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Zabbia G, Toia F, Coppola F, Cassata G, Cicero L, Giglia G, Puleio R, Cordova A. Nerve Regeneration after a Nerve Graft in a Rat Model: The Effectiveness of Fibrin Glue. J Pers Med 2024; 14:445. [PMID: 38793027 PMCID: PMC11121836 DOI: 10.3390/jpm14050445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Revised: 04/11/2024] [Accepted: 04/22/2024] [Indexed: 05/26/2024] Open
Abstract
BACKGROUND Simulating the post-traumatic continuity defect of small human peripheral nerves, we compared the effectiveness of fibrin glue with neurorrhaphy for nerve gap restoration. METHODS In twenty-four male Wistar rats, a fifteen mm defect in one sciatic nerve only was made and immediately repaired with an inverted polarity autograft. According to the used technique, rats were divided into Group A (Control), using traditional neurorrhaphy, and Group B (Study), using fibrine glue sealing; in total, 50% of rats were sacrificed at 16 weeks and 50% at 21 weeks. Before sacrifice, an assessment of motor function was done through Walking Track Analysis and an electroneurophysiological evaluation. After sacrifice, selected muscle mass indexes and the histology of the regenerated nerves were assessed. All data were evaluated by Student's t test for unpaired data. RESULTS No significant differences were found between the two groups, with only the exception of a relative improvement in the tibialis anterior muscle's number of motor units in the study group. CONCLUSION Despite the fact that the use of fibrin glue as a nerve sealant is not superior in terms of functional recovery, its effectiveness is comparable to that of microsurgical repair. Hence, the faster and technically easier glueing technique could deserve broader clinical application.
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Affiliation(s)
- Giovanni Zabbia
- Plastic and Reconstructive Surgery, Department of Precision Medicine in Medical, Surgical and Critical Care, University of Palermo, Via del Vespro 129, 90127 Palermo, Italy; (G.Z.); (F.T.); (A.C.)
| | - Francesca Toia
- Plastic and Reconstructive Surgery, Department of Precision Medicine in Medical, Surgical and Critical Care, University of Palermo, Via del Vespro 129, 90127 Palermo, Italy; (G.Z.); (F.T.); (A.C.)
| | - Federico Coppola
- Plastic and Reconstructive Surgery, Department of Precision Medicine in Medical, Surgical and Critical Care, University of Palermo, Via del Vespro 129, 90127 Palermo, Italy; (G.Z.); (F.T.); (A.C.)
| | - Giovanni Cassata
- Centro Mediterraneo Ricerca e Training (Ce.Me.Ri.T), Istituto Zooprofilattico Sperimentale della Sicilia “A. Mirri”, 90129 Palermo, Italy; (G.C.); (L.C.)
| | - Luca Cicero
- Centro Mediterraneo Ricerca e Training (Ce.Me.Ri.T), Istituto Zooprofilattico Sperimentale della Sicilia “A. Mirri”, 90129 Palermo, Italy; (G.C.); (L.C.)
| | - Giuseppe Giglia
- Department of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), Section of Human Physiology, University of Palermo, 90127 Palermo, Italy;
| | - Roberto Puleio
- Laboratorio Istopatologia e Immunoistochimica, Dipartimento Ricerca Biotecnologica e Diagnostica Specialistica, Istituto Zooprofilattico Sperimentale della Sicilia “A. Mirri”, 90129 Palermo, Italy;
| | - Adriana Cordova
- Plastic and Reconstructive Surgery, Department of Precision Medicine in Medical, Surgical and Critical Care, University of Palermo, Via del Vespro 129, 90127 Palermo, Italy; (G.Z.); (F.T.); (A.C.)
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2
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Ruhl T, Christer T, Rhode SC, Beier JP. Time course of functional recovery after 1 cm sciatic nerve resection in rats with or without surgical intervention - measured by grip strength and locomotor activity. Neurosci Res 2023; 190:78-84. [PMID: 36470474 DOI: 10.1016/j.neures.2022.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 11/21/2022] [Accepted: 11/29/2022] [Indexed: 12/12/2022]
Abstract
The rat sciatic nerve (SN) is the most frequently used model in experimental research on peripheral nerve injuries. Within the broad range of evaluation methods to determine the experimental outcome, recovery of behavior represents the major criterion to assess functional regeneration. The grasping test indicates when recovery begins and its improvement with time. However, lesions of the SN have yet remained unstudied with this method. Therefore, rats received a SN resection and were divided into experimental groups: 1) control with lesion only, 2) nerve bridge, and 3) autograft. During weekly sessions, the grasping test measured the grip strength, and the locomotor behavior was assessed in the open field. Finally, the nerves were prepared for electrophysiology and histomorphometry. Autograft recovered grasping after 7 weeks with the strongest improvement afterwards. Nerve tube allowed grasping by week 12. Control animals did not recover. In the open field, no differences were observed between the groups. Recordings were possible only in the autograft group, which could be explained by higher number of regenerated fibers. This study indicates that grasping data correspond with physiological and anatomical findings. We conclude that the grasping test is a valid method to evaluate functional recovery after SN resection in rats.
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Affiliation(s)
- Tim Ruhl
- Department of Plastic Surgery, Hand Surgery-Burn Center, University Hospital RWTH Aachen, 52074 Aachen, Germany.
| | - Tim Christer
- Department of Plastic Surgery, Hand Surgery-Burn Center, University Hospital RWTH Aachen, 52074 Aachen, Germany; (Current affiliation) Institute for Animal Hygiene, Animal Welfare and Farm Animal Behaviour, University of Veterinary Medicine Hannover, Foundation, 30173 Hannover, Germany.
| | - Sophie Ch Rhode
- Department of Plastic Surgery, Hand Surgery-Burn Center, University Hospital RWTH Aachen, 52074 Aachen, Germany; (Current affiliation) Department of Plastic, Reconstructive and Aesthetic Surgery, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.
| | - Justus P Beier
- Department of Plastic Surgery, Hand Surgery-Burn Center, University Hospital RWTH Aachen, 52074 Aachen, Germany.
