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Advances and clinical challenges for translating nerve conduit technology from bench to bed side for peripheral nerve repair

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Abstract

Injuries to the peripheral nervous system remain a large-scale clinical problem. These injuries often lead to loss of motor and/or sensory function that significantly affects patients’ quality of life. The current neurosurgical approach for peripheral nerve repair involves autologous nerve transplantation, which often leads to clinical complications. The most pressing need is to increase the regenerative capacity of existing tubular constructs in the repair of large nerve gaps through development of tissue-engineered approaches that can surpass the performance of autografts. To fully realize the clinical potential of nerve conduit technology, there is a need to reconsider design strategies, biomaterial selection, fabrication techniques and the various potential modifications to optimize a conduit microenvironment that can best mimic the natural process of regeneration. In recent years, a significant progress has been made in the designing and functionality of bioengineered nerve conduits to bridge long peripheral nerve gaps in various animal models. However, translation of this work from lab to commercial scale has not been achieve. The current review summarizes recent advances in the development of tissue engineered nerve guidance conduits (NGCs) with regard to choice of material, novel fabrication methods, surface modifications and regenerative cues such as stem cells and growth factors to improve regeneration performance. Also, the current clinical potential and future perspectives to achieve therapeutic benefits of NGCs will be discussed in context of peripheral nerve regeneration.

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The authors gratefully acknowledge Datt Mediproducts Pvt. Ltd. for supporting the work and providing the space for research work. This work did not receive a specific grant from any funding agencies in the public, commercial, or not-for-profit sectors.

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  1. Department of Life Sciences, Datt Mediproducts Pvt. Ltd., Roz Ka Meo Industrial Area, District Mewat, Nuh, 122103, District Haryana, India

    Poonam Meena, Anupama Kakkar, Mukesh Kumar, Nitin Khatri, Rakesh Kumar Nagar, Aarti Singh, Poonam Malhotra, Manish Shukla, Sumit Kumar Saraswat, Supriya Srivastava, Rajan Datt & Siddharth Pandey

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Meena, P., Kakkar, A., Kumar, M. et al. Advances and clinical challenges for translating nerve conduit technology from bench to bed side for peripheral nerve repair. Cell Tissue Res 383, 617–644 (2021). https://doi.org/10.1007/s00441-020-03301-x

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