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Exploratory study on neurochemical effects of low-intensity pulsed ultrasound in brains of mice

Huining Guo, Glen Baker, Kelly Hartle, Esther Fujiwara, Junhui Wang, Yanbo Zhang, Jida Xing, Haiyan Lyu, Xin-Min Li, Jie Chen

Medical & Biological Engineering & Computing 2021, 59, 1099-1110 · 10.1007/s11517-021-02351-9

in vitro cellrodentdepressionotherbehaviourhistology molecularother

Abstract

There is now a relatively large body of evidence suggesting a relationship between dysfunction of myelin and oligodendrocytes and the etiology of several neuropsychiatric disorders, including depression and schizophrenia, and also suggesting that ultrasound methods may alleviate some of the symptoms of depression. We have applied low-intensity pulsed ultrasound (LIPUS) to the brains of mice treated with the demyelinating drug cuprizone, a drug that has been used as the basis for a rodent model relevant to a number of psychiatric and neurologic disorders including depression, schizophrenia, and multiple sclerosis. Prior to conducting the studies in mice, preliminary studies were carried out on the effects of LIPUS in vitro in neuron-like SH-SY5Y cells and primary glial cells. In subsequent studies in mice, female C57BL/6 mice were restrained in plastic tubes for 20 min daily with the ultrasound transducer near the end of the tube directly above the mouse's head. LIPUS was used at an intensity of 25 mW/cm 2 once daily for 22 days in control mice and in mice undergoing daily repetitive restraint stress (RRS). Behavioral or neurochemical studies were done on the mice or the brain tissue obtained from them. The studies in vitro indicated that LIPUS stimulation at an intensity of 15 mW/cm 2 delivered for 5 min daily for 3 days in an enclosed sterile cell culture plate in an incubator increased the viability of SH-SY5Y and primary glial cells. In the studies in mice, LIPUS elevated levels of doublecortin, a marker for neurogenesis, in the cortex compared to levels in the RRS mice and caused a trend in elevation of brain levels of brain-derived neurotrophic factor in the hippocampus relative to control levels. LIPUS also increased sucrose preference (a measure of the attenuation of anhedonia, a common symptom of several psychiatric disorders) in the RRS model in mice. The ability of LIPUS administered daily to rescue damaged myelin and oligodendrocytes was studied in mice treated chronically with cuprizone for 35 days. LIPUS increased cortex and corpus callosum levels of myelin basic protein, a protein marker for mature oligodendrocytes, and neural/glial antigen 2, a protein marker for oligodendrocyte precursor cells, relative to levels in the cuprizone + sham animals. These results of this exploratory study suggest that future comprehensive time-related studies with LIPUS on brain chemistry and behavior related to neuropsychiatric disorders are warranted. Exploratory Study on Neurochemical Effects of Low Intensity Pulsed Ultrasound in Brains of Mice. Upper part of figure: LIPUS device and in-vitro cell experimental set-up. The center image is the LIPUS generating box; the image in the upper left shows the cell experiment set-up; the image in the upper right shows a zoomed-in sketch for the cell experiment; the image in the lower left shows the set-up of repetitive restraint stress (RRS) with a mouse; the image in the lower middle shows the set-up of LIPUS treatment of a mouse; the image in the lower right shows a zoomed-in sketch for the LIPUS treatment of a mouse.

Abstract via europepmc.

SpeciesSH-SY5Y human neuroblastoma cell line; primary glial cells from 1-day-old rat pups; mouse (female C57BL/6)
Subjectsnot reported animals
Sessions per subject22
Randomisednot reported
Blindingnot reported
Sham / controlinactive transducer
Auditory controlnot reported
Readout timingoffline
Anaesthesiaawake
Readoutsbehaviour, histology molecular, othersucrose preference test (anhedonia); Western blotting (DCX, BDNF, MBP, NG2); immunohistochemistry (MBP, NG2); WST-1 colorimetric cell viability assay (SH-SY5Y cells and primary glial cells)
Direction of effectnot assessedLIPUS increased SH-SY5Y and primary glial cell viability in vitro, elevated hippocampal/cortical doublecortin and a trend increase in BDNF, increased sucrose preference (reduced anhedonia) in the RRS depression model, and increased cortical/corpus callosum MBP and NG2 after cuprizone-induced demyelination; neural excitability was not directly assessed.
Adverse eventsnot reported

Exposures

Exposure 1: LIPUS to SH-SY5Y cell cultures

Target: other — “SH-SY5Y neuroblastoma cell line (12-well culture plate)
Device: other named manufacturer · IntelligentNano Inc. · SonaCell

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)1,500✓✓
Pulse duration (ms)not reportedimplied by duty cycle ÷ PRF: 0.2 ms (not stated by the paper)
Pulse repetition frequency (Hz)1,000✓✓
Duty cycle (%)20✓✓
Sonication duration (s)300✓✓
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 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

LIPUS delivered through the bottom of culture wells via transmission gel, 5 min daily for 3 sessions (days), at 15 or 30 mW/cm2.

Exposure 2: LIPUS to primary glial cell cultures

Target: cultured glia — “primary cerebral cortical glial cell culture (rat pups)
Device: other named manufacturer · IntelligentNano Inc. · SonaCell

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)1,500✓✓
Pulse duration (ms)not reportedimplied by duty cycle ÷ PRF: 0.2 ms (not stated by the paper)
Pulse repetition frequency (Hz)1,000✓✓
Duty cycle (%)20✓✓
Sonication duration (s)300✓✓
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 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

LIPUS delivered through the bottom of culture wells via transmission gel, 5 min daily for 3 sessions (days), at 15 or 30 mW/cm2.

Exposure 3: Transcranial LIPUS to mouse brain (RRS and cuprizone models)

Target: whole brain or unfocused — “mouse brain, transducer placed directly above the head (cortex and hippocampus examined)
Device: other named manufacturer · IntelligentNano Inc. · SonaCell

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)1,500✓✓
Pulse duration (ms)not reportedimplied by duty cycle ÷ PRF: 0.2 ms (not stated by the paper)
Pulse repetition frequency (Hz)1,000✓✓
Duty cycle (%)20✓✓
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 estimatenot reported
In-situ pressure (kPa)not reported
In-situ Isppa (W/cm²)not reported
In-situ Ispta (W/cm²)not reported
Protocol, in the paper’s words

Mice restrained in plastic tubes with the transducer fixed directly above the head, transmission gel between skin and transducer. RRS/control experiment: 25 mW/cm2, 20 min daily for 22 days. Cuprizone experiment: 20 min daily for the 5-week (35-day) cuprizone feeding period.

Flags from extraction

  • n_subjectsDifferent assays (SPT, western blot, IHC) report different, partly overlapping group sizes (e.g. n=8-9, n=4-6, n=3-4 per group) across the RRS and cuprizone experiments; no single total number of ultrasound-exposed animals is stated.
  • n_sessions_per_subject22 daily sessions applies to the RRS/control experiment (abstract); the cuprizone experiment used daily LIPUS for the 5-week (35-day) cuprizone feeding period, a different session count.
  • exposures[2].timing.sonication_duration_s20 min/day is stated for both the RRS and cuprizone in vivo experiments; total number of days differs between experiments (22 vs ~35) though sonication_duration_s refers to daily session length only.
  • direction_of_effectStudy reports molecular/neurotrophic and behavioral (anhedonia) outcomes rather than direct measures of neural excitability, so excitatory/inhibitory classification does not apply cleanly.
  • exposures[0].target.termsSH-SY5Y is a neuroblastoma cell line, not primary cultured neurons; no exact vocabulary term exists, so 'other' is used.