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Zhang H, Shen Z, Zhao Y, Du L, Deng Z. Dynamical Mechanism Analysis of Three Neuroregulatory Strategies on the Modulation of Seizures. Int J Mol Sci 2022; 23:13652. [PMID: 36362443 PMCID: PMC9657301 DOI: 10.3390/ijms232113652] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 10/30/2022] [Accepted: 11/02/2022] [Indexed: 08/11/2023] Open
Abstract
This paper attempts to explore and compare the regulatory mechanisms of optogenetic stimulation (OS), deep brain stimulation (DBS) and electromagnetic induction on epilepsy. Based on the Wilson-Cowan model, we first demonstrate that the external input received by excitatory and inhibitory neural populations can induce rich dynamic bifurcation behaviors such as Hopf bifurcation, and make the system exhibit epileptic and normal states. Then, both OS and DBS are shown to be effective in controlling the epileptic state to a normal low-level state, and the stimulus parameters have a broad effective range. However, electromagnetic induction cannot directly control epilepsy to this desired state, even if it can significantly reduce the oscillation frequency of neural populations. One main difference worth noting is that the high spatiotemporal specificity of OS allows it to target inhibitory neuronal populations, whereas DBS and electromagnetic induction can only stimulate excitatory as well as inhibitory neuronal populations together. Next, the propagation behavior of epilepsy is explored under a typical three-node feedback loop structure. An increase in coupling strength accelerates and exacerbates epileptic activity in other brain regions. Finally, OS and DBS applied to the epileptic focus play similar positive roles in controlling the behavior of the area of seizure propagation, while electromagnetic induction still only achieves unsatisfactory effects. It is hoped that these dynamical results can provide insights into the treatment of epilepsy as well as other neurological disorders.
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Affiliation(s)
- Honghui Zhang
- School of Mathematics and Statistics, Northwestern Polytechnical University, Xi’an 710072, China
- MIIT Key Laboratory of Dynamics and Control of Complex Systems, Xi’an 710072, China
| | - Zhuan Shen
- School of Mathematics and Statistics, Northwestern Polytechnical University, Xi’an 710072, China
- MIIT Key Laboratory of Dynamics and Control of Complex Systems, Xi’an 710072, China
| | - Yuzhi Zhao
- School of Mathematics and Statistics, Northwestern Polytechnical University, Xi’an 710072, China
- MIIT Key Laboratory of Dynamics and Control of Complex Systems, Xi’an 710072, China
| | - Lin Du
- School of Mathematics and Statistics, Northwestern Polytechnical University, Xi’an 710072, China
- MIIT Key Laboratory of Dynamics and Control of Complex Systems, Xi’an 710072, China
| | - Zichen Deng
- School of Mathematics and Statistics, Northwestern Polytechnical University, Xi’an 710072, China
- MIIT Key Laboratory of Dynamics and Control of Complex Systems, Xi’an 710072, China
- School of Aeronautics, Northwestern Polytechnical University, Xi’an 710072, China
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2
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Shen Z, Zhang H, Cao Z, Yan L, Zhao Y, Du L, Deng Z. Transition dynamics and optogenetic controls of generalized periodic epileptiform discharges. Neural Netw 2022; 149:1-17. [DOI: 10.1016/j.neunet.2022.01.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 12/25/2021] [Accepted: 01/29/2022] [Indexed: 10/19/2022]
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3
