Cited by 63Ultrasound and Hyperthermia ApplicationsPhotoacoustic and Ultrasonic ImagingNanoparticle-Based Drug Delivery

Non-invasive molecularly-specific millimeter-resolution manipulation of brain circuits by ultrasound-mediated aggregation and uncaging of drug carriers

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Ozdas, Mehmet S., Shah, Aagam S., Johnson, Paul M., Patel, Nisheet, Marks, Markus, Yasar, Tansel Baran, Stalder, Urs, Bigler, Laurent +3 more·2020·Nature Communications

Abstract

Non-invasive, molecularly-specific, focal modulation of brain circuits with low off-target effects can lead to breakthroughs in treatments of brain disorders. We systemically inject engineered ultrasound-controllable drug carriers and subsequently apply a novel two-component Aggregation and Uncaging Focused Ultrasound Sequence (AU-FUS) at the desired targets inside the brain. The first sequence aggregates drug carriers with millimeter-precision by orders of magnitude. The second sequence uncages the carrier’s cargo locally to achieve high target specificity without compromising the blood-brain barrier (BBB). Upon release from the carriers, drugs locally cross the intact BBB. We show circuit-specific manipulation of sensory signaling in motor cortex in rats by locally concentrating and releasing a GABA A receptor agonist from ultrasound-controlled carriers. Our approach uses orders of magnitude (1300x) less drug than is otherwise required by systemic injection and requires very low ultrasound pressures (20-fold below FDA safety limits for diagnostic imaging). We show that the BBB remains intact using passive cavitation detection (PCD), MRI-contrast agents and, importantly, also by sensitive fluorescent dye extravasation and immunohistochemistry.

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  • Released drugs from liposomes can cross intact BBB without compromising integrity.

    “The released drugs can cross the intact BBB without compromising the integrity.”
  • Drug-loaded liposomes tethered to lipid microbubbles can aggregate locally and uncage cargo responsively to achieve high target specificity.

    “the drug-loaded liposomes could aggregate locally first and then uncage the cargo responsively to achieve high target specificity.”

