Iranian Journal of Basic Medical Sciences

Iranian Journal of Basic Medical Sciences

Optimized peripheral nerve decellularization protocol with enhanced extracellular matrix integrity, mechanical strength, and biocompatibility vs Hudson’s standard method

Document Type : Original Article

Authors
1 Department of Biology, Faculty of Science, University of Mohaghegh Ardabili, Ardabil, Iran
2 Department of Biophysics, Faculty of Advanced Technologies, University of Mohaghegh Ardabili, Namin, Iran
10.22038/ijbms.2026.95387.20565
Abstract
Objective(s): Decellularized nerve scaffolds are promising biomaterials for peripheral nerve regeneration. This study compared an optimized decellularization protocol with Hudson’s standard method to assess structural, mechanical, biochemical, and biological performance.
Materials and Methods: Rat nerve tissues underwent native and optimized decellularization protocols. Morphological evaluation was performed using H&E and DAPI staining, while biomechanical properties and degradation kinetics were assessed over 28 days. DNA content, S100B, NEFL, collagen, laminin, and glycosaminoglycans (GAGs) were quantified to evaluate extracellular matrix (ECM) preservation and cellular removal. Neurotrophic factors, including NGF, BDNF, and GDNF, were measured to assess regenerative potential. Biocompatibility was evaluated after transplantation of rat bone marrow-derived mesenchymal stem cells (BM-MSCs) using MTT and Caspase-3 assays. All experiments used n=5 specimens per group, with triplicate measurements.
Results: The optimized protocol achieved near-complete decellularization while preserving ECM architecture and significantly outperformed Hudson’s method (P<0.001). Optimized scaffolds exhibited intermediate stiffness (13.76 MPa), higher ultimate strength (2.3 MPa vs 1.62 MPa; P<0.01), and slower degradation (48.3% reduction; P<0.001). DNA content decreased by 96.9% in the optimized group compared with 90.5% in Hudson’s group. Neurotrophic factors were better preserved, with NGF reaching 56.2 pg/mg (P<0.001), and ECM components such as collagen and laminin improved significantly (P<0.05). Optimized scaffolds enhanced cell viability (OD 0.58 vs 0.43; P<0.001) and reduced Caspase-3 activity (P<0.01).
Conclusion: The optimized decellularization protocol surpasses Hudson’s method by achieving effective decellularization while preserving ECM structure, mechanical integrity, and BM-MSC viability, thereby supporting its potential application in peripheral nerve tissue engineering.
Keywords
Subjects