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Rezvani-Ardakani S, Mohammad-Ali-Nezhad S, Ghasemi R. Epilepsy control using a fixed time integral super twisting sliding mode control for Pinsky-Rinzel pyramidal model through ion channels with optogenetic method. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2020; 195:105665. [PMID: 32736006 DOI: 10.1016/j.cmpb.2020.105665] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Accepted: 07/11/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND AND OBJECTIVE Epilepsy is a dynamic disease of neuronal networks and epileptic activity in the brain should be suppressed quickly in the shortest possible time with minimum control signal. Thus, a closed-loop feedback control by using the fixed-time integral super-twisting sliding-mode controller via an optogenetic method is employed for suppressing seizures in the Pinsky-Rinzel (PR) model as a dynamic model of the hippocampus CA3 region where epileptic seizures occur. The control signal is applied to the PR model through the ChR2 channel model in the form of light photons using the optogenetic method. The present study aimed to determine the controller robustness against parameter changes and disturbances in order to reduce the control time, approach the zero tracking error of the normal desired state in a fixed time, and finally, converge the epileptic state to the normal desired state. METHOD In order to apply the control signal to the Pinsky-Rinzel model in the optogenetic method, the dynamic model of the ion current generated by channelrhodopsin 2 (ChR2) as a light-sensitive protein model in the optogenetic method was first applied to the PR model. Then, a fixed-time integral super-twisting sliding-mode controller was designed for the system, which is the combination of PR and ChR2 models. RESULTS After applying the proposed controller, the simulation results indicated that the control signal was -0.7 mV, the tracking error of the normal desired state could reach zero within 1.5 milliseconds, and the problems of singularity and chattering were solved. CONCLUSIONS A reduction occurred in the control signal reduced regarding the objectives of the study and comparing the proposed controller with the classical sliding-mode controller. Thus, this method can produce a safe control input for brain. In addition, both types of sliding mode controllers are robust against the parameters variations and external disturbances. Thus, they are superior to non-robust and simple controllers. Finally, based on the results, the validity of the fixed-time integral super-twisting sliding mode controller is confirmed for epilepsy control.
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Affiliation(s)
| | | | - Reza Ghasemi
- Department of Electrical & Electronics Engineering, University of Qom, Qom, Iran
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4
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Hoffman CE, Parker WE, Rapoport BI, Zhao M, Ma H, Schwartz TH. Innovations in the Neurosurgical Management of Epilepsy. World Neurosurg 2020; 139:775-788. [PMID: 32689698 DOI: 10.1016/j.wneu.2020.03.031] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Accepted: 03/02/2020] [Indexed: 10/23/2022]
Abstract
Technical limitations and clinical challenges have historically limited the diagnostic tools and treatment methods available for surgical approaches to the management of epilepsy. By contrast, recent technological innovations in several areas hold significant promise in improving outcomes and decreasing morbidity. We review innovations in the neurosurgical management of epilepsy in several areas, including wireless recording and stimulation systems (particularly responsive neurostimulation [NeuroPace]), conformal electrodes for high-resolution electrocorticography, robot-assisted stereotactic surgery, optogenetics and optical imaging methods, novel positron emission tomography ligands, and new applications of focused ultrasonography. Investigation into genetic causes of and susceptibilities to epilepsy has introduced a new era of precision medicine, enabling the understanding of cell signaling mechanisms underlying epileptic activity as well as patient-specific molecularly targeted treatment options. We discuss the emerging path to individualized treatment plans, predicted outcomes, and improved selection of effective interventions, on the basis of these developments.
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Affiliation(s)
- Caitlin E Hoffman
- Department of Neurological Surgery, Weill Cornell Medical College, NewYork-Presbyterian Hospital, New York, New York, USA.
