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聚焦超声在阿尔茨海默病中的长期记忆功能和海马突触可塑性的恢复作用。

Long-lasting restoration of memory function and hippocampal synaptic plasticity by focused ultrasound in Alzheimer's disease.

机构信息

Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Republic of Korea.

Department of Physiology, Yonsei University College of Medicine, Seoul, Republic of Korea.

出版信息

Brain Stimul. 2023 May-Jun;16(3):857-866. doi: 10.1016/j.brs.2023.05.014. Epub 2023 May 19.

Abstract

BACKGROUND

Focused ultrasound (FUS) is a medical technology that non-invasively stimulates the brain and has been applied in thermal ablation, blood-brain barrier (BBB) opening, and neuromodulation. In recent years, numerous experiences and indications for the use of FUS in clinical and preclinical studies have rapidly expanded. Focused ultrasound-mediated BBB opening induces cognitive enhancement and neurogenesis; however, the underlying mechanisms have not been elucidated.

METHODS

Here, we investigate the effects of FUS-mediated BBB opening on hippocampal long-term potentiation (LTP) and cognitive function in a 5xFAD mouse model of Alzheimer's disease (AD). We applied FUS with microbubble to the hippocampus and LTP was measured 6 weeks after BBB opening using FUS. Field recordings were made with a concentric bipolar electrode positioned in the CA1 region using an extracellular glass pipette filled with artificial cerebrospinal fluid. Morris water maze and Y-maze was performed to test cognitive function.

RESULTS

Our results demonstrated that FUS-mediated BBB opening has a significant impact on increasing LTP at Schaffer collateral - CA1 synapses and rescues cognitive dysfunction and working memory. These effects persisted for up to 7 weeks post-treatment. Also, FUS-mediated BBB opening in the hippocampus increased PKA phosphorylation.

CONCLUSION

Therefore, it could be a promising treatment for neurodegenerative diseases as it remarkably increases LTP, thereby improving working memory.

摘要

背景

聚焦超声(FUS)是一种非侵入性刺激大脑的医学技术,已应用于热消融、血脑屏障(BBB)开放和神经调节。近年来,FUS 在临床和临床前研究中的应用经验和适应症迅速扩大。聚焦超声介导的 BBB 开放可诱导认知增强和神经发生;然而,其潜在机制尚未阐明。

方法

在这里,我们研究了 FUS 介导的 BBB 开放对阿尔茨海默病(AD)5xFAD 小鼠模型中海马长时程增强(LTP)和认知功能的影响。我们应用 FUS 微泡对海马进行 FUS,在 BBB 开放 6 周后使用 FUS 测量 LTP。使用同心双极电极在 CA1 区域进行场记录,该电极由充满人工脑脊液的外腔玻璃吸管定位。进行 Morris 水迷宫和 Y 迷宫以测试认知功能。

结果

我们的结果表明,FUS 介导的 BBB 开放对增加 Schaffer 侧枝 - CA1 突触处的 LTP 有显著影响,并挽救了认知功能障碍和工作记忆。这些影响在治疗后持续长达 7 周。此外,FUS 介导的海马 BBB 开放增加了 PKA 磷酸化。

结论

因此,它可能是治疗神经退行性疾病的一种有前途的方法,因为它显著增加了 LTP,从而改善了工作记忆。

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