The mechanisms underlying central and peripheral nervous system regeneration are poorly understood. As a consequence, no conceptual background to plan interventions exists, and recovery following peripheral nerve injuries remains highly variable and incomplete. Synthetic guidance channels can serve effectively as tools to study the regeneration process and may be utilized clinically in the repair of injured nerves. In the past, synthetic guidance channels have been considered as inert conduits providing axonal guidance, maintaining growth factors, and preventing scar tissue invasion. Little or no emphasis has been placed on the relationship between the physico-chemical properties of the channel and the outcome of regeneration. These relationships must be elucidate since, experimentally, the morphological and functional results of regeneration compare poorly with the normal situation. The guidance channel can be considered as a biomaterial which actively participates in the regeneration process by influencing the cellular and metabolic aspects of regeneration. Three guidance channel characteristics that influence peripheral nervous system (PNS) regeneration have been identified in our laboratory; permeability characteristics of guidance channels directly influence peripheral nerve regeneraton. The permeability characteristics may regulate the movement of nutrients and growth or tropic factors across the channel wall. By varying the molecular weight cut-off of the channel wall and by varying the type of distal tissue inserts it may be possible to identify and separate the importance of extrachannel growth or trophic factors from those originating from the nerve stumps. Use of tubes of the same chemical composition and permeability characteristics but with different inner surface microgeometry resulted in regenerate nervous tissue with varying internal organization. By varying the microgeometry of the inner surface of the guidance channel we hope to better understand the internal organization of the regenerated nervous tissue. Since in vitro neurite outgrowth has been shown to be promoted and directed by electrical activity, guidance channels displaying electrical activities could favor nerve regeneraton in vivo. Guidance channels composed of charged polymers provide an attractive channel material since they preclude the need for an external power source or electrical circuity. In preliminary studies piezolecetric guidance channels significantly enhanced peripheral nerve regeneration compared to non-piezolectric tubes of the same chemical composition. The present proposal focuses on how the magnitude, polarity and pattern of charge generation in piezoelectric channels influence nerve regeneration. The results of the proposed studies may lead to a deeper understanding of regeneration in the PNS and to the development of more efficacious guidance channels.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
First Independent Research Support & Transition (FIRST) Awards (R29)
Project #
5R29NS026159-05
Application #
3477405
Study Section
Neurology B Subcommittee 2 (NEUB)
Project Start
1988-04-01
Project End
1993-03-31
Budget Start
1992-04-01
Budget End
1993-03-31
Support Year
5
Fiscal Year
1992
Total Cost
Indirect Cost
Name
Brown University
Department
Type
Schools of Medicine
DUNS #
001785542
City
Providence
State
RI
Country
United States
Zip Code
02912
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Guenard, V; Valentini, R F; Aebischer, P (1991) Influence of surface texture of polymeric sheets on peripheral nerve regeneration in a two-compartment guidance system. Biomaterials 12:259-63
Fine, E G; Valentini, R F; Bellamkonda, R et al. (1991) Improved nerve regeneration through piezoelectric vinylidenefluoride-trifluoroethylene copolymer guidance channels. Biomaterials 12:775-80
Guenard, V; Dinarello, C A; Weston, P J et al. (1991) Peripheral nerve regeneration is impeded by interleukin-1 receptor antagonist released from a polymeric guidance channel. J Neurosci Res 29:396-400
McCormack, M L; Goddard, M; Guenard, V et al. (1991) Comparison of dorsal and ventral spinal root regeneration through semipermeable guidance channels. J Comp Neurol 313:449-56
Hoffman, D; Wahlberg, L; Aebischer, P (1990) NGF released from a polymer matrix prevents loss of ChAT expression in basal forebrain neurons following a fimbria-fornix lesion. Exp Neurol 110:39-44
Aebischer, P; Guenard, V; Valentini, R F (1990) The morphology of regenerating peripheral nerves is modulated by the surface microgeometry of polymeric guidance channels. Brain Res 531:211-8

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