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A Shock to the (Nervous) System: Bioelectricity Within Peripheral Nerve Tissue Engineering

Trueman, RP; Ahlawat, AS; Phillips, JB; (2022) A Shock to the (Nervous) System: Bioelectricity Within Peripheral Nerve Tissue Engineering. Tissue Engineering Part B: Reviews , 28 (5) pp. 1137-1150. 10.1089/ten.TEB.2021.0159. Green open access

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Abstract

The peripheral nervous system has the remarkable ability to regenerate in response to injury. However, this is only successful over shorter nerve gaps and often provides poor outcomes for patients. Currently, the gold standard of treatment is the surgical intervention of an autograft, whereby patient tissue is harvested and transplanted to bridge the nerve gap. Despite being the gold standard, over half of patients have dissatisfactory functional recovery after an autograft. Peripheral nerve tissue engineering aims to create biomaterials that can therapeutically surpass the autograft. Current tissue engineered constructs are designed to deliver a combination of therapeutic benefits to the regenerating nerve, such as supportive cells, alignment, extracellular matrix, soluble factors, immunosuppressants and other therapies. An emerging therapeutic opportunity in nerve tissue engineering is the use of electrical stimulation (ES) to modify and enhance cell function. ES has been shown to positively affect four key cell types, neurons, endothelial cells, macrophages, and Schwann cells, involved in peripheral nerve repair. Changes elicited include faster neurite extension, cellular alignment, and changes in cell phenotype associated with improved regeneration and functional recovery. This review considers the relevant modes of administration and cellular responses that could underpin incorporation of ES into nerve tissue engineering strategies.

Type: Article
Title: A Shock to the (Nervous) System: Bioelectricity Within Peripheral Nerve Tissue Engineering
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1089/ten.TEB.2021.0159
Publisher version: https://doi.org/10.1089/ten.TEB.2021.0159
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: bioelectricity, peripheral nerve injury, electrical stimulation, tissue engineering
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Pharmacology
URI: https://discovery.ucl.ac.uk/id/eprint/10139595
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