Luo L, He Y, Jin L, Zhang Y, Guastaldi FP, Albashari AA, Hu F, Wang X, Wang L, Xiao J, Li L, Wang J, Higuchi A, Ye Q. Application of bioactive hydrogels combined with dental pulp stem cells for the repair of large gap peripheral nerve injuries.
Bioact Mater 2020;
6:638-654. [PMID:
33005828 PMCID:
PMC7509005 DOI:
10.1016/j.bioactmat.2020.08.028]
[Citation(s) in RCA: 67] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2020] [Revised: 08/27/2020] [Accepted: 08/27/2020] [Indexed: 02/09/2023] Open
Abstract
Due to the limitations in autogenous nerve grafting or Schwann cell transplantation, large gap peripheral nerve injuries require a bridging strategy supported by nerve conduit. Cell based therapies provide a novel treatment for peripheral nerve injuries. In this study, we first experimented an optimal scaffold material synthesis protocol, from where we selected the 10% GFD formula (10% GelMA hydrogel, recombinant human basic fibroblast growth factor and dental pulp stem cells (DPSCs)) to fill a cellulose/soy protein isolate composite membrane (CSM) tube to construct a third generation of nerve regeneration conduit, CSM-GFD. Then this CSM-GFD conduit was applied to repair a 15-mm long defect of sciatic nerve in a rat model. After 12 week post implant surgery, at histologic level, we found CSM-GFD conduit could regenerate nerve tissue like neuron and Schwann like nerve cells and myelinated nerve fibers. At physical level, CSM-GFD achieved functional recovery assessed by a sciatic functional index study. In both levels, CSM-GFD performed like what gold standard, the nerve autograft, could do. Further, we unveiled that almost all newly formed nerve tissue at defect site was originated from the direct differentiation of exogeneous DPSCs in CSM-GFD. In conclusion, we claimed that this third-generation nerve regeneration conduit, CSM-GFD, could be a promising tissue engineering approach to replace the conventional nerve autograft to treat the large gap defect in peripheral nerve injuries.
A novel 3rd generation nerve conduit was successfully constructed and applied for repairing peripheral nerve injuries (PNI).
Dental pulp stem cells (DPSCs) was optimized as an ideal seeding cells for nerve regeneration.
A bioactive system combining GelMA with human bFGF and DPSCs could reconstruct the long gap PNI within 12 weeks in vivo.
Our system could achieve the same outcome in nerve repair as that of autografting, a routine treatment for PNI.
The proposed bioactive system may trigger an evolutional change into the current clinical practice in managing PNI.
The majority of the regenerated nerve tissue was originated from the donor’s dental pulp stem cells.
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