Potenti al application of let-7a antagomir in injured peripheral nerve regeneration

Qian-Qian Chen Qian-Yan Liu ,Pan Wang ,Tian-Mei Qian ,Xing-Hui Wang ,Sheng Yi,Shi-Ying Li,

Abstract Neurotrophic factors,particularly nerve growth factor,enhance neuronal regeneration.However,the in vivo applications of nerve growth factor are largely limited by its intrinsic disadvantages,such as its short biological half-life,its contribution to pain response,and its inability to cross the blood-brain barrier.Considering that let-7 (human miRNA) targets and regulates nerve growth factor,and that let-7 is a core regulator in peripheral nerve regeneration,we evaluated the possibilities of let-7 application in nerve repair.In this study,anti-let-7a was identified as the most suitable let-7 family molecule by analyses of endogenous expression and regulatory relationship,and functional screening.Let-7a antagomir demonstrated biosafety based on the results of in vivo safety assessments and it entered into the main cell types of the sciatic nerve,including Schwann cells,fibroblasts and macrophages.Use of hydrogel effectively achieved controlled,localized,and sustained delivery of let-7a antagomir.Finally,let-7a antagomir was integrated into chitosan conduit to construct a chitosanhydrogel scaffold tissue-engineered nerve graft,which promoted nerve regeneration and functional recovery in a rat model of sciatic nerve transection.Our study provides an experimental basis for potential in vivo application of let-7a.

Key Words:chitosan;chitosan-hydrogel scaffold;let-7;let-7a antagomir;miRNA;nerve graft;peripheral nerve injury;peripheral nerve regeneration;Schwann cells

Introduction

Peripheral nerve injury is a common clinical problem that affects approximately 13–23 per 100,000 persons per year (Li et al.,2014;Lolis et al.,2018).Currently,the gold standard treatment for peripheral nerve injury is autologous nerve grafting.The application of autologous nerve grafts,however,is largely limited by its intrinsic disadvantages,such as limited donor nerve sources,donor nerve functional loss,and size differences between the donor nerve and recipient nerve (Gu et al.,2011;Luo et al.,2021).Therefore,there is an urgent need to develop and construct tissue-engineered nerve graft s with better clinical application to repair injured peripheral nerves.

Tissue-engineered nerve grafts have been designed as a prospective alternative for regenerative medicine.Tissue-engineered nerve grafts generally contain scaffolds and embedded supporting cells or biological cues.Morphological and cellular molecular studies have demonstrated that axonal regeneration involves the precise coordination of numerous cells to provide an optimal regeneration microenvironment (Wang et al.,2022a).Macrophages,fibroblasts,and Schwann cells gather at the injury site to perform different functions and help establish a regenerative pathway to repair peripheral nerve function (Qian et al.,2018;Wang et al.,2022a).Many growth factors with neurotrophic effects,especially nerve growth factor(NGF),promote myelin sheath formation,enhance axonal regeneration,and have been used in neural tissue engineering (Gu et al.,2011,2014).However,thein vivoapplications of these growth factors are largely restricted by their low stability,short half-life periods,and high costs (Chen and Mooney,2003;Chen et al.,2012).Recent studies have reported that a variety of microRNAs(miRNAs) regulate peripheral nerve injury and regeneration (Li et al.,2015b;Ji et al.,2019;Lopez-Leal et al.,2020;Wang et al.,2022c).Therefore,it is feasible to incorporate miRNAs into biomaterial scaffolds to reshape the microenvironment,so as to promote injured nerve regeneration (Krutzfeldt et al.,2005;Gu et al.,2014;Yu et al.,2015;Ou et al.,2019;Leng et al.,2020).Many reviews have discussed the possibilities of various miRNA applications,especially the therapeutic application of miRNA for tissue engineering(Hutchison et al.,2013;Zhao et al.,2014;Caputo et al.,2015;Chew,2015;Li et al.,2015a;Miller et al.,2015;Raschzok et al.,2015;Sabirzhanov et al.,2016;Yao et al.,2016).

Let-7,the first identified human miRNA,is involved in many important biological processes (Shell et al.,2007;Roush and Slack,2008;Su et al.,2012;Yuan et al.,2012).Previous studies showed that decreased let-7 levels elevated NGF secretion from Schwann cells,increased Schwann cell proliferation and migrationin vitro,and promoted Schwann cell migration and axon outgrowthin vivo(Li et al.,2015b;Zhang et al.,2020).Another study showed that let-7 miRNAs were core regulators affecting peripheral nerve repair and regeneration (Wang et al.,2019).Considering these studies,we selected let-7a as a suitable member of the let-7 family,performed a safety assessment for potenti al application,and investigated its morphological and functional effects on peripheral nerve injury repair.