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3
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Khan HM, Liao X, Sheikh BA, Wang Y, Su Z, Guo C, Li Z, Zhou C, Cen Y, Kong Q. Smart biomaterials and their potential applications in tissue engineering. J Mater Chem B 2022; 10:6859-6895. [PMID: 36069198 DOI: 10.1039/d2tb01106a] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Smart biomaterials have been rapidly advancing ever since the concept of tissue engineering was proposed. Interacting with human cells, smart biomaterials can play a key role in novel tissue morphogenesis. Various aspects of biomaterials utilized in or being sought for the goal of encouraging bone regeneration, skin graft engineering, and nerve conduits are discussed in this review. Beginning with bone, this study summarizes all the available bioceramics and materials along with their properties used singly or in conjunction with each other to create scaffolds for bone tissue engineering. A quick overview of the skin-based nanocomposite biomaterials possessing antibacterial properties for wound healing is outlined along with skin regeneration therapies using infrared radiation, electrospinning, and piezoelectricity, which aid in wound healing. Furthermore, a brief overview of bioengineered artificial skin grafts made of various natural and synthetic polymers has been presented. Finally, by examining the interactions between natural and synthetic-based biomaterials and the biological environment, their strengths and drawbacks for constructing peripheral nerve conduits are highlighted. The description of the preclinical outcome of nerve regeneration in injury healed with various natural-based conduits receives special attention. The organic and synthetic worlds collide at the interface of nanomaterials and biological systems, producing a new scientific field including nanomaterial design for tissue engineering.
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Affiliation(s)
- Haider Mohammed Khan
- Department of Orthopedics, West China Hospital, Sichuan University, 610041, Chengdu, China.
| | - Xiaoxia Liao
- Department of Burn and Plastic Surgery, West China School of Medicine, West China Hospital, Sichuan University, 610041, Chengdu, China.
| | - Bilal Ahmed Sheikh
- Department of Orthopedics, West China Hospital, Sichuan University, 610041, Chengdu, China.
| | - Yixi Wang
- Department of Burn and Plastic Surgery, West China School of Medicine, West China Hospital, Sichuan University, 610041, Chengdu, China.
| | - Zhixuan Su
- College of Biomedical Engineering, Sichuan University, Chengdu 610064, China.,National Engineering Research Centre for Biomaterials, Sichuan University, Chengdu 610064, China.
| | - Chuan Guo
- Department of Orthopedics, West China Hospital, Sichuan University, 610041, Chengdu, China.
| | - Zhengyong Li
- Department of Burn and Plastic Surgery, West China School of Medicine, West China Hospital, Sichuan University, 610041, Chengdu, China.
| | - Changchun Zhou
- College of Biomedical Engineering, Sichuan University, Chengdu 610064, China.,National Engineering Research Centre for Biomaterials, Sichuan University, Chengdu 610064, China.
| | - Ying Cen
- Department of Burn and Plastic Surgery, West China School of Medicine, West China Hospital, Sichuan University, 610041, Chengdu, China.
| | - Qingquan Kong
- Department of Orthopedics, West China Hospital, Sichuan University, 610041, Chengdu, China.
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4
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Light activated pulsatile drug delivery for prolonged peripheral nerve block. Biomaterials 2022; 283:121453. [DOI: 10.1016/j.biomaterials.2022.121453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 02/15/2022] [Accepted: 03/02/2022] [Indexed: 11/21/2022]
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5
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Ma Y, Gao H, Wang H, Cao X. Engineering topography: effects on nerve cell behaviors and applications in peripheral nerve repair. J Mater Chem B 2021; 9:6310-6325. [PMID: 34302164 DOI: 10.1039/d1tb00782c] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
There have been extensive studies on the application of topography in the field of tissue repair. A common feature of these studies is that the existence of topological structures in tissue repair scaffolds can effectively regulate a series of behaviors of cells and play a positive role in a variety of tissue repair and regeneration processes. This review focuses on the application of topography in the field of peripheral nerve repair. The integration of the topological structure and biomaterials to construct peripheral nerve conduits to mimic a natural peripheral nerve structure has an important role in promoting the recovery of peripheral nerve function. Therefore, in this review, we systematically analysed the structure of peripheral nerves and summarized the effects of topographic cues of different scales and shapes on the behaviors of nerve cells, including cell morphology, adhesion, proliferation, migration and differentiation. Furthermore, the application and performance of scaffolds with different topological structures in peripheral nerve repair are also discussed. This systematic summary may help to provide more effective strategies for peripheral nerve regeneration (PNR) and shed light on nervous tissue engineering and regenerative medicine.
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Affiliation(s)
- Ying Ma
- School of Materials Science and Engineering, South China University of Technology, Guangzhou 510641, P. R. China.
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6
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Effects of Platelet-Rich Fibrin/Collagen Membrane on Sciatic Nerve Regeneration. J Craniofac Surg 2021; 32:794-798. [PMID: 33705038 DOI: 10.1097/scs.0000000000007003] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
ABSTRACT Alternative treatment approaches to improve the regeneration ability of damaged peripheral nerves are currently under investigation. The aim of the current study was to evaluate the effects of leucocyte/platelet-rich fibrin (L-PRF) with or without a collagen membrane as a supporter on crushed sciatic nerve healing in a rat model. Recovery of motor function and electrophysiologic measurements were evaluated at 4 weeks postoperatively. The whole number of myelinated axons, peripheral nerve axon density, average nerve fiber diameter (μm), and G-ratio were analyzed and compered among the groups. Functional, electrophysiological, and histological evaluations showed no significant difference among the groups with the exception of the L-PRF with collagen membrane groups that showed relatively positive effects on the functional and histological nerve recovery. In addition, the collagen membrane with L-PRF can be effect in nerve regeneration.
