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61 results about "Motor neurone" patented technology

Spinal epidural ventral side double-wing-shaped stimulating electrode and motion function reconstruction system

The invention belongs to the technical field of medical instruments, and particularly relates to a spinal epidural ventral side double-wing-shaped stimulation electrode and motion function reconstruction system, the spinal epidural ventral side double-wing-shaped stimulation electrode and motion function reconstruction system comprises two wing panels, each wing panel comprises a flexible substrate, the flexible substrate is provided with two bifurcated preset-curvature double-wing structures; the electrode contact array is integrated on the flexible polar plate through a bonding pad; according to the double-wing-shaped flexible substrate, through a double-wing structure with a preset curvature, after being unfolded under the driving of a nickel-titanium alloy framework, the double-wing-shaped flexible substrate accurately covers a spinal cord ventral side and double-side anterior angle motor neuron pool, and the problem that a traditional single-piece / rod-shaped electrode can only cover a back side sensing area and cannot cover a back side sensing area is solved. The ventral motor neuron group cannot be directly activated; a stimulation target spot is transferred to a ventral functional core area from a dorsal non-target area for the first time, and the anatomical suitability bottleneck of motor function reconstruction is solved.
Owner:JILIN UNIVERSITY

System and Method Configured for Analysing Acoustic Parameters of Speech to Detect, Diagnose, Predict and / or Monitor Progression of a Condition, Disorder or Disease

The present invention relates to a system and method configured for analysing acoustic parameters of speech to detect, diagnose, predict and / or monitor progression of a condition, disorder, or disease, and more particularly, any of paediatric and adult neurological and central nervous system conditions including but not limited to low back pain, multiple sclerosis, stroke, seizures, Alzheimer's disease, Parkinson's disease, dementia, motor neuron disease, muscular atrophy, acquired brain injury, cancers involving neurological deficits, paediatric developmental conditions and rare genetic disorders such as spinal muscular atrophy. The system and method extracts a first formant data set from words spoken by an individual and uses these to classify the vowels in the words on a first computing device, such as a mobile smart phone equipped with a microphone into which an individual speaks. The system stores at least some of these frequencies for the vowel formants in a second formant data set as a recorded file and provides the second formant data set as input to acoustic metrics to generate score data from which an assessment is made to determine the articulation level of the vowels in the words spoken by the individual, allowing allow for detection, diagnosis, prediction and / or monitoring progression of the condition, disorder, or disease.
Owner:BEATS MEDICAL

Medicament for treating disease related to motor neuron injury

Provided is a medicament for treating a disease related to motor neuron injury. The medicament comprises: a circular RNA having a circBank ID of hsa_circPTPRN2_018, and a proper diagnosis module and a drug carrier. Also provided is use of a circular RNA in preparing a medicament for diagnosing and treating a disease related to motor neuron injury.
Owner:WUHAN HONGCHEN INNOVATION BIOTECHNOLOGY CO LTD

HERV-k (HML-2) ENV analog fusion proteins for antigen specific immunotherapy and methods of use

ActiveUS20260035414A1Nervous disorderAntibody mimetics/scaffoldsDiseaseMuscular weakness
The present disclosure provides recombinantly manufactured fusion proteins comprising a HERV-K (HML-2) Env protein fragment or an analog thereof linked to a human Fc fragment. Embodiments include the administration of the fusion proteins to patients having a disease or a disorder with the intention of mitigating and / or reducing the duration of symptoms associated with the condition or disease (for example but not limited to muscular weakness, paralysis and respiratory failure), and / or preventing symptoms associated with the condition or disease, for example, by preventing motor neuron degeneration and cell death in ALS patients associated with the condition or disease. Accordingly, “treatment” generally means both therapeutic treatment and prophylactic or preventative measures. Improvement after treatment may be manifested as a decrease or elimination of such symptoms, e.g., by a decrease or elimination of symptoms associated with ALS, and / or by a decrease in the duration of such symptoms.
Owner:TWILIGHT BIOSCIENCE INC

HERV-k (HML-2) ENV analog fusion proteins for antigen specific immunotherapy and methods of use

