Although numerous strategies have been implemented to
develop nerve
guidance conduits (NGCs) to treat peripheral nerve injury (PNI), functionalization
of an NGC to make it remotely controllable for providing spatiotemporal
modulation on in situ nerve tissues remains a challenge. In this study,
a gelatin/silk (GS) hydrogel was used to develop an NGC based on its
self-owned reversible thermoresponsive sol-to-gel phase transformation
ability that permitted rapid three-dimensional (3D) micropatterning
of the incorporated nerve growth factor (NGF)-loaded magnetic poly(lactic-co-glycolic acid) (PLGA) microcapsules (called NGF@MPs)
via multiple magnetic guidance. The thermally controllable viscosity
of GS enabled the rapid formation of a 3D gradient and linearly aligned
distribution of NGF@MPs, leading to magnetically controlled 3D gradient
release of NGF to enhance topographical nerve guidance and wound healing
in PNIs. Particularly, the as-formed micropatterned hydrogel, called
NGF@MPs-GS, showed corrugation topography with a pattern height H of 15 μm, which resulted in the linear axon alignment
of more than 90% of cells. In addition, by an external magnetic field,
spatiotemporal controllability of NGF release was obtained and permitted
neurite elongation that was almost 2-fold longer than that in the
group with external addition of NGF. Finally, an NGC prototype was
fabricated and implanted into the injured sciatic nerve. The patterned
implant, assisted by magnetic stimulation, demonstrated accelerated
restoration of motor function within 14 days after implantation. It
further contributed to the enhancement of axon outgrowth and remyelination
after 28 days. This NGC, with controllable mechanical, biochemical,
and topographical cues, is a promising platform for the enhancement
of nerve regeneration.