[1] Chopra M, Kumar H. Navigating the complexities of spinal cord injury: an overview of pathology, treatment strategies and clinical trials[J]. Drug Discov Today, 2025, 30(6): 104387. DOI: 10.1016/j.drudis.2025.104387. [2] Liu W, Samuhaer A, Lin K P, et al. Global epidemiological trends and burden of cervical and subcervical spinal cord injuries, 1990-2021: a multidimensional analysis using global burden of disease data[J]. J Orthop Surg Res, 2025, 20(1): 657. DOI: 10.1186/s13018-025-05985-9. [3] Lu Y B, Shang Z Z, Zhang W, et al. Global, regional, and national burden of spinal cord injury from 1990 to 2021 and projections for 2050: a systematic analysis for the Global Burden of Disease 2021 study[J]. Ageing Res Rev, 2025, 103: 102598. DOI: 10.1016/j.arr.2024.102598. [4] Lu Y B, Shang Z Z, Zhang W, et al. Global incidence and characteristics of spinal cord injury since 2000-2021: a systematic review and meta-analysis[J]. BMC Med, 2024, 22(1): 285. DOI: 10.1186/s12916-024-03514-9. [5] Diop M, Epstein D. A systematic review of the impact of spinal cord injury on costs and health-related quality of life[J]. Pharmaco Economics Open, 2024, 8(6): 793-808. DOI: 10.1007/s41669-024-00517-3. [6] Kiouri D P, Chasapis C T, Mavromoustakos T, et al. Zinc and its binding proteins: essential roles and therapeutic potential[J]. Arch Toxicol, 2025, 99(1): 23-41. DOI: 10.1007/s00204-024-03891-3. [7] Sabouri S, Rostamirad M, Dempski R E. Unlocking the brain's zinc code: implications for cognitive function and disease[J]. Front Biophys, 2024, 2: 1406868. DOI: 10.3389/frbis.2024.1406868. [8] Vali R, Shirvanian K, Farkhondeh T, et al. A review study on the effect of zinc on oxidative stress-related neurological disorders[J]. J Trace Elem Med Biol, 2025, 88: 127618. DOI: 10.1016/j.jtemb.2025.127618. [9] Tsoutsi N, Grigoriou V, Fellouri G, et al. Latest experimental data on the role of zinc in the management of spinal cord injury[J]. Eur J Med Health Sci, 2025, 7(6): 64-70. DOI: 10.24018/ejmed.2025.7.6.2442. [10] Maret W. The arcana of zinc[J]. J Nutr, 2025, 155(3): 669-675. DOI: 10.1016/j.tjnut.2025.01.004. [11] Ceballos-Rasgado M, Brazier A K M, Gupta S, et al. Methods of assessment of zinc status in humans: an updated review and meta-analysis [J]. Nutr Rev, 2025, 83(3): 778-800. DOI: 10.1093/nutrit/nuae072. [12] Wang Y S, Me X F, Zhang L, et al. Supplement moderate zinc as an effective treatment for spinal cord injury[J]. Med Hypotheses, 2011, 77(4): 589-590. DOI: 10.1016/j.mehy.2011.06.037. [13] Su R B, Mei X F, Wang Y S, et al. Regulation of zinc transporter 1 expression in dorsal horn of spinal cord after acute spinal cord injury of rats by dietary zinc[J]. Biol Trace Elem Res, 2012, 149(2): 219-226. DOI: 10.1007/s12011-012-9414-9. [14] Wang H D, Wei Z J, Li J J, et al. Application value of biofluid-based biomarkers for the diagnosis and treatment of spinal cord injury[J]. Neural Regen Res, 2022, 17(5): 963-971. DOI: 10.4103/1673-5374.324823. [15] 宋咸锐,王恒,赵玉麟,等.锌在脊髓损伤治疗中的神经保护作用及其机制研究进展[J].