Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Republic of Korea.
Department of Physiology, Yonsei University College of Medicine, Seoul, Republic of Korea.
Brain Stimul. 2023 May-Jun;16(3):857-866. doi: 10.1016/j.brs.2023.05.014. Epub 2023 May 19.
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.
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.
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.
Therefore, it could be a promising treatment for neurodegenerative diseases as it remarkably increases LTP, thereby improving working memory.
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。
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。
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。
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。