Methods

Animals and ethics statement

Specific-pathogen-free grade neonatal 1-day-old Sprague-Dawley (SD) rats and healthy adult male SD rats (8 weeks old,180–220 g) were purchased from the Animal Experimental Center of Nantong University,Jiangsu,China (license No.SYXK (Su) 2017-0046) and housed with free access to food and water(five rats per cage) in a standard facility with constant temperature (18–26°C)and humidity.Experimental procedures were conducted in accordance with Institutional Animal Care guidelines of Nantong University and were ethically approved by Administration Committee of Experimental Animals Jiangsu,China (approval No.20180301-009) on March 3,2018.The study design andtimeline are shown inAdditional Figure 1.

Cell culture and transfection

Neonatal 1-day-old SD rats were anesthetized and then sacrificed by decapitation,after which primary Schwann cells were collected from sciatic nerve stumps and digested with collagenase type I (Cat# C0130,Sigma,St.Louis,MO,USA) followed by trypsin (Cat# 25300,Thermo Fisher Scientific,Waltham,MA,USA).The cells were cultured in cell complete medium containing 4.5 g/L glucose Dulbecco’s Modified Eagle Medium (DMEM;Cat#10-013,Corning,Steuben County,NY,USA) with 10% fetal bovine serum(FBS;Cat# 10099141c,Gibco,Carlsbad,CA,USA) for 12 hours.Schwann cells were gently suspended from the dish by a pipette,cultured and further purified with anti -Thy1.1 anti body (1:1000,Cat# M7898,Sigma) and rabbit complement (Cat# 310203,Invitrogen,Carlsbad,CA,USA),as previously described (Li et al.,2015b).Fibroblasts remaining on the bottom of the dish were directly cultured in DMEM with 10% FBS.Macrophages (RAW264.7,National Collection of Authenticated Cell Cultures,Shanghai,China) were cultured in DMEM containing 10% FBS and 1% L-glutamine (Cat# 25030149,Gibco).All cells were cultured in an incubator at 37°C with 5% CO2.Immunofluorescence was used to determine the purity.

Cultured cells were transfected with 20 nM let-7 mimic (let-7in vitro),100 nM let-7 inhibitor (anti-let-7in vitro),and the corresponding mimic or inhibitor control (RiboBio,Guangzhou,Guangdong Province,China) using Lipofectamine RNAiMAX transfection reagent (Invitrogen) following the manufacturer’s instructions.

Quanti tative RT-PCR

Total RNA was isolated from cultured Schwann cells using RNA-Quick Purification Kit (Esunbio,Shanghai,China) and reverse transcribed using TaqMan MicroRNA Reverse Transcription Kit (Applied Biosystems,Foster City,CA,USA).Quanti tative reverse transcription polymerase chain reaction (RTPCR) was performed using Quanti Nova SYBR Green PCR Kit (Qiagen,Hilden,Germany) on a Stepone real-time PCR System (Applied Biosystems).The primers for reverse transcription and PCR were from the Bulge-loopTMmiRNA qRT-PCR Primer Sets (Ribobio).The thermocycler program was as follows:5 minutes at 95°C;30 cycles of 15 seconds at 95°C,30 seconds at 60°C;15 seconds at 95°C;and 1 minute at 60°C.Relative expression levels of let-7 were normalized to U6 expression using the ∆Ct method (2–∆∆Ct) (Livak and Schmittgen,2001).

EdU cell proliferation assay

Schwann cells were resuspended,seeded onto 96-well plates at a volume of 100 µL and a density of 2 × 105cells/mL,and transfected with let-7 mimic,let-7 inhibitor,or the corresponding controls for 24 hours.Next,100 µM 5-ethynyl-2′-deoxyuridine (EdU;RiboBio) was added to DMEM (Corning)with 10% FBS (Gibco),and cells were cultured for an additional 12 hours.After fixation with 4% paraformaldehyde,Schwann cell proliferation rate was measured with Cell-Light EdU DNA Cell Proliferation Kit (RiboBio),and nuclei were stained with Hoechst (RiboBio).Images were captured with a DMR fluorescence microscope (Leica Microsystems,Bensheim,Germany).

