Department of Bioengineering, University of Pittsburgh, 3501 Fifth Ave. Pittsburgh, Pittsburgh, PA, 15213, USA.
Adv Healthc Mater. 2021 Jun;10(12):e2100119. doi: 10.1002/adhm.202100119. Epub 2021 May 24.
Electrical microstimulation has enabled partial restoration of vision, hearing, movement, somatosensation, as well as improving organ functions by electrically modulating neural activities. However, chronic microstimulation is faced with numerous challenges. The implantation of an electrode array into the neural tissue triggers an inflammatory response, which can be exacerbated by the delivery of electrical currents. Meanwhile, prolonged stimulation may lead to electrode material degradation., which can be accelerated by the hostile inflammatory environment. Both material degradation and adverse tissue reactions can compromise stimulation performance over time. For stable chronic electrical stimulation, an ideal microelectrode must present 1) high charge injection limit, to efficiently deliver charge without exceeding safety limits for both tissue and electrodes, 2) small size, to gain high spatial selectivity, 3) excellent biocompatibility that ensures tissue health immediately next to the device, and 4) stable in vivo electrochemical properties over the application period. In this review, the challenges in chronic microstimulation are described in detail. To aid material scientists interested in neural stimulation research, the in vitro and in vivo testing methods are introduced for assessing stimulation functionality and longevity and a detailed overview of recent advances in electrode material research and device fabrication for improving chronic microstimulation performance is provided.
电微刺激已能够通过电调制神经活动来部分恢复视力、听力、运动、躯体感觉,以及改善器官功能。然而,慢性微刺激面临着许多挑战。电极阵列植入神经组织会引发炎症反应,电流的传递会加剧这种反应。同时,长时间的刺激可能导致电极材料降解,而恶劣的炎症环境会加速这一过程。随着时间的推移,材料降解和不良的组织反应都会影响刺激性能。为了实现稳定的慢性电刺激,理想的微电极必须具备以下特点:1)高电荷注入限制,以在不超过组织和电极安全限制的情况下有效传递电荷;2)尺寸小,以获得高空间选择性;3)良好的生物相容性,确保紧邻器件的组织健康;4)在应用期间体内电化学性能稳定。本综述详细描述了慢性微刺激面临的挑战。为了帮助对神经刺激研究感兴趣的材料科学家,本文介绍了用于评估刺激功能和寿命的体外和体内测试方法,并详细概述了改善慢性微刺激性能的电极材料研究和器件制造方面的最新进展。