Harris J P, Struzyna L A, Murphy P L, Adewole D O, Kuo E, Cullen D K
Center for Brain Injury and Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA.
J Neural Eng. 2016 Feb;13(1):016019. doi: 10.1088/1741-2560/13/1/016019. Epub 2016 Jan 13.
Connectome disruption is a hallmark of many neurological diseases and trauma with no current strategies to restore lost long-distance axonal pathways in the brain. We are creating transplantable micro-tissue engineered neural networks (micro-TENNs), which are preformed constructs consisting of embedded neurons and long axonal tracts to integrate with the nervous system to physically reconstitute lost axonal pathways.
We advanced micro-tissue engineering techniques to generate micro-TENNs consisting of discrete populations of mature primary cerebral cortical neurons spanned by long axonal fascicles encased in miniature hydrogel micro-columns. Further, we improved the biomaterial encasement scheme by adding a thin layer of low viscosity carboxymethylcellulose (CMC) to enable needle-less insertion and rapid softening for mechanical similarity with brain tissue.
The engineered architecture of cortical micro-TENNs facilitated robust neuronal viability and axonal cytoarchitecture to at least 22 days in vitro. Micro-TENNs displayed discrete neuronal populations spanned by long axonal fasciculation throughout the core, thus mimicking the general systems-level anatomy of gray matter-white matter in the brain. Additionally, micro-columns with thin CMC-coating upon mild dehydration were able to withstand a force of 893 ± 457 mN before buckling, whereas a solid agarose cylinder of similar dimensions was predicted to withstand less than 150 μN of force. This thin CMC coating increased the stiffness by three orders of magnitude, enabling needle-less insertion into brain while significantly reducing the footprint of previous needle-based delivery methods to minimize insertion trauma.
Our novel micro-TENNs are the first strategy designed for minimally invasive implantation to facilitate nervous system repair by simultaneously providing neuronal replacement and physical reconstruction of long-distance axon pathways in the brain. The micro-TENN approach may offer the ability to treat several disorders that disrupt the connectome, including Parkinson's disease, traumatic brain injury, stroke, and brain tumor excision.
连接组破坏是许多神经系统疾病和创伤的一个标志,目前尚无恢复大脑中丢失的长距离轴突通路的策略。我们正在创建可移植的微组织工程神经网络(micro-TENNs),这是一种预先构建的结构,由嵌入的神经元和长轴突束组成,可与神经系统整合,以物理方式重建丢失的轴突通路。
我们改进了微组织工程技术,以生成由成熟的原代大脑皮质神经元离散群体组成的micro-TENNs,这些神经元由包裹在微型水凝胶微柱中的长轴突束跨越。此外,我们通过添加一层薄的低粘度羧甲基纤维素(CMC)改进了生物材料包裹方案,以实现无针插入并快速软化,使其在机械性能上与脑组织相似。
皮质micro-TENNs的工程结构在体外至少22天内促进了强大的神经元活力和轴突细胞结构。Micro-TENNs在整个核心区域显示出由长轴突束跨越的离散神经元群体,从而模拟了大脑中灰质-白质的一般系统水平解剖结构。此外,轻度脱水后带有薄CMC涂层的微柱在屈曲前能够承受893±457 mN的力,而尺寸相似的固体琼脂糖圆柱体预计承受的力小于150 μN。这种薄CMC涂层使刚度提高了三个数量级,能够无针插入大脑,同时显著减少了以前基于针的递送方法的占地面积,以尽量减少插入创伤。
我们新颖独特的micro-TENNs是首个为微创植入而设计的策略,通过同时提供神经元替代和大脑中长距离轴突通路的物理重建来促进神经系统修复。Micro-TENN方法可能提供治疗几种破坏连接组的疾病的能力,包括帕金森病、创伤性脑损伤、中风和脑肿瘤切除。