Transwell-based cell migration assay

Schwann cells transfected with let-7 mimic,let-7 inhibitor,or the corresponding controls were resuspended in DMEM (Corning) and seeded onto the upper chamber of a 6.5-mm transwell with 8-µm pores (Corning) at a volume of 100 µL and a density of 3 × 105cells/mL.The bottom chamber of the transwell was filled with 500 µL cell complete culture medium as described above.After 24 hours of incubation,Schwann cells remaining on the upper surface of the upper chamber were cleaned with a cotton swab,and Schwann cells that migrated to the bottom surface were stained with 0.1%cresyl violet (Cat# C8470,Solarbio,Beijing,China).Images were captured with a Leica DMI3000 B (Leica Microsystems).Migrated cells were dissolved in cresyl violet with 33% acetic acid (Cat# 64-19-7,Xilong Scientific,Guangzhou,Guangdong Province,China) and the absorbance of cresyl violet staining was measured using a SynergyTM2 Multi-Mode Microplate Reader (BioTek,Burlington,VT,USA).

Biosafety assessment

Twenty adult male SD rats (8 weeks old) were randomly divided into two groups (six rats in each group) and injected with 1 mL saline (negative control,Con) or 100 nmol let-7a antagomir (anti -let-7ain vivo,RiboBio) dissolved in 1 mL saline through caudal vein injection.At 5 days after injection,rats were anestheti zed with mixed narcotics (42 mg/kg magnesium sulfate,85 mg/kg trichloroacetaldehyde monohydrate,17 mg/kg sodium pentobarbital;Sigma) and sacrificed.After transcardial perfusion with 0.9% normal saline followed by 4% paraformaldehyde (PFA;Xilong Scientific),the heart,liver,spleen,lung,and kidney were collected.The fixed tissues were embedded in paraffin,dehydrated by ethanol gradient,and then cut into 8-µm sections.Hematoxylin-eosin staining (Cat# C0105,Beyotime,Shanghai,China) was performed for histopathological examinations under an Axio Imager M2 microscope (Carl Zeiss Microscopy GmbH,Jena,Germany).At 5 days and 4 weeks after injection,blood samples were taken from the rats,and cellular and electrolyte parameters,biochemical parameters,and immunological parameters in the blood were measured.

Flow cytometry analysis and cellular immunofluorescence analysis

Eighteen adult rats were exposed and subjected to 3-mm sciatic nerve crush(Shen et al.,2022) with a forceps after anesthetization.Immediately after injury,5 nmol let-7a antagomir was injected in each rat at the injury site.Flow cytometry was conducted to measure the proportions of Cy3-labeled let-7a antagomir-positive cells at 1 and 4 days (six rats at each time point)after nerve injury.Rat sciatic nerve stumps were harvested and trypsindigested with 3 mg/mL collagenase type I for 3 hours,followed by 0.25%trypsin at 37°C for 1 hour.Then,the cells were filtered and fixed with 100 µL Fixed Kit (70-GAS003,MultiSciences,Hangzhou,Zhejiang,China) according to the manufacturer’s instructions for 15 minutes.Cells were incubated with primary anti bodies rabbit anti -S100β anti body (Schwann cell marker;1:100,Cat# Ab52642,Abcam,Cambridge,MA),mouse anti -P4HB anti body (fibroblast marker;1:100,Ab2792,Abcam),and mouse anti -CD68 anti body (macrophage marker;1:200,Ab31630,Abcam) at room temperature for 1 hour followed by Alexa Fluor 488 donkey anti -rabbit IgG (1:400,Cat# A-21206,Invitrogen) or Alexa Fluor 488 donkey anti -mouse IgG (1:500,Cat# SA00013-5,Proteintech,Rosemont,IL,USA).Nuclei were stained with Hoechst 33342 (RiboBio).The negative controls were used to gate the flow plots,and then the samples were subjected to flow cytometry analysis (BD Bioscience,San Jose,CA,USA).The positive ratio of anti -let-7a-containing cells was calculated using the following formula: positive ratio=UR/(UR+LR) × 100%,where UR represented upper right and LR represented left right.

