Review Article

Peripheral Nerve Repair with Cultured Schwann Cells: Getting Closer to the Clinics

Table 1

Preclinical studies evaluating cell therapy for peripheral nerve repair*.

StudyInjury type/animal modelCellular type/factorMajor findings

McKenzie et al. [33]Sciatic nerve crush injury in myelin-deficient mice Skin-derived precursors differentiated into Schwann cellsRemyelination and functional recovery
Udina et al. [34]Sciatic nerve injury in mice (0.6 cm gap) Collagen guides seeded with allogeneic Schwann cells plus FK-506Successful regeneration and functional recovery
Negishi et al. [11]Optic nerve injury in rats (transection) Extracellular matrix Schwann cells and neurotrophinsAxonal regeneration of retinal ganglion cells
Reid et al. [35]Sciatic nerve injury in rats (1.0 cm gap) Adipose-derived stem cellsDorsal root ganglia protection from apoptosis
di Summa et al. [36]Sciatic nerve injury in rats (1.0 cm gap) Nerve fibrin conduits seeded with adipose-derived stem cellsEnhanced peripheral nerve repair
Evans et al. [37]Sciatic nerve injury in rats (1.2 cm gap) Biosynthetic conduits seeded with Schwann cellsIncreased nerve regeneration
Koshimune et al. [38]Sciatic nerve injury in rats (1.2 cm gap) Bioabsorbable Schwann cell-coated conduitsAxonal regeneration
Ladak et al. [39]Sciatic nerve injury in rats (1.2 cm gap) Bone marrow MSCs differentiated into Schwann-like cells seeded in collagen conduitsRegeneration of sciatic motoneuron
Kokai et al. [40]Sciatic nerve injury in rats (1.5 cm gap) Scaffolds containing GDNF microparticlesIncreased rate of nerve regeneration; migration and proliferation of Schwann cells
Dezawa et al. [41]Sciatic nerve injury in rats (1.5 cm gap) Bone marrow MSCs differentiated into Schwann-like cells suspended in Matrigel injected into hollow fibersSuccessful nerve regeneration and myelination
Marchesi et al. [42]Sciatic nerve injury in rats (1.6 cm gap) Guides filled with skin-derived stem cellsFunctional recovery and myelination
Ansselin et al. [43]Sciatic nerve injury in rats (1.8 cm gap) Nerve guides filled with syngeneic Schwann cellsSuccessful nerve regeneration conditional to number of cells implanted
May et al. [5]Cavernous nerves sections in rats (0.5 cm gap) Silicon tubes seeded with GDNF-transduced Schwann cellsIncreased recovery of erectile function
Sun et al. [44]Facial nerve injury in rats (0.8 cm gap) Decellularized artery allografts with autologous adipose-derived stem cellsNerve repair and functional recovery
Wang et al. [10]Facial nerve injury in rabbits (1.0 cm gap) Autologous vein graft filled with autologous MSCs differentiated into Schwann cellsImprovement of functional recovery and upregulated myelin mRNA
Cheng and Chen [45]Sciatic nerve injury in rabbits (2.0 cm gap) Polyglactin scaffolds seeded with Schwann cells and coated with biomembranesSuccessful nerve regeneration
Zhang et al. [46]Tibial nerve injury in rabbits (4.0 cm gap) Autogenous venous graft filled with Schwann cellsSuccessful nerve regeneration and electromyographic improvement
Wakao et al. [47]Non-human primates median nerve injury (2.0 cm gap) Collagen guides seeded with bone marrow MSC-derived Schwann cellsFunctional, histological, and electromyographical recovery
Hu et al. [31]Non-human primates ulnar nerve injury (4.0 cm gap)Acellular allogeneic nerve grafts with autologous MSCsStructural and functional peripheral nerve repair

* The studies are grouped by animal model, nerve type, and injury size, starting with mice, followed by rats, rabbits, and nonhuman primates. The table does not list all the available studies but describes the main publications.