Table 3.
Study | Type of Study | Material | Technique | Porosity, Size or Distribution of Pores | Main Outcome |
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Oh et al., 2007 [43] | Pre-experimental study of biomaterials development | Poly(lactic-co-glycolic acid) PLGA and Pluronic F127 | Modified immersion precipitation | Inner tube surface: nano-pores ~50 nm/Outer tube surface: micropores ~50 μm | PLGA/F127 tube (3 wt%): optimal mechanical properties and hydrophilicity. Highly effective for nutrient permeability. The tubes show a decrease in mechanical resistance with an increase in the Pluronic F127 compositions. |
Kokai et al., 2009 [44] | Pre-experimental study of biomaterials development | Poly(caprolactone) (PCL) | Dip-coating/ salt-leaching technique | Wall thickness: 0.2, 0.6 mm Porosities: 50, 80% Pore size:10–38; 75–150 μm |
NGC (0.6 mm) decreased lysozyme loss (~10%) without diminishing glucose permeability. Low porosity NGC (50% porous) showed smooth inner walls and several blind-ended or closed pores. High porosity NGC (80%) showed fewer smooth walls with highly interconnected through-pores for transluminal flow and solute diffusion. NGC (0.6 mm; 10–38 μm pores, 50% porous) were almost impermeable for glucose and lysozyme. |
Pawelec et al., 2019 [45] | Pre-experimental study of biomaterials development | Poly(lactide co-glycolide) (PLGA) Poly(caprolactone) (PCL) |
Polymer and salt slurry | Relative density of porous films 70 vol% porosity and non-porous films Wall thickness: 61.5–150 µm |
Porosity in the scaffold increased compliance from 0.05 ± 0.1 in non-porous PCL to 1.75 ± 0.2 in porous PCL. Porosity decreased flexural stiffness (×10−2 N / mm) from 57.40 ± 16.0 in non-porous PCL to 0.88 ± 0.4 in non-porous. In addition, the porous PLGA scaffolds were approximately 30 times stiffer than the porous PCL with higher deformation. On the other hand, the deformation behavior of the scaffolds depended to a great extent on the material. Porous PCL scaffolds exhibited less than 30% permanent deformation after compression. In contrast, the porous PLGA scaffolds experienced a deformation of more than 45%. |
Kim et al., 2016 [4] | In vitro: PC12 and S42 cells | Poly lactic-co-glycolic acid (PLGA) and polyurethane (PU) | Electrospinning | Highly-aligned nanofibers and randomly-oriented nanofibers on a single mat with nano to micro sized pores (50 nm–5 μm) | The average diameter of the pores in the aligned nanofibrous mat is three times larger than that in the randomly-oriented mat. The porosity of the aligned nanofibrous scaffolds was higher. Aligned nanofibers served as a guide for neural cells and were able to achieve a higher cell proliferation and migration compared to randomly oriented nanofibers. |
Ghorbani et al., 2017 [46] | In vitro: L929 fibroblast cells | Poly (lactic-co-glycolic acid) (PLGA) | Freeze-drying and freeze-cast molding method | Porosity (%): 96.33 or 96.16 Pore size (μm): 111.32 ± 160.2; 138.93 ± 302.6 and 152.71 ± 679.9 |
Randomly oriented pore (freeze-dried) and interconnected pore (freeze-cast) NGC stimulate ECM to support cellular adhesion and migration. Different NGC manufacturing processes affect their properties by altering the microstructure of pores. |
Huang et al., 2018 [47] | In vitro: DRG cells cultures | Poly(ε-caprolactone) (PCL) sheaths and collagen-chitosan (O-CCH) filler. | Electrospinning | Pores size: 6.5 ± 3.3 μm Wall thickness: 100, 200, 400 μm |
NGC (100 µm) collapsed without additional force. NGC (200 µm) provided a strength lower than 0.02 N/mm at a lateral displacement of 0.3 mm. NGC (400 µm) provided a strength of 0.05–0.065 N/mm at a lateral displacement of 0.3 mm, comparable to commercially available NGC. A PCL porous sheath (pore size: 6.52 ± 3.28 μm) prevented fibroblast invasion and provided mechanical strength for fixation and resistance to compression, exhibiting the appropriate porosity to ensure the supply of oxygen and nutrients, also preventing fibrous tissue infiltration. |