For cellular immunofluorescence analysis,the cells obtained from crushed sciatic nerves of another six rats were seeded on precoated round glass slides in a 24-well plate after the cells were filtered as described above.After 24 hours,the cells were fixed in 4% PFA,and incubated with corresponding primary specific anti bodies overnight at 4°C followed by secondary anti bodies for 2 hours at room temperature (the primary and secondary anti bodies were the same as those listed in the “Flow cytometry analysis”).Images were taken under a fluorescence microscope (Axio Imager M2,Carl Zeiss).

Cell compati bility assay

BeaverBanoTMTissue regeneration and repair hydrogel (Cat# 30211,Beaver for Life Sciences,Suzhou,Jiangsu,China),a 1% (w/v) peptide aqueous solution with 50–200 nm aperture after gelling,was used to control release of let-7 antagomirin vivo,following the manufacturer’s instructions.

Cell compati bility of the hydrogel was assessed using the following process.DMEM (Corning) was soaked with the hydrogel (Beaver for Life Sciences) at a ratio of 1:2 for 24 and 48 hours at 37°C.Then,the DMEM was collected and 10% FBS was added to the hydrogel-soaked culture medium.Cell survival was evaluated using a 3-(4,5-dimethyl thiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay kit (Cat# ab211091,Abcam) (Zhong et al.,2021).Purified Schwann cells were seeded at a density of 1 × 105cells/mL per well on a 96-well plate precoated with 100 µL poly-L-lysine and containing 100µL hydrogel-soaked culture medium (24-hour and 48-hour hydrogel-soaked groups) or DMEM with 10% FBS (control group) for 48 hours.The cells were treated with 20 µL MTT (Cat# ab211091,Abcam) reagent at a concentration of 5 mg/mL for another 4 hours at 37°C.Then the MTT reagent was carefully removed and 150 µL DMSO was added to each well to fully dissolve the formed Formazan crystals.Cell survival was measured by the absorbance at 490 nm using a microplate reader (BioTek).The data of the hydrogel-soaked group was normalized to that of the control group.Schwann cell viability was detected using a Cell Counting Kit-8 (CCK8;CK04,Dojindo Laboratories,Kumamoto,Japan).Briefly,Schwann cells were seeded at a density of 1 × 105cells/mL per well in a well plate containing 100 µL hydrogel-soaked culture medium as described above or complete medium (control group) for 48 hours,and then treated with 10 µL CCK-8 reagent (Dojindo Laboratories) per well for another 2 hours.Cell viability was measured by the optical density value at 450 nm by a microplate reader (BioTek).The data of the hydrogelsoaked group were normalized to those of the control group.

Sciatic nerve transection and application of let-7 antagomir

let-7a antagomir (5 nmol) was dissolved in 20 µL diethyl pyrocarbonate (DEPC;R0022,Beyotime)-treated saline and mixed with 10 µL hydrogel (Beaver for Life Sciences).The mixture of let-7a antagomir and hydrogel was injected into a chitosan conduit (Nantong Xincheng Biochemical,Nantong,Jiangsu Province,China) to construct a let-7a antagomir-based chitosan-hydrogel scaffold.Thirtysix adult male rats were randomly divided into three groups and anestheti zed prior to sciatic nerve transection.For the transection,7 mm from the middle of the sciatic nerve was removed by cutting laterally with surgical scissors.In the let-7a antagomir group,the nerve gap was then bridged with let-7a antagomir.In the control group,the gap was bridged with a chitosan scaffold containing 5 nmol negative control (Con;20 µL DEPC-treated saline and 10 µL hydrogel).Rats in the normal group received no treatment.

Immunofluorescence staining and release control assay of let-7 antagomir in vivo

At 4 or 8 weeks after surgery,rat sciatic nerve tissue was mounted onto microscope slides,fixed in 4% PFA,and blocked with 5% goat serum.Sections(8 µm thickness) were incubated with mouse anti-neurofilament-200 (NF-200,neuron marker;Cat# N2912,1:100;Sigma) overnight at 4°C followed by Alexa Fluor® 488 AffiniPure donkey anti -mouse 488 (1:500,Cat# SA00013-5;Proteintech) for 2 hours at room temperature.Dissected 30-µm sections were stained with α-bungarotoxin (1:500,Cat# B137;Sigma) for motor endplate observation,and nuclei were stained with 4′,6-diamidino-2-phenylindole(DAPI;0100-20,SouthernBiotech,Birmingham,AL,USA).Images were taken with an Axio Imager M2 fluorescence microscope (Carl Zeiss).The number of motor endplates at different stages of maturity (plaque,intermediate,and pretzel stage) was determined,and the proportion of mature endplates was calculated as the ratio of pretzel-stage endplates out of all motor endplates(Wang et al.,2022b).For release control assay of let-7 antagomirin vivo,the harvested sciatic nerve segments were fixed in 4% PFA,dehydrated in 30%sucrose solution,and 12-mm-thick cryostat sections were cut at 4 weeks after surgery.Images were taken based on Cy3 Channel under a fluorescence microscope (Carl Zeiss).