| | - Whitney E Parker
- Department of Neurological Surgery, Weill Cornell Medical College, NewYork-Presbyterian Hospital, New York, New York, USA
| | - Benjamin I Rapoport
- Department of Neurological Surgery, Weill Cornell Medical College, NewYork-Presbyterian Hospital, New York, New York, USA
| | - Mingrui Zhao
- Department of Neurological Surgery, Weill Cornell Medical College, NewYork-Presbyterian Hospital, New York, New York, USA
| | - Hongtao Ma
- Department of Neurological Surgery, Weill Cornell Medical College, NewYork-Presbyterian Hospital, New York, New York, USA
| | - Theodore H Schwartz
- Department of Neurological Surgery, Weill Cornell Medical College, NewYork-Presbyterian Hospital, New York, New York, USA
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5
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Zhang BJ, Chamanzar M, Alam MR. Suppression of epileptic seizures via Anderson localization. J R Soc Interface 2017; 14:rsif.2016.0872. [PMID: 28179547 DOI: 10.1098/rsif.2016.0872] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2016] [Accepted: 01/16/2017] [Indexed: 11/12/2022] Open
Abstract
Here we show that brain seizures can be effectively suppressed through random modulation of the brain medium. We use an established mesoscale cortical model in the form of a system of coupled stochastic partial differential equations. We show that by temporal and spatial randomization of parameters governing the firing rates of the excitatory and inhibitory neuron populations, seizure waves can be significantly suppressed. We find that the attenuation is the most effective when applied to the mean threshold potential. The proposed technique can serve as a non-invasive paradigm to mitigate epileptic seizures without knowing the location of the epileptic foci.
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Affiliation(s)
- Benjamin J Zhang
- Department of Mechanical Engineering, University of California, Berkeley, CA 94720, USA
| | - Maysamreza Chamanzar
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA 94720, USA.,Department of Electrical and Computer Engineering, Carnegie Mellon University, Pittsburgh, PA 15213, USA
| | - Mohammad-Reza Alam
- Department of Mechanical Engineering, University of California, Berkeley, CA 94720, USA
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Bui AD, Alexander A, Soltesz I. Seizing Control: From Current Treatments to Optogenetic Interventions in Epilepsy. Neuroscientist 2016; 23:68-81. [PMID: 26700888 DOI: 10.1177/1073858415619600] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The unpredictability and severity of seizures contribute to the debilitating nature of epilepsy. These factors also render the condition particularly challenging to treat, as an ideal treatment would need to detect and halt the pathological bursts of hyperactivity without disrupting normal brain activity. Optogenetic techniques offer promising tools to study and perhaps eventually treat this episodic disorder by controlling specific brain circuits in epileptic animals with great temporal precision. Here, we briefly review the current treatment options for patients with epilepsy. We then describe the many ways optogenetics has allowed us to untangle the microcircuits involved in seizure activity, and how it has, in some cases, changed our perception of previous theories of seizure generation. Control of seizures with light is no longer a dream, and has been achieved in numerous different animal models of epilepsy. Beyond its application as a seizure suppressor, we highlight another facet of optogenetics in epilepsy, namely the ability to create "on-demand" seizures, as a tool to systematically probe the dynamics of networks during seizure initiation and propagation. Finally, we look into the future to discuss the possibilities and challenges of translating optogenetic techniques to clinical use.
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Affiliation(s)
- Anh D Bui
- 1 Department of Neurosurgery, Stanford University, Stanford, CA, USA.,2 Department of Anatomy and Neurobiology, University of California, Irvine, CA, USA
| | - Allyson Alexander
- 1 Department of Neurosurgery, Stanford University, Stanford, CA, USA
| | - Ivan Soltesz
- 1 Department of Neurosurgery, Stanford University, Stanford, CA, USA
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7
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Selvaraj P, Sleigh JW, Kirsch HE, Szeri AJ. Closed-loop feedback control and bifurcation analysis of epileptiform activity via optogenetic stimulation in a mathematical model of human cortex. Phys Rev E 2016; 93:012416. [PMID: 26871110 DOI: 10.1103/physreve.93.012416] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2015] [Indexed: 06/05/2023]
Abstract
Optogenetics provides a method of neuron stimulation that has high spatial, temporal, and cell-type specificity. Here we present a model of optogenetic feedback control that targets the inhibitory population, which expresses light-sensitive channelrhodopsin-2 channels, in a mean-field model of undifferentiated cortex that is driven to seizures. The inhibitory population is illuminated with an intensity that is a function of electrode measurements obtained via the cortical model. We test the efficacy of this control method on seizurelike activity observed in two parameter spaces of the cortical model that most closely correspond to seizures observed in patients. We also compare the effect of closed-loop and open-loop control on seizurelike activity using a less-complicated ordinary differential equation model of the undifferentiated cortex in parameter space. Seizurelike activity is successfully suppressed in both parameter planes using optimal illumination intensities less likely to have adverse effects on cortical tissue.