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7
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Ansari S, Sami N, Yasin D, Ahmad N, Fatma T. Biomedical applications of environmental friendly poly-hydroxyalkanoates. Int J Biol Macromol 2021; 183:549-563. [PMID: 33932421 DOI: 10.1016/j.ijbiomac.2021.04.171] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Revised: 04/26/2021] [Accepted: 04/26/2021] [Indexed: 02/06/2023]
Abstract
Biological polyesters of hydroxyacids are known as polyhydroxyalkanoates (PHA). They have proved to be an alternative, environmentally friendly and attractive candidate for the replacement of petroleum-based plastics in many applications. Many bacteria synthesize these compounds as an intracellular carbon and energy compound usually under unbalanced growth conditions. Biodegradability and biocompatibility of different PHA has been studied in cell culture systems or in an animal host during the last few decades. Such investigations have proposed that PHA can be used as biomaterials for applications in conventional medical devices such as sutures, patches, meshes, implants, and tissue engineering scaffolds as well. Moreover, findings related to encapsulation capability and degradation kinetics of some PHA polymers has paved their way for development of controlled drug delivery systems. The present review discusses about bio-plastics, their characteristics, examines the key findings and recent advances highlighting the usage of bio-plastics in different medical devices. The patents concerning to PHA application in biomedical field have been also enlisted that will provide a brief overview of the status of research in bio-plastic. This would help medical researchers and practitioners to replace the synthetic plastics aids that are currently being used. Simultaneously, it could also prove to be a strong step in reducing the plastic pollution that surged abruptly due to the COVID-19 medical waste.
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Affiliation(s)
- Sabbir Ansari
- Cyanobacterial Biotechnology Laboratory, Department of Biosciences, Jamia Millia Islamia (Central University), New Delhi 110025, India
| | - Neha Sami
- Cyanobacterial Biotechnology Laboratory, Department of Biosciences, Jamia Millia Islamia (Central University), New Delhi 110025, India
| | - Durdana Yasin
- Cyanobacterial Biotechnology Laboratory, Department of Biosciences, Jamia Millia Islamia (Central University), New Delhi 110025, India
| | - Nazia Ahmad
- Cyanobacterial Biotechnology Laboratory, Department of Biosciences, Jamia Millia Islamia (Central University), New Delhi 110025, India
| | - Tasneem Fatma
- Cyanobacterial Biotechnology Laboratory, Department of Biosciences, Jamia Millia Islamia (Central University), New Delhi 110025, India.
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8
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Alejo T, Uson L, Landa G, Prieto M, Yus Argón C, Garcia-Salinas S, de Miguel R, Rodríguez-Largo A, Irusta S, Sebastian V, Mendoza G, Arruebo M. Nanogels with High Loading of Anesthetic Nanocrystals for Extended Duration of Sciatic Nerve Block. ACS APPLIED MATERIALS & INTERFACES 2021; 13:17220-17235. [PMID: 33821601 PMCID: PMC8892441 DOI: 10.1021/acsami.1c00894] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
The development of thermoresponsive nanogels loaded with nanocrystals of the local anesthetic bupivacaine nanocrystals (BNCs) for prolonged peripheral nerve pain relief is reported here. BNCs were prepared using the antisolvent precipitation method from the hydrophobic form of bupivacaine (bupivacaine free base). The as-prepared BNCs were used stand-alone or encapsulated in temperature-responsive poly(ethylene glycol) methyl ether methacrylate (OEGMA)-based nanogels, resulting in bupivacaine NC-loaded nanogels (BNC-nanogels) of monodisperse size. The synthesis protocol has rendered high drug loadings (i.e., 93.8 ± 1.5 and 84.8 ± 1.2 wt % for the NC and BNC-nanogels, respectively) and fast drug dissolution kinetics in the resulting composite material. In vivo tests demonstrated the efficacy of the formulation along with an extended duration of sciatic nerve block in murine models of more than 8 h with a formulation containing only 2 mg of the local anesthetic thanks to the thermoresponsive character of the polymer, which, at body temperature, becomes hydrophobic and acts as a diffusion barrier for the encapsulated drug nanocrystals. The hydrophobicity of the encapsulated bupivacaine free base probably facilitates its pass through cell membranes and also binds strongly to their hydrophobic lipid bilayer, thereby protecting molecules from diffusion to extracellular media and to the bloodstream, reducing their clearance. When using BNC-nanogels, the duration of the anesthetic blockage lasted twice as long as compared to the effect of just BNCs or a conventional bupivacaine hydrochloride solution both containing equivalent amounts of the free drug. Results of the in vivo tests showed enough sensory nerve block to potentially relieve pain, but still having mobility in the limb, which enables motor function when required. The BNC-nanogels presented minimal toxicity in the in vivo study due to their sustained drug release and excellent biocompatibility. The encapsulation of nano-sized crystals of bupivacaine provides a prolonged regional anesthesia with reduced toxicity, which could be advantageous in the management of chronic pain.
