Neural tissue engineering options for peripheral nerve regeneration

Gu, Xiaosong; Ding, Fei; Williams, David F.

doi:10.1016/j.biomaterials.2014.04.064

Cited by 630Nerve injury and regenerationTissue Engineering and Regenerative MedicineNeuroscience and Neural Engineering

Neural tissue engineering options for peripheral nerve regeneration

Gu, Xiaosong, Ding, Fei, Williams, David F.·2014·Biomaterials

DOI 10.1016/j.biomaterials.2014.04.064

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Abstract

Tissue engineered nerve grafts (TENGs) have emerged as a potential alternative to autologous nerve grafts, the gold standard for peripheral nerve repair. Typically, TENGs are composed of a biomaterial-based template that incorporates biochemical cues. A number of TENGs have been used experimentally to bridge long peripheral nerve gaps in various animal models, where the desired outcome is nerve tissue regeneration and functional recovery. So far, the translation of TENGs to the clinic for use in humans has met with a certain degree of success. In order to optimize the TENG design and further approach the matching of TENGs with autologous nerve grafts, many new cues, beyond the traditional ones, will have to be integrated into TENGs. Furthermore, there is a strong requirement for monitoring the real-time dynamic information related to the construction of TENGs. The aim of this opinion paper is to specifically and critically describe the latest advances in the field of neural tissue engineering for peripheral nerve regeneration. Here we delineate new attempts in the design of template (or scaffold) materials, especially in the context of biocompatibility, the choice and handling of support cells, and growth factor release systems. We further discuss the significance of RNAi for peripheral nerve regeneration, anticipate the potential application of RNAi reagents for TENGs, and speculate on the possible contributions of additional elements, including angiogenesis, electrical stimulation, molecular inflammatory mediators, bioactive peptides, antioxidant reagents, and cultured biological constructs, to TENGs. Finally, we consider that a diverse array of physicochemical and biological cues must be orchestrated within a TENG to create a self-consistent coordinated system with a close proximity to the regenerative microenvironment of the peripheral nervous system.

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Degradation rate of PLCL must be carefully matched to regeneration rate of peripheral nerves; excessively rapid degradation leads to loss of mechanical support and acidic products adversely affect nerve growth; too long degradation time may interfere with growth of new nerve tissue.
“First, the degradation rate of PLCL must be carefully matched to the regeneration rate of peripheral nerves. Excessively rapid degradation will lead to the loss of mechanical support of scaffolds, and the acidic products generated by the degradation of PLCL will also adversely affect nerve growth. Too long degradation time may also interfere with the growth of new nerve tissue [179].”
From Application of PLCL as a biodegradable polymer in biomedical engineering (2026) · cites this paper as [179]
For peripheral nerve regeneration, scaffolds must provide suitable external environment for nerve fiber growth, using biomaterials to bridge gap between interrupted nerve fibers, and possess sufficient mechanical strength to protect damaged nerve tissue from secondary compression and invasion.
“For peripheral nerve regeneration, these scaffolds must first provide a suitable external environment for nerve fiber growth, using biomaterials to bridge the gap between interrupted nerve fibers. They should also possess sufficient mechanical strength to protect the damaged nerve tissue from secondary compression and invasion by surrounding tissues [179].”
From Application of PLCL as a biodegradable polymer in biomedical engineering (2026) · cites this paper as [179]

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microRNA-222 Targeting PTEN Promotes Neurite Outgrowth from Adult Dorsal Root Ganglion Neurons following Sciatic Nerve Transection
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Repair of Peripheral Nerve Defects in Rabbits Using Keratin Hydrogel Scaffolds
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Nanofibrous scaffold-mediated REST knockdown to enhance neuronal differentiation of stem cells
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Natural-Based Biomaterials for Peripheral Nerve Injury Repair
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Authors: Gu, X., Ding, F., & Williams, D. F.
Affiliations: Nantong University (CN)
Wake Forest University Health Sciences (US)
ORCID: Gu, Xiaosong
Ding, Fei
Williams, David F.
Venue: Biomaterials
Publisher: Elsevier BV
Published: 2014-08
Volume: 35
Issue: 24
Pages: 6143-6156
ISSN: 0142-9612 (ISSN-L)
DOI: 10.1016/j.biomaterials.2014.04.064
OpenAlex: W1985525878
Cited by: 630
References: 280
Citations by year: 2026: 23 · 2025: 44 · 2024: 42 · 2023: 57 · 2022: 72 · 2021: 57 · 2020: 70 · 2019: 73 · 2018: 73 · 2017: 46 · 2016: 40 · 2015: 24 · 2014: 9
FWCI: 4.52
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Biomaterials (publishedVersion)
PubMed (publishedVersion)
Funders: National Key Basic Research Program of China (2014CB542202)
Hi-Tech Research and Development Program of China (2012AA020502)
National Natural Science Foundation of China (81130080, 81171180)
Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD)
Topics: Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nerve injury and regeneration
Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
Keywords: peripheral nerve regeneration, tissue-engineered nerve grafts, neural scaffolds, biocompatibility, supporting cells, growth factor release, RNA interference, angiogenesis, electrical stimulation, inflammatory mediators, bioactive peptides, autologous nerve graft, functional recovery
MeSH terms: Animals, Biocompatible Materials, Humans, Nerve Regeneration, Peripheral Nerves, Tissue Engineering, RNA Interference, Tissue Scaffolds

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Neural tissue engineering options for peripheral nerve regeneration

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