Chitosan tubes of varying degrees of acetylation for bridging peripheral nerve defects

Research output: Contribution to journalArticle


Biosynthetic nerve grafts are desired as alternative to autologous nerve grafts in peripheral nerve reconstruction. Artificial nerve conduits still have their limitations and are not widely accepted in the clinical setting. Here we report an analysis of fine-tuned chitosan tubes used to reconstruct 10 mm nerve defects in the adult rat. The chitosan tubes displayed low, medium and high degrees of acetylation (DAI: similar to 2%, DA: similar to 5%, DAIII: similar to 20%) and therefore different degradability and microenvironments for the regenerating nerve tissue. Short and long term investigations were performed demonstrating that the chitosan tubes allowed functional and morphological nerve regeneration similar to autologous nerve grafts. Irrespective of the DA growth factor regulation demonstrated to be the same as in controls. Analyses of stereological parameters as well as the immunological tissue response at the implantation site and in the regenerated nerves, revealed that DAI and DAIII chitosan tubes displayed some limitations in the support of axonal regeneration and a high speed of degradation accompanied with low mechanical stability, respectively. The chitosan tubes combine several pre-requisites for a clinical acceptance and DAII chitosan tubes have to be judged as the most supportive for peripheral nerve regeneration. (C) 2013 The Authors. Published by Elsevier Ltd. All rights reserved.


  • Kirsten Haastert-Talini
  • Stefano Geuna
  • Lars Dahlin
  • Cora Meyer
  • Lena Stenberg
  • Thomas Freier
  • Claudia Heimann
  • Christina Barwig
  • Luis F. V. Pinto
  • Stefania Raimondo
  • Giovanna Gambarotta
  • Silvina Ribeiro Samy
  • Nuno Sousa
  • Antonio J. Salgado
  • Andreas Ratzka
  • Sandra Wrobel
  • Claudia Grothe
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Bioengineering Equipment


  • Chitosan, Nerve guide, Electrophysiology, Histomorphometry, Connective, tissue, Degradation
Original languageEnglish
Pages (from-to)9886-9904
Issue number38
Publication statusPublished - 2013
Publication categoryResearch

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Lena Stenberg, 2018, Lund: Lund University, Faculty of Medicine. 83 p.

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