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Affiliation(s)
- Teresa Alejo
- Instituto
de Nanociencia y Materiales de Aragón (INMA), CSIC-Universidad de Zaragoza, Zaragoza 50009, Spain
- Department
of Chemical Engineering, University of Zaragoza, Campus Río Ebro—Edificio
I+D, C/ Poeta Mariano Esquillor S/N, 50018 Zaragoza, Spain
| | - Laura Uson
- Instituto
de Nanociencia y Materiales de Aragón (INMA), CSIC-Universidad de Zaragoza, Zaragoza 50009, Spain
- Department
of Chemical Engineering, University of Zaragoza, Campus Río Ebro—Edificio
I+D, C/ Poeta Mariano Esquillor S/N, 50018 Zaragoza, Spain
| | - Guillermo Landa
- Instituto
de Nanociencia y Materiales de Aragón (INMA), CSIC-Universidad de Zaragoza, Zaragoza 50009, Spain
- Department
of Chemical Engineering, University of Zaragoza, Campus Río Ebro—Edificio
I+D, C/ Poeta Mariano Esquillor S/N, 50018 Zaragoza, Spain
| | - Martin Prieto
- Instituto
de Nanociencia y Materiales de Aragón (INMA), CSIC-Universidad de Zaragoza, Zaragoza 50009, Spain
- Department
of Chemical Engineering, University of Zaragoza, Campus Río Ebro—Edificio
I+D, C/ Poeta Mariano Esquillor S/N, 50018 Zaragoza, Spain
| | - Cristina Yus Argón
- Instituto
de Nanociencia y Materiales de Aragón (INMA), CSIC-Universidad de Zaragoza, Zaragoza 50009, Spain
- Department
of Chemical Engineering, University of Zaragoza, Campus Río Ebro—Edificio
I+D, C/ Poeta Mariano Esquillor S/N, 50018 Zaragoza, Spain
| | - Sara Garcia-Salinas
- Instituto
de Nanociencia y Materiales de Aragón (INMA), CSIC-Universidad de Zaragoza, Zaragoza 50009, Spain
- Department
of Chemical Engineering, University of Zaragoza, Campus Río Ebro—Edificio
I+D, C/ Poeta Mariano Esquillor S/N, 50018 Zaragoza, Spain
| | - Ricardo de Miguel
- Department
of Animal Pathology, Veterinary Faculty, University of Zaragoza, 50013 Zaragoza, Spain
| | - Ana Rodríguez-Largo
- Department
of Animal Pathology, Veterinary Faculty, University of Zaragoza, 50013 Zaragoza, Spain
| | - Silvia Irusta
- Instituto
de Nanociencia y Materiales de Aragón (INMA), CSIC-Universidad de Zaragoza, Zaragoza 50009, Spain
- Department
of Chemical Engineering, University of Zaragoza, Campus Río Ebro—Edificio
I+D, C/ Poeta Mariano Esquillor S/N, 50018 Zaragoza, Spain
- Networking
Research Center on Bioengineering, Biomaterials
and Nanomedicine, CIBER-BBN, 28029 Madrid, Spain
- Aragon
Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain
| | - Victor Sebastian
- Instituto
de Nanociencia y Materiales de Aragón (INMA), CSIC-Universidad de Zaragoza, Zaragoza 50009, Spain
- Department
of Chemical Engineering, University of Zaragoza, Campus Río Ebro—Edificio
I+D, C/ Poeta Mariano Esquillor S/N, 50018 Zaragoza, Spain
- Networking
Research Center on Bioengineering, Biomaterials
and Nanomedicine, CIBER-BBN, 28029 Madrid, Spain
- Aragon
Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain
| | - Gracia Mendoza
- Networking
Research Center on Bioengineering, Biomaterials
and Nanomedicine, CIBER-BBN, 28029 Madrid, Spain
- Aragon
Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain
| | - Manuel Arruebo
- Instituto
de Nanociencia y Materiales de Aragón (INMA), CSIC-Universidad de Zaragoza, Zaragoza 50009, Spain
- Department
of Chemical Engineering, University of Zaragoza, Campus Río Ebro—Edificio
I+D, C/ Poeta Mariano Esquillor S/N, 50018 Zaragoza, Spain
- Networking
Research Center on Bioengineering, Biomaterials
and Nanomedicine, CIBER-BBN, 28029 Madrid, Spain
- Aragon
Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain
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9
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Koh GP, Fouad C, Lanzinger W, Willits RK. Effect of Intraoperative Electrical Stimulation on Recovery after Rat Sciatic Nerve Isograft Repair. Neurotrauma Rep 2020; 1:181-191. [PMID: 34223540 PMCID: PMC8240900 DOI: 10.1089/neur.2020.0049] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Peripheral nerve injuries, associated with significant morbidity, can benefit from electrical stimulation (ES), as demonstrated in animal studies through improved axonal growth. This study combined the clinical gold standard of isograft repair in a rat model of sciatic nerve injury to evaluate the effects of intraoperative ES on functional tests and histology. Forty rats underwent a surgically induced gap injury to the right sciatic nerve and subsequent repair with an isograft. Half of these rats were randomly selected to receive 10 min of intraoperative ES. Functional testing, including response time to a heat stimulus and motor functional tests, were conducted. Histology of the sciatic nerves and gastrocnemius muscles were analyzed after 6 and 12 weeks of recovery. Rats that underwent ES treatment showed incremental improvements in motor function between weeks 2 and 12, with a significantly higher push-off response than the no-ES controls after 6 weeks. Although no differences were detected between groups in the sensory testing, significant improvements over time were noted in the ES group. Histology parameters, sciatic nerve measures, and gastrocnemius muscle weights demonstrated nerve recovery over time for both the ES and no-ES control groups. Although ES promoted improvements in motor function comparable to that in previous studies, the benefits of intraoperative ES were not detectable in other metrics of this rat model of peripheral nerve injury. Future work is needed to optimize sensory testing in the rodent injury model and compare electrical activity of collagen scaffolds to native tissue to detect differences.
