Tissue Engineering Research Group (TERG), Department of Anatomy, Royal College of Surgeons in Ireland, Ireland; Advanced Materials and Bioengineering Research (AMBER) Centre, Trinity College Dublin, Ireland; Trinity Centre for Bioengineering (TCBE), Trinity College Dublin, Ireland.
Tissue Engineering Research Group (TERG), Department of Anatomy, Royal College of Surgeons in Ireland, Ireland; Advanced Materials and Bioengineering Research (AMBER) Centre, Trinity College Dublin, Ireland; Trinity Centre for Bioengineering (TCBE), Trinity College Dublin, Ireland.
Acta Biomater. 2018 Jul 15;75:115-128. doi: 10.1016/j.actbio.2018.06.014. Epub 2018 Jun 7.
UNLABELLED: Despite the success of tissue engineered nerve guidance conduits (NGCs) for the treatment of small peripheral nerve injuries, autografts remain the clinical gold standard for larger injuries. The delivery of neurotrophic factors from conduits might enhance repair for more effective treatment of larger injuries but the efficacy of such systems is dependent on a safe, effective platform for controlled and localised therapeutic delivery. Gene therapy might offer an innovative approach to control the timing, release and level of neurotrophic factor production by directing cells to transiently sustain therapeutic protein production in situ. In this study, a gene-activated NGC was developed by incorporating non-viral polyethyleneimine-plasmid DNA (PEI-pDNA) nanoparticles (N/P 7 ratio, 2 μg dose) with the pDNA encoding for nerve growth factor (NGF), glial derived neurotrophic factor (GDNF) or the transcription factor c-Jun. The physicochemical properties of PEI-pDNA nanoparticles, morphology, size and charge, were shown to be suitable for gene delivery and demonstrated high Schwann cell transfection efficiency (60 ± 13%) in vitro. While all three genes showed therapeutic potential in terms of enhancing neurotrophic cytokine production while promoting neurite outgrowth, delivery of the gene encoding for c-Jun showed the greatest capacity to enhance regenerative cellular processes in vitro. Ultimately, this gene-activated NGC construct was shown to be capable of transfecting both Schwann cells (S42 cells) and neuronal cells (PC12 and dorsal root ganglia) in vitro, demonstrating potential for future therapeutic applications in vivo. STATEMENT OF SIGNIFICANCE: The basic requirements of biomaterial-based nerve guidance conduits have now been well established and include being able to bridge a nerve injury to support macroscopic guidance between nerve stumps, while being strong enough to withstand longitudinal tension and circumferential compression, in addition to being mechanically sound to facilitate surgical handling and implantation. While meeting these criteria, conduits are still limited to the treatment of small defects clinically and might benefit from additional biochemical stimuli to enhance repair for the effective treatment of larger injuries. In this study, a gene activated conduit was successfully developed by incorporating non-viral nanoparticles capable of efficient Schwann cell and neuronal cell transfection with therapeutic genes in vitro, which showed potential to enhance repair in future applications particularly when taking advantage of the transcription factor c-Jun. This innovative approach may provide an alternative to conduits used as platforms for the delivery neurotrophic factors or genetically modified cells (viral gene therapy), and a potential solution for the unmet clinical need to repair large peripheral nerve injury effectively.
目的:尽管组织工程神经引导导管(NGC)在治疗小周围神经损伤方面取得了成功,但自体移植物仍然是大损伤的临床金标准。从导管中输送神经营养因子可能会增强修复效果,从而更有效地治疗大损伤,但此类系统的疗效取决于安全有效的平台,以实现受控和局部治疗药物输送。基因治疗可能提供一种创新方法来控制神经营养因子的产生,方法是指导细胞在原位短暂维持治疗性蛋白的产生,从而控制神经营养因子的产生的时间、释放和水平。在这项研究中,通过将非病毒聚乙烯亚胺-质粒 DNA(PEI-pDNA)纳米颗粒(N/P 7 比,2μg 剂量)与编码神经生长因子(NGF)、胶质衍生神经营养因子(GDNF)或转录因子 c-Jun 的 pDNA 结合,开发了一种基因激活 NGC。PEI-pDNA 纳米颗粒的物理化学性质、形态、大小和电荷被证明适合基因传递,并在体外显示出对施万细胞的高转染效率(60±13%)。虽然所有三种基因在增强神经营养细胞因子的产生和促进神经突生长方面都表现出治疗潜力,但编码 c-Jun 的基因的传递显示出在体外增强再生细胞过程的最大能力。最终,这种基因激活的 NGC 构建体在体外能够转染施万细胞(S42 细胞)和神经元细胞(PC12 和背根神经节),表明其在体内具有未来治疗应用的潜力。
意义:基于生物材料的神经引导导管的基本要求现在已经得到很好的建立,包括能够桥接神经损伤以支持神经残端之间的宏观引导,同时具有足够的强度来承受纵向张力和周向压缩,并且具有机械强度以便于手术处理和植入。在满足这些标准的同时,导管在临床上仍仅限于治疗小缺陷,并且可能受益于额外的生化刺激来增强修复,以有效治疗更大的损伤。在这项研究中,通过将能够有效转染施万细胞和神经元细胞的非病毒纳米颗粒与治疗基因结合,成功开发了一种基因激活导管,该导管在未来的应用中显示出增强修复的潜力,特别是在利用转录因子 c-Jun 时。这种创新方法可能为作为神经营养因子或基因修饰细胞(病毒基因治疗)传递平台的导管提供替代方案,并且可能为有效修复大周围神经损伤的未满足的临床需求提供一种解决方案。
Biomaterials. 2006-4
Cell Transplant. 2012-11-27
In Vitro Model. 2023-4-18
Mil Med Res. 2024-10-21
Int J Nanomedicine. 2024
Nanomaterials (Basel). 2023-9-10
Bioeng Transl Med. 2022-8-5
J Mater Chem B. 2022-6-29
Front Cell Neurosci. 2022-5-6
Pharmaceuticals (Basel). 2021-11-17