神经化学测量的进展:用于闭环深部脑刺激系统开发的生物标志物和设备综述
Advances in neurochemical measurements: A review of biomarkers and devices for the development of closed-loop deep brain stimulation systems.
作者信息
Rojas Cabrera Juan M, Price J Blair, Rusheen Aaron E, Goyal Abhinav, Jondal Danielle, Barath Abhijeet S, Shin Hojin, Chang Su-Youne, Bennet Kevin E, Blaha Charles D, Lee Kendall H, Oh Yoonbae
机构信息
Department of Neurosurgery Research, Mayo Clinic, Rochester, MN 55902, United States.
Medical Scientist Training Program, Mayo Clinic, Rochester, MN 55902, United States.
出版信息
Rev Anal Chem. 2020;39(1):188-199. doi: 10.1515/revac-2020-0117. Epub 2020 Dec 31.
Neurochemical recording techniques have expanded our understanding of the pathophysiology of neurological disorders, as well as the mechanisms of action of treatment modalities like deep brain stimulation (DBS). DBS is used to treat diseases such as Parkinson's disease, Tourette syndrome, and obsessive-compulsive disorder, among others. Although DBS is effective at alleviating symptoms related to these diseases and improving the quality of life of these patients, the mechanism of action of DBS is currently not fully understood. A leading hypothesis is that DBS modulates the electrical field potential by modifying neuronal firing frequencies to non-pathological rates thus providing therapeutic relief. To address this gap in knowledge, recent advances in electrochemical sensing techniques have given insight into the importance of neurotransmitters, such as dopamine, serotonin, glutamate, and adenosine, in disease pathophysiology. These studies have also highlighted their potential use in tandem with electrophysiology to serve as biomarkers in disease diagnosis and progression monitoring, as well as characterize response to treatment. Here, we provide an overview of disease-relevant neurotransmitters and their roles and implications as biomarkers, as well as innovations to the biosensors used to record these biomarkers. Furthermore, we discuss currently available neurochemical and electrophysiological recording devices, and discuss their viability to be implemented into the development of a closed-loop DBS system.
神经化学记录技术拓展了我们对神经系统疾病病理生理学的理解,以及诸如深部脑刺激(DBS)等治疗方式的作用机制。DBS被用于治疗帕金森病、图雷特综合征和强迫症等疾病。尽管DBS在缓解与这些疾病相关的症状以及改善这些患者的生活质量方面有效,但DBS的作用机制目前尚未完全明确。一个主流假说是,DBS通过将神经元放电频率调节至非病理水平来调制电场电位,从而提供治疗缓解效果。为了填补这一知识空白,电化学传感技术的最新进展使人们深入了解了多巴胺、5-羟色胺、谷氨酸和腺苷等神经递质在疾病病理生理学中的重要性。这些研究还强调了它们与电生理学联合使用的潜在用途,以作为疾病诊断和进展监测中的生物标志物,以及表征对治疗的反应。在此,我们概述了与疾病相关的神经递质及其作为生物标志物的作用和意义,以及用于记录这些生物标志物的生物传感器的创新。此外,我们讨论了目前可用的神经化学和电生理记录设备,并探讨了它们在闭环DBS系统开发中应用的可行性。