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Affiliation(s)
- Galina P Koh
- Biomedical Engineering, The University of Akron, Akron, Ohio, USA
| | - Carol Fouad
- Orthopedic Surgery, Cleveland Clinic Akron General, Akron, Ohio, USA
| | - William Lanzinger
- Orthopedic Surgery, Cleveland Clinic Akron General, Akron, Ohio, USA
| | - Rebecca Kuntz Willits
- Biomedical Engineering, The University of Akron, Akron, Ohio, USA.,Mechanical Engineering, The University of Akron, Akron, Ohio, USA.,Chemical, Biomolecular, and Corrosion Engineering, The University of Akron, Akron, Ohio, USA.,Chemical Engineering, Northeastern University, Boston, Massachusetts, USA.,Bioengineering, Northeastern University, Boston, Massachusetts, USA
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10
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Fornasari BE, Carta G, Gambarotta G, Raimondo S. Natural-Based Biomaterials for Peripheral Nerve Injury Repair. Front Bioeng Biotechnol 2020; 8:554257. [PMID: 33178670 PMCID: PMC7596179 DOI: 10.3389/fbioe.2020.554257] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Accepted: 09/23/2020] [Indexed: 01/18/2023] Open
Abstract
Peripheral nerve injury treatment is a relevant problem because of nerve lesion high incidence and because of unsatisfactory regeneration after severe injuries, thus resulting in a reduced patient's life quality. To repair severe nerve injuries characterized by substance loss and to improve the regeneration outcome at both motor and sensory level, different strategies have been investigated. Although autograft remains the gold standard technique, a growing number of research articles concerning nerve conduit use has been reported in the last years. Nerve conduits aim to overcome autograft disadvantages, but they must satisfy some requirements to be suitable for nerve repair. A universal ideal conduit does not exist, since conduit properties have to be evaluated case by case; nevertheless, because of their high biocompatibility and biodegradability, natural-based biomaterials have great potentiality to be used to produce nerve guides. Although they share many characteristics with synthetic biomaterials, natural-based biomaterials should also be preferable because of their extraction sources; indeed, these biomaterials are obtained from different renewable sources or food waste, thus reducing environmental impact and enhancing sustainability in comparison to synthetic ones. This review reports the strengths and weaknesses of natural-based biomaterials used for manufacturing peripheral nerve conduits, analyzing the interactions between natural-based biomaterials and biological environment. Particular attention was paid to the description of the preclinical outcome of nerve regeneration in injury repaired with the different natural-based conduits.
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Affiliation(s)
- Benedetta E Fornasari
- Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.,Neuroscience Institute Cavalieri Ottolenghi, University of Turin, Turin, Italy
| | - Giacomo Carta
- Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.,Neuroscience Institute Cavalieri Ottolenghi, University of Turin, Turin, Italy
| | - Giovanna Gambarotta
- Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.,Neuroscience Institute Cavalieri Ottolenghi, University of Turin, Turin, Italy
| | - Stefania Raimondo
- Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.,Neuroscience Institute Cavalieri Ottolenghi, University of Turin, Turin, Italy
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11
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Ghane N, Khalili S, Nouri Khorasani S, Esmaeely Neisiany R, Das O, Ramakrishna S. Regeneration of the peripheral nerve via multifunctional electrospun scaffolds. J Biomed Mater Res A 2020; 109:437-452. [PMID: 32856425 DOI: 10.1002/jbm.a.37092] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Revised: 08/18/2020] [Accepted: 08/25/2020] [Indexed: 12/12/2022]
Abstract
Over the last two decades, electrospun scaffolds have proved to be advantageous in the field of nerve tissue regeneration by connecting the cavity among the proximal and distal nerve stumps growth cones and leading to functional recovery after injury. Multifunctional nanofibrous structure of these scaffolds provides enormous potential by combining the advantages of nano-scale topography, and biological science. In these structures, selecting the appropriate materials, designing an optimized structure, modifying the surface to enhance biological functions and neurotrophic factors loading, and native cell-like stem cells should be considered as the essential factors. In this systematic review paper, the fabrication methods for the preparation of aligned nanofibrous scaffolds in yarn or conduit architecture are reviewed. Subsequently, the utilized polymeric materials, including natural, synthetic and blend are presented. Finally, their surface modification techniques, as well as, the recent advances and outcomes of the scaffolds, both in vitro and in vivo, are reviewed and discussed.
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Affiliation(s)
- Nazanin Ghane
- Department of Chemical Engineering, Isfahan University of Technology, Isfahan, Iran
| | - Shahla Khalili
- Department of Chemical Engineering, Isfahan University of Technology, Isfahan, Iran
| | | | - Rasoul Esmaeely Neisiany
- Department of Materials and Polymer Engineering, Faculty of Engineering, Hakim Sabzevari University, Sabzevar, Iran
| | - Oisik Das
- Department of Engineering Sciences and Mathematics, Luleå University of Technology, Luleå, Sweden
| | - Seeram Ramakrishna
- Centre for Nanofibers and Nanotechnology, Department of Mechanical Engineering, Faculty of Engineering, Singapore, Singapore
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12
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Jahromi M, Razavi S, Bakhtiari A. The advances in nerve tissue engineering: From fabrication of nerve conduit to in vivo nerve regeneration assays. J Tissue Eng Regen Med 2019; 13:2077-2100. [PMID: 31350868 DOI: 10.1002/term.2945] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 07/09/2019] [Accepted: 07/12/2019] [Indexed: 12/14/2022]
Abstract
Peripheral nerve damage is a common clinical complication of traumatic injury occurring after accident, tumorous outgrowth, or surgical side effects. Although the new methods and biomaterials have been improved recently, regeneration of peripheral nerve gaps is still a challenge. These injuries affect the quality of life of the patients negatively. In the recent years, many efforts have been made to develop innovative nerve tissue engineering approaches aiming to improve peripheral nerve treatment following nerve injuries. Herein, we will not only outline what we know about the peripheral nerve regeneration but also offer our insight regarding the types of nerve conduits, their fabrication process, and factors associated with conduits as well as types of animal and nerve models for evaluating conduit function. Finally, nerve regeneration in a rat sciatic nerve injury model by nerve conduits has been considered, and the main aspects that may affect the preclinical outcome have been discussed.
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Affiliation(s)
- Maliheh Jahromi
- Department of Anatomical Science, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Shahnaz Razavi
- Department of Anatomical Science, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Abbas Bakhtiari
- Department of Anatomical Science, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
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Dixon AR, Jariwala SH, Bilis Z, Loverde JR, Pasquina PF, Alvarez LM. Bridging the gap in peripheral nerve repair with 3D printed and bioprinted conduits. Biomaterials 2018; 186:44-63. [DOI: 10.1016/j.biomaterials.2018.09.010] [Citation(s) in RCA: 50] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Revised: 09/06/2018] [Accepted: 09/07/2018] [Indexed: 01/14/2023]
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Biazar E, Najafi S M, Heidari K S, Yazdankhah M, Rafiei A, Biazar D. 3D bio-printing technology for body tissues and organs regeneration. J Med Eng Technol 2018; 42:187-202. [PMID: 29671367 DOI: 10.1080/03091902.2018.1457094] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
In the last decade, the use of new technologies in the reconstruction of body tissues has greatly developed. Utilising stem cell technology, nanotechnology and scaffolding design has created new opportunities in tissue regeneration. The use of accurate engineering design in the creation of scaffolds, including 3D printers, has been widely considered. Three-dimensional printers, especially high precision bio-printers, have opened up a new way in the design of 3D tissue engineering scaffolds. In this article, a review of the latest applications of this technology in this promising area has been addressed.
