Anesthetic‐loaded nanodroplets with focused ultrasound reduces agitation in Alzheimer's mice

Abstract Objective Alzheimer's disease (AD) is often associated with neuropsychiatric symptoms, including agitation and aggressive behavior. These symptoms increase with disease severity, ranging from 10% in mild cognitive impairment to 50% in patients with moderate‐to‐severe AD, pose a great r...

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Main Authors: Flavia Venetucci Gouveia, Harriet Lea‐Banks, Isabelle Aubert, Nir Lipsman, Kullervo Hynynen, Clement Hamani
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:Annals of Clinical and Translational Neurology
Online Access:https://doi.org/10.1002/acn3.51737
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author Flavia Venetucci Gouveia
Harriet Lea‐Banks
Isabelle Aubert
Nir Lipsman
Kullervo Hynynen
Clement Hamani
author_facet Flavia Venetucci Gouveia
Harriet Lea‐Banks
Isabelle Aubert
Nir Lipsman
Kullervo Hynynen
Clement Hamani
author_sort Flavia Venetucci Gouveia
collection DOAJ
description Abstract Objective Alzheimer's disease (AD) is often associated with neuropsychiatric symptoms, including agitation and aggressive behavior. These symptoms increase with disease severity, ranging from 10% in mild cognitive impairment to 50% in patients with moderate‐to‐severe AD, pose a great risk for self‐injury and injury to caregivers, result in high rates of institutionalization and great suffering for patients and families. Current pharmacological therapies have limited efficacy and a high potential for severe side effects. Thus, there is a growing need to develop novel therapeutics tailored to safely and effectively reduce agitation and aggressive behavior in AD. Here, we investigate for the first time the use of focused ultrasound combined with anesthetic‐loaded nanodroplets (nanoFUS) targeting the amygdala (key structure in the neurocircuitry of agitation) as a novel minimally invasive tool to modulate local neural activity and reduce agitation and aggressive behavior in the TgCRND8 AD transgenic mice. Methods Male and female animals were tested in the resident‐intruder (i.e., aggressive behavior) and open‐field tests (i.e., motor agitation) for baseline measures, followed by treatment with active‐ or sham‐nanoFUS. Behavioral testing was then repeated after treatment. Results Active‐nanoFUS neuromodulation reduced aggressive behavior and agitation in male mice, as compared to sham‐treated controls. Treatment with active‐nanoFUS increased the time male mice spent in social‐non‐aggressive behaviors. Interpretation Our results show that neuromodulation with active‐nanoFUS may be a potential therapeutic tool for the treatment of neuropsychiatric symptoms, with special focus on agitation and aggressive behaviors. Further studies are necessary to establish cellular, molecular and long‐term behavioral changes following treatment with nanoFUS.
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spelling doaj.art-d64ec9524ecf45268097721b3e7821bb2023-04-17T16:16:03ZengWileyAnnals of Clinical and Translational Neurology2328-95032023-04-0110450751910.1002/acn3.51737Anesthetic‐loaded nanodroplets with focused ultrasound reduces agitation in Alzheimer's miceFlavia Venetucci Gouveia0Harriet Lea‐Banks1Isabelle Aubert2Nir Lipsman3Kullervo Hynynen4Clement Hamani5Biological Sciences Platform Sunnybrook Research Institute Toronto Ontario M4N 3M5 CanadaPhysical Sciences Platform Sunnybrook Research Institute Toronto Ontario M4N 3M5 CanadaBiological Sciences Platform Sunnybrook Research Institute Toronto Ontario M4N 3M5 CanadaBiological Sciences Platform Sunnybrook Research Institute Toronto Ontario M4N 3M5 CanadaPhysical Sciences Platform Sunnybrook Research Institute Toronto Ontario M4N 3M5 CanadaBiological Sciences Platform Sunnybrook Research Institute Toronto Ontario M4N 3M5 CanadaAbstract Objective Alzheimer's disease (AD) is often associated with neuropsychiatric symptoms, including agitation and aggressive behavior. These symptoms increase with disease severity, ranging from 10% in mild cognitive impairment to 50% in patients with moderate‐to‐severe AD, pose a great risk for self‐injury and injury to caregivers, result in high rates of institutionalization and great suffering for patients and families. Current pharmacological therapies have limited efficacy and a high potential for severe side effects. Thus, there is a growing need to develop novel therapeutics tailored to safely and effectively reduce agitation and aggressive behavior in AD. Here, we investigate for the first time the use of focused ultrasound combined with anesthetic‐loaded nanodroplets (nanoFUS) targeting the amygdala (key structure in the neurocircuitry of agitation) as a novel minimally invasive tool to modulate local neural activity and reduce agitation and aggressive behavior in the TgCRND8 AD transgenic mice. Methods Male and female animals were tested in the resident‐intruder (i.e., aggressive behavior) and open‐field tests (i.e., motor agitation) for baseline measures, followed by treatment with active‐ or sham‐nanoFUS. Behavioral testing was then repeated after treatment. Results Active‐nanoFUS neuromodulation reduced aggressive behavior and agitation in male mice, as compared to sham‐treated controls. Treatment with active‐nanoFUS increased the time male mice spent in social‐non‐aggressive behaviors. Interpretation Our results show that neuromodulation with active‐nanoFUS may be a potential therapeutic tool for the treatment of neuropsychiatric symptoms, with special focus on agitation and aggressive behaviors. Further studies are necessary to establish cellular, molecular and long‐term behavioral changes following treatment with nanoFUS.https://doi.org/10.1002/acn3.51737
spellingShingle Flavia Venetucci Gouveia
Harriet Lea‐Banks
Isabelle Aubert
Nir Lipsman
Kullervo Hynynen
Clement Hamani
Anesthetic‐loaded nanodroplets with focused ultrasound reduces agitation in Alzheimer's mice
Annals of Clinical and Translational Neurology
title Anesthetic‐loaded nanodroplets with focused ultrasound reduces agitation in Alzheimer's mice
title_full Anesthetic‐loaded nanodroplets with focused ultrasound reduces agitation in Alzheimer's mice
title_fullStr Anesthetic‐loaded nanodroplets with focused ultrasound reduces agitation in Alzheimer's mice
title_full_unstemmed Anesthetic‐loaded nanodroplets with focused ultrasound reduces agitation in Alzheimer's mice
title_short Anesthetic‐loaded nanodroplets with focused ultrasound reduces agitation in Alzheimer's mice
title_sort anesthetic loaded nanodroplets with focused ultrasound reduces agitation in alzheimer s mice
url https://doi.org/10.1002/acn3.51737
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