Molecular Pharmacology Research Center, School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.
The Institute of Life Sciences, Wenzhou University, Wenzhou 325035, China.
Biomaterials. 2018 Jun;168:24-37. doi: 10.1016/j.biomaterials.2018.03.044. Epub 2018 Mar 26.
Peripheral nerve injury (PNI) is a major burden to society with limited therapeutic options, and novel biomaterials have great potential for shifting the current paradigm of treatment. With a rising prevalence of chronic illnesses such as diabetes mellitus (DM), treatment of PNI is further complicated, and only few studies have proposed therapies suitable for peripheral nerve regeneration in DM. To provide a supportive environment to restore structure and/or function of nerves in DM, we developed a novel thermo-sensitive heparin-poloxamer (HP) hydrogel co-delivered with basic fibroblast growth factor (bFGF) and nerve growth factor (NGF) in diabetic rats with sciatic nerve crush injury. The delivery vehicle not only had a good affinity for large amounts of growth factors (GFs), but also controlled their release in a steady fashion, preventing degradation in vitro. In vivo, compared with HP hydrogel alone or direct GFs administration, GFs-HP hydrogel treatment is more effective at facilitating Schwann cell (SC) proliferation, leading to an increased expression of nerve associated structural proteins, enhanced axonal regeneration and remyelination, and improved recovery of motor function (all p < 0.05). Our mechanistic investigation also revealed that these neuroprotective and neuroregenerative effects of the GFs-HP hydrogel may be associated with activations of phosphatidylinositol 3 kinase and protein kinase B (PI3K/Akt), janus kinase/signal transducer and activator of transcription 3 (JAK/STAT3), and mitogen-activated protein kinase kinase/extracellular signal-regulated kinase (MAPK/ERK) signaling pathways. Our work provides a promising therapy option for peripheral nerve regeneration in patients with DM.
周围神经损伤 (PNI) 是一个对社会造成巨大负担的问题,目前治疗方法有限,而新型生物材料在改变当前治疗模式方面具有巨大潜力。随着糖尿病等慢性病的患病率不断上升,PNI 的治疗变得更加复杂,只有少数研究提出了适合糖尿病患者周围神经再生的治疗方法。为了提供一个支持环境来恢复 DM 患者神经的结构和/或功能,我们在糖尿病大鼠坐骨神经挤压伤模型中开发了一种新型温敏肝素-泊洛沙姆(HP)水凝胶,该水凝胶共递送碱性成纤维细胞生长因子 (bFGF) 和神经生长因子 (NGF)。这种递送载体不仅对大量生长因子 (GFs) 具有很好的亲和力,而且可以稳定地控制它们的释放,防止体外降解。在体内,与单独的 HP 水凝胶或直接给予 GFs 相比,GFs-HP 水凝胶治疗更有效地促进施万细胞 (SC) 增殖,导致神经相关结构蛋白表达增加,轴突再生和髓鞘形成增强,运动功能恢复改善(均 p < 0.05)。我们的机制研究还表明,GFs-HP 水凝胶的这些神经保护和神经再生作用可能与磷脂酰肌醇 3 激酶和蛋白激酶 B (PI3K/Akt)、Janus 激酶/信号转导和转录激活因子 3 (JAK/STAT3) 和丝裂原活化蛋白激酶激酶/细胞外信号调节激酶 (MAPK/ERK) 信号通路的激活有关。我们的工作为糖尿病患者周围神经再生提供了一种有前途的治疗选择。
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