Department of Orthopedics and Trauma, Peking University People's Hospital, Beijing100044, China.
State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China.
Theranostics. 2020 Jan 1;10(4):1590-1603. doi: 10.7150/thno.36272. eCollection 2020.
Autologous nerve transplantation, which is the gold standard for clinical treatment of peripheral nerve injury, still has many limitations. In this study, aligned chitosan fiber hydrogel (ACG) grafted with a bioactive peptide mixture consisting of RGI (Ac-RGIDKRHWNSQGG) and KLT (Ac-KLTWQELYQLKYKGIGG), designated as ACG-RGI/KLT, was used as nerve conduit filler to repair sciatic nerve defects in rats. : Chitosan nanofiber hydrogel was prepared by a combination of electrospinning and mechanical stretching methods, and was then grafted with RGI and KLT, which are peptides mimicking brain-derived neurotrophic factor (BDNF) and vascular endothelial growth factor (VEGF), respectively. The physicochemical properties of ACG-RGI/KLT were fully characterized. , the distribution, proliferation, and secretory activity of Schwann cells were analyzed. Next, the repair potential for 15-mm rat sciatic nerve defects was examined. The recovery of regenerated nerve, muscle, and motor function was evaluated by neuromuscular histology, electrophysiology, and catwalk gait analysis. : We first constructed directionally aligned chitosan nanofiber hydrogel grafted with RGI/KLT peptide mixture (ACG-RGI/KLT). ACG-RGI/KLT oriented the Schwann cells, and promoted the proliferation and secretion of neurotrophic factors by Schwann cells. At an early injury stage, ACG-RGI/KLT not only enhanced nerve regeneration, but also promoted vascular penetration. At 12 weeks, ACG-RGI/KLT facilitated nerve regeneration and functional recovery in rats. : Aligned chitosan nanofiber hydrogel grafted with RGI/KLT peptide provides an effective means of repairing sciatic nerve defects and shows great potential for clinical application.
自体神经移植是治疗周围神经损伤的金标准,但仍有许多局限性。在本研究中,使用接枝有由 RGI(Ac-RGIDKRHWNSQGG)和 KLT(Ac-KLTWQELYQLKYKGIGG)组成的生物活性肽混合物的定向壳聚糖纤维水凝胶(ACG)作为神经导管填充剂来修复大鼠坐骨神经缺损。:壳聚糖纳米纤维水凝胶通过静电纺丝和机械拉伸方法的组合制备,然后接枝 RGI 和 KLT,它们分别模拟脑源性神经营养因子(BDNF)和血管内皮生长因子(VEGF)的肽。ACG-RGI/KLT 的理化性质得到了充分的表征。,分析施万细胞的分布、增殖和分泌活性。接下来,检查了 15mm 大鼠坐骨神经缺损的修复潜力。通过运动神经元组织学、电生理学和猫足步态分析评估再生神经、肌肉和运动功能的恢复情况。:我们首先构建了接枝有 RGI/KLT 肽混合物的定向壳聚糖纳米纤维水凝胶(ACG-RGI/KLT)。ACG-RGI/KLT 使施万细胞定向化,并促进施万细胞增殖和神经营养因子的分泌。在早期损伤阶段,ACG-RGI/KLT 不仅增强了神经再生,还促进了血管渗透。在 12 周时,ACG-RGI/KLT 促进了大鼠的神经再生和功能恢复。:接枝有 RGI/KLT 肽的定向壳聚糖纳米纤维水凝胶为修复坐骨神经缺损提供了一种有效的方法,具有很大的临床应用潜力。
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