Enhancing peripheral nerve regeneration with neurotrophic factors and bioengineered scaffolds: A basic science and clinical perspective

J Peripher Nerv Syst. 2020 Dec;25(4):320-334. doi: 10.1111/jns.12414. Epub 2020 Sep 23.

Abstract

Despite the peripheral nervous systems (PNS) capacity to regenerate, functional restoration is highly variable following peripheral nerve injury (PNI), oftentimes leading to persistent functional deficits. In the preclinical arena, advances in the therapeutic use of exogenous neurotrophic factors and synthetic neural scaffold technology hold promise in augmenting endogenous PNS regeneration following PNI. Clinical trials utilizing neurotrophic factors for other indications (eg, peripheral neuropathy) may provide insight into their role in PNI. Here we provide an updated review of progress made toward enhancing regeneration after PNI with a focus on neurotrophic factors and bioengineered scaffolds.

Keywords: bioengineered scaffolds; neural scaffolds; neurotrophic factors; peripheral nerve injury; peripheral nerve regeneration; peripheral nerve repair.

Publication types

  • Review

MeSH terms

  • Animals
  • Bioengineering*
  • Humans
  • Nerve Growth Factors / therapeutic use*
  • Nerve Regeneration / physiology*
  • Peripheral Nerve Injuries / therapy*
  • Tissue Scaffolds*

Substances

  • Nerve Growth Factors