Enhanced peripheral nerve regeneration elicited by cell-mediated events delivered via a bioresorbable PLGA guide

J Reconstr Microsurg. 2003 Feb;19(2):125-34. doi: 10.1055/s-2003-37820.

Abstract

Using an established rat peripheral-nerve regeneration model, the authors have demonstrated enhancement of regeneration following subcutaneous priming of bioresorbable poly(lactic-co-glycolic)acid (PLGA) guides in vivo. Four weeks after nerve reconstruction, regeneration of the peripheral nerve through the cell-infiltrated guides displayed a significant increase in the total axon number and myelination status recorded in primed over unprimed guides, demonstrating the importance of cell-mediated events in the regeneration process. To define the different components enhancing nerve regeneration in this model, they have focused on identifying factors capable of eliciting Schwann-cell migration, since this has been identified as an early and necessary event in nerve regeneration. Using an in vitro migration assay, screening of a limited number of cellular and extracellular factors has demonstrated differential promotion of Schwann-cell migration. Of interest, combining fibronectin and bFGF resulted in a two-fold enhancement in Schwann-cell migration over that recorded with either alone. These results describe a rapid screening process for identifying various molecules and combinations thereof, with potential involvement in Schwann-cell migration. Coupling these findings to the use of the PLGA guide as an in vivo delivery system provides a rationale for the selection of exogenous factors to test for the enhancement of peripheral-nerve regeneration.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Biocompatible Materials
  • Cell Movement
  • Disease Models, Animal
  • Female
  • Immunohistochemistry
  • Lactic Acid / pharmacology*
  • Male
  • Nerve Regeneration / physiology*
  • Peripheral Nerves / pathology*
  • Polyglycolic Acid / pharmacology*
  • Polylactic Acid-Polyglycolic Acid Copolymer
  • Polymers / pharmacology*
  • Probability
  • Rats
  • Rats, Sprague-Dawley
  • Reference Values
  • Schwann Cells / transplantation*
  • Sciatic Nerve / physiology*
  • Sciatic Nerve / surgery*
  • Sensitivity and Specificity

Substances

  • Biocompatible Materials
  • Polymers
  • Polylactic Acid-Polyglycolic Acid Copolymer
  • Polyglycolic Acid
  • Lactic Acid