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  4. Platelet-rich plasma gel in combination with Schwann cells for repair of sciatic nerve injury

Platelet-rich plasma gel in combination with Schwann cells for repair of sciatic nerve injury

Neural Regen Res, 2012 · DOI: 10.3969/j.issn.1673-5374.2012.29.007 · Published: October 1, 2012

Regenerative MedicineNeurologyBiomedical

Simple Explanation

The study investigates a novel approach to repairing nerve damage using tissue engineering. Specifically, it explores the use of platelet-rich plasma (PRP) gel as a matrix for delivering Schwann cell-like cells to the site of injury. The PRP gel is mixed with Schwann cells and then implanted into a nerve conduit to bridge a gap in the sciatic nerve of rabbits. The effectiveness of this method is then compared to a control group using fibrin as the matrix. The study found that PRP gel, when used as a seeding matrix for Schwann cells, can effectively promote peripheral nerve regeneration. This includes increasing the number of nerve fibers, the thickness of the myelin sheath, and improving nerve function.

Study Duration
12 weeks
Participants
16 New Zealand white rabbits
Evidence Level
Level 3; Animal Experimental Study

Key Findings

  • 1
    Platelet-rich plasma group demonstrated a significant increase in the number of regenerating nerve fibers and thickness of the myelin sheath compared with the fibrin group (P < 0.05).
  • 2
    The platelet-rich plasma group demonstrated a significant increase in the number of Fluoro-gold-positive neurons compared with the fibrin group (P < 0.05).
  • 3
    Compound muscle action potential and nerve conduction velocity were significantly increased in the platelet-rich plasma group compared to the fibrin group.

Research Summary

This study explores the use of autologous platelet-rich plasma (PRP) gel as a seeding matrix for Schwann cell-like cells within a poly(lactic-co-glycolic acid) nerve conduit to repair sciatic nerve defects in rabbits. The results showed that tissue-engineered nerves constructed with PRP gel enhanced nerve fiber regeneration and myelination, elevated the number of spinal cord neurons, and improved compound muscle action potential and nerve conduction velocity compared to fibrin-based tissue-engineered nerves. The study concludes that PRP gel can be effectively combined with seeded cells to construct tissue-engineered nerves, offering a promising application for nerve tissue engineering due to its biodegradability, biocompatibility, and bioactivity.

Practical Implications

Enhanced Nerve Regeneration

The use of PRP gel shows potential for improving nerve regeneration outcomes compared to traditional methods.

Tissue Engineering Advancement

This study contributes to the development of effective tissue-engineered nerve grafts.

Clinical Translation Potential

Autologous PRP gel offers a safe, cost-effective, and readily available option for nerve repair.

Study Limitations

  • 1
    Small Sample Size
  • 2
    Animal Model
  • 3
    Short-Term Observation

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