C3 toxin and poly-DL-lactide-ε-caprolactone conduits in the critically damaged peripheral nervous system: a combined therapeutic approach

Ann Plast Surg. 2015 Mar;74(3):350-3. doi: 10.1097/SAP.0000000000000415.

Abstract

Introduction: Peripheral nerve regeneration over longer distances through conduits is limited. In the presented study, critical size nerve gap bridging with a poly-DL-lactide-ε-caprolactone (PLC) conduit was combined with application of C3 toxin to facilitate axonal sprouting.

Materials and methods: The PLC filled with fibrin (n = 10) and fibrin gel loaded with 1-μg C3-C2I and 2-μg C2II (n = 10) were compared to autologous nerve grafts (n = 10) in a 15-mm sciatic nerve gap lesion model of the rat. Functional and electrophysiological analyses were performed before histological evaluation.

Results: Evaluation of motor function and nerve conduction velocity at 16 weeks revealed no differences between the groups. All histological parameters and muscle weight were significantly elevated in nerve graft group. No differences were observed in both PLC groups.

Conclusions: The PLCs are permissive for nerve regeneration over a 15-mm defect in rats. Intraluminal application of C3 toxin did not lead to significant enhancement of nerve sprouting.

Publication types

  • Evaluation Study

MeSH terms

  • ADP Ribose Transferases / therapeutic use*
  • Animals
  • Bacterial Proteins / therapeutic use*
  • Biocompatible Materials
  • Botulinum Toxins / therapeutic use*
  • Combined Modality Therapy
  • Female
  • Guided Tissue Regeneration / methods*
  • Nerve Regeneration / physiology
  • Peripheral Nervous System Agents / therapeutic use*
  • Polyesters*
  • Random Allocation
  • Rats
  • Sciatic Nerve / injuries
  • Sciatic Nerve / pathology
  • Sciatic Nerve / physiopathology
  • Sciatic Nerve / surgery
  • Sciatic Neuropathy / pathology
  • Sciatic Neuropathy / physiopathology
  • Sciatic Neuropathy / therapy*
  • Tissue Scaffolds*
  • Treatment Outcome

Substances

  • Bacterial Proteins
  • Biocompatible Materials
  • Peripheral Nervous System Agents
  • Polyesters
  • lactide-caprolactone copolymer
  • ADP Ribose Transferases
  • exoenzyme C3, Clostridium botulinum
  • Botulinum Toxins