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Preparation and assessment of an optimized multichannel acellular nerve allograft for peripheral nerve regeneration

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机构: [1]The VIP Department, School and Hospital of Stomatology China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases Shenyang China. [2]Department of Developmental Cell Biology, Key Laboratory of Medical Cell Biology, Ministry of Education China Medical University Shenyang China. [3]NMPA Key Laboratory for Quality Research and Control of Tissue Regenerative Biomaterial, Institute of Regulatory Science for Medical Device, National Engineering Research Center for Biomaterials Sichuan University Chengdu Sichuan China. [4]Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China. [5]College of Life Sciences and Oceanography Shenzhen University Shenzhen China. [6]Department of Neurological Surgery University of California Davis Sacramento California USA. [7]Department of Clinical Nutrition Shengjing Hospital of China Medical University Shenyang China. [8]Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases Shenyang China.
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关键词: acellular nerve allograft decellularization extracellular matrix multichannel nerve regeneration peripheral nerve injury

摘要:
Peripheral nerve regeneration after injury is still a clinical problem. The application of autologous nerve grafting, the gold standard treatment, is greatly restricted. Acellular nerve allografts (ANAs) are considered promising alternatives, but they are difficult to achieve satisfactory therapeutic outcomes, which may be attributed to their compact inherent ultrastructure and substantial loss of extracellular matrix (ECM) components. Regarding these deficiencies, this study developed an optimized multichannel ANA by a modified decellularization method. These innovative ANAs were demonstrated to retain more ECM bioactive molecules and regenerative factors, with effective elimination of cellular antigens. The presence of microchannels with larger pore size allowed ANAs to gain higher porosity and better swelling performance, which improves their internal ultrastructure. Their mechanical properties were more similar to those of native nerves. Moreover, the optimized ANAs exhibited good biocompatibility and possessed significant advantages in supporting the proliferation and migration of Schwann cells in vitro. The in vivo results further confirmed their superior capacity to promote axon regrowth and myelination as well as restore innervation of target muscles, leading to better functional recovery than the conventional ANAs. Overall, this study demonstrates that the optimized multichannel ANAs have great potential for clinical application and offer new insight into the further improvement of ANAs.© 2022 The Authors. Bioengineering & Translational Medicine published by Wiley Periodicals LLC on behalf of American Institute of Chemical Engineers.

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出版当年[2023]版:
大类 | 2 区 医学
小类 | 2 区 工程:生物医学
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大类 | 2 区 医学
小类 | 2 区 工程:生物医学
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出版当年[2023]版:
Q1 ENGINEERING, BIOMEDICAL
最新[2023]版:
Q1 ENGINEERING, BIOMEDICAL

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第一作者机构: [1]The VIP Department, School and Hospital of Stomatology China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases Shenyang China.
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