Functionalized nerve conduits for peripheral nerve regeneration: A literature review

Autor: I. Pluvy, Gauthier Menu, Laurent Obert, Inès Regas, François Loisel, Harrison Haight
Přispěvatelé: INSERM Centre Innovation Technologique 808 (INSERM CIT 808), Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Nanomédecine, imagerie, thérapeutique - UFC (EA 4662) (NIT / NANOMEDECINE), Nanomédecine, imagerie, thérapeutique - UFC (UR 4662) (NIT / NANOMEDECINE), CCSD, Accord Elsevier
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Hand Surgery and Rehabilitation
Hand Surgery and Rehabilitation, Elsevier, 2020, 39, pp.343-351. ⟨10.1016/j.hansur.2020.05.007⟩
ISSN: 2468-1229
2468-1210
DOI: 10.1016/j.hansur.2020.05.007⟩
Popis: Functionalized neurotube are a third-generation of conduits with chemical or architectural bioactivity developed for axonal proliferation. The goal of this review is to provide a synopsis of the functionalized nerve conduits described in the literature according to their chemical and architectural properties and answer two questions: what are their mechanisms of action? Has their efficacy been proven compared to the autologous nerve graft? Our literature review relates all kind of conduits corresponding to functionalized neurotubes in peripheral nerve regeneration found in Medline and PubMed Central. Studies developing nerve gaps, chemotactic or structural features promoting each conduit, results, efficiency were selected. Fifty-five studies were selected and classified in: (a) intraluminal neurotrophic factors; (b) cell-based therapy (combined-in-vein muscles, amniotic membrane, Schwann cells, stem cells); (c) extracellular matrix proteins; (d) tissue engineering; (e) bioimplants. Functionalized neurotubes showed significantly better functional results than after end-to-end nerve suture. No studies can be able to show that neurotube results were better than autologous nerve graft results. We included all studies regardless of effectives to evaluate quality of reinnervation with modern tubulization. Functionalized neurotubes promote basic conduits for peripheral nerve regeneration. Thanks to bioengineering and microsurgery improvement, further neurotubes could promote best level of regeneration and functional recovery to successfully bridge a critical nerve gap.
Databáze: OpenAIRE