: This study showed that inhibiting phagocytosis of microglia and astrocytes in ischemic stroke improved neurobehavioral outcomes, attenuated brain damage, and prevented synapse loss. In hemorrhagic stroke, inhibiting phagocytosis of microglia/macrophages but not astrocytes improved neurobehavioral outcomes. Single-cell RNA sequencing revealed downregulation of phagocytosis-related processes in astrocytes of the hemorrhagic brain compared to the ischemic brain.

NATURE COMMUNICATIONS (2021)

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Article Multidisciplinary Sciences

Orally deliverable strategy based on microalgal biomass for intestinal disease treatment

Danni Zhong et al.

Summary: The innovative strategy of oral drug delivery using a formulation based on Spirulina platensis loaded with curcumin shows promise for treating intestinal diseases. The formulation not only improves drug bioavailability but also demonstrates excellent antitumor and anti-inflammatory efficacy.

SCIENCE ADVANCES (2021)

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Article Chemistry, Multidisciplinary

Arsenene Nanodots with Selective Killing Effects and their Low‐Dose Combination with ß‐Elemene for Cancer Therapy (Adv. Mater. 37/2021)

Chuang Liu et al.

ADVANCED MATERIALS (2021)

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Article Neurosciences

被撤回的出版物: Bone marrow mesenchymal stem cells-derived extracellular vesicles carrying microRNA-221-3p protect against ischemic stroke via ATF3 (Retracted article. See vol. 189, pg. 153, 2022)

Zhibing Ai et al.

Summary: The study found that BMSC-EVs carrying miR-221-3p can inhibit ATF3, exerting a protective effect on MCAO mice and OGD-treated neurons, reducing inflammation, pathological changes, and cell apoptosis, which may help explore therapeutic strategies for IS.

BRAIN RESEARCH BULLETIN (2021)

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Article Biochemistry & Molecular Biology

Knockdown of XIST Attenuates Cerebral Ischemia/Reperfusion Injury Through Regulation of miR-362/ROCK2 Axis

Jingtao Wang et al.

Summary: This study demonstrated that XIST plays a crucial role in cerebral ischemia/reperfusion injury by regulating the miR-362/ROCK2 axis, leading to alleviation of neurological impairment and inflammatory response. This finding provides a potential novel strategy for ischemic stroke therapy.

NEUROCHEMICAL RESEARCH (2021)

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Article Multidisciplinary Sciences

Arsenene-mediated multiple independently targeted reactive oxygen species burst for cancer therapy

Na Kong et al.

Summary: The regulation of intracellular ROS levels is crucial for cellular homeostasis and fate determination, with moderate levels promoting cell proliferation and differentiation, and excessive levels inducing apoptosis. Surface-oxidized arsenene nanosheets with engineered modifications serve as an intelligent theranostic platform for cancer therapy, enabling targeted delivery and prolonged circulation for effective treatment.

NATURE COMMUNICATIONS (2021)

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Article Multidisciplinary Sciences

A non-printed integrated-circuit textile for wireless theranostics

Yuxin Yang et al.

Summary: This study introduces a non-printed integrated-circuit textile (NIT) that can be used for biomedical and theranostic applications, woven through a unique method. The woven circuit textile is self-powered and capable of wireless biomedical monitoring, suggesting a potential future in wearable health monitoring technologies.

NATURE COMMUNICATIONS (2021)

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Article Cell & Tissue Engineering

Neural stem cells derived from primitive mesenchymal stem cells reversed disease symptoms and promoted neurogenesis in an experimental autoimmune encephalomyelitis mouse model of multiple sclerosis

Christina Brown et al.

Summary: The study investigated the therapeutic potential of neural stem cells derived from human primitive mesenchymal stem cells in an experimental autoimmune encephalomyelitis mouse model of multiple sclerosis. The transplanted NSCs improved EAE symptoms more than MSCs, homed into the CNS, reduced immune infiltrates, modulated Treg and Th17 cell levels, enhanced myelination, and promoted neuroprotection and neurogenesis through upregulating genes involved in myelination and neuroprotection while downregulating inflammatory and astrogliosis genes.