Compound muscle action potenti al recording

At 8 weeks after surgery,rats in the control group and the anti -let-7 group were used for compound muscle action potenti al (CMAP) recording by using a Keypoint 2 portable electromyography system (Dantec,Copenhagen,Denmark).Recording electrodes were inserted into the mid-belly of the gastrocnemius and stimulating electrodes were inserted into the proximal and distal sciatic nerve stumps.An electric sti mulus of 5 mV was delivered to evoke CMAP responses.CMAP amplitudes were recorded at both the proximal and distal nerve stumps.

CatWalk gait analysis

At 8 weeks after surgery,rats in the control and let-7a antagomir groups were subjected to CatWalk gait analysis.The CatWalk XT system (Noldus Information Technology,Wageningen,the Netherlands) with a high-speed camera that detects digital images was used to determine hind paw intensity,as previously described (Tian et al.,2018).CatWalk mean intensity was calculated using the following formula: |RH– LH|/RH,where RH indicates right hind paw mean intensity and LH indicates left hind paw intensity,to exclude inference factors.Sciatic function index (SFI) was calculated using the following formula: SFI=–38.3[(EPL– NPL)/ NPL]+109.5 [(ETS– NTS)/ NTS]+13.3[(EIT– NIT)/ NIT]– 8.8,where EPL represented injured experimental site,NPL represented uninjured normal site,ETS represented toe spread,NTS represented the normal toe spread and NIT represented intermediate toe spread.An SFI value of–100 indicated loss of nerve function and an SFI value of 0 indicated normal nerve function.

Muscle weight measurement and Masson trichrome staining

At 4 and 8 weeks after surgery,the anterior ti bial muscles and gastrocnemius muscles of rats in each group were collected to determine the muscle wet weight ratio.Muscles on both the injured side and the contralateral uninjured side were weighed.The wet weight ratio was calculated by dividing the wet weight of the muscle on the injured side by that of the muscle on the contralateral uninjured side.The belly of anterior ti bial muscle was collected,embedded in paraffin,cut into 12-µm slices,and stained with Masson trichrome (G1340,Solarbio).Images were taken under an Axio Imager M2 microscope (Carl Zeiss).

Stati stical analysis

No statistical methods were used to predetermine sample sizes;however,our sample sizes were similar to those reported in a previous publication (Lu et al.,2021).No rats or data points were excluded in a blinded assessment.Quanti tative data were presented as mean ± SEM and Student’st-test or oneway analysis of variance followed by Dunnett’spost hoctest were used to compare the statistical differences between groups.Statistical analysis and histograms were conducted with GraphPad Prism 6.0 (GraphPad Software,Inc.,La Jolla,CA,USA).AP-value <0.05 was considered significant.

Results

Endogenous expression of let-7 family in the main cell types of sciatic nerve

In sciatic nerve,Schwann cells,fibroblasts,and macrophages are the main cell types that form the regeneration microenvironment.The let-7 miRNA family contains many members,including let-7a,let-7b,let-7c,let-7d,let-7e,let-7f,and let-7i.Quanti tative analysis showed that let-7a,let-7c,and let-7d were the top three highest expressed miRNAs in Schwann cells (Figure 1A) and fibroblasts (Figure 1B),and these three members were also highly expressed in macrophages (Figure 1C).

Regulatory relationship of let-7 family

Notably,members of the let-7 family and their negative regulator LIN28 possess a double-negative feedback loop.Changes of one member of the let-7 family may further affect other members of the let-7 family via the regulatory effect of LIN28.Considering the importance of Schwann cells in peripheral nerve repair and regeneration,Schwann cells were transfected with mimics of the top three highest expressed let-7 miRNAs: let-7a,let-7c,and let-7d.In addition to the elevation of let-7a expression,transfection with let-7a mimic elevated the expression of all other let-7 family members,especially that of let-7d,let-7e,and let-7f (Figure 2A).Similarly,transfection with let-7c mimic or let-7d mimic increased the expression of let-7a,let-7e,let-7f,and let-7i (Figure 2BandC).Schwann cells were then transfected with inhibitors of let-7a,let-7c,or let-7d.The let-7a,let-7c,and let-7d inhibitors reduced the expression of some let-7 family members (Figure 2D–F).

