دورية أكاديمية

Local delivery of FK506 to a nerve allograft is comparable to systemic delivery at suppressing allogeneic graft rejection.

التفاصيل البيبلوغرافية
العنوان: Local delivery of FK506 to a nerve allograft is comparable to systemic delivery at suppressing allogeneic graft rejection.
المؤلفون: Davis B; Department of Surgery, University of Utah, Salt Lake City, Utah, United States of America., Wojtalewicz S; Department of Surgery, University of Utah, Salt Lake City, Utah, United States of America., Erickson S; Department of Surgery, University of Utah, Salt Lake City, Utah, United States of America., Veith J; Department of Surgery, University of Utah, Salt Lake City, Utah, United States of America., Simpson A; Department of Surgery, University of Utah, Salt Lake City, Utah, United States of America., Sant H; Department of Mechanical Engineering, University of Utah, Salt Lake City, Utah, United States of America., Shea J; Department of Surgery, University of Utah, Salt Lake City, Utah, United States of America., Gale B; Department of Mechanical Engineering, University of Utah, Salt Lake City, Utah, United States of America., Agarwal J; Department of Surgery, University of Utah, Salt Lake City, Utah, United States of America.
المصدر: PloS one [PLoS One] 2023 Mar 07; Vol. 18 (3), pp. e0281911. Date of Electronic Publication: 2023 Mar 07 (Print Publication: 2023).
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Axons* , Nerve Regeneration* , Tacrolimus*/pharmacology , Graft Rejection*/drug therapy , Graft Rejection*/prevention & control, Animals ; Mice ; Allografts ; Drug Delivery Systems
مستخلص: The objective of this study was to determine if locally delivered FK506 could prevent allogeneic nerve graft rejection long enough to allow axon regeneration to pass through the nerve graft. An 8mm mouse sciatic nerve gap injury repaired with a nerve allograft was used to assess the effectiveness of local FK506 immunosuppressive therapy. FK506-loaded poly(lactide-co-caprolactone) nerve conduits were used to provide sustained local FK506 delivery to nerve allografts. Continuous and temporary systemic FK506 therapy to nerve allografts, and autograft repair were used as control groups. Serial assessment of inflammatory cell and CD4+ cell infiltration into the nerve graft tissue was performed to characterize the immune response over time. Nerve regeneration and functional recovery was serially assessed by nerve histomorphometry, gastrocnemius muscle mass recovery, and the ladder rung skilled locomotion assay. At the end of the study, week 16, all the groups had similar levels of inflammatory cell infiltration. The local FK506 and continuous systemic FK506 groups had similar levels of CD4+ cell infiltration, however, it was significantly greater than the autograft control. In terms of nerve histmorphometry, the local FK506 and continunous systemic FK506 groups had similar amounts of myelinated axons, although they were significantly lower than the autograft and temporary systemic FK506 group. The autograft had significantly greater muscle mass recovery than all the other groups. In the ladder rung assay, the autograft, local FK506, and continuous systemic FK506 had similar levels of skilled locomotion performance, whereas the temporary systemic FK506 group had significanty better performance than all the other groups. The results of this study suggest that local delivery of FK506 can provide comparable immunosuppression and nerve regeneration outcomes as systemically delivered FK506.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Davis et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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معلومات مُعتمدة: R21 NS094983 United States NS NINDS NIH HHS
المشرفين على المادة: WM0HAQ4WNM (Tacrolimus)
تواريخ الأحداث: Date Created: 20230307 Date Completed: 20230309 Latest Revision: 20230418
رمز التحديث: 20230419
مُعرف محوري في PubMed: PMC9990949
DOI: 10.1371/journal.pone.0281911
PMID: 36881592
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0281911