STEM CELL RESEARCH & THERAPY (2021)

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Review Cell & Tissue Engineering

Exosomal microRNAs from mesenchymal stem/stromal cells: Biology and applications in neuroprotection

Aida Nasirishargh et al.

Summary: Exosomal miRNAs play a key role in the neuroprotective effects of MSCs by promoting neurogenesis, neurite remodeling, survival, and neuroplasticity, showing significant therapeutic potential for neurological disorders such as stroke, traumatic brain injury, and neuroinflammatory or neurodegenerative diseases. Various bioengineering approaches are discussed for isolating exosomes, optimizing yield, and manipulating miRNA content to enhance therapeutic potential.

WORLD JOURNAL OF STEM CELLS (2021)

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Article Engineering, Biomedical

Immunogenic-cell-killing and immunosuppression-inhibiting nanomedicine

Ying Wang et al.

Summary: The new polymer-based intelligent platform enables simultaneous delivery of paclitaxel and curcumin, targeting tumor cells for drug release and inducing immunogenic cell death, ultimately suppressing tumor growth and metastasis.

BIOACTIVE MATERIALS (2021)

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Article Medicine, Research & Experimental

M2 microglial small extracellular vesicles reduce glial scar formation via the miR-124/STAT3 pathway after ischemic stroke in mice

Zongwei Li et al.

Summary: M2 microglial small extracellular vesicles decreased glial scar formation and promoted recovery after stroke through miR-124, inhibiting astrocyte proliferation and transforming them into neuronal progenitor cells. These vesicles also downregulated Notch 1 expression and upregulated Sox2 expression in astrocytes.

THERANOSTICS (2021)

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Article Endocrinology & Metabolism

Endothelial progenitor cell transplantation alleviated ischemic brain injury via inhibiting C3/C3aR pathway in mice

Yuanyuan Ma et al.

JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM (2020)

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Article Biochemistry & Molecular Biology

Donepezil-induced oligodendrocyte differentiation is mediated through estrogen receptors

Osamu Imamura et al.

JOURNAL OF NEUROCHEMISTRY (2020)

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Article Chemistry, Multidisciplinary

Bioinspired Nanosponge for Salvaging Ischemic Stroke via Free Radical Scavenging and Self-Adapted Oxygen Regulating

Jinjin Shi et al.

NANO LETTERS (2020)

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Article Clinical Neurology

MicroRNA-126-3p/-5p Overexpression Attenuates Blood-Brain Barrier Disruption in a Mouse Model of Middle Cerebral Artery Occlusion

Jiaji Pan et al.

STROKE (2020)

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Article Multidisciplinary Sciences

Peripheral nerve resident macrophages share tissue-specific programming and features of activated microglia

Peter L. Wang et al.

NATURE COMMUNICATIONS (2020)

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Article Cell & Tissue Engineering

DPYSL2 is a novel regulator for neural stem cell differentiation in rats: revealed by Panax notoginseng saponin administration

Xiong Liu-Lin et al.

STEM CELL RESEARCH & THERAPY (2020)

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Review Cell Biology

RNA delivery by extracellular vesicles in mammalian cells and its applications

Killian O'Brien et al.

NATURE REVIEWS MOLECULAR CELL BIOLOGY (2020)

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Article Cell & Tissue Engineering

Small extracellular vesicles secreted by human iPSC-derived MSC enhance angiogenesis through inhibiting STAT3-dependent autophagy in ischemic stroke

Yuguo Xia et al.

STEM CELL RESEARCH & THERAPY (2020)

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Article Neurosciences

Overexpression of miR-221 stimulates proliferation of rat neural stem cell with activating Phosphatase and tensin homolog/protein kinase B signaling pathway

Yanze Chen et al.

NEUROREPORT (2020)

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Review Nanoscience & Nanotechnology

A materials-science perspective on tackling COVID-19

Zhongmin Tang et al.

NATURE REVIEWS MATERIALS (2020)

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Article Cell Biology

被撤回的出版物: Overexpression of microRNA-221 promotes the differentiation of stem cells from human exfoliated deciduous teeth to neurons through activation of Wnt/β-catenin pathway via inhibition of CHD8 (Retracted article. See MAR, 2023)

Bing Wen et al.

