Aerobic exercise and scaffolds with hierarchical porosity synergistically promote functional recovery post volumetric muscle loss.


Journal

Biomaterials
ISSN: 1878-5905
Titre abrégé: Biomaterials
Pays: Netherlands
ID NLM: 8100316

Informations de publication

Date de publication:
05 2023
Historique:
received: 03 07 2022
revised: 10 01 2023
accepted: 14 02 2023
pmc-release: 01 05 2024
medline: 11 4 2023
pubmed: 26 2 2023
entrez: 25 2 2023
Statut: ppublish

Résumé

Volumetric muscle loss (VML), which refers to a composite skeletal muscle defect, most commonly heals by scarring and minimal muscle regeneration but substantial fibrosis. Current surgical interventions and physical therapy techniques are limited in restoring muscle function following VML. Novel tissue engineering strategies may offer an option to promote functional muscle recovery. The present study evaluates a colloidal scaffold with hierarchical porosity and controlled mechanical properties for the treatment of VML. In addition, as VML results in an acute decrease in insulin-like growth factor 1 (IGF-1), a myogenic factor, the scaffold was designed to slowly release IGF-1 following implantation. The foam-like scaffold is directly crosslinked onto remnant muscle without the need for suturing. In situ 3D printing of IGF-1-releasing porous muscle scaffold onto VML injuries resulted in robust tissue ingrowth, improved muscle repair, and increased muscle strength in a murine VML model. Histological analysis confirmed regeneration of new muscle in the engineered scaffolds. In addition, the scaffolds significantly reduced fibrosis and increased the expression of neuromuscular junctions in the newly regenerated tissue. Exercise training, when combined with the engineered scaffolds, augmented the treatment outcome in a synergistic fashion. These data suggest highly porous scaffolds and exercise therapy, in combination, may be a treatment option following VML.

Identifiants

pubmed: 36841214
pii: S0142-9612(23)00066-2
doi: 10.1016/j.biomaterials.2023.122058
pmc: PMC10085854
mid: NIHMS1877814
pii:
doi:

Substances chimiques

Insulin-Like Growth Factor I 67763-96-6

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

122058

Subventions

Organisme : NIAMS NIH HHS
ID : R01 AR073822
Pays : United States
Organisme : NIAMS NIH HHS
ID : R01 AR077132
Pays : United States
Organisme : NIAMS NIH HHS
ID : T32 AR079114
Pays : United States

Informations de copyright

Copyright © 2023 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Mohamadmahdi Samandari reports a relationship with InPrint Bio LLC that includes: equity or stocks. Jacob Quint reports a relationship with InPrint Bio LLC that includes: equity or stocks. Ali Tamayol reports a relationship with InPrint Bio LLC that includes: equity or stocks. Indranil Sinha reports a relationship with InPrint Bio LLC that includes: equity or stocks.

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Auteurs

Yori Endo (Y)

Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02115, USA.

Mohamadmahdi Samandari (M)

Department of Biomedical Engineering, University of Connecticut, Farmington, CT, 06269, USA.

Mehran Karvar (M)

Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02115, USA.

Azadeh Mostafavi (A)

Department of Mechanical and Materials Engineering, University of Nebraska-Lincoln, Lincoln, NE, 68588, USA.

Jacob Quint (J)

Department of Biomedical Engineering, University of Connecticut, Farmington, CT, 06269, USA.

Chiara Rinoldi (C)

Materials Design Division, Faculty of Materials Science and Engineering, Warsaw University of Technology, Warsaw, 02-507, Poland.

Iman K Yazdi (IK)

Division of Engineering in Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02115, USA.

Wojciech Swieszkowski (W)

Materials Design Division, Faculty of Materials Science and Engineering, Warsaw University of Technology, Warsaw, 02-507, Poland.

Joshua Mauney (J)

Department of Urology and Biomedical Engineering, University of California, Irvine, Irvine, CA, 92868, USA.

Shailesh Agarwal (S)

Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02115, USA.

Ali Tamayol (A)

Department of Biomedical Engineering, University of Connecticut, Farmington, CT, 06269, USA; Department of Mechanical and Materials Engineering, University of Nebraska-Lincoln, Lincoln, NE, 68588, USA. Electronic address: atamayol@uchc.edu.

Indranil Sinha (I)

Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02115, USA. Electronic address: isinha@bwh.harvard.edu.

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