Abstract |
Tendon injury is one of the most common musculoskeletal disorders that impair joint mobility and lower quality of life. The limited regenerative capacity of tendon remains a clinical challenge. Local delivery of bioactive protein is a viable therapeutic approach for tendon healing. Insulin-like growth factor binding protein 4 (IGFBP-4) is a secreted protein capable of binding and stabilizing insulin-like growth factor 1 (IGF-1). Here, we applied an aqueous-aqueous freezing-induced phase separation technology to obtain the IGFBP4-encapsulated dextran particles. Then, we added the particles into poly (L-lactic acid) (PLLA) solution to fabricate IGFBP4-PLLA electrospun membrane for efficient IGFBP-4 delivery. The scaffold showed excellent cytocompatibility and a sustained release of IGFBP-4 for nearly 30 days. In cellular experiments, IGFBP-4 promoted tendon-related and proliferative markers expression. In a rat Achilles tendon injury model, immunohistochemistry and quantitative real-time polymerase chain reaction confirmed better outcomes by using the IGFBP4-PLLA electrospun membrane at the molecular level. Furthermore, the scaffold effectively promoted tendon healing in functional performance, ultrastructure and biomechanical properties. We found addition of IGFBP-4 promoted IGF-1 retention in tendon postoperatively and then facilitated protein synthesis via IGF-1/AKT signaling pathway. Overall, our IGFBP4-PLLA electrospun membrane provides a promising therapeutic strategy for tendon injury.
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Authors | Hui Wang, Ruyue Yu, Meng Wang, Shikun Wang, Xingyu Ouyang, Zhiwen Yan, Shuai Chen, Wei Wang, Fei Wu, Cunyi Fan |
Journal | Journal of controlled release : official journal of the Controlled Release Society
(J Control Release)
Vol. 356
Pg. 162-174
(04 2023)
ISSN: 1873-4995 [Electronic] Netherlands |
PMID | 36868516
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved. |
Chemical References |
- Insulin-Like Growth Factor Binding Protein 4
- Insulin-Like Growth Factor I
- RNA, Messenger
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Topics |
- Rats
- Animals
- Insulin-Like Growth Factor Binding Protein 4
(metabolism)
- Insulin-Like Growth Factor I
- Quality of Life
- RNA, Messenger
(metabolism)
- Tendon Injuries
(drug therapy)
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