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Wireless bioresorbable electronic system enables sustained nonpharmacological neuroregenerative therapy

Authors :
Koo, Jahyun
MacEwan, Matthew R.
Kang, Seung-Kyun
Won, Sang Min
Stephen, Manu
Gamble, Paul
Xie, Zhaoqian
Yan, Ying
Chen, Yu-Yu
Shin, Jiho
Birenbaum, Nathan
Chung, Sangjin
Kim, Sung Bong
Khalifeh, Jawad
Harburg, Daniel V.
Bean, Kelsey
Paskett, Michael
Kim, Jeonghyun
Zohny, Zohny S.
Lee, Seung Min
Zhang, Ruoyao
Luo, Kaijing
Ji, Bowen
Banks, Anthony
Lee, Hyuck Mo
Huang, Younggang
Ray, Wilson Z.
Rogers, John A.
Source :
Nature Medicine; December 2018, Vol. 24 Issue: 12 p1830-1836, 7p
Publication Year :
2018

Abstract

Peripheral nerve injuries represent a significant problem in public health, constituting 2–5% of all trauma cases1. For severe nerve injuries, even advanced forms of clinical intervention often lead to incomplete and unsatisfactory motor and/or sensory function2. Numerous studies report the potential of pharmacological approaches (for example, growth factors, immunosuppressants) to accelerate and enhance nerve regeneration in rodent models3–10. Unfortunately, few have had a positive impact in clinical practice. Direct intraoperative electrical stimulation of injured nerve tissue proximal to the site of repair has been demonstrated to enhance and accelerate functional recovery11,12, suggesting a novel nonpharmacological, bioelectric form of therapy that could complement existing surgical approaches. A significant limitation of this technique is that existing protocols are constrained to intraoperative use and limited therapeutic benefits13. Herein we introduce (i) a platform for wireless, programmable electrical peripheral nerve stimulation, built with a collection of circuit elements and substrates that are entirely bioresorbable and biocompatible, and (ii) the first reported demonstration of enhanced neuroregeneration and functional recovery in rodent models as a result of multiple episodes of electrical stimulation of injured nervous tissue.

Details

Language :
English
ISSN :
10788956 and 1546170X
Volume :
24
Issue :
12
Database :
Supplemental Index
Journal :
Nature Medicine
Publication Type :
Periodical
Accession number :
ejs47416556
Full Text :
https://doi.org/10.1038/s41591-018-0196-2