PMID- 31427916 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231013 IS - 1662-4548 (Print) IS - 1662-453X (Electronic) IS - 1662-453X (Linking) VI - 13 DP - 2019 TI - Therapeutic Potential of Neurotrophins for Repair After Brain Injury: A Helping Hand From Biomaterials. PG - 790 LID - 10.3389/fnins.2019.00790 [doi] LID - 790 AB - Stroke remains the leading cause of long-term disability with limited options available to aid in recovery. Significant effort has been made to try and minimize neuronal damage following stroke with use of neuroprotective agents, however, these treatments have yet to show clinical efficacy. Regenerative interventions have since become of huge interest as they provide the potential to restore damaged neural tissue without being limited by a narrow therapeutic window. Neurotrophins, such as brain-derived neurotrophic factor (BDNF), and their high affinity receptors are actively produced throughout the brain and are involved in regulating neuronal activity and normal day-to-day function. Furthermore, neurotrophins are known to play a significant role in both protection and recovery of function following neurodegenerative diseases such as stroke and traumatic brain injury (TBI). Unfortunately, exogenous administration of these neurotrophins is limited by a lack of blood-brain-barrier (BBB) permeability, poor half-life, and rapid degradation. Therefore, we have focused this review on approaches that provide a direct and sustained neurotrophic support using pharmacological therapies and mimetics, physical activity, and potential drug delivery systems, including discussion around advantages and limitations for use of each of these systems. Finally, we discuss future directions of biomaterial drug-delivery systems, including the incorporation of heparan sulfate (HS) in conjunction with neurotrophin-based interventions. FAU - Houlton, Josh AU - Houlton J AD - Brain Health Research Centre, Department of Anatomy, University of Otago, Dunedin, New Zealand. FAU - Abumaria, Nashat AU - Abumaria N AD - State Key Laboratory of Medical Neurobiology, MOE Frontiers Center for Brain Science, Institute of Brain Science, Fudan University, Shanghai, China. AD - Department of Laboratory Animal Science, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Hinkley, Simon F R AU - Hinkley SFR AD - The Ferrier Research Institute, Victoria University of Wellington, Petone, New Zealand. FAU - Clarkson, Andrew N AU - Clarkson AN AD - Brain Health Research Centre, Department of Anatomy, University of Otago, Dunedin, New Zealand. LA - eng PT - Journal Article PT - Review DEP - 20190802 PL - Switzerland TA - Front Neurosci JT - Frontiers in neuroscience JID - 101478481 PMC - PMC6688532 OTO - NOTNLM OT - BDNF OT - HSPG OT - Trk receptor OT - electrospun fibers OT - hydrogel OT - microsphere encapsulation OT - neurotrophins OT - p75 neurotrophic receptor EDAT- 2019/08/21 06:00 MHDA- 2019/08/21 06:01 PMCR- 2019/01/01 CRDT- 2019/08/21 06:00 PHST- 2019/03/14 00:00 [received] PHST- 2019/07/15 00:00 [accepted] PHST- 2019/08/21 06:00 [entrez] PHST- 2019/08/21 06:00 [pubmed] PHST- 2019/08/21 06:01 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fnins.2019.00790 [doi] PST - epublish SO - Front Neurosci. 2019 Aug 2;13:790. doi: 10.3389/fnins.2019.00790. eCollection 2019.