An Investigation for Large Volume, Focal Blood-Brain Barrier Disruption with High-Frequency Pulsed Electric Fields

The treatment of CNS disorders suffers from the inability to deliver large therapeutic agents to the brain parenchyma due to protection from the blood-brain barrier (BBB). Herein, we investigated high-frequency pulsed electric field (HF-PEF) therapy of various pulse widths and interphase delays for...

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Main Authors: Melvin F. Lorenzo, Sabrina N. Campelo, Julio P. Arroyo, Kenneth N. Aycock, Jonathan Hinckley, Christopher B. Arena, John H. Rossmeisl, Rafael V. Davalos
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/14/12/1333
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author Melvin F. Lorenzo
Sabrina N. Campelo
Julio P. Arroyo
Kenneth N. Aycock
Jonathan Hinckley
Christopher B. Arena
John H. Rossmeisl
Rafael V. Davalos
author_facet Melvin F. Lorenzo
Sabrina N. Campelo
Julio P. Arroyo
Kenneth N. Aycock
Jonathan Hinckley
Christopher B. Arena
John H. Rossmeisl
Rafael V. Davalos
author_sort Melvin F. Lorenzo
collection DOAJ
description The treatment of CNS disorders suffers from the inability to deliver large therapeutic agents to the brain parenchyma due to protection from the blood-brain barrier (BBB). Herein, we investigated high-frequency pulsed electric field (HF-PEF) therapy of various pulse widths and interphase delays for BBB disruption while selectively minimizing cell ablation. Eighteen male Fisher rats underwent craniectomy procedures and two blunt-tipped electrodes were advanced into the brain for pulsing. BBB disruption was verified with contrast T1W MRI and pathologically with Evans blue dye. High-frequency irreversible electroporation cell death of healthy rodent astrocytes was investigated in vitro using a collagen hydrogel tissue mimic. Numerical analysis was conducted to determine the electric fields in which BBB disruption and cell ablation occur. Differences between the BBB disruption and ablation thresholds for each waveform are as follows: 2-2-2 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>s (1028 V/cm), 5-2-5 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>s (721 V/cm), 10-1-10 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>s (547 V/cm), 2-5-2 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>s (1043 V/cm), and 5-5-5 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>s (751 V/cm). These data suggest that HF-PEFs can be fine-tuned to modulate the extent of cell death while maximizing peri-ablative BBB disruption. Furthermore, numerical modeling elucidated the diffuse field gradients of a single-needle grounding pad configuration to favor large-volume BBB disruption, while the monopolar probe configuration is more amenable to ablation and reversible electroporation effects.
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spelling doaj.art-0d3d1e5d05c74db587cff253b712c0f72023-11-23T10:04:14ZengMDPI AGPharmaceuticals1424-82472021-12-011412133310.3390/ph14121333An Investigation for Large Volume, Focal Blood-Brain Barrier Disruption with High-Frequency Pulsed Electric FieldsMelvin F. Lorenzo0Sabrina N. Campelo1Julio P. Arroyo2Kenneth N. Aycock3Jonathan Hinckley4Christopher B. Arena5John H. Rossmeisl6Rafael V. Davalos7Department of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USADepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USADepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USADepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USADepartment of Small Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Blacksburg, VA 24061, USADepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USADepartment of Small Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Blacksburg, VA 24061, USADepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USAThe treatment of CNS disorders suffers from the inability to deliver large therapeutic agents to the brain parenchyma due to protection from the blood-brain barrier (BBB). Herein, we investigated high-frequency pulsed electric field (HF-PEF) therapy of various pulse widths and interphase delays for BBB disruption while selectively minimizing cell ablation. Eighteen male Fisher rats underwent craniectomy procedures and two blunt-tipped electrodes were advanced into the brain for pulsing. BBB disruption was verified with contrast T1W MRI and pathologically with Evans blue dye. High-frequency irreversible electroporation cell death of healthy rodent astrocytes was investigated in vitro using a collagen hydrogel tissue mimic. Numerical analysis was conducted to determine the electric fields in which BBB disruption and cell ablation occur. Differences between the BBB disruption and ablation thresholds for each waveform are as follows: 2-2-2 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>s (1028 V/cm), 5-2-5 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>s (721 V/cm), 10-1-10 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>s (547 V/cm), 2-5-2 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>s (1043 V/cm), and 5-5-5 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>s (751 V/cm). These data suggest that HF-PEFs can be fine-tuned to modulate the extent of cell death while maximizing peri-ablative BBB disruption. Furthermore, numerical modeling elucidated the diffuse field gradients of a single-needle grounding pad configuration to favor large-volume BBB disruption, while the monopolar probe configuration is more amenable to ablation and reversible electroporation effects.https://www.mdpi.com/1424-8247/14/12/1333blood-brain barrier disruptionelectroporationfinite element methodsGadoliniumEvans blue dyeT1-weighted MRI
spellingShingle Melvin F. Lorenzo
Sabrina N. Campelo
Julio P. Arroyo
Kenneth N. Aycock
Jonathan Hinckley
Christopher B. Arena
John H. Rossmeisl
Rafael V. Davalos
An Investigation for Large Volume, Focal Blood-Brain Barrier Disruption with High-Frequency Pulsed Electric Fields
Pharmaceuticals
blood-brain barrier disruption
electroporation
finite element methods
Gadolinium
Evans blue dye
T1-weighted MRI
title An Investigation for Large Volume, Focal Blood-Brain Barrier Disruption with High-Frequency Pulsed Electric Fields
title_full An Investigation for Large Volume, Focal Blood-Brain Barrier Disruption with High-Frequency Pulsed Electric Fields
title_fullStr An Investigation for Large Volume, Focal Blood-Brain Barrier Disruption with High-Frequency Pulsed Electric Fields
title_full_unstemmed An Investigation for Large Volume, Focal Blood-Brain Barrier Disruption with High-Frequency Pulsed Electric Fields
title_short An Investigation for Large Volume, Focal Blood-Brain Barrier Disruption with High-Frequency Pulsed Electric Fields
title_sort investigation for large volume focal blood brain barrier disruption with high frequency pulsed electric fields
topic blood-brain barrier disruption
electroporation
finite element methods
Gadolinium
Evans blue dye
T1-weighted MRI
url https://www.mdpi.com/1424-8247/14/12/1333
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