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  1. [1]Gordon JA On being a circuit psychiatrist Nat. Neurosci. 2016 19 1385 1386 10.1038/nn.4419 27786177 · DOI
  2. [2]Tye KM Neural circuit reprogramming: a new paradigm for treating neuropsychiatric disease? Neuron 2014 83 1259 1261 10.1016/j.neuron.2014.08.022 25233309 PMC4565154 · DOI · Paper page
  3. [3]Perucca P Gilliam FG Adverse effects of antiepileptic drugs Lancet Neurol. 2012 11 792 802 10.1016/S1474-4422(12)70153-9 22832500 · DOI
  4. [5]Kubanek J Neuromodulation with transcranial focused ultrasound Neurosurg. Focus 2018 44 E14 10.3171/2017.11.FOCUS17621 29385924 PMC5927579 · DOI
  5. [6]Lynn JG Zwemer RL Chick AJ Miller AEA A new method for the generation and use of focused ultrasound in experimental biology J. Gen. Physiol. 1942 26 179 193 10.1085/jgp.26.2.179 19873337 PMC2142058 · DOI
  6. [7]Tyler WJ Lani SW Hwang GM Ultrasonic modulation of neural circuit activity Curr. Opin. Neurobiol. 2018 50 222 231 10.1016/j.conb.2018.04.011 29674264 · DOI
  7. [8]Hynynen K McDannold N Vykhodtseva N Jolesz FA Noninvasive MR imaging–guided focal opening of the blood-brain barrier in rabbits Radiology 2001 220 640 646 10.1148/radiol.2202001804 11526261 · DOI
  8. [9]Munoz F Aurup C Konofagou EE Ferrera VP Modulation of brain function and behavior by focused ultrasound Curr. Behav. Neurosci. Rep. 2018 5 153 164 10.1007/s40473-018-0156-7 30393592 PMC6208352 · DOI
  9. [10]McDannold, N. et al. Targeted, noninvasive blockade of cortical neuronal activity. Sci. Rep. 5, 16253 (2015). PMC4635366 26542745
  10. [11]Szablowski JO Lee-Gosselin A Lue B Malounda D Shapiro MG Acoustically targeted chemogenetics for the non-invasive control of neural circuits Nat. Biomed. Eng. 2018 2 475 484 10.1038/s41551-018-0258-2 30948828 · DOI
  11. [12]Wang S Olumolade OO Sun T Samiotaki G Konofagou EE Noninvasive, neuron-specific gene therapy can be facilitated by focused ultrasound and recombinant adeno-associated virus Gene Ther. 2015 22 104 110 10.1038/gt.2014.91 25354683 PMC4294560 · DOI
  12. [13]Thévenot E Targeted delivery of self-complementary adeno-associated virus serotype 9 to the brain, using magnetic resonance imaging-guided focused ultrasound Hum. Gene Ther. 2012 23 1144 1155 10.1089/hum.2012.013 22838844 PMC3498907 · DOI
  13. [16]Lipsman N Blood–brain barrier opening in Alzheimer’s disease using MR-guided focused ultrasound Nat. Commun. 2018 9 2336 10.1038/s41467-018-04529-6 30046032 PMC6060168 · DOI · Paper page
  14. [17]McMahon D Hynynen K Acute inflammatory response following increased blood-brain barrier permeability induced by focused ultrasound is dependent on microbubble dose Theranostics 2017 7 3989 4000 10.7150/thno.21630 29109793 PMC5667420 · DOI
  15. [18]Kovacs ZI Disrupting the blood–brain barrier by focused ultrasound induces sterile inflammation Proc. Natl Acad. Sci USA 2017 114 E75 E84 10.1073/pnas.1614777114 27994152 PMC5224365 · DOI · Paper page
  16. [19]Nation DA Blood-brain barrier breakdown is an early biomarker of human cognitive dysfunction Nat. Med. 2019 25 270 276 10.1038/s41591-018-0297-y 30643288 PMC6367058 · DOI · Paper page
  17. [20]Iturria-Medina Y Early role of vascular dysregulation on late-onset Alzheimer’s disease based on multifactorial data-driven analysis Nat. Commun. 2016 7 11934 10.1038/ncomms11934 27327500 PMC4919512 · DOI · Paper page
  18. [21]Todd N Modulation of brain function by targeted delivery of GABA through the disrupted blood-brain barrier Neuroimage 2019 189 267 275 10.1016/j.neuroimage.2019.01.037 30659957 PMC6422703 · DOI
  19. [22]Yang F-Y Huang S-F Cheng IH-J Behavioral alterations following blood-brain barrier disruption stimulated by focused ultrasound Oncotarget 2016 7 27916 27925 10.18632/oncotarget.8444 27034007 PMC5053698 · DOI
  20. [23]Chu, P.-C. et al. Neuromodulation accompanying focused ultrasound-induced blood-brain barrier opening. Sci. Rep. 5, 15477 (2015). PMC4614673 26490653
  21. [24]Airan RD Noninvasive targeted transcranial neuromodulation via focused ultrasound gated drug release from nanoemulsions Nano Lett. 2017 17 652 659 10.1021/acs.nanolett.6b03517 28094959 PMC5362146 · DOI
