gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

IGF-1 Nanoparticles to Ameliorate Effects of Chronic Denervation Following Peripheral Nerve Injury

Meeting Abstract

  • presenting/speaker Philip Hanwright - Johns Hopkins University School of Medicine, Baltimore, United States
  • Chenhu Qiu - Johns Hopkins Whiting School of Engineering, Baltimore, United States
  • Jennifer Rath - Johns Hopkins University School of Medicine, Baltimore, United States
  • Nicholas Von Guionneau - Johns Hopkins University School of Medicine, Baltimore, United States
  • Karim Sarhane - Johns Hopkins University School of Medicine, Baltimore, United States
  • Thomas Harris - Johns Hopkins University School of Medicine, Baltimore, United States
  • Harsha Malapati - Johns Hopkins University School of Medicine, Baltimore, United States
  • Ahmet Hoke - Johns Hopkins University School of Medicine, Baltimore, United States
  • Hai-Quan Mao - Johns Hopkins Whiting School of Engineering, Baltimore, United States
  • Sami Tuffaha - Johns Hopkins University School of Medicine, Baltimore, United States

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-911

doi: 10.3205/19ifssh1392, urn:nbn:de:0183-19ifssh13928

Veröffentlicht: 6. Februar 2020

© 2020 Hanwright et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Objectives/Interrogation: Insulin-like growth factor 1 (IGF-1) is a potent mitogen with well-described trophic and anti-apoptotic effects on neurons, myocytes, and Schwann cells (SC). Local delivery of IGF-1 is limited by its short-half life. The aims of this study are to

1.
encapsulate IGF-1 into biodegradable nanoparticles (NP) that stabilize IGF-1 in its bioactive state and enable sustained release at target tissue sites; and
2.
assess the efficacy of locally delivered IGF-1 NPs in augmenting axonal regeneration while also reducing denervation-induced muscle and SC atrophy to thereby improve functional recovery following nerve injury.

Methods:

1.
NP Fabrication: IGF-1 was first complexed with dextran sulfate to create hydrophobic ionic paired (HIP) complexes, which were then encapsulated in biodegradable PGLA NPs. Varying ratios of HIP:polymer were evaluated to maximize loading efficiency and release kinetics. In vitro NP release kinetics were evaluated and mitogenic activity of released IGF-1 was compared to native IGF-1.
2.
The effects of locally-delivered IGF-1 NPs on denervated muscle and Schwann cells were assessed in a rat median nerve transection-without-repair model. The effects of IGF-1 NPs on axonal regeneration, muscle atrophy and reinnervation, and recovery of forepaw function were assessed in a model in which chronic denervation is induced prior to nerve repair; functional recovery was assessed weekly with stimulated grip strength testing prior to sacrifice at 15 weeks.

Results and Conclusions:

1.
Fabrication of uniform NPs with an encapsulation efficiency of 83.2% was achieved. 1:5 PEG5k-PCL40k formulation yielded optimal release of IGF-1. Near-zero-order release of IGF-1 can be achieved for at least 70 days, and released IGF-1 exhibits comparable bioactivity to native IGF-1.
2.
IGF-1 treated animals recovered significantly more forceful grip strength compared to negative controls (Figure 1 [Fig. 1]). IGF-1 NP treatment limits muscle atrophy during periods of denervation compared to negative controls (620 vs. 340um2; p <0.05) and enhances neuromuscular junction reinnervation (41 vs. 27%, p <0.05) (Figure 1 [Fig. 1]).