Nanotechnology versus stem cell engineering: in vitro comparison of neurite inductive potentials
International Journal of Nanomedicine
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Nanotechnology versus stem cell engineering:
in vitro comparison of neurite inductive potentials
This article was published in the following Dove Press journal:
International Journal of Nanomedicine
14 November 2014
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Michela Morano 1,*
Sandra Wrobel 2,3,*
Federica Fregnan 1
Ofra Ziv-Polat 4
Abraham Shahar 4
Andreas Ratzka 2
Claudia Grothe 2,3
Stefano Geuna 1
Kirsten Haastert-Talini 2,3
Department of Clinical and Biological
Sciences, Università Degli Studi di
Torino, Orbassano, Piemonte, Italy;
2
Institute of Neuroanatomy, Hannover
Medical School, Hannover, LowerSaxony, Germany; 3Center for Systems
Neuroscience (ZSN), Hannover,
Lower-Saxony, Germany; 4NVR
Research Ltd, Ness-Ziona, Israel
1
*These authors contributed
equally to this work and share first
authorship
Purpose: Innovative nerve conduits for peripheral nerve reconstruction are needed in order to
specifically support peripheral nerve regeneration (PNR) whenever nerve autotransplantation is
not an option. Specific support of PNR could be achieved by neurotrophic factor delivery within
the nerve conduits via nanotechnology or stem cell engineering and transplantation.
Methods: Here, we comparatively investigated the bioactivity of selected neurotrophic factors conjugated to iron oxide nanoparticles (np-NTFs) and of bone marrow-derived stem cells
genetically engineered to overexpress those neurotrophic factors (NTF-BMSCs). The neurite
outgrowth inductive activity was monitored in culture systems of adult and neonatal rat sensory
dorsal root ganglion neurons as well as in the cell line from rat pheochromocytoma (PC-12)
cell sympathetic culture model system.
Results: We demonstrate that np-NTFs reliably support numeric neurite outgrowth in all utilized
culture models. In some aspects, especially with regard to their long-term bioactivity, np-NTFs
are even superior to free NTFs. Engineered NTF-BMSCs proved to be less effective in induction of sensory neurite outgrowth but demonstrated an increased bioactivity in the PC-12 cell
culture system. In contrast, primary nontransfected BMSCs were as effective as np-NTFs in
sensory neurite induction and demonstrated an impairment of neuronal differentiation in the
PC-12 cell system.
Conclusion: Our results evidence that nanotechnology as used in our setup is superior over
stem cell engineering when it comes to in vitro models for PNR. Furthermore, np-NTFs can
easily be suspended in regenerative hydrogel matrix and could be delivered that way to nerve
conduits for future in vivo studies and medical application.
Keywords: iron oxide nanoparticles, conjugated neurotrophic factors, bone marrow-derived
mesenchymal stem cells, genetic cell engineering, neurite outgrowth
Introduction
Correspondence: Kirsten Haastert-Talini
Institute of Neuroanatomy, Hannover
Medical School, Carl-Neuberg-Str 1,
D-30625 Hannover, Germany
Tel +49 511 532 2891
Fax +49 511 532 2880
Email haastert-talini.kirsten@
mh-hannover.de
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International Journal of Nanomedicine 2014:9 5289–5306
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http://dx.doi.org/10.2147/IJN.S71951
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Tissue engineering of peripheral nerves is an active field in research and development. Tissue-engineered nerves could become a valuable alternative to autologous
nerve grafts, which are used as the gold standard for peripheral nerve reconstruction
surgeries.1 This type of surgery is indicated whenever complete transection injuries
of a peripheral nerve cannot be repaired by tension-free end-to-end coaptation of the
severed nerve ends.2 Tissue engineering of peripheral nerves in order to bridge nerve
defects and provide an optimized regenerative milieu is a complex effort that can
only be achieved in a multidisciplinary setting.3 One important task is the delivery of
regeneration-promoting molecules such as neurotrophic factors (NTFs) into the nerve
defect or, more specifically, their application together with the artificial nerve graft.
The main drawback in NTF application is the short half-life time, causing minimal
efficacy of single NTF application at the time of reconstructive surgery or systemic
application. Different ways to ensure extended availability of added NTFs at the site
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Morano et al
of nerve reconstruction have been attempted in recent years,
including gene therapy via transplanted Schwann cells4 or
nanotechnology approaches.5
Ex vivo gene therapy can be used to genetically induce
the overexpression of selected NTFs in cells that are later
transplanted as part of tissue-engineered nerve grafts.6 The
usefulness of this approach has been proven already for
transplanted Schwann cells overexpressing different isoforms of fibroblast growth factor-2 (FGF-2) in the rat sciatic
nerve model.7,8 Schwann cells are crucially involved in
successful peripheral nerve regeneration (PNR), but they
are not easy to harvest and propagate for cell transplantation strategies. Therefore, mesenchymal stem cells (MSCs)
have been addressed as an easy to access and potentially
unlimited cell source for tissue-engineered nerve grafts.9 In
this study, we performed stem cell engineering by nonviral
genetic modification of bone marrow-derived mesenchymal
stem cells (BMSCs), resulting in overexpression of selected
NTFs. Another option to ensure availability of NTFs within
an artifical nerve graft is the conjugation of the proteins to
nanoparticles and their delivery within a hydrogel matrix
for axonal regeneration. This strategy was also evaluated
in the current work as an alternative strategy to cell-based
delivery of NTFs.
Three well-defined NTFs have been analyzed in the
presented study. Nerve growth factor (NGF) is known as
the neurotrophin with the strongest effect on sensory neurite outgrowth with regard to both axonal elongation and
sprouting.10 The second neurotrophin analyzed was gliaderived neurotrophic factor (GDNF), wh (...truncated)