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Transcranial Magneto-Acoustic Stimulation Protects Synaptic Rehabilitation from Amyloid-Beta Plaques via Regulation of Microglial Functions

Chunlan Zhang, Ruxin Tan, Xiaoqing Zhou, Ruru Wang, Xin Wang, Ren Ma, Fangxuan Chu, Ying Li, Tao Yin, Zhipeng Liu

International Journal of Molecular Sciences 2024 · 10.3390/ijms25094651

rodentin vitro cellalzheimers diseasebehaviourinvasive electrophysiologyhistology molecular

Abstract

Transcranial magneto-acoustic stimulation (TMAS), which is characterized by high spatiotemporal resolution and high penetrability, is a non-invasive neuromodulation technology based on the magnetic-acoustic coupling effect. To reveal the effects of TMAS treatment on amyloid-beta (Aβ) plaque and synaptic plasticity in Alzheimer's disease, we conducted a comparative analysis of TMAS and transcranial ultrasound stimulation (TUS) based on acoustic effects in 5xFAD mice and BV2 microglia cells. We found that the TMAS-TUS treatment effectively reduced amyloid plaque loads and plaque-associated neurotoxicity. Additionally, TMAS-TUS treatment ameliorated impairments in long-term memory formation and long-term potentiation. Moreover, TMAS-TUS treatment stimulated microglial proliferation and migration while enhancing the phagocytosis and clearance of Aβ. In 5xFAD mice with induced microglial exhaustion, TMAS-TUS treatment-mediated Aβ plaque reduction, synaptic rehabilitation improvement, and the increase in phospho-AKT levels were diminished. Overall, our study highlights that stimulation of hippocampal microglia by TMAS treatment can induce anti-cognitive impairment effects via PI3K-AKT signaling, providing hope for the development of new strategies for an adjuvant therapy for Alzheimer's disease.

Abstract via europepmc.

Speciesmouse (5xFAD; BV2 microglial cell line)
Subjects7, 7, 7, 7swept animals
Sessions per subject14
Randomisedyes
Blindingnot reported
Sham / controlinactive transducer
Auditory controlnot reported
Readout timingoffline
Anaesthesiaanaesthetised
Readoutsbehaviour, invasive electrophysiology, histology molecular — novel object recognition; in vivo LTP and depotentiation fEPSP in dentate gyrus; Abeta, Iba1, CD11C, CD68 immunostaining; Western blot; BV2 CCK-8, transwell and phagocytosis assays
Direction of effectmixed or unclearTMAS and, less strongly, TUS reduced amyloid plaque burden, improved memory and LTP, and increased microglial activation, proliferation and phagocytosis; effects were largest with TMAS.
Adverse eventsnot reported

Exposures

Exposure 1: TUS and TMAS (with static magnet), bilateral hippocampus of 5xFAD mice

Target: hippocampus — “bilateral hippocampus”
Device: other named manufacturer · IOA-AC, Beijing, China · FP-0.5M ✓

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)500✓✓✓
Pulse duration (ms)0.6✓✓✓
Pulse repetition frequency (Hz)1,000✓✓✓
Duty cycle (%)50pulse duration × PRF gives 60%, which disagrees with the stated value✓✓✓⚑
Sonication duration (s)0.4✓✓✓⚑
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
Isppa, domain unspecified (W/cm²)0.106✓✓✓⚑
Ispta, domain unspecified (W/cm²)0.053✓✓✓
Protocol, in the paper’s words

0.6 ms tone bursts at 1 kHz PRF for a 400 ms sonication duration (TUS parameters); Results describe a 300 ms ultrasonic pulse excitation signal followed by a 4000 ms ultrasound interval. 5 min daily treatment for 2 weeks. TMAS adds a 0.15 T static magnet.

Flags from extraction

  • exposures[0].timing.sonication_duration_s — Methods give 400 ms SD, Results describe a 300 ms excitation signal with 4000 ms interval; recorded 400 ms as stated in methods
  • exposures[0].timing.duty_cycle_pct — Not stated; 0.6 ms at 1 kHz would not match the 300 ms/4000 ms description, so no duty cycle recorded
  • exposures[0].unspecified_domain.isppa_w_cm2 — 106 mW/cm2 Isppa; needle hydrophone is mentioned but domain not stated
  • n_subjects — Two cohorts of 7 mice per group (TUS, TMAS, sham); sizes of the four ultrasound-exposed groups listed; sham and wild-type groups not counted
  • blinding — Treatment conditions were blinded until pathology analyses completed; blinding level not described
  • exposures[0].device.family — Transducer FP-0.5M credited to IOA-AC, Beijing (taken as Institute of Acoustics); family set to other_manufacturer
  • model_system — BV2 cell experiments also used TUS, TMAS and sham but their ultrasound parameters are not given separately