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  4. Effects of Hydrogel-Fiber on Cystic Cavity after Spinal Cord Injury

Effects of Hydrogel-Fiber on Cystic Cavity after Spinal Cord Injury

Conf Proc IEEE Eng Med Biol Soc, 2019 · DOI: 10.1109/EMBC.2019.8857115 · Published: July 1, 2019

Spinal Cord InjuryBiomedical

Simple Explanation

Spinal cord injuries affect millions worldwide and often lead to permanent impairments with limited effective treatments. This study explores using hydrogels, materials that mimic the environment around cells, to aid spinal cord repair. The continuous emergence of biomaterials provides a new idea for the repair of SCI. Hydrogels alone can be unstable, so this research investigates adding fibers to hydrogels to improve their strength and support for nerve regeneration. Hydrogels can mimic the extracellular matrix (ECM), however, the unstable hydrogel shape limits its application. The study found that hydrogels with added fibers reduced the formation of cavities after spinal cord injury in rats and increased the presence of nerve cells. This preliminary result may indicate that PCL fiber optimized the strength of hydrogels, thus providing better support for the axon regeneration.

Study Duration
28 days
Participants
20 adult male Wistar rats
Evidence Level
Not specified

Key Findings

  • 1
    The average cystic cavity area in the SCI group was significantly higher than in the hydrogel and hydrogel + fiber groups. HE staining showed that the average cystic cavity area in the SCI (20.78 ±2.93 mm2) group was significantly higher than that in H group (6.54 ±0.85 mm2), HF group (5.06 ±0.76 mm2) and SHAM group (1.76 ±0.27 mm2) (P < 0.001).
  • 2
    There was no significant difference in BBB motor score among the HF group (16.80±1.10), SCI (14.20±1.09) and H group (15.00±1.23). There was no significant difference in BBB motor score among the HF group (16.80±1.10), SCI (14.20±1.09) and H group (15.00±1.23) (P > 0.05), except the sham group.
  • 3
    Immunofluorescence showed higher neuronal nuclear (NeuN) positive cells in both the H group and the HF group, indicating more nerve cells in these groups. Immunofluorescence showed higher neuronal nuclear (NeuN) positive cells in both the H group and the HF group.

Research Summary

This study investigated the effects of adding polycaprolactone (PCL) fibers to hyaluronic acid (HA) hydrogels on recovery after spinal cord injury (SCI) in rats. In this study, we evaluated the effect of fibrous hydrogel fiber (Polycaprolactone, (PCL(Polycaprolactone) fibers wereas added to the hyaluronic acid HA (hyaluronic acidhydrogel) on the recovery after of SCI. The results showed that the hydrogel-fiber composite reduced cystic cavity formation and increased the number of NeuN positive cells in the injured spinal cord compared to the SCI group. HE staining showed that both H group and HF group had different degrees of regeneration with decreased cystic cavity area Although BBB scores did not show significant differences among the treatment groups, the study suggests that PCL fibers optimize hydrogel strength, providing better support for axon regeneration. This preliminary result may indicate PCL fibers optimized the strength of hydrogel, thus providing better support to promote the regeneration.

Practical Implications

Improved Spinal Cord Injury Treatment

The use of hydrogels with PCL fibers shows potential as a therapeutic approach for promoting regeneration and reducing cystic cavity formation after SCI.

Enhanced Hydrogel Strength

Adding PCL fibers to hydrogels can optimize their mechanical properties, providing better support for axon regeneration and improving the overall effectiveness of hydrogel-based therapies.

Guidance for Neuronal Regeneration

The fibers in hydrogels can guide neuronal regeneration and promote axonal myelin formation, potentially leading to improved functional recovery after SCI.

Study Limitations

  • 1
    Small sample size might not have the sufficient power to detect potentially significant differences in BBB scores.
  • 2
    Short recovery time of 4 weeks may not be sufficient to observe significant behavioral improvements.
  • 3
    The mechanism of post-traumatic repair and recovery of limb movement needs to be further studied.

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