Abstract

BackgroundAdult mesenchymal stem cells (MSCs) have been shown to increase nerve regeneration in animal models of nerve injury. Traumatized muscle-derived multipotent progenitor cells (MPCs) share important characteristics with MSCs and are isolated from severely damaged muscle tissue following surgical debridement. Previous investigations have shown that MPCs may be induced to increase production of several neurotrophic factors, suggesting the possible utility of autologous MPCs in peripheral nerve regeneration following injury. Recent findings have also shown that components of the vascular niche, including endothelial cells (ECs) and vascular endothelial growth factor (VEGF)-A, regulate neural progenitor cells and sensory neurons.MethodsIn this study, we have investigated the neuroinductive activities of MPCs, particularly MPC-produced VEGF-A, in the context of an aligned, neuroconductive nerve guide conduit and the endothelial component of the vascular system. Embryonic dorsal root ganglia (DRG) seeded on poly-ϵ-caprolactone aligned nanofibrous scaffold (NF) constructs and on tissue culture plastic, were cocultured with induced MPCs or treated with their conditioned medium (MPC-CM).ResultsIncreased neurite extension was observed on both NF and tissue culture plastic in the presence of MPC-CM versus cell-free control CM. The addition of CM from ECs significantly increased the neurotrophic activity of induced MPC-CM, suggesting that MPC and EC neurotrophic activity may be synergistic. Distinctly higher VEGF-A production was seen in MPCs following neurotrophic induction versus culture under normal growth conditions. Selective removal of VEGF-A from MPC-CM reduced the observed DRG neurite extension length, indicating VEGF-A involvement in neurotrophic activity of the CM.ConclusionsTaken together, these findings suggest the potential of MPCs to encourage nerve growth via a VEGF-A-dependent action, and the use of MPC-CM or a combination of MPC and CM from ECs for peripheral nerve repair in conjunction with NFs in a nerve guide conduit. Due to the ease of use, application of bioactive agents derived from cultured cells to enhance neurotrophic support presents a promising line of research into peripheral nerve repair.

Highlights

  • Adult mesenchymal stem cells (MSCs) have been shown to increase nerve regeneration in animal models of nerve injury

  • Neurotrophic support by Multipotent progenitor cell (MPC) and Endothelial cell (EC) cultured on tissue culture plastic To assess the relative trophic properties of the different cell types, conditioned medium (CM) from the various cell types or basal medium was incubated with tissue culture plastic-seeded dorsal root ganglia (DRG)

  • In the presence of CM derived from ECs or neurotrophically induced MPCs, DRG neurite extensions increased slightly above control lengths (Fig. 1)

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Summary

Introduction

Adult mesenchymal stem cells (MSCs) have been shown to increase nerve regeneration in animal models of nerve injury. The most basic function of these guides isolates the damaged nerve, concentrating neurotrophic signals from the distal stump while eliminating unwanted, scar-forming immune cell infiltration [6] This cellular isolation must allow constant nutrient exchange for the sensitive nerves. Beyond providing a permissive architecture, PCL does little to increase nerve growth To address this relative inertness, stem cells or growth factor augmentations of these guides represent a popular topic of research, including the incorporation of bioactive, neurotrophic factors normally secreted by Schwann cells [13]. These include nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF), ciliary neurotrophic factor (CNTF), and glial cell-derived neurotrophic factor (GDNF). These factors can be tethered to or encapsulated within the nerve guide conduits for controlled release [8, 14, 15]

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