Figure 1｜Expression levels of let-7 family members.

Figure 2｜Effect of let-7a,let-7c,and let-7d on gene expression levels of other let-7 family members.

Anti -let-7a is the suitable molecule for in vivo application from the let-7 family

Our previous study demonstrated that let-7d strongly inhibited Schwann cell proliferation and migration (Li et al.,2015b).Here,the functional effects of let-7a and let-7c were also examined.EdU cell proliferation assay showed that Schwann cells transfected with let-7a (P=0.0110),let-7c (P=0.0327),or let-7d (P=0.1304) mimic had significantly reduced cell proliferation rates compared with that of the control group (Figure 3A).In contrast,cells transfected with let-7a inhibitor (P=0.0002),let-7c inhibitor (P=0.0058),or let-7d inhibitor (P=0.0030) had elevated cell proliferation rates (Figure 3B).Transwell-based cell migration assay showed that let-7a mimic,let-7c mimic,or let-7d mimic had an inhibitory effect on Schwann cell migration,whereas let-7a inhibitor,let-7c inhibitor,or let-7d inhibitor had a promoting effect on Schwann cell migration (Figure 3CandD).Of these results,let-7a had the most significant effects and anti-let-7a promoted the proliferation and migration of Schwann cells.Taking the results of the endogenous expression and regulatory relationship together,we considered that anti -let-7a was the most suitable molecule forin vivoapplication from the let-7 family.

Figure 3｜Effect of let-7a,let-7c,and let-7d on Schwann cell proliferation and migration.

The safety of let-7a antagomir (anti -let-7a)

Thein vivoapplication safety of let-7a antagomir was examined by directly introducing a high dose (100 nmol) of let-7a antagomir into rats by caudal vein injection.Morphological characteristics of rat heart,liver,spleen,lung,and kidney were determined by hematoxylin-eosin staining at 5 days after let-7a antagomir injection.The external appearances and weights of these organs in rats injected with let-7a antagomir were similar to those in rats injected with saline only (Figure 4A).Hematoxylin-eosin staining further demonstrated that the histopathological properti es of these organs were not affected by let-7a antagomir injection (Figure 4B).

The examination of rat blood samples collected at 5 days and 4 weeks after let-7a antagomir injection showed that blood cellular and electrolyte parameters,biochemical parameters,and immunological parameters of rats treated with let-7a antagomir were not significantly different from those of saline-treated control rats (Table 1).

Table 1｜Blood sample examinations of rats injected with let-7a antagomir

Cellular uptake of let-7a antagomir

Rat sciatic nerve injury was performed and rat sciatic nerve stumps were subjected to flow cytometry analysis to determine whether let-7a antagomir could enter into cells.At 1 day post-injury,let-7a antagomir-positive ratios in Schwann cells,fibroblasts,and macrophages were approximately 33.7%,61.5%,and 81.1%,respectively.At 4 days post-injury,let-7a antagomir-positive ratios in Schwann cells,fibroblasts,and macrophages were approximately 54.6%,31.7%,and 78.3%,respectively (Figure 5A).Immunofluorescence directly showed that let-7a antagomir entered into Schwann cells,fibroblasts,and macrophages (Figure 5B).

Cell compati bility assay and release control assay of hydrogel

BeaverBanoTMTissue regeneration and repair hydrogel were used to control release of let-7 antagomirin vivo.Good biocompatibility is essential for hydrogel application in the biomedical field.To investigate cell compati bility of the hydrogel,primary Schwann cells were cultured with complete medium(control group) or hydrogel-soaked culture medium (hydrogel-soaked group).MTT results showed that no significant difference was observed between the hydrogel-soaked culture medium and complete medium (Figure 6A).We further evaluated its effect on the cell viability of Schwann cells.CCK-8 assay showed no significant differences between the Schwann cells cultured in hydrogel-soaked medium and those in the control group (Figure 6B).Hence,the hydrogel is considered as suitable for biomedical applications.

Figure 5｜Cellular uptake of the let-7a antagomir.

