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Low-Intensity Pulsed Ultrasound Enhances Neurotrophic Factors and Alleviates Neuroinflammation in a Rat Model of Parkinson’s Disease

Chen-Yu Sung, Pai-Kai Chiang, Che-Wen Tsai, Feng-Yi Yang

Cerebral Cortex 2021 · 10.1093/cercor/bhab201

rodentparkinsons diseasebehaviourhistology molecular

Abstract

Low-intensity pulsed ultrasound (LIPUS) has also been reported to improve behavioral functions in Parkinson's disease (PD) animal models; however, the effect of LIPUS stimulation on the neurotrophic factors and neuroinflammation has not yet been addressed. PD rat model was built by injection of 6-hydroxydopamine (6-OHDA) in 2 sites in the right striatum. The levels of neurotrophic factors and lipocalin-2 (LCN2)-induced neuroinflammation were quantified using a western blot. Rotational test and cylinder test were conducted biweekly for 8 weeks. When the 6-OHDA + LIPUS and 6-OHDA groups were compared, the locomotor function of the 6-OHDA + LIPUS rats was significantly improved. After LIPUS stimulation, the tyrosine hydroxylase staining density was significantly increased in the striatum and substantia nigra pars compacta (SNpc) of lesioned rats. Unilateral LIPUS stimulation did not increase brain-derived neurotrophic factor in the striatum and SNpc of lesioned rats. In contrast, unilateral LIPUS stimulation increased glial cell line-derived neurotrophic factor (GDNF) protein 1.98-fold unilaterally in the SNpc. Additionally, LCN2-induced neuroinflammation can be attenuated following LIPUS stimulation. Our data indicated that LIPUS stimulation may be a potential therapeutic tool against PD via enhancement of GDNF level and inhibition of inflammatory responses in the SNpc of the brain.

Abstract via europepmc.

Speciesrat (Sprague-Dawley)
Subjects8, 4, 4swept animals
Sessions per subjectnot reported
Randomisednot reported
Blindingsingle
Sham / controlno treatment control
Auditory controlnot reported
Readout timingoffline
Anaesthesiaanaesthetised
Readoutsbehaviour, histology molecular — apomorphine-induced rotation; cylinder test; TH immunohistochemistry; western blot (GDNF, BDNF, LCN2, IL-1beta)
Direction of effectnot assessedLIPUS improved rotation and forepaw bias, increased TH staining and GDNF in the ipsilateral SNpc and reduced LCN2 and IL-1beta in 6-OHDA lesioned rats; neuroprotective aim, excitation or inhibition not assessed.
Adverse eventsnot reported

Exposures

Exposure 1: 6-OHDA LIPUS group

Target: striatum, substantia nigra — “the targeted region in the lesions of the brain”
Device: Olympus / Panametrics · Panametrics · A392S ✓

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)1,000✓✓✓
Pulse duration (ms)50✓✓✓
Pulse repetition frequency (Hz)1✓✓✓
Duty cycle (%)5pulse duration × PRF gives 5%✓✓✓
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)0.528✓✓✓⚑
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

Each right hemisphere received triple sonications of 5 min with a 5 min interval between sonications, 5 days per week for 6 weeks (weeks 3 to 8), under isoflurane.

Flags from extraction

  • n_subjects — Only per-group n is given (n = 8 for behaviour, n = 4 for histology and western blot); 50 rats received 6-OHDA and 18 were excluded. Recorded the LIPUS group size from the behaviour figure legend.
  • exposures[0].free_field.ispta_w_cm2 — Paper writes 'spatial-peak, temporal-average intensity (I )' with the subscript lost in extraction; read as Ispta. Measured by radiation force balance in degassed water.
  • exposures[0].timing.sonication_duration_s — Each sonication is 5 min, three per session with 5 min gaps; 5 days per week for 6 weeks. Number of sessions not stated.
  • randomised — Rats were 'divided into' groups; randomisation is not stated.
  • blinding — Behavioural testing and TH quantification were by a blinded investigator; treatment blinding not described.