Dextran-based tube-guides for the regeneration of the rat sciatic nerve after neurotmesis injury

Biomater Sci. 2020 Feb 7;8(3):798-811. doi: 10.1039/c9bm00901a. Epub 2020 Jan 6.

Abstract

In this work, dextran-based nerve tube-guides were prepared, characterized and used in a standardized animal model of neurotmesis injury. Non-porous and porous transparent tube-guides were obtained by photocrosslinking of two co-macromonomers based on dextran and poly(ε-caprolactone) (PCL). Swelling capacity of the tube-guides ranged from 40-60% with no visible constriction of their inner diameter. In vitro hydrolytic degradation tests showed that the tube-guides maintained their structural integrity up to 6 months. The in vivo performance of the tube-guides was evaluated by entubulation of the rat sciatic nerve after a neurotmesis injury, with a 10 mm-gap between the nerve stumps. The results showed that the tube-guides were able to promote the regeneration of the nerve in a similar manner to what was observed with conventional techniques (nerve graft and end-to-end suture). Stereological analysis proved that nerve regeneration occurred, and both tube-guides presented fibre diameter and g-ratio closer to healthy sciatic nerves. The histomorphometric analysis of Tibialis anterior (TA) skeletal muscle showed decreased neurogenic atrophy in the porous tube-guides treated group, presenting measurements that are similar to the uninjured control.

Publication types

  • Evaluation Study

MeSH terms

  • Animals
  • Biocompatible Materials / chemistry
  • Caproates
  • Dextrans / chemistry*
  • Guided Tissue Regeneration / instrumentation
  • Guided Tissue Regeneration / methods*
  • Lactones
  • Male
  • Nerve Regeneration
  • Rats
  • Rats, Sprague-Dawley
  • Sciatic Nerve / injuries*
  • Sciatic Nerve / physiopathology*
  • Sciatic Nerve / surgery
  • Trauma, Nervous System / physiopathology*
  • Trauma, Nervous System / surgery

Substances

  • Biocompatible Materials
  • Caproates
  • Dextrans
  • Lactones
  • caprolactone