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Publication : Transcranial focused ultrasound, pulsed at 40 Hz, activates microglia acutely and reduces Aβ load chronically, as demonstrated in vivo.

First Author  Bobola MS Year  2020
Journal  Brain Stimul Volume  13
Issue  4 Pages  1014-1023
PubMed ID  32388044 Mgi Jnum  J:348198
Mgi Id  MGI:6728323 Doi  10.1016/j.brs.2020.03.016
Citation  Bobola MS, et al. (2020) Transcranial focused ultrasound, pulsed at 40 Hz, activates microglia acutely and reduces Abeta load chronically, as demonstrated in vivo. Brain Stimul 13(4):1014-1023
abstractText  OBJECTIVE: Iaccarino et al. (2016) [1] exposed 1 h of light flickering at 40 Hz to awake 5XFAD Alzheimer's Disease (AD) mouse models, generating action potentials at 40 Hz, activating approximately 54% of microglia to colocalize with Abeta plaque, acutely, and clearing approximately 50% of Abeta plaque after seven days, but only in the visual cortex. HYPOTHESIS: Transcranially delivered, focused ultrasound (tFUS) can replicate the results of Iaccarino et al. (2016) [1] but throughout its area of application. METHODS: We exposed sedated 5XFAD mice to tFUS (2.0 MHz carrier frequency, 40 Hz pulse repetition frequency, 400 mus-long pulses, spatial peak pulse average value of 190 W/cm(2)). Acute studies targeted tFUS into one hemisphere of brain centered on its hippocampus for 1 h. Chronic studies targeted comparable brain in each hemisphere for 1 h/day for five days. RESULTS: Acute application of tFUS activated more microglia that colocalized with Abeta plaque relative to sham ultrasound (36.0 +/- 4.6% versus 14.2 +/- 2.6% [mean +/- standard error], z = 2.45, p < 0.014) and relative to the contralateral hemisphere of treated brain (36.0 +/- 4.6% versus 14.3 +/- 4.0%, z = 2.61, p < 0.009). Chronic application over five days reduced their Abeta plaque burden by nearly half relative to paired sham animals (47.4 +/- 5.8%, z = - 2.79, p < 0.005). CONCLUSION: Our results compare to those of Iaccarino et al. (2016) [1] but throughout the area of ultrasound-exposed brain. Our results also compare to those achieved by medications that target Abeta, but over a substantially shorter period of time. The proximity of our ultrasound protocol to those shown safe for non-human primates and humans may motivate its rapid translation to human studies.
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