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Affiliation(s)
- Prashanth Selvaraj
- Department of Mechanical Engineering, University of California, Berkeley, California 94720-1740, USA
| | - Jamie W Sleigh
- Waikato Clinical School, University of Auckland, Hamilton, New Zealand
| | - Heidi E Kirsch
- Departments of Neurology and Radiology and Biomedical Imaging, University of California, San Francisco, California 94143, USA
| | - Andrew J Szeri
- Department of Mechanical Engineering, University of California, Berkeley, California 94720-1740, USA
- Center for Neural Engineering and Prostheses, University of California, Berkeley, California 94720-3370, USA
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Zhao M, Alleva R, Ma H, Daniel AGS, Schwartz TH. Optogenetic tools for modulating and probing the epileptic network. Epilepsy Res 2015; 116:15-26. [PMID: 26354163 PMCID: PMC4567692 DOI: 10.1016/j.eplepsyres.2015.06.010] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2015] [Revised: 05/29/2015] [Accepted: 06/14/2015] [Indexed: 12/01/2022]
Abstract
Epilepsy affects roughly 1% of the population worldwide. Although effective treatments with antiepileptic drugs are available, more than 20% of patients have seizures that are refractory to medical therapy and many patients experience adverse effects. Hence, there is a continued need for novel therapies for those patients. A new technique called "optogenetics" may offer a new hope for these refractory patients. Optogenetics is a technology based on the combination of optics and genetics, which can control or record neural activity with light. Following delivery of light-sensitive opsin genes such as channelrhodopsin-2 (ChR2), halorhodopsin (NpHR), and others into brain, excitation or inhibition of specific neurons in precise brain areas can be controlled by illumination at different wavelengths with very high temporal and spatial resolution. Neuromodulation with the optogenetics toolbox have already been shown to be effective at treating seizures in animal models of epilepsy. This review will outline the most recent advances in epilepsy research with optogenetic techniques and discuss how this technology can contribute to our understanding and treatment of epilepsy in the future.
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Affiliation(s)
- Mingrui Zhao
- Department of Neurological Surgery, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, NY 10021, USA.
| | - Rose Alleva
- Department of Neurological Surgery, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, NY 10021, USA.
| | - Hongtao Ma
- Department of Neurological Surgery, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, NY 10021, USA.
| | - Andy G S Daniel
- Department of Neurological Surgery, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, NY 10021, USA.
| | - Theodore H Schwartz
- Department of Neurological Surgery, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, NY 10021, USA; Department of Otolaryngology, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, NY 10021, USA; Department of Neuroscience, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, NY 10021, USA.
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9
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Abstract
Neurostimulation as a therapeutic tool has been developed and used for a range of different diseases such as Parkinson's disease, epilepsy, and migraine. However, it is not known why the efficacy of the stimulation varies dramatically across patients or why some patients suffer from severe side effects. This is largely due to the lack of mechanistic understanding of neurostimulation. Hence, theoretical computational approaches to address this issue are in demand. This chapter provides a review of mechanistic computational modeling of brain stimulation. In particular, we will focus on brain diseases, where mechanistic models (e.g., neural population models or detailed neuronal models) have been used to bridge the gap between cellular-level processes of affected neural circuits and the symptomatic expression of disease dynamics. We show how such models have been, and can be, used to investigate the effects of neurostimulation in the diseased brain. We argue that these models are crucial for the mechanistic understanding of the effect of stimulation, allowing for a rational design of stimulation protocols. Based on mechanistic models, we argue that the development of closed-loop stimulation is essential in order to avoid inference with healthy ongoing brain activity. Furthermore, patient-specific data, such as neuroanatomic information and connectivity profiles obtainable from neuroimaging, can be readily incorporated to address the clinical issue of variability in efficacy between subjects. We conclude that mechanistic computational models can and should play a key role in the rational design of effective, fully integrated, patient-specific therapeutic brain stimulation.
