Abstract

BackgroundDespite the advancements in microsurgical techniques and noteworthy research in the last decade, peripheral nerve lesions have still weak functional outcomes in current clinical practice. However, cell transplantation of human adipose-derived stem cells (hADSC) in a bioengineered conduit has shown promising results in animal studies. Human platelet lysate (hPL) has been adopted to avoid fetal bovine serum (FBS) in consideration of the biosafety concerns inherent with the use of animal-derived products in tissue processing and cell culture steps for translational purposes. In this work, we investigate how the interplay between hPL-expanded hADSC (hADSChPL) and extracellular matrix (ECM) proteins influences key elements of nerve regeneration.MethodshADSC were seeded on different ECM coatings (laminin, LN; fibronectin, FN) in hPL (or FBS)-supplemented medium and co-cultured with primary dorsal root ganglion (DRG) to establish the intrinsic effects of cell–ECM contact on neural outgrowth. Co-cultures were performed “direct,” where neural cells were seeded in contact with hADSC expanded on ECM-coated substrates (contact effect), or “indirect,” where DRG was treated with their conditioned medium (secretome effect). Brain-derived nerve factor (BDNF) levels were quantified. Tissue culture plastic (TCPS) was used as the control substrate in all the experiments.ResultshPL as supplement alone did not promote higher neurite elongation than FBS when combined with DRG on ECM substrates. However, in the presence of hADSC, hPL could dramatically enhance the stem cell effect with increased DRG neurite outgrowth when compared with FBS conditions, regardless of the ECM coating (in both indirect and direct co-cultures). The role of ECM substrates in influencing neurite outgrowth was less evident in the FBS conditions, while it was significantly amplified in the presence of hPL, showing better neural elongation in LN conditions when compared with FN and TCPS. Concerning hADSC growth factor secretion, ELISA showed significantly higher concentrations of BDNF when cells were expanded in hPL compared with FBS-added medium, without significant differences between cells cultured on the different ECM substrates.ConclusionThe data suggest how hADSC grown on LN and supplemented with hPL could be active and prone to support neuron–matrix interactions. hPL enhanced hADSC effects by increasing both proliferation and neurotrophic properties, including BDNF release.

Highlights

  • Peripheral nerve injuries (PNI), despite advancements of microsurgical techniques, lead to a profound reduction in patients’ quality of life and pose a socioeconomic burden

  • To understand the impact of Human platelet lysate (hPL) on primary neurons, dorsal root ganglia (DRG) explants were cultured on LN or FN-coated Tissue culture plastic (TCPS) for a time period of 48 h

  • Were cultured on LN-coated surfaces. This effect was visible in both DRG in media supplemented with either hPL or fetal bovine serum (FBS) in terms of neurite extension [LN vs TCPS (FBS), ∗∗∗∗p < 0.0001; LN vs TCPS, ∗∗∗p < 0.001; Figure 2], but only in hPL conditions when considering axonal area [LN vs TCPS, ∗∗∗p < 0.001]

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Summary

Introduction

Peripheral nerve injuries (PNI), despite advancements of microsurgical techniques, lead to a profound reduction in patients’ quality of life and pose a socioeconomic burden. The gold-standard treatment is an end-to-end anastomosis in the case of short gap, while nerve grafts are generally chosen for long segment nerve defects (>2–3 cm) because of the otherwise excessive tension between the two stumps. These procedures lead to unsatisfactory outcomes and suboptimal functional recovery, followed by consequent donor site morbidity in the latter surgical option. Despite the advancements in microsurgical techniques and noteworthy research in the last decade, peripheral nerve lesions have still weak functional outcomes in current clinical practice. We investigate how the interplay between hPL-expanded hADSC (hADSChPL) and extracellular matrix (ECM) proteins influences key elements of nerve regeneration

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