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Transcranial Focused Ultrasound to the Thalamus Is Associated with Reduced Extracellular GABA Levels in Rats

Po Song Yang, Hyungmin Kim, Wonhye Lee, Mark Bohlke, Shinsuk Park, Timothy J. Maher, Seung-Schik Yoo

Neuropsychobiology 2012, 65, 153-160 · 10.1159/000336001

rodenthealthyhistology molecular

Abstract

Objective Transcranial focused ultrasound (FUS), with its ability to non-invasively modulate the excitability of region-specific brain areas, is gaining attention as a potential neurotherapeutic modality. The aim of this study was to examine whether or not FUS administered to the brain could alter the extracellular levels of glutamate and γ-aminobutyric acid (GABA), which are representative excitatory and inhibitory amino acid neurotransmitters, respectively. Methods FUS, delivered in the form of a train of pulses, was applied to the thalamus of Sprague-Dawley rats transcranially. Glutamate and GABA were directly sampled from the frontal lobe of the rat brain via a direct microdialysis technique before, during, and after the sonication. The dialysate concentrations were determined by high-performance liquid chromatography. Results The individual levels of the neurotransmitters sampled were normalized to the baseline level for each rat. In terms of the changes in extracellular glutamate levels, there was no difference between the FUS-treated group and the unsonicated control group. However, extracellular GABA levels started to decrease upon sonication and remained reduced (approximately 20% below baseline; repeated-measures ANOVA, p Conclusion The ability to modulate region-specific brain activity, along with the present evidence of the ability to modulate neurotransmission, demonstrates the potential utility of FUS as a completely new non-invasive therapeutic modality.

Abstract via europepmc.

Speciesrat (Sprague-Dawley)
Subjects11 animals
Sessions per subject1
Randomisedyes
Blindingnot reported
Sham / controlinactive transducer
Auditory controlnot reported
Readout timingboth
Anaesthesiaanaesthetised
Readoutshistology molecularMicrodialysis with HPLC-electrochemical detection of extracellular glutamate and GABA; hematoxylin and eosin histology for hemorrhage/tissue damage
Direction of effectinhibitoryExtracellular GABA levels decreased upon sonication and remained reduced (to ~82% of baseline) compared to the unsonicated control group, while extracellular glutamate levels did not differ between groups; the authors interpret the finding as consistent with an inhibitory/suppressive effect of the FUS parameters used.
Adverse eventsnone observedHistological examination of transverse brain sections at the sonication focus and beam path showed no abnormal findings such as hemorrhaging or tissue damage.

Exposures

Exposure 1: FUS sonication of the thalamus

Target: thalamus, ventral lateral nucleus — “thalamus (ventrolateral and ventromedial thalamic nucleus)
Device: other named manufacturer · SensMed · Sonomo

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)650✓✓
Pulse duration (ms)0.5✓✓
Pulse repetition frequency (Hz)100✓✓
Duty cycle (%)not reportedpulse duration × PRF gives 5%
Sonication duration (s)1,200✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)not reported
Free-field Isppa (W/cm²)not reported
Free-field Ispta (W/cm²)not reported
In-situ estimatederatingsingle value
In-situ pressure (kPa)350✓✓
In-situ Isppa (W/cm²)3.5✓✓
In-situ Ispta (W/cm²)0.175✓✓
Protocol, in the paper’s words

Microdialysates were collected every 20 min in a scheme of 3 baseline intervals (B1-B3), a single sonication interval (FUS), and 5 post-sonication intervals (P1-P5); the animal was sacrificed at the end of data collection without waking from anesthesia.

Flags from extraction

  • n_subjects11 animals enrolled/exposed to FUS but one died during the experiment and one further animal was excluded for exceeding a 3 SD fluctuation threshold, leaving n=9 analysed; enrolled number (11) is reported here.
  • n_sessions_per_subjectNot stated explicitly as 'one session'; inferred from the single continuous terminal procedure (baseline/sonication/post intervals followed by sacrifice).
  • target.termsPaper states the focus sonicated 'the ventrolateral and ventromedial thalamic nucleus'; ventromedial thalamic nucleus has no exact match in the target vocabulary, so only ventral_lateral_nucleus plus the parent thalamus term are given.
  • exposures[0].in_situ.pressure_kpaPeak negative pressure and intensities are stated already corrected for ~87% skull attenuation ('in situ'), so classified as derating rather than free-field.