1. Ciaramitaro P, Mondelli M, Logullo F, Grimaldi S, Battiston B, Sard A, et al. Traumatic peripheral nerve injuries: epidemiological findings, neuropathic pain and quality of life in 158 patients. J Peripher Nerv Syst 2010; 15: 120-127.
2. Murphy RN, de Schoulepnikoff C, Chen JH, Columb MO, Bedford J, Wong JK, et al. The incidence and management of peripheral nerve injury in England (2005–2020). J Plast Reconstr Aesthet Surg 2023; 80: 75-85.
3. Shaikh MMI, Paroi S, Mostafa G, Khan PA, Sumi MSN, Al Mamun A. Etiological factors of traumatic peripheral nerve injuries. Naogaon Med Coll J 2025; 2: 16-21.
4. Grinsell D, Keating C. Peripheral nerve reconstruction after injury: A review of clinical and experimental therapies. Biomed Res Int 2014; 2014: 698256.
5. Ghayour MB, Abdolmaleki A, Behnam-Rassouli M, Mahdavi-Shahri N, Moghimi A. Synergistic effects of acetyl-l-carnitine and adipose-derived stromal cells on improving regenerative capacity of acellular nerve allograft in sciatic nerve defect. J Pharmacol Exp Ther 2019; 368: 490-502.
6. Ghayour MB, Abdolmaleki A, Behnam-Rassouli M. The effect of memantine on functional recovery of the sciatic nerve crush injury in rats. Turk Neurosurg 2017; 27: 641-647.
7. Qiu CS, Hanwright PJ, Khavanin N, Tuffaha SH. Functional reconstruction of lower extremity nerve injuries. Plast Aesthet Res 2022; 9: 19.
8. Sunderland SS. The anatomy and physiology of nerve injury. Muscle Nerve 1990; 13: 771-784.
9. Midha R, Grochmal J. Surgery for nerve injury: Current and future perspectives. J Neurosurg 2019; 130: 675-685.
10. Ali S, Sun M, Khan MN, Qiang F. Advances in sciatic nerve regeneration: a review of contemporary techniques. Regen Ther 2025; 29: 563-574.
11. Johnson AR, Said A, Acevedo J, Taylor R, Wu K, Ray WZ, et al. An updated evaluation of the management of nerve gaps: autografts, allografts, and nerve transfers. Semin Neurol 2025; 45: 157-175.
12. Fansa H, Dodic T, Wolf G, Schneider W, Keilhoff G. Tissue engineering of peripheral nerves: Epineurial grafts with application of cultured Schwann cells. Microsurgery 2003; 23: 72-77.
13. Patel NP, Lyon KA, Huang JH. An update-tissue engineered nerve grafts for the repair of peripheral nerve injuries. Neural Regen Res 2018; 13: 764-774.
14. Gao X, Wang Y, Chen J, Peng J. The role of peripheral nerve ECM components in the tissue engineering nerve construction. Rev Neurosci 2013; 24: 443-453.
15. Hudson TW, Liu SY, Schmidt CE. Engineering an improved acellular nerve graft via optimized chemical processing. Tissue Eng 2004; 10: 1346-1358.
16. Boriani F, Fazio N, Fotia C, Savarino L, Nicoli Aldini N, Martini L, et al. A novel technique for decellularization of allogenic nerves and in vivo study of their use for peripheral nerve reconstruction. J Biomed Mater Res A 2017; 105: 2228-2240.
17. Choi SJ, Han J, Shin YH, Kim JK. Increased efficiency of peripheral nerve regeneration using supercritical carbon dioxide-based decellularization in acellular nerve graft. Sci Rep 2024; 14: 23696.
18. Burk J, Erbe I, Berner D, Kacza J, Kasper C, Pfeiffer B, et al. Freeze-thaw cycles enhance decellularization of large tendons. Tissue Eng Part C Methods 2014; 20: 276-284.
19. Rabbani M, Zakian N, Alimoradi N. Contribution of physical methods in decellularization of animal tissues. J Med Signals Sens 2021; 11: 1-11.
20. Cheng J, Wang C, Gu Y. Combination of freeze-thaw with detergents: a promising approach to the decellularization of porcine carotid arteries. Biomed Mater Eng 2019; 30: 191-205.
21. Narciso M, Ulldemolins A, Júnior C, Otero J, Navajas D, Farré R, et al. Novel decellularization method for tissue slices. Front Bioeng Biotechnol 2022; 10: 832178.
22. Nieto-Nicolau N, López-Chicón P, Fariñas O, Bolívar S, Udina E, Navarro X, et al. Effective decellularization of human nerve matrix for regenerative medicine with a novel protocol. Cell Tissue Res 2021; 384: 167-177.
23. Geuna S, Raimondo S, Ronchi G, Di Scipio F, Tos P, Czaja K, et al. Histology of the peripheral nerve and changes occurring during nerve regeneration. Int Rev Neurobiol 2009; 87: 27-46.