PCT designated stageWO2026030596A1Nervous disorderCell receptors/surface-antigens/surface-determinantsDiseaseMuscular weakness
The present disclosure provides recombinantly manufactured fusion proteins comprising a HERV-K (HML-2) Env protein fragment or an analog thereof linked to a human Fc fragment. Embodiments include the administration of the fusion proteins to patients having a disease or a disorder with the intention of mitigating and / or reducing the duration of symptoms associated with the condition or disease (for example but not limited to muscular weakness, paralysis and respiratory failure), and / or preventing symptoms associated with the condition or disease, for example, by preventing motor neuron degeneration and cell death in ALS patients associated with the condition or disease. Accordingly, "treatment" generally means both therapeutic treatment and prophylactic or preventative measures. Improvement after treatment may be manifested as a decrease or elimination of such symptoms, e.g., by a decrease or elimination of symptoms associated with ALS, and / or by a decrease in the duration of such symptoms.
Owner:TWILIGHT BIOSCIENCE INC

Analysis method for storage of single vesicles in ventral spinal cord motor neuron-like organs induced and differentiated by iPSC technology

The invention discloses an analysis method for storage of single vesicles in ventral spinal cord motor neuron-like organs induced and differentiated by an iPSC technology. The method sequentially comprises the steps of construction of an acetylcholine nano microelectrode sensor interface, recovery and culture of human pluripotent stem cells, directional differentiation of spinal cord movement organs and storage and detection of single vesicle acetylcholine. A new thought and a new method are provided for monitoring the level of acetylcholine stored in the single vesicles at the single cell level, and the method has important theoretical significance and wide practical value in research of pathogenesis of diseases, drug screening and the like in the field of neuroscience.
Owner:NANJING MEDICAL UNIV

C-ABL tyrosine kinase inhibitory compound embodiments and methods of making and using the same

Disclosed herein are embodiments of a compound that inhibits c-Abl tyrosine kinase (also referred to herein as “c-Abl”). The compound embodiments described herein are novel c-Abl inhibitors that can bind to c-Abl at an allosteric site and inhibit its activity in various pathways. The compound embodiments also are capable of crossing the blood brain barrier and therefore are useful in inhibiting c-Abl activity as it affects pathways and / or proteins in the brain. The compound embodiments described herein are effective therapeutic agents for treating diseases involving c-Abl, such as cancers, motor neuron diseases, and neurodegenerative diseases. Also disclosed herein are embodiments of methods for making and using the c-Abl inhibitory compound embodiments.
Owner:THE GOVERNMENT OF THE UNITED STATES OF AMERICA AS REPRESENTED BY THE SECRETARY DEPARTMENT OF HEALTH & HUMAN SERVICES +1

Peptide biomarkers for neurological diseases, especially motor neuron diseases.

The present invention relates to splice variants of the CERT1 protein that act as biomarkers for TDP-43 pathology, particularly motor neuron diseases such as amyotrophic lateral sclerosis (ALS) and frontotemporal lobar degeneration (FTLD), as well as other neurological diseases such as Alzheimer's disease. In particular, the present invention relates to a method for identifying splice variants of CERT1 comprising cryptic peptide sequences, as well as related methods for identifying TDP-43 pathology and / or TDP-43 dysfunction in a subject, and a method for predicting the likelihood of successful treatment. Antibodies that bind to CERT1 splice variants and kits comprising said antibodies are also claimed.
Owner:F HOFFMANN LA ROCHE & CO AG

Modeling of tdp-43 proteinopathies

It was discovered herein that neither the nuclear localization signal (NLS) nor the prion-like domain (PLD) of TDP-43 are required for in vitro embryonic stem cell culture and differentiation into motor neurons. ES cells expressing these TDP-43 mutants and differentiated into motor neurons that exhibit an ALS-like phenotype, from which the TDP-43 mutants redistribute to and accumulate in the cytoplasm, and the inability to regulate cryptic exon splicing, such that these cells can serve as a model for TDP-43 proteinopathies for testing candidate therapeutics that can dissipate such proteinopathies. In addition, these ES cells can be used to successfully generate non-human animals, e.g., mice, that also exhibit hallmark symptoms of ALS and can be used to test candidate agents useful for treating TDP-43 proteinopathies.
Owner:REGENERON PHARMACEUTICALS INC

HERV-k (HML-2) ENV analog fusion proteins for antigen specific immunotherapy and methods of use

