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The mechanosensitive ion channel Piezo1 contributes to ultrasound neuromodulation

Jiejun Zhu, Quanxiang Xian, Xuandi Hou, Kin Fung Wong, Tingting Zhu, Zihao Chen, Dongming He, Shashwati Kala, Suresh Murugappan, Jianing Jing, Yong Wu, Xinyi Zhao, Danni Li, Jinghui Guo, Zhihai Qiu, Lei Sun

Proceedings of the National Academy of Sciences 2023, 120 · 10.1073/pnas.2300291120

rodentex vivo tissuehealthyemg mepbehaviourcellular imaginghistology molecular

Abstract

Transcranial low-intensity ultrasound is a promising neuromodulation modality, with the advantages of noninvasiveness, deep penetration, and high spatiotemporal accuracy. However, the underlying biological mechanism of ultrasonic neuromodulation remains unclear, hindering the development of efficacious treatments. Here, the well-known Piezo1 was studied through a conditional knockout mouse model as a major mediator for ultrasound neuromodulation ex vivo and in vivo. We showed that Piezo1 knockout (P1KO) in the right motor cortex of mice significantly reduced ultrasound-induced neuronal calcium responses, limb movement, and muscle electromyogram (EMG) responses. We also detected higher Piezo1 expression in the central amygdala (CEA), which was found to be more sensitive to ultrasound stimulation than the cortex was. Knocking out the Piezo1 in CEA neurons showed a significant reduction of response under ultrasound stimulation, while knocking out astrocytic Piezo1 showed no-obvious changes in neuronal responses. Additionally, we excluded an auditory confound by monitoring auditory cortical activation and using smooth waveform ultrasound with randomized parameters to stimulate P1KO ipsilateral and contralateral regions of the same brain and recording evoked movement in the corresponding limb. Thus, we demonstrate that Piezo1 is functionally expressed in different brain regions and that it is an important mediator of ultrasound neuromodulation in the brain, laying the ground for further mechanistic studies of ultrasound.

Abstract via europepmc.

Speciesmouse (C57BL/6J; Piezo1 conditional knockout, Piezo1 tm2.1Apat)
Subjectsnot reported animals
Sessions per subjectnot reported
Randomisedyes
Blindingsingle
Sham / controlnone
Auditory controlramped pulses
Readout timingboth
Anaesthesiaanaesthetised
Readoutsemg mep, behaviour, cellular imaging, histology molecularEMG (gastrocnemius); DeepLabCut-tracked forelimb/hind limb movement; GCaMP6s calcium imaging (ex vivo brain slices and in vivo fiber photometry); c-Fos and Piezo1 immunostaining
Direction of effectexcitatoryUltrasound evoked calcium influx, EMG responses, contralateral limb movement, and c-Fos expression in motor cortex and central amygdala neurons in a pressure-dependent manner; these excitatory responses were significantly reduced, but not abolished, by neuronal Piezo1 knockout.
Adverse eventsnot reported

Exposures

Exposure 1: Right motor cortex (Piezo1 conditional knockout vs control; ex vivo slices and in vivo)

Target: motor cortex — “right motor cortex
Device: custom-built · 0.5-MHz lithium niobate ultrasound transducer (ex vivo: 0.5-MHz plane transducer)

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)500✓✓
Pulse duration (ms)0.5✓✓
Pulse repetition frequency (Hz)1,000✓✓
Duty cycle (%)50pulse duration × PRF gives 50%✓✓
Sonication duration (s)0.05, 0.25, 0.3, 0.5swept✓✓
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
Pressure, domain unspecified (kPa)30, 60, 120, 200, 250, 300, 350, 400, 450, 800swept✓✓
Protocol, in the paper’s words

Across sub-experiments (ex vivo calcium imaging, forelimb/hind limb video tracking, EMG, fiber photometry, and an ipsilateral-vs-contralateral smoothed-waveform test), the same 0.5 MHz / 1 kHz PRF / 50% duty-cycle protocol was used with pressures, sonication durations and inter-stimulus intervals (5-15 s, or randomised 10-50 s for the smoothed-waveform test) varied by assay; the fiber-photometry assay in Ctrl/P1KO cortex used a separately stated pressure range of 0.02-0.12 MPa (300 ms duration) not included in the numeric pressure list here.

Exposure 2: Central amygdala (CEA), neuronal vs astrocytic Piezo1 knockout

Target: central amygdala — “central amygdala (CEA)
Device: custom-built · 0.5-MHz transducer with water-tube wave-guide

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)500✓✓
Pulse duration (ms)0.5?
Pulse repetition frequency (Hz)1,000✓✓
Duty cycle (%)50pulse duration × PRF gives 50%✓✓
Sonication duration (s)0.3✓✓
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
Pressure, domain unspecified (kPa)30, 60, 120, 250swept✓✓
Protocol, in the paper’s words

Four trials of ultrasound (0.03, 0.06, 0.12 or 0.25 MPa), each trial 3-6 stimuli with 5-s inter-stimulus interval, and 50 s rest between trials, delivered to the CEA of anesthetised mice while recording GCaMP6s fiber photometry in four viral groups (neuronal or astrocytic Piezo1 knockout and their controls).

Flags from extraction

  • n_subjectsStudy uses many separate small cohorts across sub-experiments (e.g. N=5 Ctrl/4 P1KO for behaviour, N=5/5 for fiber photometry, 24 mice for CEA groups, 3/3 for c-Fos); no single total exposed to ultrasound is stated.
  • n_sessions_per_subjectNot explicitly stated for any sub-experiment; appears to be a single recording/testing session per assay.
  • exposures[0].unspecified_domain.pressure_kpaList merges discrete pressures reported across several sub-experiments (ex vivo calcium imaging, forelimb/hind limb video, EMG, and the smoothed-waveform ipsi/contralateral test); the fiber-photometry cortex assay additionally reports a 0.02-0.12 MPa range not folded into this list.
  • exposures[0].domainPaper does not state whether applied pressures were measured in free field or at the brain surface/in situ; placed in unspecified_domain.
  • exposures[1].timing.pulse_duration_ms500-µs tone burst is explicitly stated for the ex vivo/behavioural sub-experiments using the same fixed device protocol (1 kHz PRF, 50% duty cycle) but is not separately restated for the CEA fiber-photometry assay.
  • auditory_controlPaper describes a 'smoothed waveform' with randomised pulse timing to exclude auditory confound, which is analogous to but not verbatim 'ramped pulses'.