Quantification of clinically applicable stimulation parameters for precision near-organ neuromodulation of human splenic nerves

Gupta, I; Cassará, A M; Tarotin, I; Donega, M; Miranda, J A; Sokal, D M; Ouchouche, S; Dopson, W; Matteucci, P; Neufeld, E; Schiefer, M A; Rowles, A; McGill, P; Perkins, J; Dolezalova, N; Saeb-Parsy, K; Kuster, N; Yazicioglu, R F; Witherington, J; Chew, D J

Quantification of clinically applicable stimulation parameters for precision near-organ neuromodulation of human splenic nerves

Gupta, I; Cassará, A M; Tarotin, I; Donega, M; Miranda, J A; Sokal, D M; Ouchouche, S; Dopson, W; Matteucci, P; Neufeld, E; Schiefer, M A; Rowles, A; McGill, P; Perkins, J; Dolezalova, N; Saeb-Parsy, K; Kuster, N; Yazicioglu, R F; Witherington, J; Chew, D J

Authors

I Gupta

A M Cassará

I Tarotin

M Donega

J A Miranda

D M Sokal

S Ouchouche

W Dopson

P Matteucci

E Neufeld

M A Schiefer

A Rowles

P McGill

J Perkins

N Dolezalova

K Saeb-Parsy

N Kuster

R F Yazicioglu

J Witherington

D J Chew

Abstract

Abstract: Neuromodulation is a new therapeutic pathway to treat inflammatory conditions by modulating the electrical signalling pattern of the autonomic connections to the spleen. However, targeting this sub-division of the nervous system presents specific challenges in translating nerve stimulation parameters. Firstly, autonomic nerves are typically embedded non-uniformly among visceral and connective tissues with complex interfacing requirements. Secondly, these nerves contain axons with populations of varying phenotypes leading to complexities for axon engagement and activation. Thirdly, clinical translational of methodologies attained using preclinical animal models are limited due to heterogeneity of the intra- and inter-species comparative anatomy and physiology. Here we demonstrate how this can be accomplished by the use of in silico modelling of target anatomy, and validation of these estimations through ex vivo human tissue electrophysiology studies. Neuroelectrical models are developed to address the challenges in translation of parameters, which provides strong input criteria for device design and dose selection prior to a first-in-human trial.

Citation

Gupta, I., Cassará, A. M., Tarotin, I., Donega, M., Miranda, J. A., Sokal, D. M., …Chew, D. J. (2020). Quantification of clinically applicable stimulation parameters for precision near-organ neuromodulation of human splenic nerves. Communications Biology, 3(1), 577

Journal Article Type	Article
Acceptance Date	Sep 15, 2020
Publication Date	Oct 16, 2020
Deposit Date	Oct 29, 2020
Publicly Available Date	Oct 29, 2020
Journal	Communications Biology
Publisher	Nature Research
Peer Reviewed	Peer Reviewed
Volume	3
Issue	1
Pages	577
Keywords	Article, /631/1647/1453, /692/308/575, /631/114/2397, /14/28, /9/30, article
Public URL	https://rvc-repository.worktribe.com/output/1375157