Schwann cells (SCs) combined with acellular nerve allografts (ANAs) effectively promote the regeneration and repair of peripheral nerves, but the exact mechanism has not been fully elucidated. However, the disadvantages of SCs include their limited source and slow rate of expansion in vitro. Previous studies have found that adipose-derived stem cells have the ability to differentiate into Schwann-like cells. Therefore, we speculated that Schwann-like cells combined with ANAs could profoundly facilitate nerve regeneration and repair. The aim of the present study was to investigate the cellular and molecular mechanisms of regeneration and repair. In this study, tissue-engineered nerves were first constructed by adipose-derived Schwann-like cells and ANAs to bridge missing sciatic nerves. Then, the rats were randomly divided into five groups (n = 12 per group): a Control group; a Model group; an ADSC group; an SC-L group; and a DMEM group. Twelve weeks postsurgery, behavioral function tests and molecular biological techniques were used to evaluate the function of regenerated nerves and the relevant molecular mechanisms after sciatic nerve injury (SNI). The results showed that adipose-derived Schwann-like cells combined with ANAs markedly promoted sciatic nerve regeneration and repair. These findings also demonstrated that the expression of neurotrophic factors (NFs) was increased, and the expression of Janus activated kinase2 (JAK2)/P-JAK2, signal transducer and activator of transcription-3 (STAT3)/P-STAT3 was decreased in the spinal cord after SNI. Therefore, these results suggested that highly expressed NFs in the spinal cord could promote nerve regeneration and repair by inhibiting activation of the JAK2/STAT3 signaling pathway.

译文

雪旺细胞 (SCs) 联合脱细胞同种异体神经移植 (ANAs) 能有效促进周围神经的再生和修复,但其确切机制尚未完全阐明。然而,SCs的缺点包括来源有限和体外扩增速度慢。先前的研究发现,脂肪来源的干细胞具有分化为雪旺样细胞的能力。因此,我们推测雪旺样细胞与ANAs结合可以深度促进神经再生和修复。本研究的目的是研究再生和修复的细胞和分子机制。在这项研究中,组织工程神经首先由脂肪来源的雪旺样细胞和ANAs构建,以桥接缺失的坐骨神经。然后,将大鼠随机分为5组 (每组n   =   12): 对照组; 模型组; ADSC组; Sc-l组; DMEM组。术后12周,通过行为功能测试和分子生物学技术评估坐骨神经损伤 (SNI) 后再生神经的功能及其相关分子机制。结果表明,脂肪来源的雪旺样细胞与ANAs结合可明显促进坐骨神经的再生和修复。这些发现还表明,SNI后脊髓中神经营养因子 (NFs) 的表达增加,Janus激活激酶2 (JAK2)/P-JAK2,信号转导和转录激活因子3 (STAT3)/P-STAT3的表达减少。因此,这些结果表明,脊髓中高表达的NFs可以通过抑制JAK2/STAT3信号通路的激活来促进神经再生和修复。

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