title: Regenerative potential of silk conduits in repair of peripheral nerve injury in adult rats.
abstract: Various attempts have been made to develop artificial conduits for nerve repair, but with limited success. We describe here conduits made from Bombyx mori regenerated silk protein, and containing luminal fibres of Spidrex(®), a silk-based biomaterial with properties similar to those of spider silk. Assessment in vitro demonstrated that Spidrex(®) fibres support neurite outgrowth. For evaluation in vivo, silk conduits 10 mm in length and containing 0, 100, 200 or 300 luminal Spidrex(®) fibres, were implanted to bridge an 8 mm gap in the rat sciatic nerve. At 4 weeks, conduits containing 200 luminal Spidrex(®) fibres (PN200) supported 62% and 59% as much axon growth as autologous nerve graft controls at mid-conduit and distal nerve respectively. Furthermore, Spidrex(®) conduits displayed similar Schwann cell support and macrophage response to controls. At 12 weeks, animals implanted with PN200 conduits showed similar numbers of myelinated axons (81%) to controls, similar gastrocnemius muscle innervation, and similar hindpaw stance assessed by Catwalk footprint analysis. Plantar skin innervation was 73% of that of controls. PN200 Spidrex(®) conduits were also effective at bridging longer (11 and 13 mm) gaps. Our results show that Spidrex(®) conduits promote excellent axonal regeneration and function recovery, and may have potential for clinical application.
authors: Centre for Neuroscience and Trauma, Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AT, UK.
authors: W
authors: W
authors: Huang
authors: R
authors: R
authors: Begum
authors: T
authors: T
authors: Barber
authors: V
authors: V
authors: Ibba
authors: N C H
authors: NC
authors: Tee
authors: M
authors: M
authors: Hussain
authors: M
authors: M
authors: Arastoo
authors: Q
authors: Q
authors: Yang
authors: L G
authors: LG
authors: Robson
authors: S
authors: S
authors: Lesage
authors: T
authors: T
authors: Gheysens
authors: Nicholas J V
authors: NJ
authors: Skaer
authors: D P
authors: DP
authors: Knight
authors: J V
authors: JV
authors: Priestley
mesh_terms: D000818:Animals; D002478:Cells, Cultured; D005727:Ganglia, Spinal / Q000166:cytology; D048091:Guided Tissue Regeneration / Q000379:methods*; D007150:Immunohistochemistry; D008297:Male; D009416:Nerve Regeneration / Q000502:physiology*; D059348:Peripheral Nerve Injuries / Q000601:surgery*; D019736:Prostheses and Implants; D051381:Rats; D017208:Rats, Wistar; D047011:Silk
chemical_list: D047011:Silk