CELL CYCLE (2020)

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Article Cell Biology

Sodium Butyrate Inhibits Neovascularization Partially via TNXIP/VEGFR2 Pathway

Xiaoqiang Xiao et al.

OXIDATIVE MEDICINE AND CELLULAR LONGEVITY (2020)

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Article Multidisciplinary Sciences

In situ sprayed NIR-responsive, analgesic black phosphorus-based gel for diabetic ulcer treatment

Jiang Ouyang et al.

PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA (2020)

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Article Chemistry, Multidisciplinary

Fighting Immune Cold and Reprogramming Immunosuppressive Tumor Microenvironment with Red Blood Cell Membrane-Camouflaged Nanobullets

Zhe Yang et al.

ACS NANO (2020)

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Article Chemistry, Multidisciplinary

Solvent-Controlled Topological Evolution from Nanospheres to Superhelices

Minggao Qin et al.

SMALL (2020)

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Article Critical Care Medicine

Mesenchymal Stem Cell-Derived Exosomes Provide Neuroprotection and Improve Long-Term Neurologic Outcomes in a Swine Model of Traumatic Brain Injury and Hemorrhagic Shock

Aaron M. Williams et al.

JOURNAL OF NEUROTRAUMA (2019)

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Review Clinical Neurology

Exosomes-beyond stem cells for restorative therapy in stroke and neurological injury

Zheng Gang Zhang et al.

NATURE REVIEWS NEUROLOGY (2019)

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Article Cell Biology

MicroRNA-129 modulates neuronal migration by targeting Fmr1 in the developing mouse cortex

Chao Wu et al.

CELL DEATH & DISEASE (2019)

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Article Neurosciences

L-glutamine protects mouse brain from ischemic injury via up-regulating heat shock protein 70

Long-Long Luo et al.

CNS NEUROSCIENCE & THERAPEUTICS (2019)

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Article Biochemistry & Molecular Biology

Transplantation of NSCs Promotes the Recovery of Cognitive Functions by Regulating Neurotransmitters in Rats with Traumatic Brain Injury

Mei-ling Luo et al.

NEUROCHEMICAL RESEARCH (2019)

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Article Multidisciplinary Sciences

Dendronized fluorosurfactant for highly stable water-in-fluorinated oil emulsions with minimal inter-droplet transfer of small molecules

Mohammad Suman Chowdhury et al.

NATURE COMMUNICATIONS (2019)

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Article Cell Biology

Specificities of secretion and uptake of exosomes and other extracellular vesicles for cell-to-cell communication

Mathilde Mathieu et al.

NATURE CELL BIOLOGY (2019)

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Article Biochemistry & Molecular Biology

miR-155-5p Promotes Dorsal Root Ganglion Neuron Axonal Growth in an Inhibitory Microenvironment via the cAMP/PKA Pathway

Tianyi Wang et al.

INTERNATIONAL JOURNAL OF BIOLOGICAL SCIENCES (2019)

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Article Physiology

Electrical Stimulation Directs Migration, Enhances and Orients Cell Division and Upregulates the Chemokine Receptors CXCR4 and CXCR2 in Endothelial Cells

Filipa Cunha et al.

JOURNAL OF VASCULAR RESEARCH (2019)

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Article Cell Biology

MicroRNA-129 modulates neuronal migration by targeting Fmr1 in the developing mouse cortex

Chao Wu et al.

CELL DEATH & DISEASE (2019)

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Article Medicine, Research & Experimental

M2 microglia-derived exosomes protect the mouse brain from ischemia-reperfusion injury via exosomal miR-124

Yaying Song et al.

THERANOSTICS (2019)

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Article Clinical Neurology

Human Neural Stem Cell Extracellular Vesicles Improve Tissue and Functional Recovery in the Murine Thromboembolic Stroke Model

Robin L. Webb et al.

TRANSLATIONAL STROKE RESEARCH (2018)

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Article Nanoscience & Nanotechnology

Myristic Acid-Modified DA7R Peptide for Whole-Process Glioma-Targeted Drug Delivery

Man Ying et al.

