Congenital
absence or injury to peripheral nerves yields devastating consequences. The
gold standard for nerve gap repair comprises nerve autografting, wherein
noncritical nerves are harvested for use in guiding regeneration of more
important nerves towards a distal target. Limitations of nerve autografting are
many, and include sensory loss with potential for chronic pain development at
the donor site. There is a critical need for bioengineered devices that
circumvent requisite use of nerve autografts and their associated morbidity.
Our long-term goal is to employ emerging gene therapy and bioengineering
techniques to bring to market an off-the-shelf bioengineered nerve guidance
conduit (NGC) whose clinical performance rivals that of nerve autografts over
short and long-distances. Our central hypothesis is that viral vectors may be
incorporated within NGCs to induce local expression of growth factors that
enhance neural regeneration. In Aim 1, we will develop a double-labelled
fluorescent reporter murine model for high-throughput quantification of Schwann
cell and axonal ingrowth across nerve gaps. In Aim 2, we will evaluate the
ability of transgenes packaged within various viral vectors to be delivered and
expressed within NGCs bridging a murine sciatic nerve defect. If successful,
this work would establish a novel means for biological functionalization of
NGCs, circumventing the cost and complexity of exogenous growth factor and live
cell incorporation, while heralding a paradigm shift in their design. If successful,
this research would lay the foundation for development of high-performance
bioengineered alternatives to nerve autografts, carrying potential to reduce
morbidity and enhance outcomes among children undergoing interposition grafting
of peripheral nerves.