Pierucci Amauri, de Duek Eliana Aparecida Rezende, de Oliveira Alexandre Leite Rodrigues
Department of Anatomy, Institute of Biology, State University of Campinas, Campinas, SP, Brazil.
Tissue Eng Part A. 2008 May;14(5):595-606. doi: 10.1089/tea.2007.0271.
The present study explored a new approach to the production of tubular conduits designed for peripheral nerve repair. Poly(L-lactic acid) (PLLA) and polycaprolactone (PCL) membranes were obtained after solvent evaporation and wrapped around a mandrel. The effectiveness of nerve regeneration was compared with that obtained with polyethylene and PCL extruded prostheses 30 and 60 days after surgery. The comparison between extruded and membrane-derived tubes clearly showed structural differences that were directly proportional to the hardness and transparency. An important factor to be considered is that the fiber count indicated that membrane-derived PCL tubes provided a significantly greater number of axons 30 days after repair. Sixty days after the procedure, the greatest regenerative performance was obtained with PCL, regardless of tube construction method. An intense imunolabeling of S100, type IV collagen, and laminin could be observed in the tissue obtained from membrane-derived PCL and PLLA groups, indicating that such constructs were able to positively stimulate Schwann cell responses. Overall, the results provided evidence that membrane-derived conduits are an alternative preparation method for tubular prostheses for peripheral nerve regeneration.
本研究探索了一种生产用于周围神经修复的管状导管的新方法。通过溶剂蒸发获得聚(L-乳酸)(PLLA)和聚己内酯(PCL)膜,并将其缠绕在心轴上。在手术后30天和60天,将神经再生的有效性与聚乙烯和PCL挤压假体的有效性进行了比较。挤压管和膜衍生管之间的比较清楚地显示出结构差异,这些差异与硬度和透明度成正比。需要考虑的一个重要因素是,纤维计数表明,膜衍生的PCL管在修复后30天提供了显著更多的轴突。手术后60天,无论管的构建方法如何,PCL的再生性能最佳。在从膜衍生的PCL和PLLA组获得的组织中,可以观察到S100、IV型胶原和层粘连蛋白的强烈免疫标记,表明这些构建体能够积极刺激雪旺细胞反应。总体而言,结果提供了证据,表明膜衍生导管是用于周围神经再生的管状假体的一种替代制备方法。