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Mechanistic insights into ultrasonic neurostimulation of disconnected neurons using single short pulses

Eyal Weinreb, Elisha Moses

Brain Stimulation 2022 · 10.1016/j.brs.2022.05.004

in vitro cellhealthycellular imaging

Abstract

Ultrasonic neurostimulation is a potentially potent noninvasive therapy, whose mechanism has yet to be elucidated. We designed a system capable of applying ultrasound with minimal reflections to neuronal cultures. Synaptic transmission was pharmacologically controlled, eliminating network effects, enabling examination of single-cell processes. Short single pulses of low-intensity ultrasound were applied, and time-locked responses were examined using calcium imaging. Low-pressure (0.35 MPa) ultrasound directly stimulated ∼20% of pharmacologically disconnected neurons, regardless of membrane poration. Stimulation was resistant to the blockade of several purinergic receptor and mechanosensitive ion channel types. Stimulation was blocked, however, by suppression of action potentials. Surprisingly, even extremely short (4 μs) pulses were effective, stimulating ∼8% of the neurons. Lower-pressure pulses (0.35 MPa) were less effective than higher-pressure ones (0.65 MPa). Attrition effects dominated, with no indication of compromised viability. Our results detract from theories implicating cavitation, heating, non-transient membrane pores >1.5 nm, pre-synaptic release, or gradual effects. They implicate a post-synaptic mechanism upstream of the action potential, and narrow down the list of possible targets involved.

Abstract via europepmc.

Speciesrat
Subjects78 cultures
Sessions per subjectnot applicable
Randomisednot applicable
Blindingnot applicable
Sham / controlnone
Auditory controlnot reported
Readout timingonline
Anaesthesianot applicable
Readoutscellular imaging — Fluo-4 and GCaMP calcium imaging; propidium iodide membrane integrity assay
Direction of effectexcitatoryA single pulse evoked calcium responses in about 20% of pharmacologically disconnected neurons; the response was abolished by TTX and was larger at 0.65-0.67 MPa than at 0.35 MPa.
Adverse eventsnot applicable

Exposures

Exposure 1: Single short pulses to cultures

Target: cultured neurons — “dissociated rat hippocampal neural cultures”
Device: not reported

Pulse timing
Waveformcontinuous
Fundamental frequency (kHz)500✓✓✓
Pulse duration (ms)not applicable
Pulse repetition frequency (Hz)not applicable
Duty cycle (%)not applicable
Sonication duration (s)0.000004, 0.04swept✓✓✓⚑
Pressure and intensity, by domain
Free-field pressure (kPa)350, 1,320swept✓✓✓⚑
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

Cultures were exposed to a single ultrasound pulse per stimulation (4 ms or 40 ms; 0.35 to 1.32 MPa peak pressure) with calcium images acquired for 5 s before and 10 s after; repeated stimulations were separated by recovery periods.

Flags from extraction

  • exposures[0].timing.sonication_duration_s — Paper says a 2-cycle pulse at 500 kHz corresponds to '4 ms'; 2 cycles at 500 kHz is 4 microseconds, so the unit may be a typo. Recorded as written (4 ms and 40 ms).
  • exposures[0].free_field.pressure_kpa — Peak pressures of 0.35 to 1.32 MPa; the text says output was verified with a hydrophone in a large water tank. Other text gives 0.65, 0.67 MPa for the higher pressure.
  • n_subjects — 78 is the number of cultures (n^c) in the generally-active-cell count; the equals sign was lost in conversion. Total cultures across experiments is not stated.
  • exposures[0].device.family — Transducer maker and model not given in the main text (methods are in the supplementary).
  • exposures[0].timing.waveform — Single short pulses, one per stimulation; recorded as continuous per the single-burst rule.