Vijayavenkataraman et al., 2018 [48] | In vitro: PC12 cells | Poly(ε-caprolactone) (PCL) | Electrohydrodynamic jet 3D printing (EHD-jetting) | Different pore sizes scaffolds (125–550 μm) and porosities (65–88%). | The Young’s modulus of the NGC structure decreases with increasing pore size from 275 ± 13 to 121 ± 16 MPa. Similarly, the yield stress also has a decreasing trend with increasing pore size from 24 ± 3 to 5.6 ± 2 MPa. The ultimate strength of the structure decreases from 32 ± 2.4 to 9 ± 1.4 MPa. Desirable NGC structure was observed to have 125 ± 15 μm pores. Porosity over 60%: Mechanical properties closer to the native peripheral nerves, and an optimal degradation rate in nerve regeneration post-injury. The percentage decrease of the mechanical properties from day 0 to day 28 was greater in the scaffolds with a greater pore size (550 μm) (~30 to 66%) and was the least in scaffolds with a smaller pore size (125 μm) (~22–45%). |
Chan et al., 2007 [13] | In vitro: SC and fibroblasts In vivo: Sciatic nerve of Sprague–Dawley rats |
Poly(DL-lactic acid-co-glycolic acid) (PLGA) | Immersion–precipitation phase inversion using a casting process | Asymmetric conduits with: high-porosity (permeability) 83.5 ± 5.3%; Medium-porosity (high outflow and low inflow) 73.6 ± 4.7 %; Low-porosity (permeability) 66.1 ± 3.4%. |
NGC with different porosities prevented fibrous scar tissue invasion. Allowing the permeation of nutrients, oxygen, and proliferation of SC. Patent directional NGC showed more type A and B myelin fibers in the middle duct and distal nerve compared to the high bidirectional patency NGC. |
Chang et al., 2006 [49] | In vivo: sciatic nerve defects in Sprague–Dawley rats (n = 80). | Poly(DL-lactic acid-co-glycolic acid) (PLGA) | Immersion–precipitation phase inversion using a casting process | NGC: Asymmetric: macrovoids (outer layer), and interconnected micropores (inner layer), possessed characters of larger outflow rate than inflow rate.
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Asymmetric PLGA NGC showed a stable supporting structure, inhibiting exogenous cell invasion during the regeneration process, higher regenerated axons at the mid-conduit, and distal nerve site of implanted grafts compared to the silicone and non-asymmetric groups at 4 and 6 weeks. The asymmetric structure in the conduit wall enhanced the removal of the blockage of the waste drain from the inner inflamed wound in the early stage. |
Vleggeert-Lankamp et al., 2006 [50] | In vivo: sciatic nerve of female Wistar rat (n = 38). | Poly(ε-caprolactone) | NaCl used as a porosifying agent in the preparation of porous structures | Autografted; grafted nonporous; grafted with pores: outer layer: macroporous (10–230 μm) and inner layer microporous (1–10 μm), macroporous (10–230 μm) or nonporous. | Microporous nerve grafts performed better than nonporous and macroporous grafts. Formation of a tissue bridge with a large diameter, myelinated nerve fibers, more nerve fibers present distal to the graft, the electrophysiological response rate was higher, and the decrease in muscle cross-sectional area was smaller. |
Oh et al., 2008 [12] | In vivo: Sciatic nerve of Sprague–Dawley rats (n = 63). | Poly(lactic-co-glycolic acid) (PLGA) and Pluronic F127 | Modified immersion precipitation method | Porosity: inner surface of the tube with nano-size pores (~50 nm); outer surface with micro-size pores (~50 μm) Nonporous: silicon tubes |
PLGA/Pluronic F127 NGC (inner surface pore: ~50 nm) prevented the infiltration of fibrous tissue, retained neurotrophic factors, and provided optimal nutrient infiltration. NGC with the outer surface with micro-sized pores (~50 μm) allowed vascular growth for effective delivery of nutrients and oxygen, allowing rapid and continuous axonal growth from the proximal to the distal direction in ~4 weeks. |
Oh et al., 2012 [51] | In vivo: Sciatic nerve of rats (n = 48). | Poly(caprolactone) (PCL)/Pluronic F127 | Immersion precipitation method | Membrane with nano-size pores (~100 nm) and opposite surface (mold contact side) with micro-size pores (~200 μm) | Nerve fibers regenerated along the longitudinal direction through the NGC with a nano-porous inner surface, while they were grown toward the porous wall of the NGC with a micro-porous inner surface. |
Choi et al., 2014 [52] | In vivo: Recurrent laryngeal nerve of female New Zealand rabbits (n = 28). | Poly(caprolactone) (PCL)/Pluronic F127 | Immersion precipitation method | Asymmetrically porous NGC with selective permeability (inner surface, nano-sized pores; outer surface, micro-sized pores) Nonporous silicone tube. Wall thickness ~0.4 mm, inner diameter of ~1.5 mm and a length of ~12 mm. |
Significantly better vocal cord paralysis in the asymmetrically porous PCL/F127 NGC than in the silicone tube. Asymmetrically porous PCL/F127 NGC tubes facilitated nerve regeneration compared with nonporous silicone tubes. |