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Mechanical-cellular electrical conversion model reshapes the immune microenvironment of peripheral nerve by modulating neutrophil extracellular traps
  • +7
  • Yaowei Lv,
  • Xiangyun Yao,
  • lei Zhan,
  • Jinye Shi,
  • Xiangyang Wang,
  • Hede Yan,
  • Xu Wang,
  • Chen Huang,
  • Yun Qian,
  • Yuanming Ouyang
Yaowei Lv
Shanghai Sixth People's Hospital
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Xiangyun Yao
Shanghai 6th Peoples Hospital Affiliated to Shanghai Jiaotong University School of Medicine Department of Orthopaedic Surgery
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lei Zhan
Donghua University
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Jinye Shi
Shanghai 6th Peoples Hospital Affiliated to Shanghai Jiaotong University School of Medicine Department of Orthopaedic Surgery
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Xiangyang Wang
The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University
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Hede Yan
The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University
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Xu Wang
Shanghai 6th Peoples Hospital Affiliated to Shanghai Jiaotong University School of Medicine Department of Orthopaedic Surgery
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Chen Huang
Donghua University
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Yun Qian
Shanghai Sixth People's Hospital

Corresponding Author:[email protected]

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Yuanming Ouyang
Shanghai 6th Peoples Hospital Affiliated to Shanghai Jiaotong University School of Medicine Department of Orthopaedic Surgery
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Abstract

Perturbations of the immune homeostasis following peripheral nerve injury (PNI) disturbs growth microenvironment that delays nerve repair. Although extensive efforts have been made to stimulate nerve regeneration, their efficacy is limited by energy deficiency and persistent and overactive inflammation. It is not yet clear how exogenous implantable neural electrical stimulation system regulates immune homeostasis and promotes peripheral nerve regeneration. Here reports a self-powered immunoactive scaffold based on piezoelectric and electroconductive materials. Such in situ electrical stimulation technique regulates lasting and high-level inflammatory cytokines infiltrated in injured nerve tissue, modulates aberrant neutrophil activities and promotes fast revascularization. By benefiting immune balance and angiogenesis, this electroactive scaffold averts growth-suppression following PNI and robustly facilitates neural regeneration. Therefore, this piezoelectric model represents an effective tool for PNI immunotherapy.