PendingUS20260035415A1Antibody mimetics/scaffoldsVirus peptidesDiseaseMuscular weakness
The present disclosure provides recombinantly manufactured fusion proteins comprising a HERV-K (HML-2) Env protein fragment or an analog thereof linked to a human Fc fragment. Embodiments include the administration of the fusion proteins to patients having a disease or a disorder with the intention of mitigating and / or reducing the duration of symptoms associated with the condition or disease (for example but not limited to muscular weakness, paralysis and respiratory failure), and / or preventing symptoms associated with the condition or disease, for example, by preventing motor neuron degeneration and cell death in ALS patients associated with the condition or disease. Accordingly, “treatment” generally means both therapeutic treatment and prophylactic or preventative measures. Improvement after treatment may be manifested as a decrease or elimination of such symptoms, e.g., by a decrease or elimination of symptoms associated with ALS, and / or by a decrease in the duration of such symptoms.
Owner:TWILIGHT BIOSCIENCE INC

Co-culturing device, motor neuron culturing device, multi-well plate, fabrication method of in vitro evaluation model of neuromuscular disease, and screening method of therapeutic agent against neuromuscular disease

ActiveUS12668763B2Neuromuscular diseasePrimary motor neuron
A device includes a first unit for skeletal muscle tissue formation; a second unit for motor neuron culture; a third unit for causing the first and second units to communicate with each other; and a pillar serving as a scaffold for skeletal muscle tissue formation. The first unit includes a first base material and a first culture tank formed in the first base material. The second unit includes a second base material and a second culture tank formed in the second base material. The third unit includes a third base material and an axon channel formed in the third base material, through which a bundle of axons passes. One end of the third unit is connectable to the second unit and cause the axon channel and the second culture tank to communicate with each other. A first opening part is formed to the other end of the third unit.
Owner:NAT UNIV CORP TOKAI NAT HIGHER EDUCATION & RES SYST

Methods for identifying carrier status and assessing risk for spinal muscular atrophy

PendingUS20260035737A1Microbiological testing/measurementPhysiologySurvival of motor neuron
Disclosed is a method of determining whether a human subject is not a carrier of spinal muscular atrophy (SMA). This method includes the steps of (i) collecting a genomic deoxyribonucleic acid (DNA) sample from a human subject; (ii) screening the genomic DNA sample to determine the human subject's copy number of survival of motor neuron 1 (SMN1) gene and whether one of the copies of the SMN1 gene is positive for a polymorphism associated with non-carriers of SMA having two copies of the SMN1 gene; and (iii) determining the human subject as not a carrier of SMA if the human subject includes two copies of the SMN1 gene with one of those copies being positive for the polymorphism. Also disclosed is a method of determining whether an individual has a decreased risk of being a carrier of spinal muscular atrophy (SMA), where the individual is identified to have a decreased risk of being a carrier of SMA when the individual has two copies of the SMN1 gene with one of those copies being positive for the polymorphism.
Owner:MYRIAD WOMENS HEALTH INC

Methods of detection and analysis of nucleic acid in circulating bodily fluids

PendingUS20250382671A1Organic active ingredientsNervous disorderMedicineNeuronal disease
Presented herein are methods of identifying a subject who has, or is at risk of developing a motor neuron disease, specifically Amyotrophic Lateral Sclerosis (ALS), and / or Primary Lateral Sclerosis (PLS), that includes determining a presence or amount of two or more micro-RNAs (miRNAs) selected from miR-199a-3p, miR-4454, miR-10b-5p, miR-151a-5p, miR-199a-5p, miR-151a-3p, miR-146a-5p, and / or miR-29b-3p in a subject's circulating blood, without determining a presence or amount of the miRNAs from neural-derived exosomes. Also presented herein are methods of preventing, treating, or delaying the onset of a motor neuron disease, specifically ALS and / or PLS.
Owner:BRAIN CHEM LABS

HERV-k (HML-2) ENV analog fusion proteins for antigen specific immunotherapy and methods of use