24. Kwan MK, Wall EJ, Massie J, Garfin SR. Strain, stress and stretch of peripheral nerve: rabbit experiments in vitro and in vivo. Acta Orthop Scand 1992; 63: 267-272.
25. Nahumi A, Peymani M, Asadi A, Abdolmaleki A, Panahi Y. Decellularized tracheal scaffold as a promising 3D scaffold for tissue engineering applications. Tissue Cell 2023; 85: 102258.
26. Kumar P, Nagarajan A, Uchil PD. Analysis of cell viability by the MTT assay. Cold Spring Harb Protoc 2018; 2018: pdb.prot095505.
27. Kawecki M, Łabuś W, Klama-Baryla A, Kitala D, Kraut M, Glik J, et al. A review of decellurization methods caused by an urgent need for quality control of cell-free extracellular matrix’ scaffolds and their role in regenerative medicine. J Biomed Mater Res B Appl Biomater 2018; 106: 909-923.
28. Mendibil U, Ruiz-Hernandez R, Retegi-Carrion S, Garcia-Urquia N, Olalde-Graells B, Abarrategi A. Tissue-specific decellularization methods: Rationale and strategies to achieve regenerative compounds. Int J Mol Sci 2020; 21: 5447.
29. Gilbert TW, Sellaro TL, Badylak SF. Decellularization of tissues and organs. Biomaterials 2006; 27: 3675-3683.
30. Vracko R. Basal lamina scaffold-anatomy and significance for maintenance of orderly tissue structure: A review. Am J Pathol 1974; 77: 313.
31. Schmidt VJ, Wietbrock JO, Leibig N, Gloe T, Henn D, Hernekamp JF, et al. Collagen-elastin and collagen-glycosaminoglycan scaffolds promote distinct patterns of matrix maturation and axial vascularization in arteriovenous loop-based soft tissue flaps. Ann Plast Surg 2017; 79: 92-100.
32. Sondell M, Lundborg G, Kanje M. Regeneration of the rat sciatic nerve into allografts made acellular through chemical extraction. Brain Res 1998; 795: 44-54.
33. Kasravi M, Ahmadi A, Babajani A, Mazloomnejad R, Hatamnejad MR, Shariatzadeh S, et al. Immunogenicity of decellularized extracellular matrix scaffolds: A bottleneck in tissue engineering and regenerative medicine. Biomater Res 2023; 27: 10.
34. Chakraborty J, Roy S, Ghosh S. Regulation of decellularized matrix mediated immune response. Biomater Sci 2020; 8: 1194-1215.
35. Romero DJ, Hussey G, Capella-Monsonís H. Immune response to extracellular matrix bioscaffolds: A comprehensive review. Biologics 2025; 5: 28.
36. Green T, Adams M, Dolan P. Tensile properties of the annulus fibrosus: II. Ultimate tensile strength and fatigue life. Eur Spine J 1993; 2: 209-214.
37. Fraser S, Barberio CG, Chaudhry T, Power DM, Tan S, Lawless BM, et al. The effect of injurious compression on the elastic, hyper-elastic and visco-elastic properties of porcine peripheral nerves. J Mech Behav Biomed Mater 2021; 121: 104624.
38. Nokoorani YD, Shamloo A, Bahadoran M, Moravvej H. Fabrication and characterization of scaffolds containing different amounts of allantoin for skin tissue engineering. Sci Rep 2021; 11: 16164.
39. Burugapalli K, Chan JC, Kelly JL, Pandit AS. Efficacy of crosslinking on tailoring in vivo biodegradability of fibro-porous decellularized extracellular matrix and restoration of native tissue structure: A quantitative study using stereology methods. Macromol Biosci 2014; 14: 244-256.
40. Lau CS, Hassanbhai A, Wen F, Wang D, Chanchareonsook N, Goh BT, et al. Evaluation of decellularized tilapia skin as a tissue engineering scaffold. J Tissue Eng Regen Med 2019; 13: 1779-1791.
41. Reginensi D, Ortiz DA, Denis B, Castillo S, Burillo A, Khoury N, et al. Region-specific brain decellularized extracellular matrix promotes cell recovery in an in vitro model of stroke. Sci Rep 2025; 15: 11921.
42. Pattabhi SR, Martinez JS, Keller TC. Decellularized ECM effects on human mesenchymal stem cell stemness and differentiation. Differentiation 2014; 88: 131-143.
43. Saito H, Kanje M, Dahlin LB. Delayed nerve repair increases number of caspase 3 stained Schwann cells. Neurosci Lett 2009; 456: 30-33.

Articles in Press, Accepted Manuscript
Available Online from 17 October 2026