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Ultrasound Deep Brain Stimulation Regulates Food Intake and Body Weight in Mice

Wen Meng, Zhengrong Lin, Tianyuan Bian, Xiaoyan Chen, Long Meng, Tifei Yuan, Lili Niu, Hairong Zheng

IEEE Transactions on Neural Systems and Rehabilitation Engineering 2024 · 10.1109/tnsre.2024.3351312

rodenthealthyotherbehaviourhistology molecularinvasive electrophysiologyother

Abstract

Given the widespread occurrence of obesity, new strategies are urgently needed to prevent, halt and reverse this condition. We proposed a noninvasive neurostimulation tool, ultrasound deep brain stimulation (UDBS), which can specifically modulate the hypothalamus and effectively regulate food intake and body weight in mice. Fifteen-min UDBS of hypothalamus decreased 41.4% food intake within 2 hours. Prolonged 1-hour UDBS significantly decreased daily food intake lasting 4 days. UDBS also effectively restrained body weight gain in leptin-receptor knockout mice (Sham: 96.19%, UDBS: 58.61%). High-fat diet (HFD) mice treated with 4-week UDBS (15 min / 2 days) reduced 28.70% of the body weight compared to the Sham group. Meanwhile, UDBS significantly modulated glucose-lipid metabolism and decreased the body fat. The potential mechanism is that ultrasound actives pro-opiomelanocortin (POMC) neurons in the hypothalamus for reduction of food intake and body weight. These results provide a noninvasive tool for controlling food intake, enabling systematic treatment of obesity.

Abstract via europepmc.

Speciesmouse (C57BL/6J; BKS-Lepr db/db; POMC-CreER::Ai14; NPY-CreER::Ai14)
Subjects8, 7, 8, 13, 9, 6, 6, 4swept animals
Sessions per subject2, 10, 33, 14swept
Randomisedyes
Blindingnot reported
Sham / controlinactive transducer, active control site
Auditory controlcontrol experiment
Readout timingboth
Anaesthesiaawake
Readoutsbehaviour, histology molecular, invasive electrophysiology, other — food intake; body weight; serum glucose and lipids (ELISA); c-Fos immunofluorescence in ARC with POMC/NPY colocalisation; whole-cell current-clamp of POMC and NPY neurons in slices
Direction of effectexcitatoryARC stimulation at PRF 500 Hz, DC 50% increased c-Fos and POMC neuron firing and reduced food intake and body weight gain; the 1.5 kHz, 10% set and V1 stimulation did not change food intake.
Adverse eventsnone observedAuthors state no negative effects were observed in mice and that UDBS did not cause motor or mental disorders (Fig. S5).

Exposures

Exposure 1: ARC (hypothalamus), 3.8 MHz

Target: arcuate nucleus — “hypothalamus, especially the arcuate nucleus”
Device: custom-built

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)3,800✓✓✓
Pulse duration (ms)1, 0.067swept✓✓✓⚑
Pulse repetition frequency (Hz)500, 1,500swept✓✓✓
Duty cycle (%)50, 10swept✓✓✓
Sonication duration (s)1✓✓✓
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)586✓✓✓⚑
Protocol, in the paper’s words

Two parameter sets in the acute experiment: PRF 500 Hz, DC 50%, TBD 1 ms; and PRF 1.5 kHz, DC 10%, TBD 0.067 ms; sonication duration 1 s, inter-stimulus interval 2 s (5 s in the HFD and transgenic experiments, PRF 500 Hz set only). Acute sessions 15 min; subacute 1 h/day for 2 days; db/db mice 15 min/day for 10 days then 33 days of 15 min/day; HFD mice 15 min every 2 days, 14 times.

Exposure 2: V1 control site, 3.8 MHz

Target: primary visual cortex — “visual cortex (V1)”
Device: custom-built

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)3,800✓✓✓
Pulse duration (ms)1✓✓✓
Pulse repetition frequency (Hz)500✓✓✓
Duty cycle (%)50pulse duration × PRF gives 50%✓✓✓⚑
Sonication duration (s)1✓✓✓
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)586✓✓✓
Protocol, in the paper’s words

V1 control: TBD 1 ms and PRF 500 Hz (the 50% duty cycle set), 15 min, same sonication duration, interval and pressure as the acute ARC experiment; only this set was tested at V1.

Flags from extraction

  • exposures[0].unspecified_domain.pressure_kpa — 586 kPa is called 'acoustic pressure'; a hydrophone measured inside the skull and the paper reports 54% skull attenuation at 3.8 MHz, but does not say whether 586 kPa is free-field or in the brain.
  • n_subjects — Group sizes differ per experiment (acute ARC 8, V1 7, subacute 8, db/db 13 per group, HFD 9) and animal reuse is unclear; only the acute groups are listed.
  • exposures[1].timing.duty_cycle_pct — The paper states TBD 1 ms and PRF 500 Hz for V1; the 50% duty cycle is taken from the acute parameter set that applied to V1.
  • exposures[0].timing.pulse_duration_ms — Burst rule: TBD 1 ms with PRF 500 Hz and DC 50% is consistent (1 ms x 500 Hz = 50%); TBD is the pulse.
  • sham_type — Sham: ultrasound output abolished (inactive transducer); V1 stimulation acts as an active control site.