PCT designated stageWO2026030590A1Nervous disorderAntibody mimetics/scaffoldsDiseaseMuscular weakness
The present disclosure provides recombinantly manufactured fusion proteins comprising a HERV-K (HML-2) Env protein fragment or an analog thereof linked to a human Fc fragment. Embodiments include the administration of the fusion proteins to patients having a disease or a disorder with the intention of mitigating and / or reducing the duration of symptoms associated with the condition or disease (for example but not limited to muscular weakness, paralysis and respiratory failure), and / or preventing symptoms associated with the condition or disease, for example, by preventing motor neuron degeneration and cell death in ALS patients associated with the condition or disease. Accordingly, "treatment" generally means both therapeutic treatment and prophylactic or preventative measures. Improvement after treatment may be manifested as a decrease or elimination of such symptoms, e.g., by a decrease or elimination of symptoms associated with ALS, and / or by a decrease in the duration of such symptoms.
Owner:TWILIGHT BIOSCIENCE INC

Construction method and application of a motor neuron MNX1 reporter gene cell line

The application discloses a kind of construction methods and applications of motor neuron MNX1 reporter cell lines, belong to gene editing and stem cell technical field.The application develops a kind of expression motor neuron MNX1 reporter gene vector system by screening high-activity sgRNA, and vector system includes the guide vector of single-stranded guide RNA targeted to the vicinity of the termination codon of human motor neuron MNX1 gene, and the donor vector carrying the homologous arm in the vicinity of the termination codon of human motor neuron MNX1 gene.The application also includes the construction method of MNX1 reporter gene human pluripotent stem cell line into the above-mentioned vector system, the application can be applied to identify stem cell differentiation source human motor neuron, and the morphology and function of motor neuron are researched under the condition of living cell, provide important platform for the pathogenesis research of muscle-related disease, treatment method evaluation and new treatment target exploration.
Owner:SHANGHAI YANGZHI REHABILITATION HOSPITAL

Methods and systems for diagnosing from whole genome sequencing data

PendingUS20250356946A1Microbiological testing/measurementProteomicsSurvival of motor neuronWhole genome sequencing
Disclosed herein include systems, devices, computer readable media, and methods for paralog genotyping, such as determining a copy number of survival of motor neuron 1 gene and genotyping cytochrome P450 family 2 subfamily D member 6 gene using a Gaussian mixture model comprising a plurality of Gaussians each representing a different integer copy number.
Owner:ILLUMINA INC

A recombinant adeno-associated viral vector and uses thereof

This invention belongs to the field of molecular biology and discloses a recombinant adeno-associated virus (AAV) vector and its applications. The recombinant AAV vector of this invention comprises an AAV capsid and sequence elements, including an EFS promoter sequence and a sequence encoding a motor neuron survival protein. The recombinant AAV vector provided by this invention can avoid the toxicity caused by overexpression of SMN1, stably maintain the SMN1 protein level in vivo within the therapeutic window, prolong the survival time of SMA mice, increase mouse body weight, improve the development of motor neurons and skeletal muscle-related tissues, and restore neuronal physiological function. This invention employs a gene therapy strategy and can be used to prevent, alleviate, or treat neurological diseases.
Owner:LANTU BIOPHARMA INC

Re-expression of embryonic motor neuron transcription factors in post-natal animals as a therapeutic strategy for amyotrophic lateral sclerosis

The subject matter described here relates to methods, compositions, and vectors for treating Amyotrophic Lateral Sclerosis (ALS) in a subject in need thereof. In certain aspects, the method comprises administering to the subject a composition comprising adeno-associated viruses (AAVs), wherein the AAVs comprise a nucleic acid sequence comprising an enhancer sequence and encoding one or more transcription factors that control gene expression in nascent motor neurons, wherein the enhancer is capable of driving a motor-neuron specific expression of the one or more transcription factors and wherein the one or more transcription factors are expressed in motor neurons of the subject.
Owner:THE TRUSTEES OF COLUMBIA UNIV IN THE CITY OF NEW YORK

Arbutilol-28-pyroglutamyl ester as well as preparation method and application of arbutilol-28-pyroglutamyl ester

The invention provides arbutin-28beta-pyroglutamyl ester. The arbutin-28beta-pyroglutamyl ester is prepared by adopting a two-stage liquid fermentation process to culture a Circinella muscae CGMCC (China General Microbiological Culture Collection Center) 3.2695 strain. The arbutin-28beta-pyroglutamyl ester is a natural triterpenoid metabolite synthesized through microbial conversion for the first time, has good activity of promoting the growth of motor neurons, and can be used for preparing drugs for treating nervous system diseases.
Owner:THE FIRST PEOPLES HOSPITAL OF NANTONG

