Department of Macromolecular Science and Engineering, University of Michigan, Ann Arbor, Michigan.
Department of Anesthesiology, University of California San Diego, La Jolla, California.
J Biomed Mater Res A. 2017 Dec;105(12):3392-3399. doi: 10.1002/jbm.a.36186. Epub 2017 Sep 25.
Nerve repair in several mm-long nerve gaps often requires an interventional technology. Microchannel scaffolds have proven effective for bridging nerve gaps and guiding axons in the peripheral nervous system (PNS). Nonetheless, fabricating microchannel scaffolds at this length scale remains a challenge and/or is time consuming and cumbersome. In this work, a simple computer-aided microdrilling technique was used to fabricate 10 mm-long agarose scaffolds consisting of 300 µm-microchannels and 85 µm-thick walls in less than an hour. The agarose scaffolds alone, however, did not exhibit adequate stiffness and integrity to withstand the mechanical stresses during implantation and suturing. To provide mechanical support and enable suturing, poly caprolactone (PCL) conduits were fabricated and agarose scaffolds were placed inside. A modified salt-leaching technique was developed to introduce interconnected porosity in PCL conduits to allow for tuning of the mechanical properties such as elastic modulus and strain to failure. It was shown that the PCL conduits were effective in stabilizing the agarose scaffolds in 10 mm-long sciatic nerve gaps of rats for at least 8 weeks. Robust axon ingress and Schwann cell penetration were observed within the microchannel scaffolds without using growth factors. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 105A: 3392-3399, 2017.
在几毫米长的神经间隙中进行神经修复通常需要一种介入技术。微通道支架已被证明在桥接神经间隙和引导周围神经系统 (PNS) 中的轴突方面非常有效。然而,在这种长度尺度下制造微通道支架仍然具有挑战性和/或耗时且繁琐。在这项工作中,使用简单的计算机辅助微钻技术在不到一个小时的时间内制造了 10 毫米长的琼脂糖支架,其中包含 300 µm 的微通道和 85 µm 厚的壁。然而,单独的琼脂糖支架没有足够的刚度和完整性来承受植入和缝合过程中的机械应力。为了提供机械支撑并实现缝合,制造了聚己内酯 (PCL) 导管并将琼脂糖支架放置在其中。开发了一种改良的盐浸出技术,在 PCL 导管中引入互连的多孔性,以调节机械性能,如弹性模量和断裂应变。结果表明,PCL 导管能够有效地稳定大鼠 10 毫米长坐骨神经间隙中的琼脂糖支架至少 8 周。在不使用生长因子的情况下,在微通道支架内观察到了稳健的轴突进入和雪旺细胞渗透。© 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part A:105A:3392-3399,2017。