Controlled release of nerve growth factor enhances sciatic nerve regeneration.

Abstract:

:Based on previous studies demonstrating the potential of growth factors to enhance peripheral nerve regeneration, we developed a novel growth factor delivery system to provide sustained delivery of nerve growth factor (NGF). This delivery system uses heparin to immobilize NGF and slow its diffusion from a fibrin matrix. This system has been previously shown to enhance neurite outgrowth in vitro, and in this study, we evaluated the ability of this delivery system to enhance nerve regeneration through conduits. We tested the effect of controlled NGF delivery on peripheral nerve regeneration in a 13-mm rat sciatic nerve defect. The heparin-containing delivery system was studied in combination with three doses of NGF (5, 20, or 50 ng/mL) and the results were compared with positive controls (isografts) and negative controls (fibrin alone, NGF alone, and empty conduits). Nerves were harvested at 6 weeks postoperatively for histomorphometric analysis. Axonal regeneration in the delivery system groups revealed a marked dose-dependent effect. The total number of nerve fibers at both the mid-conduit level and in the distal nerve showed no statistical difference for NGF doses at 20 and 50 ng/mL from the isograft (positive control). The results of this study demonstrate that the incorporation of a novel delivery system providing controlled release of growth factors enhances peripheral nerve regeneration and represents a significant contribution toward enhancing nerve regeneration across short nerve gaps.

journal_name

Exp Neurol

journal_title

Experimental neurology

authors

Lee AC,Yu VM,Lowe JB 3rd,Brenner MJ,Hunter DA,Mackinnon SE,Sakiyama-Elbert SE

doi

10.1016/s0014-4886(03)00258-9

keywords:

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

295-303

issue

1

eissn

0014-4886

issn

1090-2430

pii

S0014488603002589

journal_volume

184

pub_type

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