Spinal cord injury (SCI) treatment remains a worldwide
challenge
considering its limited self-repair capacity. The transplantation
of neural stem cells (NSCs) has been proposed as a potential approach
to restoring neurological function by promoting axonal regeneration.
While nanofibrous biomaterials provide the biomimetic microenvironment
for the immobilization and growth of transplanted NSCs. In this study,
a biomimetic poly(polyol sebacate)-based elastomeric nanofibrous scaffold
developed with poly(l-lactic acid) (PLLA) and poly(polycaprolactone
triol-co-sebacic acid-co-BES sodium
salt) (PPSB) was fabricated by electrospinning and combined with human
NSCs (hNSCs) for SCI treatment. The electrospun PLLA/PPSB nanofibrous
scaffold containing 40 wt % PPSB demonstrated a highly porous microstructure,
sulfonate group modification, strong hydrophilicity, suitable degradation
performance, and good mechanical properties. The scaffold promoted
the proliferation and further differentiation of hNSCs into neuronal
cells. Moreover, the transplantation of hNSCs-loaded PLLA/PPSB nanofibrous
scaffold attenuated the inflammatory response, enhanced the regeneration
of neurons, and inhibited the growth of astrocytes in the lesion areas,
thereby promoting the functional restoration of the spinal cord in
rats with completely transected SCI. Thus, we conclude that the hNSCs-loaded
PLLA/PPSB composites could promote the repair of spine cord injury.
The findings could provide insight into the combined treatment strategies
for SCI based on NSCs and bioactive biomaterials.