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Positively Charged Oligo[Poly(Ethylene Glycol) Fumarate] Scaffold Implantation Results in a Permissive Lesion Environment after Spinal Cord Injury in Rat.

Abstract
Positively charged oligo[poly(ethylene glycol) fumarate] (OPF+) scaffolds loaded with Schwann cells bridge spinal cord injury (SCI) lesions and support axonal regeneration in rat. The regeneration achieved is not sufficient for inducing functional recovery. Attempts to increase regeneration would benefit from understanding the effects of the scaffold and transplanted cells on lesion environment. We conducted morphometric and stereological analysis of lesions in rats implanted with OPF+ scaffolds with or without loaded Schwann cells 1, 2, 3, 4, and 8 weeks after thoracic spinal cord transection. No differences were found in collagen scarring, cyst formation, astrocyte reactivity, myelin debris, or chondroitin sulfate proteoglycan (CSPG) accumulation. However, when scaffold-implanted animals were compared with animals with transection injuries only, these barriers to regeneration were significantly reduced, accompanied by increased activated macrophages/microglia. This distinctive and regeneration permissive tissue reaction to scaffold implantation was independent of Schwann cell transplantation. Although the tissue reaction was beneficial in the short term, we observed a chronic fibrotic host response, resulting in scaffolds surrounded by collagen at 8 weeks. This study demonstrates that an appropriate biomaterial scaffold improves the environment for regeneration. Future targeting of the host fibrotic response may allow increased axonal regeneration and functional recovery.
AuthorsJeffrey S Hakim, Melika Esmaeili Rad, Peter J Grahn, Bingkun K Chen, Andrew M Knight, Ann M Schmeichel, Nasro A Isaq, Mahrokh Dadsetan, Michael J Yaszemski, Anthony J Windebank
JournalTissue engineering. Part A (Tissue Eng Part A) Vol. 21 Issue 13-14 Pg. 2099-114 (Jul 2015) ISSN: 1937-335X [Electronic] United States
PMID25891264 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Aif1 protein, rat
  • Calcium-Binding Proteins
  • Fumarates
  • Glial Fibrillary Acidic Protein
  • Microfilament Proteins
  • Myelin Basic Protein
  • Proteoglycans
  • poly(ethylene glycol fumarate)
  • Green Fluorescent Proteins
  • Polyethylene Glycols
Topics
  • Animals
  • Astrocytes (drug effects, metabolism)
  • Calcium-Binding Proteins (metabolism)
  • Female
  • Fumarates (pharmacology)
  • Glial Fibrillary Acidic Protein (metabolism)
  • Green Fluorescent Proteins (metabolism)
  • Macrophages (drug effects, metabolism)
  • Microfilament Proteins (metabolism)
  • Microglia (drug effects, metabolism)
  • Myelin Basic Protein (metabolism)
  • Phenotype
  • Polyethylene Glycols (pharmacology)
  • Prosthesis Implantation
  • Proteoglycans (metabolism)
  • Rats, Sprague-Dawley
  • Schwann Cells (cytology, drug effects, transplantation)
  • Spinal Cord Injuries (pathology, therapy)
  • Time Factors
  • Tissue Scaffolds (chemistry)

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