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Ultrasound neuromodulation depends on pulse repetition frequency and can modulate inhibitory effects of TTX

Thomas J. Manuel, Jiro Kusunose, Xiaoyan Zhan, Xiaohui Lv, Ellison Kang, Aaron Yang, Zixiu Xiang, Charles F. Caskey

Scientific Reports 2020, 10 · 10.1038/s41598-020-72189-y

ex vivo tissuehealthycellular imaging

Abstract

Ultrasound is gaining traction as a neuromodulation method due to its ability to remotely and non-invasively modulate neuronal activity with millimeter precision. However, there is little consensus about optimal ultrasound parameters required to elicit neuromodulation and how specific parameters drive mechanisms that underlie ultrasound neuromodulation. We address these questions in this work by performing a study to determine effective ultrasound parameters in a transgenic mouse brain slice model that enables calcium imaging as a quantitative readout of neuronal activity for ultrasound neuromodulation. We report that (1) calcium signaling increases with the application of ultrasound; (2) the neuronal response rate to ultrasound is dependent on pulse repetition frequency (PRF); and (3) ultrasound can reversibly alter the inhibitory effects of tetrodotoxin (TTX) in pharmacological studies. This study offers mechanistic insight into the PRF dependence of ultrasound neuromodulation and the nature of ultrasound/ion channel interaction.

Abstract via europepmc.

Speciesmouse (transgenic GCaMP6s; coronal motor-cortex brain slices)
Subjects53 preparations
Sessions per subjectnot applicable
Randomisednot reported
Blindingnot reported
Sham / controlnone
Auditory controlnot reported
Readout timingonline
Anaesthesianot applicable
Readoutscellular imagingcalcium imaging (GCaMP6s) of brain slices via wide-field fluorescence microscopy
Direction of effectexcitatoryUltrasound increased calcium signaling (neuronal activation); the response rate was PRF-dependent (1,500 Hz PRF produced a significant increase from baseline and higher response rates than 300 Hz or continuous-wave parameters). Ultrasound also temporarily reduced the inhibitory effect of 0.5 µM TTX, restoring calcium signaling that TTX alone suppressed.
Adverse eventsnot applicableHeating from acoustic absorption was less than 1°C for continuous-wave pulses at the maximum pressure/duration used, and less than 0.25°C for pulsed ultrasound; there was no detectable change in image intensity due to acoustic-radiation-force displacement of the slices at the parameters used.

Exposures

Exposure 1: Continuous-wave 250 kHz sonication of motor-cortex brain slices

Target: motor cortex, brain slice — “motor cortex (coronal brain slice)
Device: other named manufacturer · NDT · 1-inch spherically focused transducer, 250 kHz

Pulse timing
Waveformcontinuous
Fundamental frequency (kHz)250✓✓
Pulse duration (ms)not applicable
Pulse repetition frequency (Hz)not applicable
Duty cycle (%)100✓✓
Sonication duration (s)0.2, 1swept✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)80, 350swept✓✓
Free-field Isppa (W/cm²)not reported
Free-field Ispta (W/cm²)not reported
In-situ estimatenot applicable
In-situ pressure (kPa)not applicable
In-situ Isppa (W/cm²)not applicable
In-situ Ispta (W/cm²)not applicable
Protocol, in the paper’s words

Brain slices were sonicated with continuous-wave parameters varying pressure (paper states 80 and 350 kPa, though the two values could not both be captured in one contiguous quote) and pulse length (matched cycle counts across 250/500 kHz). A single trial comprised a baseline measurement, sonication measurement, and a rest period of 30 s or greater.

Exposure 2: 500 kHz sonication of motor-cortex brain slices (continuous-wave and PRF/TTX pulsed trials)

Target: motor cortex, brain slice — “motor cortex (coronal brain slice)
Device: other named manufacturer · NDT · 1-inch spherically focused transducer, 500 kHz

Pulse timing
Waveformcontinuous, pulsed
Fundamental frequency (kHz)500✓✓
Pulse duration (ms)0.4, 2swept✓✓
Pulse repetition frequency (Hz)300, 1,500swept✓✓
Duty cycle (%)100, 60swept?
Sonication duration (s)0.1, 0.5, 100swept✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)80, 100, 350swept✓✓
Free-field Isppa (W/cm²)not reported
Free-field Ispta (W/cm²)not reported
In-situ estimatenot applicable
In-situ pressure (kPa)not applicable
In-situ Isppa (W/cm²)not applicable
In-situ Ispta (W/cm²)not applicable
Protocol, in the paper’s words

Continuous-wave 500 kHz trials used matched pressures/cycle counts as the 250 kHz trials (100 ms and 500 ms pulse lengths). Separately, pulsed PRF-dependence and TTX trials used a fixed 100 kPa pressure with a slow 0.5 Hz trigger firing 50 bursts per trial (100 s total sonication time); duty cycle was 60% within each burst and 2% for the total sonication. The 1,500 Hz condition used 200 cycles per pulse (0.4 ms) with 100 pulses per burst; the 300 Hz condition used 1,000 cycles per pulse (2 ms) with 20 pulses per burst. TTX (0, 0.5 or 1.0 µM) was perfused before a subset of these pulsed trials.

Flags from extraction

  • exposures[0].timing.sonication_duration_sContinuous-wave pressure sweep values (stated in text as 80 and 350 kPa) are split across a figure caption/page break in the source file and could not be captured in a single contiguous quote, so free_field.pressure_kpa for the 250 kHz exposure is left not_reported; only the 500 kHz pulsed-condition pressure (100 kPa) had a clean contiguous quote.
  • exposures[1].timing.sonication_duration_sThis field mixes durations from two different sub-conditions sharing the same target/frequency per the one-exposure-per-target-x-frequency rule: continuous-wave burst lengths (0.1, 0.5 s) and the total pulsed/PRF sonication time (100 s, 50 bursts at 0.5 Hz).
  • exposures[1].timing.duty_cycle_pctThe paper reports two different duty-cycle figures for the pulsed condition: 60% within each burst (which matches the stated pulse durations via PRF) and 2% for the total sonication including the 0.5 Hz inter-burst interval; only the burst-level 60% value is used alongside continuous-wave's 100%, with the nested 2% total duty cycle described in protocol_description.
  • auditory_controlThe paper argues that its ex vivo brain-slice model is inherently free of auditory-pathway confounds, but this is a property of the preparation rather than an explicit auditory_control method from the closed vocabulary.
  • n_subjectsA total slice count (53) is given only for the continuous-wave experiment; slice counts for the PRF-dependence and TTX experiments are not aggregated to a total in the text (only per-condition cell/trial counts are given).