J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, 1275 Center Dr. JG56, P.O. Box 116131, Gainesville, FL, 32611, USA.
Department of Chemistry, University of Florida, P.O. Box 117200, Gainesville, FL, 32611, USA.
Biomaterials. 2021 Dec;279:121212. doi: 10.1016/j.biomaterials.2021.121212. Epub 2021 Oct 22.
Peripheral nerve injuries can be debilitating to motor and sensory function, with severe cases often resulting in complete limb amputation. Over the past two decades, prosthetic limb technology has rapidly advanced to provide users with crude motor control of up to 20° of freedom; however, the nerve-interfacing technology required to provide high movement selectivity has not progressed at the same rate. The work presented here focuses on the development of a magnetically aligned regenerative tissue-engineered electronic nerve interface (MARTEENI) that combines polyimide "threads" encapsulated within a magnetically aligned hydrogel scaffold. The technology exploits tissue-engineered strategies to address concerns over traditional peripheral nerve interfaces including poor axonal sampling through the nerve and rigid substrates. A magnetically templated hydrogel is used to physically support the polyimide threads while also promoting regeneration in close proximity to the electrode sites on the polyimide. This work demonstrates the utility of magnetic templating for use in tuning the mechanical properties of hydrogel scaffolds to match the stiffness of native nerve tissue while providing an aligned substrate for Schwann cell migration in vitro. MARTEENI devices were fabricated and implanted within a 5-mm-long rat sciatic-nerve transection model to assess regeneration at 6 and 12 weeks. MARTEENI devices do not disrupt tissue remodeling and show axon densities equivalent to fresh tissue controls around the polyimide substrates. Devices are observed to have attenuated foreign-body responses around the polyimide threads. It is expected that future studies with functional MARTEENI devices will be able to record and stimulate single axons with high selectivity and low stimulation regimes.
周围神经损伤会导致运动和感觉功能受损,严重的情况常常导致肢体完全截肢。在过去的二十年中,假肢技术已经迅速发展,为用户提供了高达 20 自由度的粗略运动控制;然而,提供高运动选择性所需的神经接口技术并没有以相同的速度发展。这里介绍的工作重点是开发一种磁定向再生组织工程电子神经接口 (MARTEENI),该接口结合了包裹在磁定向水凝胶支架内的聚酰亚胺“线”。该技术利用组织工程策略来解决传统周围神经接口的问题,包括通过神经和刚性基质进行的不良轴突采样。使用磁模板水凝胶物理支撑聚酰亚胺线,同时促进在聚酰亚胺电极位点附近的再生。这项工作证明了磁模板在调整水凝胶支架的机械性能以匹配天然神经组织的刚度的同时,为雪旺细胞在体外迁移提供了一个定向基质的用途。MARTEENI 设备被制造并植入 5mm 长的大鼠坐骨神经横断模型中,以评估 6 周和 12 周时的再生情况。MARTEENI 设备不会破坏组织重塑,并在聚酰亚胺基质周围显示出与新鲜组织对照相当的轴突密度。观察到设备周围的聚酰亚胺线的异物反应减弱。预计具有功能性 MARTEENI 设备的未来研究将能够以高选择性和低刺激方案记录和刺激单个轴突。