Li Lei, Chu Ziyue, Li Shihao, Zheng Tong, Wei Shusheng, Zhao Yunpeng, Liu Peilai, Lu Qunshan
Department of Adult Joint Reconstructive Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Department of Orthopedics, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Front Cell Dev Biol. 2024 Jul 1;12:1431558. doi: 10.3389/fcell.2024.1431558. eCollection 2024.
Care for patients with peripheral nerve injury is multifaceted, as traditional methods are not devoid of limitations. Although the utilization of neural conduits shows promise as a therapeutic modality for peripheral nerve injury, its efficacy as a standalone intervention is limited. Hence, there is a pressing need to investigate a composite multifunctional neural conduit as an alternative treatment for peripheral nerve injury. In this study, a BDNF-loaded chitosan-based mimetic mussel polymer conduit was prepared. Its unique adhesion characteristics allow it to be suture-free, improve the microenvironment of the injury site, and have good antibacterial properties. Researchers utilized a rat sciatic nerve injury model to evaluate the progression of nerve regeneration at the 12-week postoperative stage. The findings of this study indicate that the chitosan-based mimetic mussel polymer conduit loaded with BDNF had a substantial positive effect on myelination and axon outgrowth. The observed impact demonstrated a favorable outcome in terms of sciatic nerve regeneration and subsequent functional restoration in rats with a 15-mm gap. Hence, this approach is promising for nerve tissue regeneration during peripheral nerve injury.
对周围神经损伤患者的护理是多方面的,因为传统方法并非没有局限性。尽管神经导管的应用作为周围神经损伤的一种治疗方式显示出前景,但其作为单一干预措施的疗效有限。因此,迫切需要研究一种复合多功能神经导管作为周围神经损伤的替代治疗方法。在本研究中,制备了一种负载脑源性神经营养因子(BDNF)的基于壳聚糖的模拟贻贝聚合物导管。其独特的粘附特性使其无需缝合,改善损伤部位的微环境,并具有良好的抗菌性能。研究人员利用大鼠坐骨神经损伤模型评估术后12周神经再生的进展。本研究结果表明,负载BDNF的基于壳聚糖的模拟贻贝聚合物导管对髓鞘形成和轴突生长有显著的积极影响。观察到的影响表明,在15毫米间隙的大鼠中,坐骨神经再生及随后的功能恢复方面有良好的结果。因此,这种方法在周围神经损伤期间的神经组织再生方面很有前景。