Chung Paul Chu Sin, Paggi Valentina, Pertin Marie, Kirschmann Guylène, Konnova Elena A, Michoud Frédéric, Furfaro Ivan, Schneider Bernard L, Lacour Stéphanie P, Decosterd Isabelle
Pain Center, Department of Anesthesiology Lausanne University Hospital (CHUV) Lausanne Switzerland.
Laboratory for Soft Bioelectronic Interfaces Neuro-X Institute, Ecole Polytechnique Fédérale de Lausanne (EPFL) Switzerland.
Bioeng Transl Med. 2025 Jun 26;10(4):e70034. doi: 10.1002/btm2.70034. eCollection 2025 Jul.
Hyperexcitability of peripheral sensory neurons plays a critical role in the development and maintenance of chronic pain. Pharmacological analgesics used in clinics reduce neuronal activity. They often come with non-negligible side effects. Optogenetic approaches can modulate neuronal activity and are attracting growing interest for therapeutic uses, but the delivery of light in different parts of the body requires the development of specific optoelectronic interfaces. We designed and produced a microfabricated optoelectronic implant to deliver yellow light (559 nm) onto the sciatic nerve. We have surgically implanted the device in transgenic mice expressing the yellow light-sensitive inhibitory archaerhodopsin (ArchT) in nociceptive neurons. Yellow light induced a significant reduction in the responses of the nociceptive neurons and curbed the behavioral responses to noxious mechanical and thermal stimuli. Remarkably, the yellow light-related inhibition did not alter the behavioral responses evoked by innocuous mechanical stimulation or by intense inflammation. The optoelectronic implants showed reliable and reproducible opto-electrical performance. For stimulation parameters used in vivo (3.3 V, 60-80 mW/mm, 20 s train pulses, 1 Hz, 80% duty-cycle, and an inter-train interval of 1 s), limited temperature increase was measured in an environment mimicking neural tissue surrounded by muscle and fat. Similarly, the basal sensitivity of the implanted mice remains comparable to non-implanted mice, suggesting a safe integration of the soft electronic device. Our study confirmed that optoelectronic implants tailored to the sciatic nerve can provide specific light spectra and intensities at adequate levels for the optogenetic actuator to trigger significant electrophysiological and behavioral responses in pain perception.
外周感觉神经元的过度兴奋在慢性疼痛的发生和维持中起关键作用。临床使用的药理镇痛药会降低神经元活性。它们往往伴有不可忽视的副作用。光遗传学方法可以调节神经元活性,并且在治疗应用中越来越受到关注,但是在身体不同部位传递光需要开发特定的光电接口。我们设计并制造了一种微加工的光电植入物,用于将黄光(559nm)投射到坐骨神经上。我们已将该装置手术植入在伤害性神经元中表达对黄光敏感的抑制性古菌视紫红质(ArchT)的转基因小鼠体内。黄光使伤害性神经元的反应显著降低,并抑制了对有害机械和热刺激的行为反应。值得注意的是,与黄光相关的抑制并未改变由无害机械刺激或强烈炎症引起的行为反应。这些光电植入物表现出可靠且可重复的光电性能。对于体内使用的刺激参数(3.3V、60 - 80mW/mm、20s 串脉冲、1Hz、80%占空比以及串间间隔 1s),在模拟被肌肉和脂肪包围的神经组织的环境中测量到温度升高有限。同样,植入小鼠的基础敏感性与未植入小鼠相当,这表明该柔性电子设备具有安全整合性。我们的研究证实,针对坐骨神经定制的光电植入物能够提供特定的光谱和强度,达到足以使光遗传学致动器在疼痛感知中触发显著电生理和行为反应的水平。