Facial-nerve regeneration ability of a hybrid artificial nerve conduit containing uncultured adipose-derived stromal vascular fraction: An experimental study

Microsurgery. 2017 Oct;37(7):808-818. doi: 10.1002/micr.30060. Epub 2016 Jun 6.

Abstract

Purpose: This study investigated the potential of uncultured-stromal-vascular-fraction (SVF) cells in promoting facial nerve regeneration in a rat model.

Materials and methods: A 7-mm nerve defect was created in the buccal branch of facial nerve in five groups of Lewis rats (total n = 30, n = 6 per group). A silicone tube, infused with syngeneic uncultured-SVF was implanted into the facial nerve defect. Groups 1-3 received 1 × 103 , 1 × 105 , and 1 × 107 cells, and regenerated nerves were examined at 13 weeks after the surgery. The findings were compared to the autograft and collagen-alone groups with facial palsy score (FPS), the number of myelinated fibers, fiber diameter, axon diameter, myelin thickness, and g ratio.

Results: There was no significant difference in FPS between the autograft and 1 × 105 -cell groups at 13 weeks after surgery, and FPS values of these two groups were significantly higher than those of the other three groups (P < 0.01). Axon diameter significantly increased in the 1 × 105 -cell group compared with the 1 × 103 - (P < 0.05) and 1 × 107 -cell groups (P < 0.01). Myelin thickness was found to be the highest in the autograft group, followed by the 1 × 105 -, 1 × 103 -, 1 × 107 -cell, and negative control groups, and there were significant differences among all groups (P < 0.01).

Conclusion: The infusion of uncultured-SVF into the artificial nerve conduit promoted optimal nerve regeneration that was significantly better than nerve conduit alone. © 2016 Wiley Periodicals, Inc. Microsurgery 37:808-818, 2017.

MeSH terms

  • Adipocytes / transplantation*
  • Analysis of Variance
  • Animals
  • Disease Models, Animal
  • Facial Nerve Injuries / surgery*
  • Flow Cytometry / methods
  • Male
  • Microscopy, Electron, Scanning / methods
  • Nerve Regeneration / physiology*
  • Random Allocation
  • Rats
  • Rats, Inbred Lew
  • Sensitivity and Specificity
  • Stromal Cells / transplantation*