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电纺聚己内酯(PCL)-羊膜纳米纤维膜促进大鼠坐骨神经横断模型中的神经再生并预防纤维化

Electrospun Polycaprolactone (PCL)-Amnion Nanofibrous Membrane Promotes Nerve Regeneration and Prevents Fibrosis in a Rat Sciatic Nerve Transection Model.

作者信息

Bai Jiangbo, Liu Chunjie, Kong Lingde, Tian Siyu, Yu Kunlun, Tian Dehu

机构信息

Department of Hand Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

Department of Orthopedics, Tangshan Workers Hospital, Tangshan, China.

出版信息

Front Surg. 2022 Mar 18;9:842540. doi: 10.3389/fsurg.2022.842540. eCollection 2022.

Abstract

Functional recovery after peripheral nerve injury repair is typically unsatisfactory. An anastomotically poor microenvironment and scarring at the repair site are important factors impeding nerve regeneration. In this study, an electrospun poly-e-caprolactone (PCL)-amnion nanofibrous membrane comprising an amnion membrane and nonwoven electrospun PCL was used to wrap the sciatic nerve repair site in the rat model of a sciatic nerve transection. The effect of the PCL-amnion nanofibrous membrane on improving nerve regeneration and preventing scarring at the repair site was evaluated by expression of the inflammatory cytokine, sciatic functional index (SFI), electrophysiology, and histological analyses. Four weeks after repair, the degree of nerve adhesion, collagen deposition, and intraneural macrophage invasion of the PCL-amnion nanofibrous membrane group were significantly decreased compared with those of the Control group. Moreover, the PCL-amnion nanofibrous membrane decreased the expression of pro-inflammatory cytokines such as interleukin(IL)-6, Tumor Necrosis Factor(TNF)-a and the number of pro-inflammatory M1 macrophages, and increased the expression of anti-inflammatory cytokine such as IL-10, IL-13 and anti-inflammatory M2 macrophages. At 16 weeks, the PCL-amnion nanofibrous membrane improved functional recovery, including promoting nerve Schwann cell proliferation, axon regeneration, and reducing the time of muscle denervation. In summary, the PCL-amnion nanofibrous membrane effectively improved nerve regeneration and prevent fibrosis after nerve repair, which has good clinical application prospect for tissue repair.

摘要

周围神经损伤修复后的功能恢复通常不尽人意。吻合处不良的微环境以及修复部位的瘢痕形成是阻碍神经再生的重要因素。在本研究中,一种由羊膜和电纺聚己内酯(PCL)组成的电纺PCL-羊膜纳米纤维膜被用于包裹大鼠坐骨神经横断模型中的坐骨神经修复部位。通过炎症细胞因子的表达、坐骨神经功能指数(SFI)、电生理学和组织学分析,评估了PCL-羊膜纳米纤维膜对改善神经再生和预防修复部位瘢痕形成的作用。修复后四周,与对照组相比,PCL-羊膜纳米纤维膜组的神经粘连程度、胶原沉积和神经内巨噬细胞浸润均显著降低。此外,PCL-羊膜纳米纤维膜降低了促炎细胞因子如白细胞介素(IL)-6、肿瘤坏死因子(TNF)-α的表达以及促炎M1巨噬细胞的数量,并增加了抗炎细胞因子如IL-10、IL-13的表达以及抗炎M2巨噬细胞的数量。在16周时,PCL-羊膜纳米纤维膜改善了功能恢复,包括促进神经雪旺细胞增殖、轴突再生,并减少了肌肉失神经支配的时间。总之,PCL-羊膜纳米纤维膜有效地促进了神经修复后的神经再生并预防了纤维化,在组织修复方面具有良好的临床应用前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5de/8971199/2b52b5013e61/fsurg-09-842540-g0001.jpg

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