Evidence map›Paper›PMID 29863016›Full record

ArticleNeural regeneration research2018

Validation of a novel animal model for sciatic nerve repair with an adipose-derived stem cell loaded fibrin conduit.

Maximilian M Saller, Rosa-Eva Huettl, Julius M Mayer, Annette Feuchtinger, Christian Krug, Thomas Holzbach, Elias Volkmer

Open access · goldAbstract read
In one paragraph

Article in Neural regeneration research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 37 citations in OpenAlex.

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  18. Restoration of Neurological Function Following Peripheral Nerve Trauma.International journal of molecular sciences · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Maximilian M SallerExperimental Surgery and Regenerative Medicine (ExperiMed), Department of General, Trauma and Reconstructive Surgery, Ludwig-Maximilians-University (LMU), Munich, Germany.
Rosa-Eva HuettlMax-Planck-Institute of Psychiatry, Department of Stress Neurobiology and Neurogenetics, Munich, Germany.
Julius M MayerExperimental Surgery and Regenerative Medicine (ExperiMed), Department of General, Trauma and Reconstructive Surgery, Ludwig-Maximilians-University (LMU); Department of Hand-, Plastic- and Aesthetic Surgery, Ludwig-Maximilians-University (LMU), Munich, Germany.
Annette FeuchtingerResearch Unit Analytical Pathology, Munich, Helmholtz Zentrum Muenchen-German Research Center for Environmental Health (GmbH), Neuherberg, Germany.
Christian KrugDepartment of Hand-, Plastic- and Aesthetic Surgery, Ludwig-Maximilians-University (LMU), Munich, Germany; Department of Hand and Plastic Surgery, Spital Thurgau AG, Frauenfeld, Switzerland.
Thomas HolzbachDepartment of Hand-, Plastic- and Aesthetic Surgery, Ludwig-Maximilians-University (LMU), Munich, Germany; Department of Hand and Plastic Surgery, Spital Thurgau AG, Frauenfeld, Switzerland.
Elias VolkmerExperimental Surgery and Regenerative Medicine (ExperiMed), Department of General, Trauma and Reconstructive Surgery, Ludwig-Maximilians-University (LMU); Department of Hand-, Plastic- and Aesthetic Surgery, Ludwig-Maximilians-University (LMU), Munich, Germany.
Ludwig-Maximilians-Universität München · DEHelmholtz Zentrum München · DEMax Planck Institute of Psychiatry · DESpital Thurgau (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the regenerative capabilities of peripheral nerves, severe injuries or neuronal trauma of critical size impose immense hurdles for proper restoration of neuro-muscular circuitry. Autologous nerve grafts improve re-establishment of connectivity, but also comprise substantial donor site morbidity. We developed a rat model which allows the testing of different cell applications, i.e., mesenchymal stem cells, to improve nerve regeneration in vivo. To mimic inaccurate alignment of autologous nerve grafts with the injured nerve, a 20 mm portion of the sciatic nerve was excised, and sutured back in place in reversed direction. To validate the feasibility of our novel model, a fibrin gel conduit containing autologous undifferentiated adipose-derived stem cells was applied around the coaptation sites and compared to autologous nerve grafts. After evaluating sciatic nerve function for 16 weeks postoperatively, animals were sacrificed, and gastrocnemius muscle weight was determined along with morphological parameters (g-ratio, axon density & diameter) of regenerating axons. Interestingly, the addition of undifferentiated adipose-derived stem cells resulted in a significantly improved re-myelination, axon ingrowth and functional outcome, when compared to animals without a cell seeded conduit. The presented model thus displays several intriguing features: it imitates a certain mismatch in size, distribution and orientation of axons within the nerve coaptation site. The fibrin conduit itself allows for an easy application of cells and, as a true critical-size defect model, any observed improvement relates directly to the performed intervention. Since fibrin and adipose-derived stem cells have been approved for human applications, the technique can theoretically be performed on humans. Thus, we suggest that the model is a powerful tool to investigate cell mediated assistance of peripheral nerve regeneration.

Indexed as

adipose-derived stem/progenitor cellsautologous nerve transplantaxon guidancecritical-size nerve defectfibrin conduitperipheral circuitryperipheral nerve regenerationre-innervationsciatic function indexsciatic nerve

Identifiers

PMID29863016
PMCPMC5998632
OpenAlexW2805168514

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.