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胶原神经导管释放神经营养因子 GDNF 和 NGF。

Collagen nerve conduits releasing the neurotrophic factors GDNF and NGF.

机构信息

Institute of Pharmaceutical Sciences, ETH Zurich, 8093 Zurich, Switzerland.

出版信息

J Control Release. 2010 Apr 19;143(2):168-74. doi: 10.1016/j.jconrel.2009.12.017. Epub 2009 Dec 24.

Abstract

Artificial nerve conduits (NC) can clinically be instrumental for facilitating the surgery of damaged peripheral nerves. To improve axonal regeneration of injured peripheral nerves, we have developed collagen nerve conduits (NC) releasing glial cell line-derived neurotrophic factor (GDNF) alone or in combination with nerve growth factor (NGF), which exert synergistic action on axonal growth. Degradation of the NC and their mechanical and drug release properties were controlled by two means: (i) cross-linking the collagen tubes by physical means, through a dehydro-thermal treatment (DHT), before loading with the neurotrophic factors (NTFs) GDNF or GDNF/NGF; and (ii) coating the drug-loaded collagen tubes with layers of poly(lactide-co-glycolide) (PLGA). Non-cross-linked collagen NC (C-NC) released high amounts of NTFs during the initial 2-3 days of incubation, whereas the DHT-treated collagen NC (C(dht)-NC) did not show a prominent burst effect. The release kinetics was similar for GDNF alone and GDNF co-delivered with NGF. Within 30 days, the C-NC released 78% and 83% of the total doses of GDNF and NGF, respectively, whereas the C(dht)-NC released only 68% of GDNF and 56% of NGF. The bioactivity of the NTFs released up to 30 days was confirmed by an in vitro bioassay using chicken embryonic dorsal root ganglion (DRG) explants. The C(dht)-NC also possessed adequate mechanical resistance against radial compression, the pull-out of a suture thread, and loss of patency upon bending. Modulus and pull-out strength increased in the order of C-NC, C(dht)-NC approximately Neuragen, and Neurolac, with the latter two products being commercially available collagen and polyester NC, respectively. In vitro degradation time upon incubation with collagenase increased in the same order for the collagen-based NC. In conclusion, co-delivery of synergistically acting GDNF and NGF from structurally improved NC may be a promising tool for the successful repair of peripheral nerve defects.

摘要

人工神经导管 (NC) 可在临床上有助于受损外周神经的手术。为了促进损伤的外周神经轴突再生,我们开发了单独释放胶质细胞源性神经营养因子 (GDNF) 或与神经生长因子 (NGF) 联合释放的胶原神经导管 (NC),它们对轴突生长具有协同作用。NC 的降解及其机械性能和药物释放特性通过两种方式控制:(i) 通过物理交联方法,通过脱氢-热处理 (DHT),在负载神经营养因子 (NTFs) GDNF 或 GDNF/NGF 之前对胶原管进行交联;和 (ii) 用聚 (乳酸-共-乙醇酸) (PLGA) 层涂覆载药胶原管。未经交联的胶原 NC (C-NC) 在孵育的最初 2-3 天内释放大量 NTFs,而 DHT 处理的胶原 NC (C(dht)-NC) 没有明显的突释效应。GDNF 单独和与 NGF 共同递送的释放动力学相似。在 30 天内,C-NC 分别释放了 GDNF 和 NGF 总剂量的 78%和 83%,而 C(dht)-NC 仅释放了 68%的 GDNF 和 56%的 NGF。通过使用鸡胚背根神经节 (DRG) 外植体的体外生物测定证实了释放长达 30 天的 NTFs 的生物活性。C(dht)-NC 还具有足够的机械抵抗力,可抵抗径向压缩、缝线的拔出以及弯曲时的通畅性丧失。在 C-NC、C(dht)-NC 大约 Neuragen 和 Neurolac 的顺序中,模量和拔出强度增加,后两种产品分别为市售的胶原和聚酯 NC。在与胶原酶孵育时,基于胶原的 NC 的体外降解时间也按相同顺序增加。总之,从结构上改进的 NC 协同释放 GDNF 和 NGF 可能是成功修复周围神经缺损的有前途的工具。

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