中华创伤杂志, 2025, 41(7): 694-701. DOI: 10.3760/cma.j.cn501098-20250305-00121. [16] Kijima K, Kubota K, Hara M, et al. The acute phase serum zinc concentration is a reliable biomarker for predicting the functional outcome after spinal cord injury[J]. EBioMedicine, 2019, 41: 659-669. DOI: 10.1016/j.ebiom.2019.03.003. [17] Timofeeva A V, Akhmetzyanova E R, Rizvanov A A, et al. Interaction of microglia with the microenvironment in spinal cord injury[J]. Neuroscience, 2025, 565: 594-603. DOI: 10.1016/j.neuroscience.2024.11.074. [18] Hu Y, Gao J. The role of polarization dynamics in macrophages and microglia on the inflammatory microenvironment of spinal cord injury[J]. Mol Cell Neurosci, 2025, 135: 104054. DOI: 10.1016/j.mcn.2025.104054. [19] Li D Y, Bai M Y, Guo Z P, et al. Zinc regulates microglial polarization and inflammation through IκBα after spinal cord injury and promotes neuronal repair and motor function recovery in mice[J]. Front Pharmacol, 2025, 16: 1510372. DOI: 10.3389/fphar.2025.1510372. [20] Kijima K, Ono G, Kobayakawa K, et al. Zinc deficiency impairs axonal regeneration and functional recovery after spinal cord injury by modulating macrophage polarization via NF-κB pathway[J]. Front Immunol, 2023, 14: 1290100. DOI: 10.3389/fimmu.2023.1290100. [21] Capdevila D A, Rondón J J, Edmonds K A, et al. Bacterial metallostasis: metal sensing, metalloproteome remodeling, and metal trafficking[J]. Chem Rev, 2024, 124(24): 13574-13659. DOI: 10.1021/acs.chemrev.4c00264. [22] Dai H Y, Wang L, Li L Y, et al. Metallothionein 1: a new spotlight on inflammatory diseases[J]. Front Immunol, 2021, 12: 739918. DOI: 10.3389/fimmu.2021.739918. [23] Chio J C T, Punjani N, Hejrati N, et al. Extracellular matrix and oxidative stress following traumatic spinal cord injury: physiological and pathophysiological roles and opportunities for therapeutic intervention[J]. Antioxid Redox Signal, 2022, 37(1/2/3): 184-207. DOI: 10.1089/ars.2021.0120. [24] Mursal M, Hasan I, Tiwari B, et al. Disruptions in nitric oxide homeostasis, lipid peroxidation-derived oxidative stress, and antioxidant defense mechanisms in spinal cord injury: elucidating biomolecular correlates of disease severity[J]. Mol Biol Rep, 2025, 52(1): 969. DOI: 10.1007/s11033-025-11091-0. [25] Cui X L, Huang C, Huang Y C, et al. Amplification of metalloregulatory proteins in macrophages by bioactive ZnMn@SF hydrogels for spinal cord injury repair[J]. ACS Nano, 2024, 18(49): 33614-33628. DOI: 10.1021/acsnano.4c12236. [26] Zhang J Y, Gao Y S, Zhang M, et al. Zinc-directed coordination network hydrogels for A20-mediated inflammation modulation and enhanced axonal regeneration in spinal cord injury[J]. Adv Funct Mater, 2025, 35(32): 2422906. DOI: 10.1002/adfm.202422906. [27] Zheng J D, Chen T J, Wang K, et al. Engineered multifunctional zinc-organic framework-based aggregation-induced emission nanozyme for accelerating spinal cord injury recovery[J]. ACS Nano, 2024, 18(3): 2355-2369. DOI: 10.1021/acsnano.3c10541. [28] Paik S, Kim J K, Shin H J, et al. Updated insights into the molecular networks for NLRP3 inflammasome activation[J]. Cell Mol Immunol, 2025, 22(6): 563-596. DOI: 10.1038/s41423-025-01284-9. [29] Xiao S Y, Lv Y H, Ji Y M, et al. The NLRP3 inflammasome: a pivotal orchestrator of multisystem diseases-from molecular mechanisms to therapeutic innovation[J]. Mol Biol Rep, 2025, 52(1): 1026. DOI: 10.1007/s11033-025-11116-8. [30] Gu H Y, Liu N. Mechanism of effect and therapeutic potential of NLRP3 inflammasome in spinal cord injury[J]. Exp Neurol, 2025, 384: 115059. DOI: 10.1016/j.expneurol.2024.115059. [31] Xu C, Zhou Z P, Zhao H S, et al. Zinc promotes spinal cord injury recovery by blocking the activation of NLRP3 inflammasome through SIRT3-mediated autophagy[J]. Neurochem Res, 2023, 48(2): 435-446. DOI: 10.1007/s11064-022-03762-2. [32] Zhao X G, Sun J F, Yuan