Neuron targeting nano-carrier system based on DNA origami

The invention relates to a DNA origami-based intracellular delivery platform for precisely targeting motor neurons, a DNA origami structure (BioDoori) comprises M13mp18 single-stranded DNA, biotin chains (biotin-DNA), fluorescent chains (fluorophore-DNA) and unmodified staple chains, each side of the DNA origami structure is loaded with 1-30 fluorescent chains and 1-10 biotin chains, and the biotin chains are loaded with 1-30 fluorescent groups and 1-10 fluorescent groups. The nucleotide sequence of the staple chain is as shown in SEQ ID NO: 1-208. According to the nano origami structure disclosed by the invention, accurate and efficient specific targeting aiming at motor neuron cells is realized, and lysosome escape efficacy of a DNA origami carrier is improved in a breakthrough manner.
Owner:ACADEMY OF MILITARY MEDICAL SCIENCES

Method of promoting survival and / or function of a motor neuron and related agents, uses and methods

ActiveUS12662672B2Nervous disorderBiological testingSurvival of motor neuronPrimary motor neuron
There is provided a method of promoting survival and / or function of an amyotrophic lateral sclerosis (ALS) or ALS-like motor, the method comprising contacting the motor neuron with an agent capable of reducing mitochondrial protein acetylation, particularly an agent selected from a deacetylase activator, such as nicotinamide (NAM) and 7-hydroxy-3-(4′-methoxyphenyl) coumarin (C12), or an acetyltransferase inhibitor, such as GCN5L1 siRNA of SEQ ID NO: 1. Also provided are related agents, oligonucleotides, uses and methods of identifying agents.
Owner:AGENCY FOR SCI TECH & RES

Modeling TDP-43 proteinopathy

PendingAU2020302081B2Primary motor neuronProteinoid
Described herein is the discovery that neither the nuclear localization signal (NLS) nor the prion-like domain (PLD) of TDP-43 is necessary for embryonic stem cell culture and differentiation into motor neurons in vitro. The ability of ES cells to express these TDP-43 mutants and differentiate into motor neurons that exhibit an ALS-like phenotype whereby the TDP-43 mutants redistribute to and aggregate in the cytoplasm and fail to regulate cryptic exon splicing allows these cells to act as a model of TDP-43 proteinopathy for the testing of candidate therapeutic agents that may resolve such proteinopathy. Additionally, these ES cells may be used to successfully generate non-human animals, e.g., mice, that also exhibit hallmark symptoms of ALS and that may be used in testing candidate agents useful in treating TDP-43 proteinopathies.
Owner:REGENERON PHARMACEUTICALS INC

Motor neuron unit evaluation method and device, computer equipment, readable storage medium and program product

The invention relates to a motor neuron unit evaluation method and device, computer equipment, a computer readable storage medium and a computer program product. The method comprises the following steps: acquiring a first data set and a second data set; calculating a first index data set and a second index data set, corresponding to each candidate evaluation index, of each action potential data sample in the first data set and the second data set; performing difference test on the first index data set and the second index data set corresponding to each candidate evaluation index to obtain a difference test result; obtaining a target evaluation index corresponding to the target neuron evaluation type according to the candidate evaluation indexes of which the difference test results meet the index screening conditions; and calculating an index value corresponding to the target evaluation index according to the action potential measurement data of the to-be-evaluated object, and obtaining a motor neuron unit evaluation result of the to-be-evaluated object corresponding to the target neuron evaluation type according to the index value. By adopting the method, the pertinence of motor neuron unit evaluation can be improved.
Owner:THE SECOND AFFILIATED HOSPITAL OF GUANGZHOU MEDICAL UNIVERSITY

A method for diagnosing early stage motor neuron disease

The application discloses a kind of early motor neuron disease diagnostic methods, belong to medical auxiliary technical field, specifically include: receiving single task and limb rhythm double task under the condition of knocking voice signal sequence and facial infrared thermography video stream data, after time stamp alignment, division analysis section is according to pre-set vocalization unit, extract sound channel micro-disturbance fluctuation sequence and lip movement trajectory curve from each analysis section, carry out instantaneous phase synchronization analysis and obtain coupling stability parameter value, compare the coupling stability parameter value of two kinds of task conditions under the same vocalization grade, calculate stability attenuation ratio value, the attenuation ratio value of different vocalization grade is composed of attenuation feature vector, input pre-constructed attenuation feature discriminant space, output classification mark by pre-division area in discriminant space, the application is thus realized to the analysis and use of sound channel micro-disturbance and lip movement coupling stability attenuation feature under double task load.
Owner:FUJIAN PROVINCIAL HOSPITAL

