A Nerve Conduit Containing a Vascular Bundle and Implanted with Bone Marrow Stromal Cells and Decellularized Allogenic Nerve Matrix

Cells, scaffolds, growth factors, and vascularity are essential for nerve regeneration. Previously, we reported that the insertion of a vascular bundle and the implantation of bone marrow-derived mesenchymal stem cells (BM-MSCs) into a nerve conduit promoted peripheral nerve regeneration. In this st...

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Main Authors: Yukitoshi Kaizawa, Ryosuke Kakinoki, Ryosuke Ikeguchi, Soichi Ohta, Takashi Noguchi, Hisataka Takeuchi, Hiroki Oda, Hirofumi Yurie, Shuichi Matsuda
Format: Article
Language:English
Published: SAGE Publishing 2017-02-01
Series:Cell Transplantation
Online Access:https://doi.org/10.3727/096368916X692951
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author Yukitoshi Kaizawa
Ryosuke Kakinoki
Ryosuke Ikeguchi
Soichi Ohta
Takashi Noguchi
Hisataka Takeuchi
Hiroki Oda
Hirofumi Yurie
Shuichi Matsuda
author_facet Yukitoshi Kaizawa
Ryosuke Kakinoki
Ryosuke Ikeguchi
Soichi Ohta
Takashi Noguchi
Hisataka Takeuchi
Hiroki Oda
Hirofumi Yurie
Shuichi Matsuda
author_sort Yukitoshi Kaizawa
collection DOAJ
description Cells, scaffolds, growth factors, and vascularity are essential for nerve regeneration. Previously, we reported that the insertion of a vascular bundle and the implantation of bone marrow-derived mesenchymal stem cells (BM-MSCs) into a nerve conduit promoted peripheral nerve regeneration. In this study, the efficacy of nerve conduits containing a vascular bundle, BM-MSCs, and thermally decellularized allogenic nerve matrix (DANM) was investigated using a rat sciatic nerve model with a 20-mm defect. Lewis rats were used as the sciatic nerve model and for the preparation of BM-MSCs, and Dark Agouti rats were used for the preparation of the DANM. The revascularization and the immunogenicity of the DANM were investigated histologically. The regeneration of nerves through nerve conduits containing vessels, BM-MSCs, and DANM (VBD group) was evaluated based on electrophysiological, morphometric, and reinnervated muscle weight measurements and compared with that of vessel-containing conduits that were implanted with BM-MSCs (VB group). The DANM that was implanted into vessel-containing tubes (VCTs) was revascularized by neovascular vessels that originated from the inserted vascular bundle 5–7 days after surgery. The number of CD8 + cells found in the DANM in the VCT was significantly smaller than that detected in the untreated allogenic nerve segment. The regenerated nerve in the VBD group was significantly superior to that in the VB group with regard to the amplitude of the compound muscle action potential detected in the pedal adductor muscle; the number, diameter, and myelin thickness of the myelinated axons; and the tibialis anterior muscle weight at 12 and 24 weeks. The additional implantation of the DANM into the BM-MSC-implanted VCT optimized the axonal regeneration through the conduit. Nerve conduits constructed with vascularity, cells, and scaffolds could be an effective strategy for the treatment of peripheral nerve injuries with significant segmental defects.
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spelling doaj.art-111baeba3d47404181dd30dabfb675062022-12-22T01:25:52ZengSAGE PublishingCell Transplantation0963-68971555-38922017-02-012610.3727/096368916X692951A Nerve Conduit Containing a Vascular Bundle and Implanted with Bone Marrow Stromal Cells and Decellularized Allogenic Nerve MatrixYukitoshi Kaizawa0Ryosuke Kakinoki1Ryosuke Ikeguchi2Soichi Ohta3Takashi Noguchi4Hisataka Takeuchi5Hiroki Oda6Hirofumi Yurie7Shuichi Matsuda8Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Kindai University, Sayama, Osaka, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, JapanCells, scaffolds, growth factors, and vascularity are essential for nerve regeneration. Previously, we reported that the insertion of a vascular bundle and the implantation of bone marrow-derived mesenchymal stem cells (BM-MSCs) into a nerve conduit promoted peripheral nerve regeneration. In this study, the efficacy of nerve conduits containing a vascular bundle, BM-MSCs, and thermally decellularized allogenic nerve matrix (DANM) was investigated using a rat sciatic nerve model with a 20-mm defect. Lewis rats were used as the sciatic nerve model and for the preparation of BM-MSCs, and Dark Agouti rats were used for the preparation of the DANM. The revascularization and the immunogenicity of the DANM were investigated histologically. The regeneration of nerves through nerve conduits containing vessels, BM-MSCs, and DANM (VBD group) was evaluated based on electrophysiological, morphometric, and reinnervated muscle weight measurements and compared with that of vessel-containing conduits that were implanted with BM-MSCs (VB group). The DANM that was implanted into vessel-containing tubes (VCTs) was revascularized by neovascular vessels that originated from the inserted vascular bundle 5–7 days after surgery. The number of CD8 + cells found in the DANM in the VCT was significantly smaller than that detected in the untreated allogenic nerve segment. The regenerated nerve in the VBD group was significantly superior to that in the VB group with regard to the amplitude of the compound muscle action potential detected in the pedal adductor muscle; the number, diameter, and myelin thickness of the myelinated axons; and the tibialis anterior muscle weight at 12 and 24 weeks. The additional implantation of the DANM into the BM-MSC-implanted VCT optimized the axonal regeneration through the conduit. Nerve conduits constructed with vascularity, cells, and scaffolds could be an effective strategy for the treatment of peripheral nerve injuries with significant segmental defects.https://doi.org/10.3727/096368916X692951
spellingShingle Yukitoshi Kaizawa
Ryosuke Kakinoki
Ryosuke Ikeguchi
Soichi Ohta
Takashi Noguchi
Hisataka Takeuchi
Hiroki Oda
Hirofumi Yurie
Shuichi Matsuda
A Nerve Conduit Containing a Vascular Bundle and Implanted with Bone Marrow Stromal Cells and Decellularized Allogenic Nerve Matrix
Cell Transplantation
title A Nerve Conduit Containing a Vascular Bundle and Implanted with Bone Marrow Stromal Cells and Decellularized Allogenic Nerve Matrix
title_full A Nerve Conduit Containing a Vascular Bundle and Implanted with Bone Marrow Stromal Cells and Decellularized Allogenic Nerve Matrix
title_fullStr A Nerve Conduit Containing a Vascular Bundle and Implanted with Bone Marrow Stromal Cells and Decellularized Allogenic Nerve Matrix
title_full_unstemmed A Nerve Conduit Containing a Vascular Bundle and Implanted with Bone Marrow Stromal Cells and Decellularized Allogenic Nerve Matrix
title_short A Nerve Conduit Containing a Vascular Bundle and Implanted with Bone Marrow Stromal Cells and Decellularized Allogenic Nerve Matrix
title_sort nerve conduit containing a vascular bundle and implanted with bone marrow stromal cells and decellularized allogenic nerve matrix
url https://doi.org/10.3727/096368916X692951
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