Y J, et al. Zinc promotes microglial autophagy through NLRP3 inflammasome inactivation via XIST/miR-374a-5p axis in spinal cord injury[J]. Neurochem Res, 2022, 47(2): 372-381. DOI: 10.1007/s11064-021-03441-8. [33] Lin J Q, Tian H, Zhao X G, et al. Zinc provides neuroprotection by regulating NLRP3 inflammasome through autophagy and ubiquitination in a spinal contusion injury model[J]. CNS Neurosci Ther, 2021, 27(4): 413-425. DOI: 10.1111/cns.13460. [34] Yin Z Y, Wan B W, Gong G, et al. ROS: executioner of regulating cell death in spinal cord injury[J]. Front Immunol, 2024, 15: 1330678. DOI: 10.3389/fimmu.2024.1330678. [35] Li D Y, Tian H, Li X, et al. Zinc promotes functional recovery after spinal cord injury by activating Nrf2/HO-1 defense pathway and inhibiting inflammation of NLRP3 in nerve cells[J]. Life Sci, 2020, 245: 117351. DOI: 10.1016/j.lfs.2020.117351. [36] Yao Y W, Dong X Z, Pang Z X, et al. A zinc-citrate metal-organic framework-based adaptable hydrogen sulfide delivery system for regulating neuroregeneration microenvironment in spinal cord injury[J]. ACS Nano, 2025, 19(25): 22798-22819. DOI: 10.1021/acsnano.4c18918. [37] Paterniti I, Filippone A, Naletova I, et al. Trehalose-carnosine prevents the effects of spinal cord injury through regulating acute inflammation and zinc(II)ion homeostasis[J]. Cell Mol Neurobiol, 2023, 43(4): 1637-1659. DOI: 10.1007/s10571-022-01273-w. [38] Kalkan E, Ciek O, Unlü A, et al. The effects of prophylactic zinc and melatonin application on experimental spinal cord ischemia-reperfusion injury in rabbits: experimental study[J]. Spinal Cord, 2007, 45(11): 722-730. DOI: 10.1038/sj.sc.3102035. [39] Liao J, He W X, Li L S, et al. Mitochondria in brain diseases: bridging structural-mechanistic insights into precision-targeted therapies[J]. Cell Biomater, 2025, 1(2): 100016. DOI: 10.1016/j.celbio.2025.100016. [40] 毛志昊,任博文,郭子轩,等.脊髓损伤中线粒体功能障碍机制及其治疗策略研究进展[J].解放军医学院学报, 2024, 45(10): 1085-1090. DOI: 10.12435/j.issn.2095-5227.2024.132. [41] Cui Y, Bai M Y, Gao S, et al. Zinc ions facilitate metabolic bioenergetic recovery post spinal cord injury by activating microglial mitophagy through the STAT3-FOXO3a-SOD2 pathway[J]. Free Radic Biol Med, 2025, 227: 64-79. DOI: 10.1016/j.freeradbiomed.2024.11.045. [42] Jin F, Song Z T, Deng Y, et al. Zinc protects against neuroinflammation after spinal cord injury by regulating mitophagy-dependent mtDNA-cGAS-STING signaling[J]. Free Radic Biol Med, 2026, 247: 286-302. DOI: 10.1016/j.freeradbiomed.2026.02.010. [43] Guo H, Chen L Q, Zou Z R, et al. Zinc remodels mitochondrial network through SIRT3/Mfn2-dependent mitochondrial transfer in ameliorating spinal cord injury[J]. Eur J Pharmacol, 2024, 968: 176368. DOI: 10.1016/j.ejphar.2024.176368. [44] Bai M Y, Cui Y, Sang Z L, et al. Zinc ions regulate mitochondrial quality control in neurons under oxidative stress and reduce PANoptosis in spinal cord injury models via the Lgals3-Bax pathway[J]. Free Radic Biol Med, 2024, 221: 169-180. DOI: 10.1016/j.freeradbiomed.2024.05.037. [45] Bai M Y, Sang Z L, Li D Y, et al. Protective mechanism of zinc ions in spinal cord injury treatment: regulation of mitochondrial function and reduction of apoptosis via TNF-α pathway inhibition[J]. Int Immunopharmacol, 2026, 168: 115856. DOI: 10.1016/j.intimp.2025.115856. [46] Ge M H, Tian H, Mao L, et al. Zinc attenuates ferroptosis and promotes functional recovery in contusion spinal cord injury by