An extraocular electrical stimulation approach to slow down the progression of retinal degeneration in an animal model

Abstract Retinal diseases such as retinitis pigmentosa (RP) and age-related macular degeneration (AMD) are characterized by unrelenting neuronal death. However, electrical stimulation has been shown to induce neuroprotective changes in the retina capable of slowing down the progression of retinal bl...

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Main Authors: Alejandra Gonzalez Calle, Javad Paknahad, Dimitrios Pollalis, Pragya Kosta, Biju Thomas, Ben Yi Tew, Bodour Salhia, Stan Louie, Gianluca Lazzi, Mark Humayun
Format: Article
Language:English
Published: Nature Portfolio 2023-09-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-40547-1
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author Alejandra Gonzalez Calle
Javad Paknahad
Dimitrios Pollalis
Pragya Kosta
Biju Thomas
Ben Yi Tew
Bodour Salhia
Stan Louie
Gianluca Lazzi
Mark Humayun
author_facet Alejandra Gonzalez Calle
Javad Paknahad
Dimitrios Pollalis
Pragya Kosta
Biju Thomas
Ben Yi Tew
Bodour Salhia
Stan Louie
Gianluca Lazzi
Mark Humayun
author_sort Alejandra Gonzalez Calle
collection DOAJ
description Abstract Retinal diseases such as retinitis pigmentosa (RP) and age-related macular degeneration (AMD) are characterized by unrelenting neuronal death. However, electrical stimulation has been shown to induce neuroprotective changes in the retina capable of slowing down the progression of retinal blindness. In this work, a multi-scale computational model and modeling platform were used to design electrical stimulation strategies to better target the bipolar cells (BCs), that along with photoreceptors are affected at the early stage of retinal degenerative diseases. Our computational findings revealed that biphasic stimulus pulses of long pulse duration could decrease the activation threshold of BCs, and the differential stimulus threshold between ganglion cells (RGCs) and BCs, offering the potential of targeting the BCs during the early phase of degeneration. In vivo experiments were performed to evaluate the electrode placement and parameters found to target bipolar cells and evaluate the safety and efficacy of the treatment. Results indicate that the proposed transcorneal Electrical Stimulation (TES) strategy can attenuate retinal degeneration in a Royal College of Surgeon (RCS) rodent model, offering the potential to translate this work to clinical practice.
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spelling doaj.art-9fa01fa1d3c444e8a3ccb449cdad8b562023-11-26T13:22:56ZengNature PortfolioScientific Reports2045-23222023-09-0113111010.1038/s41598-023-40547-1An extraocular electrical stimulation approach to slow down the progression of retinal degeneration in an animal modelAlejandra Gonzalez Calle0Javad Paknahad1Dimitrios Pollalis2Pragya Kosta3Biju Thomas4Ben Yi Tew5Bodour Salhia6Stan Louie7Gianluca Lazzi8Mark Humayun9Department of Ophthalmology, USC Roski Eye Institute, Keck School of Medicine, University of Southern CaliforniaUSC Ginsburg Institute for Biomedical Therapeutics, University of Southern CaliforniaDepartment of Ophthalmology, USC Roski Eye Institute, Keck School of Medicine, University of Southern CaliforniaUSC Ginsburg Institute for Biomedical Therapeutics, University of Southern CaliforniaUSC Ginsburg Institute for Biomedical Therapeutics, University of Southern CaliforniaUSC Ginsburg Institute for Biomedical Therapeutics, University of Southern CaliforniaUSC Ginsburg Institute for Biomedical Therapeutics, University of Southern CaliforniaUSC Ginsburg Institute for Biomedical Therapeutics, University of Southern CaliforniaUSC Ginsburg Institute for Biomedical Therapeutics, University of Southern CaliforniaDepartment of Ophthalmology, USC Roski Eye Institute, Keck School of Medicine, University of Southern CaliforniaAbstract Retinal diseases such as retinitis pigmentosa (RP) and age-related macular degeneration (AMD) are characterized by unrelenting neuronal death. However, electrical stimulation has been shown to induce neuroprotective changes in the retina capable of slowing down the progression of retinal blindness. In this work, a multi-scale computational model and modeling platform were used to design electrical stimulation strategies to better target the bipolar cells (BCs), that along with photoreceptors are affected at the early stage of retinal degenerative diseases. Our computational findings revealed that biphasic stimulus pulses of long pulse duration could decrease the activation threshold of BCs, and the differential stimulus threshold between ganglion cells (RGCs) and BCs, offering the potential of targeting the BCs during the early phase of degeneration. In vivo experiments were performed to evaluate the electrode placement and parameters found to target bipolar cells and evaluate the safety and efficacy of the treatment. Results indicate that the proposed transcorneal Electrical Stimulation (TES) strategy can attenuate retinal degeneration in a Royal College of Surgeon (RCS) rodent model, offering the potential to translate this work to clinical practice.https://doi.org/10.1038/s41598-023-40547-1
spellingShingle Alejandra Gonzalez Calle
Javad Paknahad
Dimitrios Pollalis
Pragya Kosta
Biju Thomas
Ben Yi Tew
Bodour Salhia
Stan Louie
Gianluca Lazzi
Mark Humayun
An extraocular electrical stimulation approach to slow down the progression of retinal degeneration in an animal model
Scientific Reports
title An extraocular electrical stimulation approach to slow down the progression of retinal degeneration in an animal model
title_full An extraocular electrical stimulation approach to slow down the progression of retinal degeneration in an animal model
title_fullStr An extraocular electrical stimulation approach to slow down the progression of retinal degeneration in an animal model
title_full_unstemmed An extraocular electrical stimulation approach to slow down the progression of retinal degeneration in an animal model
title_short An extraocular electrical stimulation approach to slow down the progression of retinal degeneration in an animal model
title_sort extraocular electrical stimulation approach to slow down the progression of retinal degeneration in an animal model
url https://doi.org/10.1038/s41598-023-40547-1
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