Polyethylene glycol-fusion repair of sciatic allografts in female rats achieves immunotolerance via attenuated innate and adaptive responses.

RRID:AB_10917271 RRID:AB_1141521 RRID:AB_1210523 RRID:AB_2315387 RRID:AB_2341188 RRID:AB_2556545 RRID:AB_2556548 RRID:AB_306429 RRID:AB_531793 RRID:AB_566872 RRID:AB_567369 RRID:AB_791151 RRID:RGD_737903 RRID:SCR_001620 RRID:SCR_002285 RRID:SCR_002760 RRID:SCR_002798 RRID:SCR_003070 RRID:SCR_016517 Schwann cell T cell Wallerian degeneration allograft rejection axotomy chemokines cytokines immune response macrophage nerve repair polyethylene glycol transplantation

Journal

Journal of neuroscience research
ISSN: 1097-4547
Titre abrégé: J Neurosci Res
Pays: United States
ID NLM: 7600111

Informations de publication

Date de publication:
12 2020
Historique:
received: 05 09 2019
revised: 31 07 2020
accepted: 11 08 2020
pubmed: 16 9 2020
medline: 18 9 2021
entrez: 15 9 2020
Statut: ppublish

Résumé

Ablation/segmental loss peripheral nerve injuries (PNIs) exhibit poor functional recovery due to slow and inaccurate outgrowth of regenerating axons. Viable peripheral nerve allografts (PNAs) as growth-guide conduits are immunologically rejected and all anucleated donor/host axonal segments undergo Wallerian degeneration. In contrast, we report that ablation-type sciatic PNIs repaired by neurorrhaphy of viable sciatic PNAs and a polyethylene glycol (PEG)-fusion protocol using PEG immediately restored axonal continuity for many axons, reinnervated/maintained their neuromuscular junctions, and prevented much Wallerian degeneration. PEG-fused PNAs permanently restored many sciatic-mediated behaviors within 2-6 weeks. PEG-fused PNAs were not rejected even though host/donors were neither immunosuppressed nor tissue-matched in outbred female Sprague Dawley rats. Innate and adaptive immune responses to PEG-fused sciatic PNAs were analyzed using electron microscopy, immunohistochemistry, and quantitative reverse transcription polymerase chain reaction for morphological features, T cell and macrophage infiltration, major histocompatibility complex (MHC) expression, apoptosis, expression of cytokines, chemokines, and cytotoxic effectors. PEG-fused PNAs exhibited attenuated innate and adaptive immune responses by 14-21 days postoperatively, as evidenced by (a) many axons and cells remaining viable, (b) significantly reduced infiltration of cytotoxic and total T cells and macrophages, (c) significantly reduced expression of inflammatory cytokines, chemokines, and MHC proteins, (d) consistently low apoptotic response. Morphologically and/or biochemically, PEG-fused sciatic PNAs often resembled sciatic autografts or intact sciatic nerves. In brief, PEG-fused PNAs are an unstudied, perhaps unique, example of immune tolerance of viable allograft tissue in a nonimmune-privileged environment and could greatly improve the clinical outcomes for PNIs relative to current protocols.

Identifiants

pubmed: 32931034
doi: 10.1002/jnr.24720
doi:

Substances chimiques

Polyethylene Glycols 3WJQ0SDW1A

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

2468-2495

Subventions

Organisme : NIH HHS
ID : R01 CA31534
Pays : United States
Organisme : NIH HHS
ID : R01 NS081063
Pays : United States
Organisme : Cancer Prevention and Research Institute of Texas
ID : RP100612
Pays : International
Organisme : Cancer Prevention and Research Institute of Texas
ID : RP120348
Pays : International
Organisme : NIH HHS
ID : R01 CA31534
Pays : United States
Organisme : NIH HHS
ID : R01 NS081063
Pays : United States

Informations de copyright

© 2020 Wiley Periodicals LLC.

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Auteurs

Tyler A Smith (TA)

Department of Molecular Biosciences, University of Texas at Austin, Austin, TX, USA.

Cameron L Ghergherehchi (CL)

Department of Molecular Biosciences, University of Texas at Austin, Austin, TX, USA.

Michelle Mikesh (M)

Department of Neuroscience, University of Texas at Austin, Austin, TX, USA.

Jaimie T Shores (JT)

Department of Plastic and Reconstructive Surgery, Vascularized Composite Allotransplantation (VCA) Laboratory, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Haley O Tucker (HO)

Department of Molecular Biosciences, University of Texas at Austin, Austin, TX, USA.

George D Bittner (GD)

Department of Neuroscience, University of Texas at Austin, Austin, TX, USA.

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