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用于周围神经再生的可生物吸收无线双刺激器。

Bioresorbable, wireless dual stimulator for peripheral nerve regeneration.

作者信息

Ahn Hak-Young, Walters Jordan B, Avila Raudel, Oh Seyong, Seo Seung Gi, Kim Jong Uk, Park Jihun, Yoo Seonggwang, Choi Yeon Sik, Kim Tae Yeon, Liu Jiaqi, Yoo Jae-Young, Weissleder Oliver Ralph, D'Andrea Dominic, Park Chanho, Lee Geumbee, Cho Donghwi, Maeng Woo-Youl, Yoon Hong-Joon, Wickerson Grace, Bouricha Yasmine, Tian Jing, Chung Tzu Chun, Jordan Sumanas W, Li Song, Huang Yonggang, Franz Colin K, Rogers John A

机构信息

Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, 60208, USA.

Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL, 60208, USA.

出版信息

Nat Commun. 2025 May 22;16(1):4752. doi: 10.1038/s41467-025-59835-7.

DOI:10.1038/s41467-025-59835-7
PMID:40404648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12098704/
Abstract

Wireless bioresorbable electrical stimulators have broad potential as therapeutic implants. Such devices operate for a clinically relevant duration and then harmlessly dissolve, eliminating the need for surgical removal. A representative application is in treating peripheral nerve injuries through targeted stimulation at either proximal or distal sites, with operation for up to one week. This report introduces enhanced devices with additional capabilities: (1) simultaneous stimulation of both proximal and distal sites, and (2) robust operation for as long as several months, all achieved with materials that naturally resorb by hydrolysis in surrounding biofluids. Systematic investigations of the materials and design aspects highlight the key features that enable dual stimulation and with enhanced stability. Animal model studies illustrate beneficial effects in promoting peripheral nerve regeneration, as quantified by increased total muscle and muscle fiber cross-sectional area and compound muscle action potentials. These findings expand the clinical applications of bioresorbable stimulators, particularly for long-term nerve regeneration and continuous neuromodulation-based monitoring.

摘要

无线生物可吸收电刺激器作为治疗性植入物具有广阔的潜力。这类装置能在临床相关的时间段内发挥作用,然后无害地溶解,无需手术取出。一个典型的应用是通过在近端或远端部位进行靶向刺激来治疗周围神经损伤,手术时间长达一周。本报告介绍了具有额外功能的增强型装置:(1)同时刺激近端和远端部位,(2)使用在周围生物流体中通过水解自然吸收的材料实现长达数月的稳定运行。对材料和设计方面的系统研究突出了实现双重刺激和增强稳定性的关键特性。动物模型研究表明,通过增加总肌肉和肌纤维横截面积以及复合肌肉动作电位来量化,在促进周围神经再生方面具有有益效果。这些发现扩展了生物可吸收刺激器的临床应用,特别是在长期神经再生和基于持续神经调节的监测方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/12098704/9f0284b2fdab/41467_2025_59835_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/12098704/7f214abb85d1/41467_2025_59835_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/12098704/c08df87dec51/41467_2025_59835_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/12098704/c22be3d87d11/41467_2025_59835_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/12098704/7d7c87d8fdc3/41467_2025_59835_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/12098704/d89e126dd9c5/41467_2025_59835_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/12098704/9f0284b2fdab/41467_2025_59835_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/12098704/7f214abb85d1/41467_2025_59835_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/12098704/c08df87dec51/41467_2025_59835_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/12098704/c22be3d87d11/41467_2025_59835_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/12098704/7d7c87d8fdc3/41467_2025_59835_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/12098704/d89e126dd9c5/41467_2025_59835_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/12098704/9f0284b2fdab/41467_2025_59835_Fig6_HTML.jpg

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本文引用的文献

1
The use of electrical stimulation to enhance recovery following peripheral nerve injury.电刺激在周围神经损伤后的恢复中的应用。
Muscle Nerve. 2024 Dec;70(6):1151-1162. doi: 10.1002/mus.28262. Epub 2024 Sep 30.
2
Advancements in stimulation therapies for peripheral nerve regeneration.刺激疗法在周围神经再生中的进展。
Biomed Mater. 2024 Aug 22;19(5). doi: 10.1088/1748-605X/ad651d.
3
Bioresorbable, wireless, and battery-free system for electrotherapy and impedance sensing at wound sites.用于伤口部位电疗和阻抗感应的生物可吸收、无线和无电池系统。
Sci Adv. 2023 Feb 22;9(8):eade4687. doi: 10.1126/sciadv.ade4687.
4
Multiple sessions of therapeutic electrical stimulation using implantable thin-film wireless nerve stimulators improve functional recovery after sciatic nerve isograft repair.使用植入式薄膜无线神经刺激器进行多次治疗性电刺激可改善坐骨神经同种异体修复后的功能恢复。
Muscle Nerve. 2023 Mar;67(3):244-251. doi: 10.1002/mus.27776. Epub 2023 Jan 17.
5
A bioresorbable peripheral nerve stimulator for electronic pain block.用于电子疼痛阻滞的生物可吸收外周神经刺激器。
Sci Adv. 2022 Oct 7;8(40):eabp9169. doi: 10.1126/sciadv.abp9169. Epub 2022 Oct 5.
6
Advanced Materials in Wireless, Implantable Electrical Stimulators That Offer Rapid Rates of Bioresorption for Peripheral Axon Regeneration.用于外周轴突再生的无线可植入电刺激器中的先进材料,其具有快速生物吸收速率。
Adv Funct Mater. 2021 Jul 16;31(29). doi: 10.1002/adfm.202102724. Epub 2021 May 6.
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Bioresorbable thin-film silicon diodes for the optoelectronic excitation and inhibition of neural activities.用于神经活动光电激发与抑制的生物可吸收薄膜硅二极管。
Nat Biomed Eng. 2023 Apr;7(4):486-498. doi: 10.1038/s41551-022-00931-0. Epub 2022 Sep 5.
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Interpreting Electrodiagnostic Studies for the Management of Nerve Injury.解读电诊断研究以管理神经损伤。
J Hand Surg Am. 2022 Sep;47(9):881-889. doi: 10.1016/j.jhsa.2022.04.008. Epub 2022 Jun 20.
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Stretchable gold nanowire-based cuff electrodes for low-voltage peripheral nerve stimulation.基于可拉伸金纳米线的 cuff 电极,用于低压外周神经刺激。
J Neural Eng. 2021 May 25;18(4). doi: 10.1088/1741-2552/abfebb.
10
Acute intermittent hypoxia enhances regeneration of surgically repaired peripheral nerves in a manner akin to electrical stimulation.急性间歇性低氧以类似于电刺激的方式增强手术修复的周围神经再生。
Exp Neurol. 2021 Jul;341:113671. doi: 10.1016/j.expneurol.2021.113671. Epub 2021 Mar 5.