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Taylor PN, Thomas J, Sinha N, Dauwels J, Kaiser M, Thesen T, Ruths J. Optimal control based seizure abatement using patient derived connectivity. Front Neurosci 2015; 9:202. [PMID: 26089775 PMCID: PMC4453481 DOI: 10.3389/fnins.2015.00202] [Citation(s) in RCA: 56] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2015] [Accepted: 05/21/2015] [Indexed: 12/11/2022] Open
Abstract
Epilepsy is a neurological disorder in which patients have recurrent seizures. Seizures occur in conjunction with abnormal electrical brain activity which can be recorded by the electroencephalogram (EEG). Often, this abnormal brain activity consists of high amplitude regular spike-wave oscillations as opposed to low amplitude irregular oscillations in the non-seizure state. Active brain stimulation has been proposed as a method to terminate seizures prematurely, however, a general and widely-applicable approach to optimal stimulation protocols is still lacking. In this study we use a computational model of epileptic spike-wave dynamics to evaluate the effectiveness of a pseudospectral method to simulated seizure abatement. We incorporate brain connectivity derived from magnetic resonance imaging of a subject with idiopathic generalized epilepsy. We find that the pseudospectral method can successfully generate time-varying stimuli that abate simulated seizures, even when including heterogeneous patient specific brain connectivity. The strength of the stimulus required varies in different brain areas. Our results suggest that seizure abatement, modeled as an optimal control problem and solved with the pseudospectral method, offers an attractive approach to treatment for in vivo stimulation techniques. Further, if optimal brain stimulation protocols are to be experimentally successful, then the heterogeneity of cortical connectivity should be accounted for in the development of those protocols and thus more spatially localized solutions may be preferable.
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Affiliation(s)
- Peter N Taylor
- Interdisciplinary Computing and Complex BioSystems (ICOS) Research Group, School of Computing Science, Newcastle University Newcastle upon Tyne, UK
| | - Jijju Thomas
- Engineering Systems and Design, Singapore University of Technology and Design Singapore, Singapore
| | - Nishant Sinha
- School of Electrical and Electronic Engineering, Nanyang Technological University Singapore, Singapore
| | - Justin Dauwels
- School of Electrical and Electronic Engineering, Nanyang Technological University Singapore, Singapore
| | - Marcus Kaiser
- Interdisciplinary Computing and Complex BioSystems (ICOS) Research Group, School of Computing Science, Newcastle University Newcastle upon Tyne, UK ; Institute of Neuroscience, Newcastle University Newcastle upon Tyne, UK
| | - Thomas Thesen
- Department of Neurology, New York University New York, NY, USA
| | - Justin Ruths
- Engineering Systems and Design, Singapore University of Technology and Design Singapore, Singapore
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Nagaraj V, Lee S, Krook-Magnuson E, Soltesz I, Benquet P, Irazoqui P, Netoff T. Future of seizure prediction and intervention: closing the loop. J Clin Neurophysiol 2015; 32:194-206. [PMID: 26035672 PMCID: PMC4455045 DOI: 10.1097/wnp.0000000000000139] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
The ultimate goal of epilepsy therapies is to provide seizure control for all patients while eliminating side effects. Improved specificity of intervention through on-demand approaches may overcome many of the limitations of current intervention strategies. This article reviews the progress in seizure prediction and detection, potential new therapies to provide improved specificity, and devices to achieve these ends. Specifically, we discuss (1) potential signal modalities and algorithms for seizure detection and prediction, (2) closed-loop intervention approaches, and (3) hardware for implementing these algorithms and interventions. Seizure prediction and therapies maximize efficacy, whereas minimizing side effects through improved specificity may represent the future of epilepsy treatments.