ACS APPLIED MATERIALS & INTERFACES (2018)

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Article Chemistry, Multidisciplinary

Bioengineered Boronic Ester Modified Dextran Polymer Nanoparticles as Reactive Oxygen Species Responsive Nanocarrier for Ischemic Stroke Treatment

Wei Lv et al.

ACS NANO (2018)

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Article Engineering, Biomedical

Surface functionalized exosomes as targeted drug delivery vehicles for cerebral ischemia therapy

Tian Tian et al.

BIOMATERIALS (2018)

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Article

Exosomes from MiR-30d-5p-ADSCs Reverse Acute Ischemic Stroke-Induced, Autophagy-Mediated Brain Injury by Promoting M2 Microglial/Macrophage Polarization

Mei Jiang et al.

CELLULAR PHYSIOLOGY AND BIOCHEMISTRY (2018)

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Article Biochemistry & Molecular Biology

MicroRNA expression profiles of neural stem cells following valproate inducement

Hui He et al.

JOURNAL OF CELLULAR BIOCHEMISTRY (2018)

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Article Chemistry, Multidisciplinary

A novel peptide ligand RAP12 of LRP1 for glioma targeted drug delivery

Huitong Ruan et al.

JOURNAL OF CONTROLLED RELEASE (2018)

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Review Cell Biology

Shedding light on the cell biology of extracellular vesicles

Guillaume van Niel et al.

NATURE REVIEWS MOLECULAR CELL BIOLOGY (2018)

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Article Cell & Tissue Engineering

Prior Treatment with Anti-High Mobility Group Box-1 Antibody Boosts Human Neural Stem Cell Transplantation-Mediated Functional Recovery After Spinal Cord Injury

Naohiro Uezono et al.

STEM CELLS (2018)

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Article Clinical Neurology

Human Neural Stem Cell Extracellular Vesicles Improve Recovery in a Porcine Model of Ischemic Stroke

Robin L. Webb et al.

STROKE (2018)

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Review Cell & Tissue Engineering

Neural stem cell therapy for subacute and chronic ischemic stroke

Austin C. Boese et al.

STEM CELL RESEARCH & THERAPY (2018)

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Review Nanoscience & Nanotechnology

Tissue repair and regeneration with endogenous stem cells

Huimin Xia et al.

NATURE REVIEWS MATERIALS (2018)

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Article Immunology

The plasticity of primary microglia and their multifaceted effects on endogenous neural stem cells in vitro and in vivo

Sabine Ulrike Vay et al.

JOURNAL OF NEUROINFLAMMATION (2018)

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Article Chemistry, Multidisciplinary

pH-Sensitive Poly(beta-amino ester)s Nanocarriers Facilitate the Inhibition of Drug Resistance in Breast Cancer Cells

Mengxue Zhou et al.

NANOMATERIALS (2018)

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Review Pharmacology & Pharmacy

Nano-carriers for targeted delivery and biomedical imaging enhancement

Gaurav Parekh et al.

THERAPEUTIC DELIVERY (2018)

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Article Pharmacology & Pharmacy

Tetramethylpyrazine nitrone activates the BDNF/Akt/CREB pathway to promote post-ischaemic neuroregeneration and recovery of neurological functions in rats

Gaoxiao Zhang et al.

BRITISH JOURNAL OF PHARMACOLOGY (2018)

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Review Cell Biology

Microglia: Housekeeper of the Central Nervous System

John Alimamy Kabba et al.

CELLULAR AND MOLECULAR NEUROBIOLOGY (2018)

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Article Biochemistry & Molecular Biology

Dissection of Regulatory Elements During Direct Conversion of Somatic Cells Into Neurons

Tahereh Soleimani et al.

JOURNAL OF CELLULAR BIOCHEMISTRY (2017)

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Review Endocrinology & Metabolism

Neural stem cell transplantation in ischemic stroke: A role for preconditioning and cellular engineering

Joshua D. Bernstock et al.

JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM (2017)

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Article Clinical Neurology

MicroRNA cluster miR-17-92 Cluster in Exosomes Enhance Neuroplasticity and Functional Recovery After Stroke in Rats

Hongqi Xin et al.

STROKE (2017)

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Article Multidisciplinary Sciences

CXCL12 enhances angiogenesis through CXCR7 activation in human umbilical vein endothelial cells

Min Zhang et al.

