Department of Biomedical Engineering, Northwestern University, Evanston, IL 60208, USA.
Palo Alto Research Center, Palo Alto, CA 94304, USA.
Sci Adv. 2017 Jun 9;3(6):e1601649. doi: 10.1126/sciadv.1601649. eCollection 2017 Jun.
Bidirectional interfacing with the nervous system enables neuroscience research, diagnosis, and therapy. This two-way communication allows us to monitor the state of the brain and its composite networks and cells as well as to influence them to treat disease or repair/restore sensory or motor function. To provide the most stable and effective interface, the tools of the trade must bridge the soft, ion-rich, and evolving nature of neural tissue with the largely rigid, static realm of microelectronics and medical instruments that allow for readout, analysis, and/or control. In this Review, we describe how the understanding of neural signaling and material-tissue interactions has fueled the expansion of the available tool set. New probe architectures and materials, nanoparticles, dyes, and designer genetically encoded proteins push the limits of recording and stimulation lifetime, localization, and specificity, blurring the boundary between living tissue and engineered tools. Understanding these approaches, their modality, and the role of cross-disciplinary development will support new neurotherapies and prostheses and provide neuroscientists and neurologists with unprecedented access to the brain.
与神经系统的双向交互作用使神经科学的研究、诊断和治疗成为可能。这种双向通信使我们能够监测大脑及其复合网络和细胞的状态,并对其进行影响,以治疗疾病或修复/恢复感觉或运动功能。为了提供最稳定和有效的接口,贸易工具必须弥合神经组织的柔软、富含离子和不断变化的性质与主要刚性、静态的微电子学和医疗器械领域之间的差距,这些医疗器械允许进行读取、分析和/或控制。在这篇综述中,我们描述了对神经信号和材料-组织相互作用的理解如何推动了可用工具集的扩展。新的探头结构和材料、纳米粒子、染料和设计的基因编码蛋白推动了记录和刺激寿命、定位和特异性的极限,模糊了活组织和工程工具之间的界限。了解这些方法、它们的模式以及跨学科发展的作用将支持新的神经疗法和假体,并为神经科学家和神经科医生提供对大脑的前所未有的访问。