Delivery of adipose‐derived stem cells in poloxamer hydrogel improves peripheral nerve regeneration |
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| Authors: | Kassandra O Allbright BS Jacqueline M Bliley MS Emmanuelle Havis PhD Deok‐Yeol Kim MD PhD Gabriella A Dibernardo BS Damian Grybowski MD Matthias Waldner MD Isaac B James MD Wesley N Sivak MD PhD J Peter Rubin MD Kacey G Marra PhD |
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| Institution: | Department of Plastic Surgery, School of Medicine, University of Pittsburgh, 3550 Terrace Street 6B, Scaife Hall Pittsburgh, Pennsylvania, USA |
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| Abstract: | Introduction: Peripheral nerve damage is associated with high long‐term morbidity. Because of beneficial secretome, immunomodulatory effects, and ease of clinical translation, transplantation with adipose‐derived stem cells (ASC) represents a promising therapeutic modality. Methods: Effect of ASC delivery in poloxamer hydrogel was assessed in a rat sciatic nerve model of critical‐sized (1.5 cm) peripheral nerve injury. Nerve/muscle unit regeneration was assessed via immunostaining explanted nerve, quantitative polymerase chain reaction (qPCR), and histological analysis of reinnervating gastrocnemius muscle. Results: On the basis of viability data, 10% poloxamer hydrogel was selected for in vivo study. Six weeks after transection and repair, the group treated with poloxamer delivered ASCs demonstrated longest axonal regrowth. The qPCR results indicated that the inclusion of ASCs appeared to result in expression of factors that aid in reinnervating muscle tissue. Discussion: Delivery of ASCs in poloxamer addresses multiple facets of the complexity of nerve/muscle unit regeneration, representing a promising avenue for further study. Muscle Nerve 58 : 251–260, 2018 |
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| Keywords: | adipose‐derived stem cells axonal regrowth critical‐sized gap defect nerve conduit peripheral nerve regeneration stem cell transplantation |
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