PMID- 36246376 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221019 IS - 2296-4185 (Print) IS - 2296-4185 (Electronic) IS - 2296-4185 (Linking) VI - 10 DP - 2022 TI - Hypoxia-pretreated mesenchymal stem cell-derived exosomes-loaded low-temperature extrusion 3D-printed implants for neural regeneration after traumatic brain injury in canines. PG - 1025138 LID - 10.3389/fbioe.2022.1025138 [doi] LID - 1025138 AB - Regenerating brain defects after traumatic brain injury (TBI) still remains a significant difficulty, which has motivated interest in 3D printing to design superior replacements for brain implantation. Collagen has been applied to deliver cells or certain neurotrophic factors for neuroregeneration. However, its fast degradation rate and poor mechanical strength prevent it from being an excellent implant material after TBI. In the present study, we prepared 3D-printed collagen/silk fibroin/hypoxia-pretreated human umbilical cord mesenchymal stem cells (HUCMSCs)-derived exosomes scaffolds (3D-CS-HMExos), which possessed favorable physical properties suitable biocompatibility and biodegradability and were attractive candidates for TBI treatment. Furthermore, inspired by exosomal alterations resulting from cells in different external microenvironments, exosomes were engineered through hypoxia stimulation of mesenchymal stem cells and were proposed as an alternative therapy for promoting neuroregeneration after TBI. We designed hypoxia-preconditioned (Hypo) exosomes derived from HUCMSCs (Hypo-MExos) and proposed them as a selective therapy to promote neuroregeneration after TBI. For the current study, 3D-CS-HMExos were prepared for implantation into the injured brains of beagle dogs. The addition of hypoxia-induced exosomes further exhibited better biocompatibility and neuroregeneration ability. Our results revealed that 3D-CS-HMExos could significantly promote neuroregeneration and angiogenesis due to the doping of hypoxia-induced exosomes. In addition, the 3D-CS-HMExos further inhibited nerve cell apoptosis and proinflammatory factor (TNF-alpha and IL-6) expression and promoted the expression of an anti-inflammatory factor (IL-10), ultimately enhancing the motor functional recovery of TBI. We proposed that the 3D-CS-loaded encapsulated hypoxia-induced exosomes allowed an adaptable environment for neuroregeneration, inhibition of inflammatory factors and promotion of motor function recovery in TBI beagle dogs. These beneficial effects implied that 3D-CS-HMExos implants could serve as a favorable strategy for defect cavity repair after TBI. CI - Copyright (c) 2022 Liu, Wang, Wang, Zhong, Wang, Feng, Wei and Zhou. FAU - Liu, Xiaoyin AU - Liu X AD - Department of Neurosurgery, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan, China. AD - Tianjin Key Laboratory of Neurotrauma Repair, Institute of Neurotrauma Repair, Characteristic Medical Center of People's Armed Police Forces, Tianjin, China. FAU - Wang, Jingjing AU - Wang J AD - Tianjin Key Laboratory of Neurotrauma Repair, Institute of Neurotrauma Repair, Characteristic Medical Center of People's Armed Police Forces, Tianjin, China. FAU - Wang, Peng AU - Wang P AD - Department of Health Management, Tianjin Hospital, Tianjin, China. FAU - Zhong, Lin AU - Zhong L AD - The First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China. FAU - Wang, Shan AU - Wang S AD - Department of Neurosurgery, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan, China. FAU - Feng, Qingbo AU - Feng Q AD - Department of Liver Surgery and Liver Implantation, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China. FAU - Wei, Xin AU - Wei X AD - Department of Urology, Institute of Urology, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan, China. FAU - Zhou, Liangxue AU - Zhou L AD - Department of Neurosurgery, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan, China. LA - eng PT - Journal Article DEP - 20220930 PL - Switzerland TA - Front Bioeng Biotechnol JT - Frontiers in bioengineering and biotechnology JID - 101632513 PMC - PMC9562040 OTO - NOTNLM OT - 3D printing OT - collagen OT - exosomes OT - hypoxia OT - silk fibroin OT - traumatic brain injury COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/10/18 06:00 MHDA- 2022/10/18 06:01 PMCR- 2022/01/01 CRDT- 2022/10/17 04:30 PHST- 2022/08/22 00:00 [received] PHST- 2022/09/13 00:00 [accepted] PHST- 2022/10/17 04:30 [entrez] PHST- 2022/10/18 06:00 [pubmed] PHST- 2022/10/18 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 1025138 [pii] AID - 10.3389/fbioe.2022.1025138 [doi] PST - epublish SO - Front Bioeng Biotechnol. 2022 Sep 30;10:1025138. doi: 10.3389/fbioe.2022.1025138. eCollection 2022.