Application of S-adenosylhomocysteine in preparation of medicine for treating neuromuscular diseases

The invention discloses application of S-adenosylhomocysteine in preparation of a medicine for treating neuromuscular diseases, and belongs to the technical field of medicines. The invention discloses a novel pharmaceutical application of S-adenosine homocysteine in preparation of drugs for treating neuromuscular diseases for the first time. Mechanism research finds that S-adenosylhomocysteine can enhance the ability of a Trmt61a / 6 compound to bind unmethylated tRNA and inhibit abnormal interaction between CMT2 pathogenic mutant protein and stress particle core protein, so that the ability of motor neurons to resist external stress is enhanced, and the S-adenosylhomocysteine has the effects of improving peripheral nerve and muscle lesions of neuromuscular diseases, improving the immunity of the motor neurons and improving the immunity of the motor neurons. And the potential of motor nerve dysfunction. The invention provides a direction for new clinical application of the S-adenosyl homocysteine. The invention provides possibility for preparing novel medicines for treating neuromuscular diseases.
Owner:NANHU BRAIN COMPUTER CROSS RES INST

Pneumatic artificial muscle nerve teaching model and system

PendingCN121505969AProgramme controlComputer controlUpper motor neurone lesionPneumatic artificial muscles
The invention relates to a pneumatic artificial muscle nerve teaching model and system, which are combined with a pneumatic artificial muscle nerve teaching model technology and adopt an aluminum alloy frame and a 3D printing bone surface model to construct a limb structure. The system receives an instruction through the voice recognition module, the Arduino controller coordinates the LED lamp strip display system and the dual-motor driving system, and nerve conduction path visualization and joint precise control are achieved. Innovation points comprise multi-mode interaction, pathological phenomenon quantitative simulation (folding knife phenomenon / spasm / ankylosis), muscular tension grading and safety mechanism design. The application scene covers basic anatomy teaching, neuroscience learning, rehabilitation training and clinical skill assessment, supports Ashworth grading comparison and upper motor neuron injury simulation, improves teaching immersion and clinical association ability, and has the characteristics of modular design, convenience in maintenance and upgrading, safety and reliability.
Owner:HAINAN MEDICAL UNIV

Methods of detection and analysis of nucleic acid in circulating bodily fluids

PCT designated stageWO2025257657A1Organic active ingredientsNervous disorderMedicineNeuronal disease
Presented herein are methods of identifying a subject who has, or is at risk of developing a motor neuron disease, specifically Amyotrophic Lateral Sclerosis (ALS), and / or Primary Lateral Sclerosis (PLS), that includes determining a presence or amount of two or more micro-RNAs (miRNAs) selected from miR-199a-3p, miR-4454, miR-10b-5p, miR-151a-5p, miR-199a-5p, miR-151a-3p, miR-146a-5p, and / or miR-29b-3p in a subject's circulating blood, without determining a presence or amount of the miRNAs from neural-derived exosomes. Also presented herein are methods of preventing, treating, or delaying the onset of a motor neuron disease, specifically ALS and / or PLS.
Owner:BRAIN CHEM LABS

Polypeptides that mimic isll and uses thereof

This invention discloses an Isl1-mimicking polypeptide, TAT-Isl1-ELE-1, containing 40 amino acids and consisting of a TAT sequence that promotes polypeptide entry into cells, a linker peptide, and a target sequence. The target sequence is amino acids 121-141 of the human Isl1 protein. The TAT-Isl1-ELE-1 polypeptide possesses Isl1-like functions and can effectively reprogram mouse spinal cord reactive astrocytes into motor neuron-like cells. Based on the amino acid sequence and spatial structure of this polypeptide, a novel small molecule drug can be designed, which can be synthesized in large quantities and is easy to operate clinically. This provides a new and viable approach for cell replacement therapy and regenerative medicine research after spinal cord injury (SCI), thereby achieving better SCI repair and functional reconstruction effects.
Owner:NANTONG UNIV