Abstract

The successful reconstruction of supercritical peripheral nerve injuries remains a major challenge in modern medicine. Progress in tissue engineering has enabled the development of nerve guidance conduits as an alternative to autologous nerve transplantation and the enrichment of conduits with fibrous materials or hydrogels has shown great potential in bridging nerve defects. The application of the dragline silk of spider genus Nephila as a filament for nerve guidance conduits has led to promising results. However, the use of spider silk has been phenomenological so far and the reasons for its success are still not identified. This renders a targeted tuning of synthetic fibrous luminal fillings such as recombinant silk out of reach. In this work the existing research was extended and in addition to dragline, the cocoon silk of Nephila edulis, as well as the connecting and attaching silk of Avicularia avicularia were investigated. Scanning electron microscopy revealed a difference in size and morphology of the spider silks. However, in vitro experiments indicated that Schwann cells adhere to the four fibers, independent of these two attributes. Raman spectroscopy in native state and aqueous environment demonstrated similar secondary protein structures for dragline, cocoon, and connecting silk. In contrast, the attaching silk showed a significant lower conformation of β-sheets, crucial for the stiffness of the silk. This was in line with the in vitro experiments, where the flexible attaching silk fibers adhered to each other when placed in liquid. This resulted in their inability to guide Schwann cells, leading to the generation of cell agglomerations. This direct comparison demonstrated the crucial role of β-sheets conformation for the guidance properties of natural spider silk, providing essential insights into the necessary material properties for the integration of fibrous luminal fillings in nerve guidance conduits.

Highlights

  • Nerve damage from severe trauma cannot regenerate spontaneously and may result in a functional deficit of the injured extremity, entailing a considerable reduction of the patient's quality of life [1]

  • Our findings enabled further understanding of the necessary material properties for the integration of fibrous luminal fillings in Nerve guidance conduits (NGCs)

  • The material characteristics of dragline and cocoon silk from N. edulis and the connecting and attaching silk from A. avicularia were investigated and correlated to their ability to act as a guiding structure for rat Schwann cells (rSCs) during in vitro experiments

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Summary

Introduction

Nerve damage from severe trauma cannot regenerate spontaneously and may result in a functional deficit of the injured extremity, entailing a considerable reduction of the patient's quality of life [1]. The regeneration of minor injuries to the peripheral nervous system is inherently possible [2,3]. The treatment of peripheral nerve injuries, where a straight transection is given and tension-free suturing is possible, involves the direct coaptation of the nerve endings [7]. The current gold-standard procedure for nerve reconstruction above this length is an autologous nerve transplantation [1,10,11]. This method leads to donor site morbidity including sensory loss and possible neuroma formation, which may cause chronic neuropathic pain. Morphological mismatches, limited availability of donor nerves, and scar formation are amongst the possible drawbacks of this method [8,12,13]

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