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明胶纳米纤维增强去细胞羊膜促进周围神经损伤手术治疗中的轴突再生和功能恢复。

Gelatin nanofiber-reinforced decellularized amniotic membrane promotes axon regeneration and functional recovery in the surgical treatment of peripheral nerve injury.

机构信息

Department of Orthopedics, Guizhou Provincial People's Hospital, Guiyang, Guizhou, 550000, China; The Lab of Tissue Engineering and Translational Medicine, College of Medicine, Guizhou University, Guiyang, Guizhou, 550000, China.

Institute for NanoBioTechnology, Johns Hopkins University, Baltimore, MD, 21218, USA; Department of Materials Science and Engineering, Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, 21218, USA; Translational Tissue Engineering Center, Johns Hopkins University School of Medicine, Baltimore, MD, 21287, USA.

出版信息

Biomaterials. 2023 Sep;300:122207. doi: 10.1016/j.biomaterials.2023.122207. Epub 2023 Jun 17.

Abstract

Effective recovery of peripheral nerve injury (PNI) after surgical treatment relies on promoting axon regeneration and minimizing the fibrotic response. Decellularized amniotic membrane (dAM) has unique features as a natural matrix for promoting PNI repair due to its pro-regenerative extracellular matrix (ECM) structure and anti-inflammatory properties. However, the fragile nature and rapid degradation rate of dAM limit its widespread use in PNI surgery. Here we report an engineered composite membrane for PNI repair by combining dAM with gelatin (Gel) nanofiber membrane to construct a Gel nanofiber-dAM composite membrane (Gel-dAM) through interfacial bonding. The Gel-dAM showed enhanced mechanical properties and reduced degradation rate, while retaining maximal bioactivity and biocompatibility of dAM. These factors led to improved axon regeneration, reduced fibrotic response, and better functional recovery in PNI repair. As a fully natural materials-derived off-the-shelf matrix, Gel-dAM exhibits superior clinical translational potential for the surgical treatment of PNI.

摘要

有效的周围神经损伤(PNI)术后恢复依赖于促进轴突再生和最小化纤维反应。去细胞羊膜(dAM)作为一种促进 PNI 修复的天然基质具有独特的特性,因为其具有再生细胞外基质(ECM)结构和抗炎特性。然而,dAM 的脆弱性质和快速降解率限制了其在 PNI 手术中的广泛应用。在这里,我们报告了一种通过将 dAM 与明胶(Gel)纳米纤维膜结合来修复 PNI 的工程复合膜,通过界面结合构建 Gel 纳米纤维-dAM 复合膜(Gel-dAM)。Gel-dAM 表现出增强的机械性能和降低的降解率,同时保留了 dAM 的最大生物活性和生物相容性。这些因素导致 PNI 修复中轴突再生改善、纤维反应减少和功能恢复更好。作为一种完全源自天然材料的现成基质,Gel-dAM 为 PNI 的手术治疗展示了优异的临床转化潜力。

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