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Therapy using implanted organic bioelectronics

机译:使用植入的有机生物电子学进行治疗

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摘要

Many drugs provide their therapeutic action only at specific sites in the body, but are administered in ways that cause the drug’s spread throughout the organism. This can lead to serious side effects. Local delivery from an implanted device may avoid these issues, especially if the delivery rate can be tuned according to the need of the patient. We turned to electronically and ionically conducting polymers to design a device that could be implanted and used for local electrically controlled delivery of therapeutics. The conducting polymers in our device allow electronic pulses to be transduced into biological signals, in the form of ionic and molecular fluxes, which provide a way of interfacing biology with electronics. Devices based on conducting polymers and polyelectrolytes have been demonstrated in controlled substance delivery to neural tissue, biosensing, and neural recording and stimulation. While providing proof of principle of bioelectronic integration, such demonstrations have been performed in vitro or in anesthetized animals. Here, we demonstrate the efficacy of an implantable organic electronic delivery device for the treatment of neuropathic pain in an animal model. Devices were implanted onto the spinal cord of rats, and 2 days after implantation, local delivery of the inhibitory neurotransmitter γ-aminobutyric acid (GABA) was initiated. Highly localized delivery resulted in a significant decrease in pain response with low dosage and no observable side effects. This demonstration of organic bioelectronics-based therapy in awake animals illustrates a viable alternative to existing pain treatments, paving the way for future implantable bioelectronic therapeutics.
机译:许多药物仅在体内特定部位提供治疗作用,但给药方式会引起药物在整个生物体内扩散。这会导致严重的副作用。从植入装置的局部递送可以避免这些问题,特别是如果可以根据患者的需要调节递送速率的话。我们求助于电子和离子导电聚合物,以设计可植入并用于局部电控治疗的装置。我们设备中的导电聚合物允许电子脉冲以离子和分子通量的形式转换为生物信号,从而为生物学与电子设备的连接提供了一种途径。在控制物质向神经组织的输送,生物传感以及神经记录和刺激方面,已经证明了基于导电聚合物和聚电解质的设备。在提供生物电子整合原理的证明的同时,已在体外或麻醉动物中进行了此类演示。在这里,我们演示了可植入的有机电子传递设备在动物模型中治疗神经性疼痛的功效。将装置植入大鼠的脊髓,并且在植入后2天,开始抑制神经递质γ-氨基丁酸(GABA)的局部递送。高剂量的局部给药导致疼痛反应显着降低,且剂量低且无明显副作用。清醒动物中基于有机生物电子学的治疗方法的演示证明了现有疼痛治疗的可行替代方案,为将来的植入式生物电子治疗剂铺平了道路。

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