Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Media Lab, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Sci Transl Med. 2018 Jan 24;10(425). doi: 10.1126/scitranslmed.aan2742.
Recent advances in medications for neurodegenerative disorders are expanding opportunities for improving the debilitating symptoms suffered by patients. Existing pharmacologic treatments, however, often rely on systemic drug administration, which result in broad drug distribution and consequent increased risk for toxicity. Given that many key neural circuitries have sub-cubic millimeter volumes and cell-specific characteristics, small-volume drug administration into affected brain areas with minimal diffusion and leakage is essential. We report the development of an implantable, remotely controllable, miniaturized neural drug delivery system permitting dynamic adjustment of therapy with pinpoint spatial accuracy. We demonstrate that this device can chemically modulate local neuronal activity in small (rodent) and large (nonhuman primate) animal models, while simultaneously allowing the recording of neural activity to enable feedback control.
近年来,神经退行性疾病药物的进展为改善患者的致残症状提供了更多机会。然而,现有的药物治疗方法通常依赖于全身药物给药,这会导致广泛的药物分布,从而增加毒性的风险。鉴于许多关键的神经回路具有亚立方毫米的体积和细胞特异性特征,因此将药物精确地输送到受影响的脑区是至关重要的,要尽量减少扩散和渗漏。我们报告了一种可植入的、远程可控的、微型化的神经药物输送系统的开发,该系统允许通过精确的空间精度来动态调整治疗。我们证明,该装置可以在小(啮齿动物)和大(非人灵长类动物)动物模型中化学调节局部神经元活动,同时允许记录神经活动以实现反馈控制。