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破解神经密码,治疗瘫痪和生物电子医学的未来。

Cracking the neural code, treating paralysis and the future of bioelectronic medicine.

机构信息

Feinstein Institute for Medical Research, Manhasset, NY, USA.

出版信息

J Intern Med. 2017 Jul;282(1):37-45. doi: 10.1111/joim.12610. Epub 2017 Apr 16.

Abstract

The human nervous system is a vast network carrying not only sensory and movement information, but also information to and from our organs, intimately linking it to our overall health. Scientists and engineers have been working for decades to tap into this network and 'crack the neural code' by decoding neural signals and learning how to 'speak' the language of the nervous system. Progress has been made in developing neural decoding methods to decipher brain activity and bioelectronic technologies to treat rheumatoid arthritis, paralysis, epilepsy and for diagnosing brain-related diseases such as Parkinson's and Alzheimer's disease. In a recent first-in-human study involving paralysis, a paralysed male study participant regained movement in his hand, years after his injury, through the use of a bioelectronic neural bypass. This work combined neural decoding and neurostimulation methods to translate and re-route signals around damaged neural pathways within the central nervous system. By extending these methods to decipher neural messages in the peripheral nervous system, status information from our bodily functions and specific organs could be gained. This, one day, could allow real-time diagnostics to be performed to give us a deeper insight into a patient's condition, or potentially even predict disease or allow early diagnosis. The future of bioelectronic medicine is extremely bright and is wide open as new diagnostic and treatment options are developed for patients around the world.

摘要

人类神经系统是一个庞大的网络,不仅承载着感觉和运动信息,还承载着来自我们器官的信息,将其与我们的整体健康紧密相连。几十年来,科学家和工程师一直在努力利用这个网络,通过解码神经信号并学习如何“说”神经系统的语言,“破解神经密码”。已经取得了一些进展,开发出了神经解码方法来破译大脑活动,以及生物电子技术来治疗类风湿关节炎、瘫痪、癫痫,和用于诊断帕金森氏症和阿尔茨海默氏症等与大脑相关的疾病。在最近一项涉及瘫痪的首次人体研究中,一名瘫痪男性研究参与者在受伤多年后,通过使用生物电子神经旁路,重新恢复了手部运动。这项工作结合了神经解码和神经刺激方法,以在中枢神经系统内受损的神经通路周围翻译和重新路由信号。通过将这些方法扩展到外周神经系统中解码神经信息,可以获得我们身体功能和特定器官的状态信息。有朝一日,这可能使我们能够实时进行诊断,更深入地了解患者的病情,甚至可能预测疾病或允许早期诊断。生物电子医学的未来极其光明,随着新的诊断和治疗选择在全球范围内为患者开发,前景广阔。

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