Bidirectional Neuronal Control of Epileptiform Activity by Repetitive Transcranial Focused Ultrasound Stimulations

Abstract Repetitive stimulation procedures are used in neuromodulation techniques to induce persistent excitatory or inhibitory brain activity. The directivity of modulation is empirically regulated by modifying the stimulation length, interval, and strength. However, bidirectional neuronal modulati...

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Main Authors: Taewon Choi, Minseok Koo, Jaesoon Joo, Taekyung Kim, Young‐Min Shon, Jinhyoung Park
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Advanced Science
Subjects:
Online Access:https://doi.org/10.1002/advs.202302404
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author Taewon Choi
Minseok Koo
Jaesoon Joo
Taekyung Kim
Young‐Min Shon
Jinhyoung Park
author_facet Taewon Choi
Minseok Koo
Jaesoon Joo
Taekyung Kim
Young‐Min Shon
Jinhyoung Park
author_sort Taewon Choi
collection DOAJ
description Abstract Repetitive stimulation procedures are used in neuromodulation techniques to induce persistent excitatory or inhibitory brain activity. The directivity of modulation is empirically regulated by modifying the stimulation length, interval, and strength. However, bidirectional neuronal modulations using ultrasound stimulations are rarely reported. This study presents bidirectional control of epileptiform activities with repetitive transcranial‐focused ultrasound stimulations in a rat model of drug‐induced acute epilepsy. It is found that repeated transmission of elongated (40 s), ultra‐low pressure (0.25 MPa) ultrasound can fully suppress epileptic activities in electro‐encephalography and cerebral blood volume measurements, while the change in bursting intervals from 40 to 20 s worsens epileptic activities even with the same burst length. Furthermore, the suppression induced by 40 s long bursts is transformed to excitatory states by a subsequent transmission. Bidirectional modulation of epileptic seizures with repeated ultrasound stimulation is achieved by regulating the changes in glutamate and γ‐Aminobutyric acid levels, as confirmed by measurements of expressed c‐Fos and GAD65 and multitemporal analysis of neurotransmitters in the interstitial fluid obtained via microdialysis.
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spelling doaj.art-f82015cd8fad4d099e750a1bbc4d002f2024-01-13T04:23:06ZengWileyAdvanced Science2198-38442024-01-01112n/an/a10.1002/advs.202302404Bidirectional Neuronal Control of Epileptiform Activity by Repetitive Transcranial Focused Ultrasound StimulationsTaewon Choi0Minseok Koo1Jaesoon Joo2Taekyung Kim3Young‐Min Shon4Jinhyoung Park5Department of Intelligent Precision Healthcare Convergence Sungkyunkwan University Suwon 16419 South KoreaDepartment of Intelligent Precision Healthcare Convergence Sungkyunkwan University Suwon 16419 South KoreaDepartment of Health Sciences and Technology Samsung Advanced Institute for Health Science and Technology Sungkyunkwan University Seoul 06351 South KoreaBiomedical Engineering Research Center Samsung Medical Center Seoul 06351 South KoreaDepartment of Health Sciences and Technology Samsung Advanced Institute for Health Science and Technology Sungkyunkwan University Seoul 06351 South KoreaDepartment of Intelligent Precision Healthcare Convergence Sungkyunkwan University Suwon 16419 South KoreaAbstract Repetitive stimulation procedures are used in neuromodulation techniques to induce persistent excitatory or inhibitory brain activity. The directivity of modulation is empirically regulated by modifying the stimulation length, interval, and strength. However, bidirectional neuronal modulations using ultrasound stimulations are rarely reported. This study presents bidirectional control of epileptiform activities with repetitive transcranial‐focused ultrasound stimulations in a rat model of drug‐induced acute epilepsy. It is found that repeated transmission of elongated (40 s), ultra‐low pressure (0.25 MPa) ultrasound can fully suppress epileptic activities in electro‐encephalography and cerebral blood volume measurements, while the change in bursting intervals from 40 to 20 s worsens epileptic activities even with the same burst length. Furthermore, the suppression induced by 40 s long bursts is transformed to excitatory states by a subsequent transmission. Bidirectional modulation of epileptic seizures with repeated ultrasound stimulation is achieved by regulating the changes in glutamate and γ‐Aminobutyric acid levels, as confirmed by measurements of expressed c‐Fos and GAD65 and multitemporal analysis of neurotransmitters in the interstitial fluid obtained via microdialysis.https://doi.org/10.1002/advs.202302404antiepileptic treatmentbidirectional neuronal controlepileptiform activitytranscranial focused ultrasound
spellingShingle Taewon Choi
Minseok Koo
Jaesoon Joo
Taekyung Kim
Young‐Min Shon
Jinhyoung Park
Bidirectional Neuronal Control of Epileptiform Activity by Repetitive Transcranial Focused Ultrasound Stimulations
Advanced Science
antiepileptic treatment
bidirectional neuronal control
epileptiform activity
transcranial focused ultrasound
title Bidirectional Neuronal Control of Epileptiform Activity by Repetitive Transcranial Focused Ultrasound Stimulations
title_full Bidirectional Neuronal Control of Epileptiform Activity by Repetitive Transcranial Focused Ultrasound Stimulations
title_fullStr Bidirectional Neuronal Control of Epileptiform Activity by Repetitive Transcranial Focused Ultrasound Stimulations
title_full_unstemmed Bidirectional Neuronal Control of Epileptiform Activity by Repetitive Transcranial Focused Ultrasound Stimulations
title_short Bidirectional Neuronal Control of Epileptiform Activity by Repetitive Transcranial Focused Ultrasound Stimulations
title_sort bidirectional neuronal control of epileptiform activity by repetitive transcranial focused ultrasound stimulations
topic antiepileptic treatment
bidirectional neuronal control
epileptiform activity
transcranial focused ultrasound
url https://doi.org/10.1002/advs.202302404
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