To achieve sustained delivery of antagomir,hydrogel was used as the stabilizer and repository of let-7a antagomir.We evaluated its sustained release effectin vivo.The fluorescent signal of Cy3-labeled was detected at 4 weeks after the nerve graft ing,suggesting that sustained release of let-7 antagomir was achieved (Figure 6C).

Let-7a antagomir exhibits sustained promotion of peripheral nerve regeneration

To evaluate its potenti al applicationin vivo,we integrated let-7a antagomir into a tissue-engineered nerve graft to bridge the gap of the sciatic nerve injury.The effect of let-7a antagomir on peripheral nerve regeneration was examined by NF-200 staining.Quantitative analysis showed that NF-200 fluorescence in the distal nerve stump in the anti-let-7 group was much lower than that in the normal group,but was significantly higher in the let-7a antagomir group compared to the normal group (P=0.0264;Figure 7A).The morphology of motor endplates in gastrocnemius muscles observed at 8 weeks showed that in comparison with the normal group,only sparse,immature motor endplates were distributed within the target muscles of the control group (Figure 7B).The percentage of ‘pretzel’ (mature with a weblike pattern) motor endplates was much higher in the let-7a antagomir group than in the control group.

Figure 6｜Cell compati bility and controlled release of the let-7a antagomir.

Figure 7｜Immunohistochemistry examinations of rat sciatic nerves.

Let-7a antagomir benefits the functional recovery of injured peripheral nerves

CMAP recording showed that at 8 weeks after injury,the peak amplitudes at both the proximal site and the distal site were approximately 15 mV in the normal group.In the control group,the detected peak amplitudes were significantly lower than those in the normal group (P=0.0002).Peak amplitudes in the anti-let-7a group were much higher than those in the control group (P=0.0497),and reached approximately 8 mV (Figure 8A).Automatic CatWalk track analysis demonstrated that injured rats showed functional improvement.The measurement of hind paw intensity showed that in let-7a antagomir-injected rats,the force and touch of the injured hind paw were closer to those of the uninjured hind paw than was observed in the control rats (P=0.0544).At 8 weeks after injury,rats in the control group had an SFI of–88 and rats in the anti-let-7 group had an SFI value of −70,suggesting that the functional recovery of injured sciatic nerves was better in the anti -let-7 group (Figure 8B).The weight and morphology of the target muscles were also measured.At 4 weeks after surgery,no differences in the wet weight ratios of the anterior tibial muscle and gastrocnemius muscle were found between the control group and the anti -let-7 group.However,at 8 weeks after surgery,the wet weight ratios of the anterior ti bial muscle and gastrocnemius muscle in the anti -let-7 group were significantly higher (P<0.0001) than those in the control group (Figure 9A).Observations from Masson trichrome staining showed that compared with those in the control group,muscle fibers appeared markedly larger and there were fewer collagen fibers in the anti -let-7 group at 4 and 8 weeks after surgery (Figure 9B).

Figure 8｜Functional examinations of rat sciatic nerves.

Figure 9｜Immunohistochemistry of rat muscles.

Discussion

Therapeutics targeting miRNAs have been demonstrated to have potenti al as treatments for genetic disorders and regenerative medicine (Beavers et al.,2015;Chew,2015;Gori et al.,2015).Because miRNAs regulate the cellular fate of neurons and glial cells,the potential therapeutic applications of miRNAs in neural tissue engineering have gained much attention (Nguyen et al.,2015).Here,we constructed a let-7 antagomir-incorporated biomaterial to bridge peripheral nerve gaps in rats.

Quanti tative analysis of let-7 family members in Schwann cells showed that let-7a,let-7c,and let-7d were expressed in relatively high levels,and that let-7a was the most abundant.Schwann cells were transfected with these highly expressed miRNAs to examine their regulatory effects on the expression of other members of the let-7 family.Transfection with let-7a mimic,let-7a inhibitor,let-7c mimic,and let-7c inhibitor significantly affected the levels of other let-7 family members.Moreover,let-7a mimic and inhibitor showed the most robust effects on Schwann cell proliferation and migration.Therefore,let-7a antagomir was used to generate the neural tissue-engineered graft .

