Orientational Recognition and Low-Resistance Passing (LRP) Regulation of Segmental Re-innervation by Central Neurons in Leeches

Re-innervation of sensory and motor neurons on a defined area of the body wall was studied in two species of leeches, Whitmania pigra and Hirudo medicinalis, as a model of segmental animals. Following isolation and rotation of a tube of body wall, the mechanical sensory and annular erection (AE) motor neurons re-innervated the body wall, at a rate of approximately 3. 8 -8. 4 μm/h. The patterns of re-innerva-tion by pairs of neurons on each side of a ganglion were bilaterally symmetric. The repairs are synchronous for the sensory and motor neurons which are of different functions but in a same ganglion. The gap junctions are widely spread in leech between neurons and glia cells, as well as among the neurons and glia cells themselves. Therefore, it is proposed that the nervous system repair is regulated by a low-resistance pathway. In the xenotransplantation experiments, neurons recognized target tissues before the immuno-recognition and rejection.

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

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.