Focal, remote-controlled, chronic chemical modulation of brain microstructures

Direct delivery of fluid to brain parenchyma is critical in both research and clinical settings. This is usually accomplished through acutely inserted cannulas. This technique, however, results in backflow and significant dispersion away from the infusion site, offering little spatial or temporal co...

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Bibliographic Details
Main Authors: Ramadi, Khalil, Dagdeviren, Canan, Spencer, Kevin C, Joe, Pauline, Cotler, Max Joseph, Rousseau, Erin Byrne, Nunez Lopez, Carlos, Graybiel, Ann M, Langer, Robert S, Cima, Michael J.
Other Authors: Harvard University--MIT Division of Health Sciences and Technology
Format: Article
Published: National Academy of Sciences (U.S.) 2019
Online Access:http://hdl.handle.net/1721.1/120597
https://orcid.org/0000-0002-5864-2386
https://orcid.org/0000-0002-2032-792X
https://orcid.org/0000-0002-7963-8706
https://orcid.org/0000-0002-2306-7537
https://orcid.org/0000-0002-4326-7720
https://orcid.org/0000-0003-4255-0492
https://orcid.org/0000-0003-2379-6139
Description
Summary:Direct delivery of fluid to brain parenchyma is critical in both research and clinical settings. This is usually accomplished through acutely inserted cannulas. This technique, however, results in backflow and significant dispersion away from the infusion site, offering little spatial or temporal control in delivering fluid. We present an implantable, MRI-compatible, remotely controlled drug delivery system for minimally invasive interfacing with brain microstructures in freely moving animals. We show that infusions through acutely inserted needles target a region more than twofold larger than that of identical infusions through chronically implanted probes due to reflux and backflow. We characterize the dynamics of in vivo infusions using positron emission tomography techniques. Volumes as small as 167 nL of copper-64 and fludeoxyglucose labeled agents are quantified. We further demonstrate the importance of precise drug volume dosing to neural structures to elicit behavioral effects reliably. Selective modulation of the substantia nigra, a critical node in basal ganglia circuitry, via muscimol infusion induces behavioral changes in a volume-dependent manner, even when the total dose remains constant. Chronic device viability is confirmed up to 1-y implantation in rats. This technology could potentially enable precise investigation of neurological disease pathology in preclinical models, and more efficacious treatment in human patients. Keywords: brain; drug delivery; substantia nigra; neural implant; PET