Zhang Jian, Liu Xiaoyin, Ma Ke, Chen Miao, Xu Huiyou, Niu Xuegang, Gu Haoran, Wang Renjie, Chen Xuyi, Sun HongTao
Tianjin Key Laboratory of Neurotrauma Repair, Institute of Traumatic Brain Injury and Neuroscience, Characteristic Medical Center of Chinese People's Armed Police Force, Chenglin Road No. 220, Tianjin 300162, China.
Biomater Sci. 2021 Feb 7;9(3):745-764. doi: 10.1039/c9bm01446b. Epub 2020 Nov 17.
The objective of this study was to evaluate the therapy effects of a novel biological scaffold containing heparin, collagen and vascular endothelial growth factor (VEGF) in treating traumatic brain injury (TBI). In our research, a functional composite scaffold constituted by collagen, heparin and vascular endothelial growth factor was used to stimulate angiogenesis and improve nerve-tissue regeneration in a rat model of TBI. The composite scaffold possessed excellent mechanical properties and good porosity, and could effectively control the release rate of VEGF. Motor and cognitive functions such as motor evoked potential, Morris water maze test and modified neurological severity score were evidently improved after the scaffold was grafted onto the injury site in the rat TBI model. There was clearly improved restoration of damaged nerve tissue at the injured site. Furthermore, brain edema and inflammatory reactions were significantly alleviated. Newly formed neurons with associated synaptic structures, nerve fibers, myelin sheaths and functional angiogenesis with intact endothelium at the injury site were observed. In conclusion, our data revealed that the collagen/heparin scaffold combined with VEGF could create excellent microenvironment stimuli for damaged nerve-tissue regeneration, providing a potential strategy for treating TBI.
本研究的目的是评估一种含有肝素、胶原蛋白和血管内皮生长因子(VEGF)的新型生物支架在治疗创伤性脑损伤(TBI)中的治疗效果。在我们的研究中,由胶原蛋白、肝素和血管内皮生长因子构成的功能性复合支架被用于刺激大鼠TBI模型中的血管生成并促进神经组织再生。该复合支架具有优异的力学性能和良好的孔隙率,并且能够有效控制VEGF的释放速率。将该支架移植到大鼠TBI模型的损伤部位后,运动诱发电位、莫里斯水迷宫试验和改良神经功能缺损评分等运动和认知功能均有明显改善。损伤部位受损神经组织的修复明显改善。此外,脑水肿和炎症反应也显著减轻。在损伤部位观察到新形成的神经元伴有相关的突触结构、神经纤维、髓鞘以及具有完整内皮的功能性血管生成。总之,我们的数据表明,胶原蛋白/肝素支架与VEGF相结合可为受损神经组织再生创造优异的微环境刺激,为治疗TBI提供了一种潜在策略。