Nanofibrous polycaprolactone/amniotic membrane facilitates peripheral nerve regeneration by promoting macrophage

Chunjie Liu1, Dengxiang Liu2, Xiaochong Zhang3

  • 1Xingtai People's Hospital Postdoctoral Workstation, Xingtai People's Hospital, Xingtai 054031, China; Postdoctoral Mobile Station, Hebei Medical University, Shijiazhuang 050017, China; Department of Orthopedics, Tangshan Workers Hospital, Tangshan 063000, China.

Insights

This study developed a polycaprolactone/amniotic membrane (PCL/AM) nanofiber composite to improve nerve repair. The PCL/AM composite promotes M2 macrophage polarization, reduces inflammation, and enhances axon regeneration for better nerve healing.

Area of Science:

  • Biomaterials Science
  • Regenerative Medicine
  • Neuroscience

Background:

  • Inflammation plays a dual role in nerve damage repair, with excessive inflammation hindering nerve regeneration.
  • Macrophages, specifically M1 and M2 subtypes, are crucial in modulating the local inflammatory environment.
  • Effective nerve regeneration requires precise regulation of the inflammatory response and macrophage polarization.

Purpose of the Study:

  • To develop a multifunctional nanofiber composite for nerve tissue engineering.
  • To investigate the PCL/AM composite's ability to modulate macrophage polarization and reduce inflammation.
  • To evaluate the PCL/AM composite's efficacy in promoting nerve regeneration and functional repair.

Main Methods:

  • Fabrication of a multi-layer, multifunctional nanofiber composite membrane using polycaprolactone (PCL) and amniotic membrane (AM) via electrospinning.
  • In vitro assessment of the PCL/AM composite's effect on SH-SY5Y cell axon growth and neuronal differentiation.
  • In vivo evaluation of the PCL/AM composite's impact on nerve stump microenvironment, scar tissue invasion, macrophage recruitment and polarization, inflammatory factor expression, and nerve regeneration.

Main Results:

  • The PCL/AM composite promoted axon growth and neuronal differentiation of SH-SY5Y cells in vitro.
  • In vivo, the PCL/AM composite formed a supportive microenvironment, blocked scar tissue invasion, and recruited macrophages.
  • The composite induced M2 macrophage polarization, enhanced anti-inflammatory factors (IL-10, IL-13), inhibited pro-inflammatory factors (IL-6, TNF-α), and promoted myelin sheath and axon regeneration.

Conclusions:

  • The PCL/AM nanofiber composite effectively regulates the local inflammatory environment by promoting M2 macrophage polarization and balancing inflammatory factors.
  • This biomaterial provides a promising strategy for enhancing axonal regeneration and improving nerve repair outcomes.
  • The PCL/AM composite demonstrates significant potential as a therapeutic scaffold for nerve damage treatment.