Cellular uptake andin vivostability of miRNAs are the main barriers of effective miRNA delivery (Nguyen et al.,2015).We examined the localization of let-7a antagomir by immunohistochemistry staining and found that let-7a antagomir entered into Schwann cells,fibroblasts,and macrophages.To achieve a stable and sustained release of let-7a antagomir,we dissolved let-7a antagomir in DEPC-treated saline and mixed let-7a antagomir with hydrogel in a 2:1 ratio.Hydrogel has been widely used as a delivery vehicle for short interfering RNA (Krebs et al.,2009;Perrier-Groult et al.,2013).A previous study showed that hydrogel was used to achieve controlled,localized,and sustained delivery of miRNA (Nguyen et al.,2014).Exogenous miRNA agomir or antagomir is usually steadily sustained in the body for approximately 2 weeks.Using hydrogel as the stabilizer and repository of let-7a antagomir,we found that hydrogel did not induce abnormal physiological changes and that let-7a antagomir was detectable in the injured site for at least 4 weeks after nerve injury.The mixture of let-7a antagomir and hydrogel was then injected into the chitosan conduit to effectively deliver let-7a antagomir into the injured site.Chitosan possesses favorable biocompati bility,biodegradability,and permeability.In our laboratory,chitosan-based arti ficial nerve graft s have been applied for peripheral nerve regeneration for a long period of time (Yang et al.,2004;Fan et al.,2008;Hu et al.,2013).Therefore,we took advantage of the properti es of chitosan,and used the chitosan tube as a nerve guidance conduit to achieve the local delivery of let-7a antagomir.The joint use of hydrogel and chitosan conduit provided a useful method for the storage and sustained local release of miRNA antagomir.

The biological effect of let-7a antagomir was investigated by histological,morphological,and electrophysiological examinations.Immunohistochemistry staining,CMAP recording,CatWalk gait analysis,muscle weight measurement,and Masson trichrome staining demonstrated that let-7a antagomir significantly promoted axon elongation,increased electrophysiological response and SFI,prevented muscle atrophy,and improved nerve innervation.Histopathological,biochemical,and immunological examinations also indicated that there were no obvious adverse effects of let-7a antagomir.In summary,our study incorporated let-7a into a neural arti ficial nerve graft and successfully achieved sustained release of let-7a antagomir and promoted axonal growth and the reinnervation of target muscles.Our study provides an experimental basis for potenti alin vivoapplication of let-7 and supports clinical translational research of miRNA as a prospective alternative for regenerative medicine.

This study had several limitations.First,we did not assess long-termin vivosafety or later time points or perform additional nerve function assessments.Second,we evaluated cellular uptake after direct injection of the antagomir and release of the antagomir from the hydrogel in the nerve graft .However,the two methods (direct injection and hydrogel release) did not result in the exact same cellular distribution of let-7a antagomir.Third,a commercial hydrogel was used to achieve localized and sustained delivery of let-7a antagomir.In future studies,we plan to screen for a more suitable hydrogel and optimize the effect by exploring the cellular uptake and release profile of let-7a antagomir in hydrogel.

In conclusion,Let-7a antagomir is an ideal miRNA molecule to promote peripheral nerve regeneration;it has biosafety for in vivo application and it can enter into the main cell types of the sciatic nerve to optimize the regeneration microenvironment.Let-7a antagomir delivery can be effectively localized and sustained by hydrogel,and it promoted nerve regeneration and functional recovery when it was integrated into a chitosan conduit with hydrogel to construct a chitosan-hydrogel scaffold tissue-engineered nerve graft .

Author contributions:Conceived and designed the experiments: SYL.

Experiment conductance and data analyses: QQC,QYL,PW,TMQ,XHW,and SYL.Contributed reagents/materials/analysis tools: QQC and SYL.Wrote the manuscript: QQC,SY,and SYL.All authors read and approved the final manuscript.

Conflicts of interest:The authors declare that they have no conflict of interest that could have appeared to influence the work reported in this paper.

Author statement:This paper has been posted as a preprint on Research Square with doi: https://doi.org/10.21203/rs.3.rs-1100490/v1,which is available from https://assets.researchsquare.com/files/rs-1100490/v1/e78a4435-dc10-484e-830a-fea8746ed96a.pdf?c=1640105041.

Availability of data and materials:All data generated or analyzed during this study are included in this published article and its supplementary information files.

Open access statement:This is an open access journal,andarticles are distributed under the terms of the Creative Commons AttributionNonCommercial-ShareAlike 4.0 License,which allows others to remix,tweak,and build upon the work non-commercially,as long as appropriate credit is given and the new creations are licensed under the identical terms.

Additional file:

Additional Figure 1:Timeline of the experiment.