Table 1.
Study | Type of Study | NGC Material | Quantitative Parameters | Main Outcome |
---|---|---|---|---|
Rutkowski et al., 2008 [35] | In vitro (In silico): Schwann cell cultures. Dorsal root ganglia (DRG) of Sprague. |
Bioartificial nerve graft (BNG) composed of a tubular conduit of poly-D, L-lactide | Computer model predicting the wall thickness, porosity, and Schwann cell seeding density needed to maximize the axon extension rate and ensuring sufficient nutrients to the neurons. | Low porosity, greater wall and Schwann cell layer thickness led to a decrease in the amount of oxygen available to the axons and greater NGF concentrations. |
Rutkowski et al., 2008 [36] | In vitro: SC Cultures. DRG of Sprague–Dawley rats. |
Bioartificial nerve graft (BNG) composed of a tubular conduit of poly-D, L-lactide with Schwann cells | Porosities: 0.55–0.95 Wall thickness: 0.56–1.47 mm |
Reduced axon growth in conduits with wall thicknesses greater than 0.81 mm, a greater wall thickness, and lower porosities have a detrimental effect on the growth of the axons. |
Mobasseri et al., 2015 [25] | In vitro: stem cells differentiated to Schwann cell-like cells. In vivo: Sprague–Dawley rat sciatic nerve injury (n = 24). |
Poly ε-caprolactone (PCL) and polylactic acid (PLA) | Wall thickness: 70, 100, 120, 210 µm | Increasing the wall thickness also increases stiffness and limits the permeability of the canal, so it did not show any positive effect on the biological response of the regenerating nerve. |
Pateman et al., 2015 [23] | In vitro: SC and DRG. In vivo: common fibular nerve of mouse (n = 18). |
poly(ethylene glycol) (PEG) | Wall thickness: 250 μm | NGC with 1 mm (internal diameter), 5 mm (long) and 250 μm wall thickness supported reinnervation through a 3 mm lesion space after 21 days, similar results to an autograft control. |
Den Dunnen et al., 1995 [37] | In vivo: Sciatic nerve of rat (n = 24). | 50% lactic acid (LA) and 50% e-caprolactone (CL) | Type 1: N° of dip-coated: 2, Int. diameter: 1.23 mm Wall thickness: 0.34 mm. Type 2: N° of dip-coated: 3, Int. diameter:1.18 mm Wall thickness: 0.43 mm. Type 3: N° of dip-coated: 4, Int. diameter: 1.15 mm Wall thickness: 0.64 mm. Type 4: N° of dip-coated: 5 Int. diameter: 1.12 mm Wall thickness: 0.68 mm. |
Better nerve regeneration with Type 1 (large amount of targeted neural tissue, a minimal amount of fibrous or scar tissue, and a normal amount and distribution of blood). Type 2: more fibrous tissue and had less favorable nerve regeneration due to nerve compression. Types 3 and 4: bone exposed by severe self-mutilation. Due to the swelling, the NGC lumen completely disappeared. |
Den Dunnen et al., 1998 [33] | In vivo: Sciatic nerve of rat (n = 30). | Copolymer of DL-lactide and e-caprolactone | Type 1: N° of dip-coated: 2, Int. diameter: 1.23 mm Wall thickness: 0.34 mm. Type 2: N° of dip-coated:3, Int. diameter:1.18 mm Wall thickness: 0.43 mm. Type 3: N° of dip-coated:4, Int. diameter: 1.15 mm Wall thickness: 0.64 mm. Type 4: N° of dip-coated: 5 Int. diameter: 1.12 mm Wall thickness: 0.68 mm. |
Thicker NGC wall: swelling of the degrading biomaterial will be so severe that the NGC becomes occluded. Thinner NGC wall: the nerve guides collapsed. Peripheral nerve regeneration across a 10 mm nerve gap inside a P(DLLA-e-CL) nerve guide was faster and qualitatively better in comparison with a 7 mm long autologous nerve graft. |