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Affiliation(s)
- Vivek Nagaraj
- Graduate Program in Neuroscience, University of Minnesota
| | - Steven Lee
- Weldon School of Biomedical Engineering, Purdue University
| | | | - Ivan Soltesz
- Department of Anatomy & Neurobiology, University of California, Irvine
| | | | - Pedro Irazoqui
- Weldon School of Biomedical Engineering, Purdue University
| | - Theoden Netoff
- Graduate Program in Neuroscience, University of Minnesota
- Department of Biomedical Engineering, University of Minnesota
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12
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Selvaraj P, Sleigh JW, Kirsch HE, Szeri AJ. Optogenetic induced epileptiform activity in a model human cortex. SPRINGERPLUS 2015; 4:155. [PMID: 25897410 PMCID: PMC4395626 DOI: 10.1186/s40064-015-0836-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/04/2014] [Accepted: 01/18/2015] [Indexed: 12/05/2022]
Abstract
Background Cortical stimulation plays an important role in the study of epileptic seizures. We present a numerical simulation of stimulation using optogenetic channels expressed by excitatory cells in a mean field model of the human cortex. Findings Depolarising excitatory cells in a patch of model cortex using Channelrhodpsin-2 (ChR2) ion channels, we are able to hyper-excite a normally functioning cortex and mimic seizure activity. The temporal characteristics of optogenetic channels, and the ability to control the frequency of synchronous activity using these properties are also demonstrated. Conclusions Optogenetics is a powerful stimulation technique with high spatial, temporal and cell-type specificity, and would be invaluable in studying seizures and other brain disorders and functions.
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Affiliation(s)
- Prashanth Selvaraj
- Department of Mechanical Engineering, University of California, Berkeley, 94720 CA USA
| | - Jamie W Sleigh
- Waikato Clinical School, University of Auckland, Hamilton, New Zealand
| | - Heidi E Kirsch
- Departments of Neurology and Radiology and Biomedical Imaging, University of California, San Francisco, 94143 CA USA
| | - Andrew J Szeri
- Department of Mechanical Engineering, University of California, Berkeley, 94720 CA USA ; Center for Neural Engineering and Prosthesis, University of California, Berkeley, 94720 CA USA
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13
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A probabilistic method for determining cortical dynamics during seizures. J Comput Neurosci 2015; 38:559-75. [DOI: 10.1007/s10827-015-0554-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2014] [Revised: 03/08/2015] [Accepted: 03/12/2015] [Indexed: 11/26/2022]
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Beyond the hammer and the scalpel: selective circuit control for the epilepsies. Nat Neurosci 2015; 18:331-8. [PMID: 25710834 DOI: 10.1038/nn.3943] [Citation(s) in RCA: 80] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2014] [Accepted: 01/03/2015] [Indexed: 12/12/2022]
Abstract
Current treatment options for epilepsy are inadequate, as too many patients suffer from uncontrolled seizures and from negative side effects of treatment. In addition to these clinical challenges, our scientific understanding of epilepsy is incomplete. Optogenetic and designer receptor technologies provide unprecedented and much needed specificity, allowing for spatial, temporal and cell type-selective modulation of neuronal circuits. Using such tools, it is now possible to begin to address some of the fundamental unanswered questions in epilepsy, to dissect epileptic neuronal circuits and to develop new intervention strategies. Such specificity of intervention also has the potential for direct therapeutic benefits, allowing healthy tissue and network functions to continue unaffected. In this Perspective, we discuss promising uses of these technologies for the study of seizures and epilepsy, as well as potential use of these strategies for clinical therapies.
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