Cheng Haofeng, Bai Jun, Zhou Xingyu, Chen Nantian, Jiang Qingyu, Ren Zhiqi, Li Xiangling, Su Tianqi, Liang Lijing, Jiang Wenli, Wang Yu, Peng Jiang, Shang Aijia
School of Medicine, Nankai University, Tianjin, China.
Department of Neurosurgery, Chinese PLA General Hospital, Beijing, China.
Biomater Transl. 2024 Jun 28;5(2):157-174. doi: 10.12336/biomatertransl.2024.02.006. eCollection 2024.
Peripheral nerve injury poses a great threat to neurosurgery and limits the regenerative potential of sacral nerves in the neurogenic bladder. It remains unknown whether electrical stimulation can facilitate sacral nerve regeneration in addition to modulate bladder function. The objective of this study was to utilise electrical stimulation in sacra nerve crush injury with newly constructed electroconductive scaffold and explore the role of macrophages in electrical stimulation with crushed nerves. As a result, we generated a polypyrrole-coated polycaprolactone/silk fibroin scaffold through which we applied electrical stimulation. The electrical stimulation boosted nerve regeneration and polarised the macrophages towards the M2 phenotype. An in vitro test using bone marrow derived macrophages revealed that the pro-regenerative polarisation of M2 were significantly enhanced by electrical stimulation. Bioinformatics analysis showed that the expression of signal transducer and activator of transcriptions (STATs) was differentially regulated in a way that promoted M2-related genes expression. Our work indicated the feasibility of electricals stimulation used for sacral nerve regeneration and provided a firm demonstration of a pivotal role which macrophages played in electrical stimulation.
周围神经损伤对神经外科手术构成巨大威胁,并限制了神经源性膀胱中骶神经的再生潜力。除了调节膀胱功能外,电刺激是否能促进骶神经再生尚不清楚。本研究的目的是利用新构建的导电支架对骶神经挤压伤进行电刺激,并探讨巨噬细胞在神经挤压伤电刺激中的作用。结果,我们制备了一种聚吡咯涂层的聚己内酯/丝素蛋白支架,并通过该支架施加电刺激。电刺激促进了神经再生,并使巨噬细胞向M2表型极化。使用骨髓来源巨噬细胞的体外试验表明,电刺激显著增强了M2的促再生极化。生物信息学分析表明,信号转导和转录激活因子(STATs)的表达以促进M2相关基因表达的方式受到差异调节。我们的工作表明了电刺激用于骶神经再生的可行性,并有力证明了巨噬细胞在电刺激中所起的关键作用。