title: Rebuilding Brain Circuitry with Living Micro-Tissue Engineered Neural Networks.
abstract: Prominent neuropathology following trauma, stroke, and various neurodegenerative diseases includes neuronal degeneration as well as loss of long-distance axonal connections. While cell replacement and axonal pathfinding strategies are often explored independently, there is no strategy capable of simultaneously replacing lost neurons and re-establishing long-distance axonal connections in the central nervous system. Accordingly, we have created micro-tissue engineered neural networks (micro-TENNs), which are preformed constructs consisting of long integrated axonal tracts spanning discrete neuronal populations. These living micro-TENNs reconstitute the architecture of long-distance axonal tracts, and thus may serve as an effective substrate for targeted neurosurgical reconstruction of damaged pathways in the brain. Cerebral cortical neurons or dorsal root ganglia neurons were precisely delivered into the tubular constructs, and properties of the hydrogel exterior and extracellular matrix internal column (180-500 μm diameter) were optimized for robust neuronal survival and to promote axonal extensions across the 2.0 cm tube length. The very small diameter permits minimally invasive delivery into the brain. In this study, preformed micro-TENNs were stereotaxically injected into naive rats to bridge deep thalamic structures with the cerebral cortex to assess construct survival and integration. We found that micro-TENN neurons survived at least 1 month and maintained their long axonal architecture along the cortical-thalamic axis. Notably, we also found neurite penetration from micro-TENN neurons into the host cortex, with evidence of synapse formation. These micro-TENNs represent a new strategy to facilitate nervous system repair by recapitulating features of neural pathways to restore or modulate damaged brain circuitry.
authors.affiliation: 1 Center for Brain Injury and Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania , Philadelphia, Pennsylvania.|2 Philadelphia Veterans Affairs Medical Center , Philadelphia, Pennsylvania.|3 Department of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania , Philadelphia, Pennsylvania.
authors.forename: Laura A
authors.initials: LA
authors.lastname: Struzyna
authors.affiliation: 1 Center for Brain Injury and Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania , Philadelphia, Pennsylvania.|2 Philadelphia Veterans Affairs Medical Center , Philadelphia, Pennsylvania.
authors.forename: John A
authors.initials: JA
authors.lastname: Wolf
authors.affiliation: 1 Center for Brain Injury and Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania , Philadelphia, Pennsylvania.
authors.forename: Constance J
authors.initials: CJ
authors.lastname: Mietus
authors.affiliation: 1 Center for Brain Injury and Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania , Philadelphia, Pennsylvania.|2 Philadelphia Veterans Affairs Medical Center , Philadelphia, Pennsylvania.|3 Department of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania , Philadelphia, Pennsylvania.
authors.forename: Dayo O
authors.initials: DO
authors.lastname: Adewole
authors.affiliation: 1 Center for Brain Injury and Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania , Philadelphia, Pennsylvania.|2 Philadelphia Veterans Affairs Medical Center , Philadelphia, Pennsylvania.
authors.forename: H Isaac
authors.initials: HI
authors.lastname: Chen
authors.affiliation: 1 Center for Brain Injury and Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania , Philadelphia, Pennsylvania.
authors.forename: Douglas H
authors.initials: DH
authors.lastname: Smith
authors.affiliation: 1 Center for Brain Injury and Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania , Philadelphia, Pennsylvania.|2 Philadelphia Veterans Affairs Medical Center , Philadelphia, Pennsylvania.
authors.forename: D Kacy
authors.initials: DK
authors.lastname: Cullen
mesh_terms: D000818:Animals; D001921:Brain / Q000166:cytology* / Q000502:physiology / Q000601:surgery; D002478:Cells, Cultured; D048091:Guided Tissue Regeneration / Q000295:instrumentation / Q000379:methods*; D008297:Male; D009415:Nerve Net / Q000166:cytology* / Q000601:surgery; D009416:Nerve Regeneration / Q000502:physiology; D009474:Neurons / Q000166:cytology* / Q000637:transplantation*; D019635:Neurosurgical Procedures / Q000295:instrumentation / Q000379:methods; D051381:Rats; D017207:Rats, Sprague-Dawley; D023822:Tissue Engineering / Q000295:instrumentation / Q000379:methods*; D054457:Tissue Scaffolds; D016896:Treatment Outcome