Hubei Engineering Center of Natural Polymers-based Medical Materials, Key Laboratory of Biomedical Polymers of Ministry of Education, and Department of Chemistry, Wuhan University, Wuhan, 430072, China.
Department of Biomedical Engineering, Hubei Province Key Laboratory of Allergy and Immune Related Diseases, School of Basic Medical Science, Wuhan University, Wuhan, 430071, China.
Adv Healthc Mater. 2022 Jul;11(13):e2200115. doi: 10.1002/adhm.202200115. Epub 2022 Apr 28.
Peripheral nerve regeneration and functional recovery is a major challenge in clinical practice. Nerve conduit is an effective treatment for peripheral nerve repair, but the traditional hollow nerve conduit is not satisfactory in peripheral nerve repair due to the limitation of cell migration and nutrient transport. Herein, the double cross-linked hydrogels with injectable, self-healing, and conductive properties are synthesized by the Schiff base reaction between polyaniline-modified carboxymethyl chitosan and aldehyde-modified Pluronic F-127 (F127-CHO), and the hydrophobic interaction of F127-CHO. The conductive hydrogel is injected into the cavity of chitosan conduit prepared by electrodeposition. The inner conductive hydrogel and the outer chitosan conduit are formed into a whole through the Schiff base reaction to obtain a double-layer composite hydrogel nerve conduit. The double-layer composite hydrogel neural conduit loaded with 7,8-dihydroxyflavone (DHF) has excellent degradability, biocompatibility, antioxidant activity, and Schwann cell proliferation activity. In the rat sciatic nerve defect model, the double-layer composite hydrogel nerve conduit significantly promotes sciatic nerve regeneration compared with the chitosan hollow conduit. Surprisingly, the repair ability of double-layered hydrogel nerve conduit loaded with DHF is comparable to that of autologous transplantation. Therefore, this multifunctional double-layer composite hydrogel conduit has great potential for peripheral nerve repairing.
周围神经再生和功能恢复是临床实践中的一个主要挑战。神经导管是治疗周围神经损伤的有效方法,但由于细胞迁移和营养物质运输的限制,传统的中空神经导管在周围神经修复中的效果并不理想。本研究通过席夫碱反应将聚苯胺修饰的羧甲基壳聚糖与醛基修饰的泊洛沙姆 F-127(F127-CHO)和 F127-CHO 的疏水相互作用合成了具有可注射、自修复和导电性的双交联水凝胶。将导电水凝胶注入到通过电沉积制备的壳聚糖导管的腔中。通过席夫碱反应,内导电水凝胶和外壳聚糖导管形成一个整体,得到双层复合水凝胶神经导管。载有 7,8-二羟基黄酮(DHF)的双层复合水凝胶神经导管具有优异的降解性、生物相容性、抗氧化活性和施万细胞增殖活性。在大鼠坐骨神经缺损模型中,与壳聚糖中空导管相比,双层复合水凝胶神经导管显著促进了坐骨神经的再生。令人惊讶的是,载有 DHF 的双层水凝胶神经导管的修复能力可与自体移植相媲美。因此,这种多功能双层复合水凝胶导管在外周神经修复方面具有巨大的潜力。
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