SCIENTIFIC REPORTS (2017)

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Review Neurosciences

The Role of SDF-1/CXCR4/CXCR7 in Neuronal Regeneration after Cerebral lschemia

Xi Cheng et al.

FRONTIERS IN NEUROSCIENCE (2017)

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Review Immunology

Adult haematopoietic stem cell niches

Genevieve M. Crane et al.

NATURE REVIEWS IMMUNOLOGY (2017)

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Article Nanoscience & Nanotechnology

Stapled RGD Peptide Enables Glioma-Targeted Drug Delivery by Overcoming Multiple Barriers

Huitong Ruan et al.

ACS APPLIED MATERIALS & INTERFACES (2017)

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Article Chemistry, Multidisciplinary

Re-Engineering Extracellular Vesicles as Smart Nanoscale Therapeutics

James P. K. Armstrong et al.

ACS NANO (2017)

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Article Nanoscience & Nanotechnology

Stabilized Heptapeptide A7R for Enhanced Multifunctional Liposome-Based Tumor-Targeted Drug Delivery

Man Ying et al.

ACS APPLIED MATERIALS & INTERFACES (2016)

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Article Medicine, Research & Experimental

miR-124 promotes the neuronal differentiation of mouse inner ear neural stem cells

Di Jiang et al.

INTERNATIONAL JOURNAL OF MOLECULAR MEDICINE (2016)

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Article Cell Biology

Exosomes surf on filopodia to enter cells at endocytic hot spots, traffic within endosomes, and are targeted to the ER

Wolf Heusermann et al.

JOURNAL OF CELL BIOLOGY (2016)

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Article Chemistry, Multidisciplinary

PEGylated and targeted extracellular vesicles display enhanced cell specificity and circulation time

S. A. A. Kooijmans et al.

JOURNAL OF CONTROLLED RELEASE (2016)

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Article Chemistry, Multidisciplinary

A D-Peptide Ligand of Nicotine Acetylcholine Receptors for Brain-Targeted Drug Delivery

Xiaoli Wei et al.

ANGEWANDTE CHEMIE-INTERNATIONAL EDITION (2015)

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Article Neurosciences

Coupling of neurogenesis and angiogenesis after ischemic stroke

Linhui Ruan et al.

BRAIN RESEARCH (2015)

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Review Neurosciences

Endogenous neural stem cell responses to stroke and spinal cord injury

Catherine-Alexandra Gregoire et al.

GLIA (2015)

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Article Cell & Tissue Engineering

Leptin-Receptor-Expressing Mesenchymal Stromal Cells Represent the Main Source of Bone Formed by Adult Bone Marrow

Bo O. Zhou et al.

CELL STEM CELL (2014)

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Review Cell & Tissue Engineering

Mesenchymal Stromal Cells: Sensors and Switchers of Inflammation

Maria Ester Bernardo et al.

CELL STEM CELL (2013)

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Article Clinical Neurology

Essential role of interleukin-6 in post-stroke angiogenesis

Karen Gertz et al.

BRAIN (2012)

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Review Neurosciences

Effects of vascular endothelial growth factor in ischemic stroke

Yihui Ma et al.

JOURNAL OF NEUROSCIENCE RESEARCH (2012)

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Article Biochemistry & Molecular Biology

MicroRNA expression profiling of NGF-treated PC12 cells revealed a critical role for miR-221 in neuronal differentiation

Nanako Hamada et al.

NEUROCHEMISTRY INTERNATIONAL (2012)

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Article Cell & Tissue Engineering

Clinical Potential of Intravenous Neural Stem Cell Delivery for Treatment of Neuroinflammatory Disease in Mice?

Kristien P. Reekmans et al.

CELL TRANSPLANTATION (2011)

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Editorial Material Multidisciplinary Sciences

STEM CELLS Skin regeneration and repair

Cedric Blanpain

NATURE (2010)

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Review Neurosciences

Glial inhibition of CNS axon regeneration

Glenn Yiu et al.

NATURE REVIEWS NEUROSCIENCE (2006)

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Click chemistry extracellular vesicle/peptide/chemokine nanocarriers for treating central nervous system injuries

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