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用于促进糖尿病大鼠周围神经再生的自卷曲导电神经敷料

Self-curling electroconductive nerve dressing for enhancing peripheral nerve regeneration in diabetic rats.

作者信息

Liu Can, Fan Lei, Tian Zhenming, Wen Huiquan, Zhou Lei, Guan Pengfei, Luo Yian, Chan Chuncheung, Tan Guoxin, Ning Chengyun, Rong Limin, Liu Bin

机构信息

Department of Spine Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China.

Department of Orthopedic Surgery, The First Affiliated Hospital of Zhejiang University, Hangzhou, 310003, China.

出版信息

Bioact Mater. 2021 Apr 14;6(11):3892-3903. doi: 10.1016/j.bioactmat.2021.03.034. eCollection 2021 Nov.

Abstract

Conductive scaffolds have been shown to exert a therapeutic effect on patients suffering from peripheral nerve injuries (PNIs). However, conventional conductive conduits are made of rigid structures and have limited applications for impaired diabetic patients due to their mechanical mismatch with neural tissues and poor plasticity. We propose the development of biocompatible electroconductive hydrogels (ECHs) that are identical to a surgical dressing in this study. Based on excellent adhesive and self-healing properties, the thin film-like dressing can be easily attached to the injured nerve fibers, automatically warps a tubular structure without requiring any invasive techniques. The ECH offers an intimate and stable electrical bridge coupling with the electrogenic nerve tissues. The in vitro experiments indicated that the ECH promoted the migration and adhesion of the Schwann cells. Furthermore, the ECH facilitated axonal regeneration and remyelination in vitro and in vivo through the MEK/ERK pathway, thus preventing muscle denervation atrophy while retaining functional recovery. The results of this study are likely to facilitate the development of non-invasive treatment techniques for PNIs in diabetic patients utilizing electroconductive hydrogels.

摘要

导电支架已被证明对患有周围神经损伤(PNIs)的患者具有治疗作用。然而,传统的导电导管由刚性结构制成,由于其与神经组织的机械不匹配和可塑性差,在糖尿病受损患者中的应用有限。在本研究中,我们提出开发一种与手术敷料相同的生物相容性导电水凝胶(ECHs)。基于出色的粘附和自愈特性,这种薄膜状敷料可以轻松附着在受损的神经纤维上,无需任何侵入性技术就能自动形成管状结构。ECH与产电神经组织提供紧密且稳定的电桥耦合。体外实验表明,ECH促进了雪旺细胞的迁移和粘附。此外,ECH通过MEK/ERK途径在体外和体内促进轴突再生和髓鞘再生,从而防止肌肉失神经萎缩,同时保留功能恢复。这项研究的结果可能会促进利用导电水凝胶为糖尿病患者开发PNIs的非侵入性治疗技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f4/8076708/00cc920d924d/ga1.jpg

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