activating Nrf2/GPX4 defense pathway[J]. CNS Neurosci Ther, 2021, 27(9): 1023-1040. DOI: 10.1111/cns.13657. [47] Bhatt M, Sharma M, Das B. The role of inflammatory cascade and reactive astrogliosis in glial scar formation post-spinal cord injury[J]. Cell Mol Neurobiol, 2024, 44(1): 78. DOI: 10.1007/s10571-024-01519-9. [48] Tsivelekas K, Evangelopoulos D S, Pallis D, et al. Angiogenesis in spinal cord injury: progress and treatment[J]. Cureus, 2022, 14(5): e25475. DOI: 10.7759/cureus.25475. [49] Zhou H, Jing S L, Xiong W, et al. Metal-organic framework materials promote neural differentiation of dental pulp stem cells in spinal cord injury[J]. J Nanobiotechnology, 2023, 21(1): 316. DOI: 10.1186/s12951-023-02001-2. [50] Shrestha S, Shrestha B K, Auniq R B Z, et al. Zinc-releasing fibrous scaffolds modulate fibroblast, endothelial, and macrophage interactions for vascularized tissue engineering[J]. ACS Appl Mater Interfaces, 2026, 18(2): 3477-3498. DOI: 10.1021/acsami.5c16589. [51] Deng H, Liu Y, Shi Z Q, et al. Zinc regulates a specific subpopulation of VEGFA + microglia to improve the hypoxic microenvironment for functional recovery after spinal cord injury[J]. Int Immunopharmacol, 2023, 125(Pt A): 111092. DOI: 10.1016/j.intimp.2023.111092. [52] Sen S, Patil P M, Parihar N, et al. Photobiomodulation therapy with zinc oxide/pheophorbide-a nanoflakes enhances neurovascular repair in spinal cord injury evidenced using photoacoustic imaging[J]. ACS Appl Bio Mater, 2026, 9(6): 2876-2894. DOI: 10.1021/acsabm.5c02095. [53] Liu X Y, Ma B, Hu S H, et al. Phase-adapted metal ion supply for spinal cord repair with a Mg-Zn incorporated chimeric microsphere[J]. Biomaterials, 2025, 320: 123253. DOI: 10.1016/j.biomaterials.2025.123253. [54] Su X J, Gu C J, Wei Z H, et al. Chitosan-modified hydrogel microsphere encapsulating zinc-doped bioactive glasses for spinal cord injury repair by suppressing inflammation and promoting angiogenesis[J]. Adv Healthc Mater, 2025, 14(2): e2402129. DOI: 10.1002/adhm.202402129. [55] Lin S, Zhao H S, Xu C, et al. Bioengineered zinc oxide nanoparticle-loaded hydrogel for combinative treatment of spinal cord transection[J]. Front Bioeng Biotechnol, 2021, 9: 796361. DOI: 10.3389/fbioe.2021.796361. [56] Niu Y Q, Chang H R, Xu J X. Regenerative treatment of zinc-based nanoenzyme incorporated injectable hydrogel with mesenchymal stem cells alleviates spinal cord injury[J]. J Biomater Sci Polym Ed, 2025: 1-22. DOI: 10.1080/09205063.2025.2574942. [57] Han S W, Zhang D P, Kao Y B, et al. Trojan horse strategy for wireless electrical stimulation-induced Zn2+ release to regulate neural stem cell differentiation for spinal cord injury repair[J]. ACS Nano, 2024, 18(47): 32517-32533. DOI: 10.1021/acsnano.4c08863. [58] Qin Q, Jin B R, Bai C W, et al. Biomimetic membrane-coating zinc sulfide nanoparticles for anti-inflammatory combined neuroprotective therapy for spinal cord injury[J]. Bioact Mater, 2026, 56: 217-231. DOI: 10.1016/j.bioactmat.2025.09.032. [59] Nukolova N V, Aleksashkin A D, Abakumova T O, et al. Multilayer polyion complex nanoformulations of superoxide dismutase 1 for acute spinal cord injury[J]. J Control Release, 2018, 270: 226-236. DOI: 10.1016/j.jconrel.2017.11.044. [60] Chen W X, Lin S, Shi Y F, et al. Therapy of spinal cord injury by zinc pyrogallol modified nanozyme via anti-inflammatory strategies[J]. Chem Eng J, 2023, 471: 144595. DOI: 10.1016/j.cej.2023.144595. |