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Affiliation(s)
- Esmaeil Biazar
- a Department of Biomaterials Engineering, Tonekabon Branch , Islamic Azad University , Tonekabon , Iran
| | - Masoumeh Najafi S
- b Department of Biomaterials Engineering , Maziar University , Noor , Iran
| | - Saeed Heidari K
- c Department of Tissue Engineering and Applied Cell Sciences, School of Advanced Technologies in Medicine , Shahid Beheshti University of Medical Sciences , Tehran , Iran.,d Proteomics Research Center , Shahid Beheshti University of Medical Sciences , Tehran , Iran
| | - Meysam Yazdankhah
- e Department of Ophthalmology , University of Pittsburgh , Pittsburgh , PA , USA
| | - Ataollah Rafiei
- f Department of Computer Engineering, Lahijan Branch , Islamic Azad University , Lahijan , Iran
| | - Dariush Biazar
- g Department of Electrical Engineering, Ramsar Branch , Islamic Azad University , Ramsar , Iran
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Sarker M, Naghieh S, McInnes AD, Schreyer DJ, Chen X. Strategic Design and Fabrication of Nerve Guidance Conduits for Peripheral Nerve Regeneration. Biotechnol J 2018; 13:e1700635. [PMID: 29396994 DOI: 10.1002/biot.201700635] [Citation(s) in RCA: 108] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Revised: 01/25/2018] [Indexed: 12/23/2022]
Abstract
Nerve guidance conduits (NGCs) have been drawing considerable attention as an aid to promote regeneration of injured axons across damaged peripheral nerves. Ideally, NGCs should include physical and topographic axon guidance cues embedded as part of their composition. Over the past decades, much progress has been made in the development of NGCs that promote directional axonal regrowth so as to repair severed nerves. This paper briefly reviews the recent designs and fabrication techniques of NGCs for peripheral nerve regeneration. Studies associated with versatile design and preparation of NGCs fabricated with either conventional or rapid prototyping (RP) techniques have been examined and reviewed. The effect of topographic features of the filler material as well as porous structure of NGCs on axonal regeneration has also been examined from the previous studies. While such strategies as macroscale channels, lumen size, groove geometry, use of hydrogel/matrix, and unidirectional freeze-dried surface are seen to promote nerve regeneration, shortcomings such as axonal dispersion and wrong target reinnervation still remain unsolved. On this basis, future research directions are identified and discussed.
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Affiliation(s)
- Md Sarker
- Division of Biomedical Engineering College of Engineering University of Saskatchewan, 57 campus drive, SK S7N 5A9, Saskatoon, SK, Canada
| | - Saman Naghieh
- Division of Biomedical Engineering College of Engineering University of Saskatchewan, 57 campus drive, SK S7N 5A9, Saskatoon, SK, Canada
| | - Adam D McInnes
- Division of Biomedical Engineering College of Engineering University of Saskatchewan, 57 campus drive, SK S7N 5A9, Saskatoon, SK, Canada
| | - David J Schreyer
- Department of Anatomy and Cell Biology College of Medicine University of Saskatchewan, Saskatoon, SK S7N 5A2, Canada
| | - Xiongbiao Chen
- Division of Biomedical Engineering College of Engineering University of Saskatchewan, 57 campus drive, SK S7N 5A9, Saskatoon, SK, Canada.,Department of Mechanical Engineering College of Engineering University of Saskatchewan, Saskatoon, SK S7N 5A9, Canada
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D’Arpa S, Zabbia G, Cannizzaro C, Salimbeni G, Plescia F, Mariolo AV, Cassata G, Cicero L, Puleio R, Martorana A, Moschella F, Cordova A. Seeding nerve sutures with minced nerve-graft (MINE-G): a simple method to improve nerve regeneration in rats. Acta Chir Belg 2018; 118:27-35. [PMID: 28738725 DOI: 10.1080/00015458.2017.1353237] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
BACKGROUND The aim of this study was to assess the effect of seeding the distal nerve suture with nerve fragments in rats. METHODS On 20 rats, a 15 mm sciatic nerve defect was reconstructed with a nerve autograft. In the Study Group (10 rats), a minced 1 mm nerve segment was seeded around the nerve suture. In the Control Group (10 rats), a nerve graft alone was used. At 4 and 12 weeks, a walking track analysis with open field test (WTA), hystomorphometry (number of myelinated fibers (n), fiber density (FD) and fiber area (FA) and soleus and gastrocnemius muscle weight ratios (MWR) were evaluated. The Student t-test was used for statistical analysis. RESULTS At 4 and 12 weeks the Study Group had a significantly higher n and FD (p = .043 and .033). The SMWR was significantly higher in the Study Group at 12 weeks (p = .0207). CONCLUSIONS Seeding the distal nerve suture with nerve fragments increases the number of myelinated fibers, the FD and the SMWR. The technique seems promising and deserves further investigation to clarify the mechanisms involved and its functional effects.
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Affiliation(s)
- Salvatore D’Arpa
- Plastische Heelkunde, Universitair Ziekenhuis Gent, Gent, Belgium
| | - Giovanni Zabbia
- Division of Plastic and Reconstructive Surgery, Department of Surgical, Oncological and Oral Sciences, University of Palermo, Palermo, Italy
| | - Carla Cannizzaro
- Department of Sciences for Health Promotion and Mother and Child Care ‘GIUSEPPE D’ALESSANDRO’, University of Palermo, Palermo, Italy
| | | | - Fulvio Plescia
- Department of Sciences for Health Promotion and Mother and Child Care ‘GIUSEPPE D’ALESSANDRO’, University of Palermo, Palermo, Italy
| | - Alessio Vincenzo Mariolo
- Division of Plastic and Reconstructive Surgery, Department of Surgical, Oncological and Oral Sciences, University of Palermo, Palermo, Italy
| | - Giovanni Cassata
- Laboratory Animal House/Unit, Institute of Experimental Zooprophylactic of Sicily, Palermo, Italy
| | - Luca Cicero
- Laboratory Animal House/Unit, Institute of Experimental Zooprophylactic of Sicily, Palermo, Italy
| | - Roberto Puleio
- Histopathology and Immunohistochemistry Laboratory, Institute Experimental Zooprophylactic of Sicily, Palermo, Italy
| | - Anna Martorana
- Department of Human Pathology, University of Palermo, Palermo, Italy
| | - Francesco Moschella
- Division of Plastic and Reconstructive Surgery, Department of Surgical, Oncological and Oral Sciences, University of Palermo, Palermo, Italy
| | - Adriana Cordova
- Division of Plastic and Reconstructive Surgery, Department of Surgical, Oncological and Oral Sciences, University of Palermo, Palermo, Italy
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Affiliation(s)
- Esmaeil Biazar
- Department of Biomaterials Engineering, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran
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DEVELOPMENT OF WALKING TRACK DEVICE FOR FUNCTIONAL RECOVERY ANALYSIS AFTER EXPERIMENTAL SCIATIC NERVE INJURY. WORLD OF MEDICINE AND BIOLOGY 2017. [DOI: 10.26724/2079-8334-2017-3-61-157-160] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Heidari K S, Biazar E, Seyedbarzegar SM, Mousavi N, Vosoughi F, Khademi S N, Nami F, Hosseinkazemi H. Simple design of an aligned transparent biofilm by magnetic particles and its cellular study. POLYM ADVAN TECHNOL 2016. [DOI: 10.1002/pat.3982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Saeed Heidari K
- Ophtalmoproteomics Lab, Stem Cell Preparation Unit, Eye Research Center, Farabi Eye Hospital; Tehran University of Medical Sciences; Tehran Iran
| | - Esmaeil Biazar
- Department of Biomaterials Engineering, Tonekabon Branch; Islamic Azad University; Tonekabon Iran
| | - S. Meysam Seyedbarzegar
- Department of Electric power Engineering, Tonekabon Branch; Islamic Azad University; Tonekabon Iran
| | - Nayerehsadat Mousavi
- Department of Biomaterials Engineering, Tonekabon Branch; Islamic Azad University; Tonekabon Iran
| | - Fina Vosoughi
- Department of Biomaterials Engineering, Tonekabon Branch; Islamic Azad University; Tonekabon Iran
| | - Naghmeh Khademi S
- Department of Biomaterials Engineering, Tonekabon Branch; Islamic Azad University; Tonekabon Iran
| | - Fariba Nami
- Department of Biomaterials Engineering, Tonekabon Branch; Islamic Azad University; Tonekabon Iran
| | - Hesam Hosseinkazemi
- Department of Biomaterials Engineering; Amirkabir University of Technology; Tehran Iran
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Affiliation(s)
- Esmaeil Biazar
- Department of Biomaterials Engineering, Tonekabon Branch; Islamic Azad University; Tonekabon Iran
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21
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Biazar E. Application of polymeric nanofibers in medical designs, part II: Neural and cardiovascular tissues. INT J POLYM MATER PO 2016. [DOI: 10.1080/00914037.2016.1180619] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Moghaddam S, Taghi Khorasani M, Hosseinkazemi H, Biazar E, Fazeli M. Fabrication of polyhydroxybutyrate (PHB)/γ-Fe2O3 nanocomposite film and its properties study. JOURNAL OF BIOMATERIALS SCIENCE-POLYMER EDITION 2016; 27:793-804. [PMID: 27095384 DOI: 10.1080/09205063.2016.1143320] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Magnetic separation has numerous advantages in isolating cancerous and normal cells used in the diagnosis and treatment sectors. Here, we produced magnetic nanocomposite films made of polyhydroxybutyrate (PHB)/magnetite nanoparticles (γ-Fe2O3), and the properties of the films by SEM, TEM, FTIR, DMTA, contact angle, and cellular analyses were investigated. The microscopic images showed uniform distribution of γ-Fe2O3 magnetic nanoparticles in polymeric matrix. The chemical bounds between magnetic nanoparticles and polymeric matrix demonstrated using the FTIR spectrophotometer. The DMTA and contact angle results indicated an increase in the glass transition temperature and hydrophilic properties of nanocomposites is achieved by increasing the magnetic nanoparticles amount in polymer matrix. The cellular results were showed that adhesion of cancer cells compared to normal cells was significantly enhanced by the induction of a magnetic field. These nanocomposite films can be used as a substrate for cellular adhesion and separation processes.
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Affiliation(s)
- Shokooh Moghaddam
- a Biomaterials Department , Science and Research Branch, Islamic Azad University , Tehran , Iran
| | | | - Hesam Hosseinkazemi
- c Faculty of Biomedical Engineering, Department of Tissue Engineering , AmirKabir University of Technology , Tehran , Iran
| | - Esmaeil Biazar
- d Faculty of Biomedical Engineering , Tonekabon Branch, Islamic Azad University , Tonekabon , Iran
| | - Mahyar Fazeli
- e Department of Materials Science and Engineering , Universidade Federal do Rio de Janeiro , Rio de Janeiro , Brazil
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Electrospun poly (3-hydroxybutyrate-co-3-hydroxyvalerate)/hydroxyapatite scaffold with unrestricted somatic stem cells for bone regeneration. ASAIO J 2016; 61:357-65. [PMID: 25710767 DOI: 10.1097/mat.0000000000000205] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
The combination of scaffolds and cells can be useful in tissue reconstruction. In this study, nanofibrous poly (3-hydroxybutyrate-co-3-hydroxyvalerate) (PHBV)/nanohydroxyapatite (nano-HAp) scaffolds, filled with unrestricted somatic stem cells (USSCs), were used for healing calvarial bone in rat model. The healing effects of these scaffolds, with and without stem cells, in bone regeneration were investigated by computed tomography (CT) analysis and pathology assays after 28 days of grafting. The results of CT analysis showed that bone regeneration on the scaffolds, and the amounts of regenerated new bone for polymer/nano-HAp scaffold with USSC, was significantly greater than the scaffold without cell and untreated control samples. Therefore, the combination of scaffold especially with USSC could be considered as a useful method for bone regeneration.
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Biazar E, Momenzadeh D, Keshel SH, Yousefi F, Shabanian M, Sefidabi F, Sheikholeslami M. Solvent effect in phase separation for fabrication of micropatterned porous scaffold sheets. INT J POLYM MATER PO 2016. [DOI: 10.1080/00914037.2015.1119691] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Heidari Keshel S, Rostampour M, Khosropour G, Bandbon B A, Baradaran-Rafii A, Biazar E. Derivation of epithelial-like cells from eyelid fat-derived stem cells in thermosensitive hydrogel. JOURNAL OF BIOMATERIALS SCIENCE-POLYMER EDITION 2016; 27:339-50. [PMID: 26675143 DOI: 10.1080/09205063.2015.1130406] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Injectable hydrogel is one of the great interests for tissue engineering and cell encapsulation. In the study, the thermosensitive chitosan/gelatin/β-glycerol phosphate (C/G/GP) disodium salt hydrogels were designed and investigated by different analyses. The eye fat-derived stem cells were used to evaluate the biocompatibility of hydrogels based on their phenotypic profile, viability, proliferation, and attachment ability. The results show that the sol/gel transition temperature of the C/G/GP hydrogel was in the range of 31.1-33.8 °C at neutral pH value, the gelation time was shortened, and the gel strength also improved at body temperature when compared with the C/GP hydrogel. In vitro cell culture experiments with eyelid fat-derived stem cells in hydrogel showed beneficial effects on the cell phenotypic morphology, proliferation, and differentiation. Microscopic figures showed that the eyelid fat stem cell were firmly anchored to the substrates and were able to retain a normal stem cell phenotype. Immunocytochemistry (ICC) and real-time-PCR results revealed change in the expression profile of eyelid fat stem cells grown with hydrogels when compared to those grown on control in epithelial induction condition. This study indicates that using chitosan/gelatin/β-glycerol phosphate hydrogel for cell culture is feasible and may apply in minimal invasive surgery in the future.
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Affiliation(s)
| | - Maryam Rostampour
- b Department of Biomaterials Engineering , Tonekabon Branch, Islamic Azad University , Tonekabon , Iran
| | - Golbahar Khosropour
- b Department of Biomaterials Engineering , Tonekabon Branch, Islamic Azad University , Tonekabon , Iran
| | - Atefehsadat Bandbon B
- b Department of Biomaterials Engineering , Tonekabon Branch, Islamic Azad University , Tonekabon , Iran
| | - Alireza Baradaran-Rafii
- c Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences , Tehran , Iran
| | - Esmaeil Biazar
- b Department of Biomaterials Engineering , Tonekabon Branch, Islamic Azad University , Tonekabon , Iran
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Ameri Bafghi R, Biazar E. Development of oriented nanofibrous silk guide for repair of nerve defects. INT J POLYM MATER PO 2015. [DOI: 10.1080/00914037.2015.1074907] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Hosseinkazemi H, Biazar E, Bonakdar S, Ebadi MT, Shokrgozar MA, Rabiee M. Modification of PCL Electrospun Nanofibrous Mat WithCalendula officinalisExtract for Improved Interaction With Cells. INT J POLYM MATER PO 2015. [DOI: 10.1080/00914037.2014.958835] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Sahebalzamani M, Biazar E, Shahrezaei M, Hosseinkazemi H, Rahiminavaie H. Surface Modification of PHBV Nanofibrous Mat by Laminin Protein and Its Cellular Study. INT J POLYM MATER PO 2014. [DOI: 10.1080/00914037.2014.911179] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Regeneration of full-thickness skin defects using umbilical cord blood stem cells loaded into modified porous scaffolds. ASAIO J 2014; 60:106-14. [PMID: 24346243 DOI: 10.1097/mat.0000000000000025] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
In this study, we have demonstrated the ability of cord blood (CB)-derived unrestricted somatic stem cells (USSCs) and chitosan-modified poly(3-hydroxybutyrate-co-3-hydroxyvalerate) (PHBV) scaffold to promote skin regeneration. Afterward, the scaffolds were evaluated by structural, microscopic, physical, and mechanical assays and cell culture analyses. Results of structural, physical, and mechanical analyses also showed a good resilience and compliance with movement as a skin graft. Cellular experiments showed a better cell adhesion, growth, and proliferation inside the modified scaffolds compared with unmodified ones. In animal models with histological examinations, all groups, excluding the control group especially the groups treated with stem cells, exhibited the most pronounced effect on wound closure, with the statistically significant improvement in wound healing being seen at postoperative day 21. These data suggest that chitosan-modified PHBV scaffold loaded with CB-derived USSCs could significantly contribute to wound repair and be potentially used in the tissue engineering.
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Biazar E. Polyhydroxyalkanoates as Potential Biomaterials for Neural Tissue Regeneration. INT J POLYM MATER PO 2014. [DOI: 10.1080/00914037.2014.886227] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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Biazar E, Heidari Keshel S. Development of chitosan-crosslinked nanofibrous PHBV guide for repair of nerve defects. ARTIFICIAL CELLS NANOMEDICINE AND BIOTECHNOLOGY 2013; 42:385-91. [DOI: 10.3109/21691401.2013.832686] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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