  22. [25]Mao T Long-range neuronal circuits underlying the interaction between sensory and motor cortex Neuron 2011 72 111 123 10.1016/j.neuron.2011.07.029 21982373 PMC5047281 · DOI
  23. [26]Smith, J. B. & Alloway, K. D. Rat whisker motor cortex is subdivided into sensory-input and motor-output areas. Front. Neural Circuits7, 4 (2013). PMC3556600 23372545
  24. [27]Geers B Self-assembled liposome-loaded microbubbles: the missing link for safe and efficient ultrasound triggered drug-delivery J. Control. Release 2011 152 249 256 10.1016/j.jconrel.2011.02.024 21362448 · DOI
  25. [28]Sirsi SR Polyplex-microbubble hybrids for ultrasound-guided plasmid DNA delivery to solid tumors J. Control Release 2012 157 224 234 10.1016/j.jconrel.2011.09.071 21945680 PMC3822338 · DOI
  26. [29]Shortencarier MJ A method for radiation-force localized drug delivery using gas-filled lipospheres IEEE Trans. Ultrason. Ferroelectr. Freq. Control 2004 51 822 831 10.1109/TUFFC.2004.1320741 15301001 · DOI
  27. [30]Unekawa M RBC velocities in single capillaries of mouse and rat brains are the same, despite 10-fold difference in body size Brain Res. 2010 1320 69 73 10.1016/j.brainres.2010.01.032 20085754 · DOI
  28. [31]Tartis MS Therapeutic effects of paclitaxel-containing ultrasound contrast agents Ultrasound Med. Biol. 2006 32 1771 1780 10.1016/j.ultrasmedbio.2006.03.017 17112963 · DOI
  29. [32]Ivanov KP Kalinina MK Levkovich YuI Blood flow velocity in capillaries of brain and muscles and its physiological significance Microvascular Res. 1981 22 143 155 10.1016/0026-2862(81)90084-4 7321902 · DOI
  30. [33]Chakrabarti S Zhang M Alloway KD MI neuronal responses to peripheral whisker stimulation: relationship to neuronal activity in SI barrels and septa J. Neurophysiol. 2008 100 50 63 10.1152/jn.90327.2008 18450580 PMC2493482 · DOI
  31. [34]Baraldi M Grandison L Guidotti A Distribution and metabolism of muscimol in the brain and other tissues of the rat Neuropharmacology 1979 18 57 62 10.1016/0028-3908(79)90009-1 418955 · DOI
  32. [35]Mironov V Hritz MA LaManna JC Hudetz AG Harik SI Architectural alterations in rat cerebral microvessels after hypobaric hypoxia Brain Res. 1994 660 73 80 10.1016/0006-8993(94)90840-0 7828003 · DOI
  33. [36]Upton RN Cerebral uptake of drugs in humans Clin. Exp. Pharmacol. Physiol. 2007 34 695 701 10.1111/j.1440-1681.2007.04649.x 17600543 · DOI
  34. [37]Wallace H Glazewski S Liming K Fox K The role of cortical activity in experience-dependent potentiation and depression of sensory responses in rat barrel cortex J. Neurosci. 2001 21 3881 3894 10.1523/JNEUROSCI.21-11-03881.2001 11356876 PMC6762694 · DOI
  35. [38]Allen TA Imaging the spread of reversible brain inactivations using fluorescent muscimol J. Neurosci. Methods 2008 171 30 38 10.1016/j.jneumeth.2008.01.033 18377997 PMC2440580 · DOI
  36. [39]Edeline J-M Hars B Hennevin E Cotillon N Muscimol diffusion after intracerebral microinjections: a reevaluation based on electrophysiological and autoradiographic quantifications Neurobiol. Learn. Mem. 2002 78 100 124 10.1006/nlme.2001.4035 12071670 · DOI
  37. [40]Helén P London ED Muscimol-scopolamine interactions in the rat brain: a study with 2-deoxy-D-[1-14C]glucose J. Neurosci. 1984 4 1405 1413 10.1523/JNEUROSCI.04-06-01405.1984 6726339 PMC6564983 · DOI
  38. [41]Kelly PA McCulloch J Effects of the putative GABAergic agonists, muscimol and THIP, upon local cerebral glucose utilisation J. Neurochem. 1982 39 613 624 10.1111/j.1471-4159.1982.tb07937.x 7097270 · DOI
  39. [42]McDannold NJ Vykhodtseva NI Hynynen K Microbubble contrast agent with focused ultrasound to create brain lesions at low power levels: MR imaging and histologic study in rabbits Radiology 2006 241 95 106 10.1148/radiol.2411051170 16990673 · DOI
  40. [43]Kiyatkin EA Brown PL Wise RA Brain temperature fluctuation: a reflection of functional neural activation Eur. J. Neurosci. 2002 16 164 168 10.1046/j.1460-9568.2002.02066.x 12153543 · DOI
  41. [45]Wu S-Y Transcranial cavitation detection in primates during blood-brain barrier opening–a performance assessment study IEEE Trans. Ultrason. Ferroelectr. Freq. Control 2014 61 966 978 10.1109/TUFFC.2014.2992 24859660 PMC4034133 · DOI
  42. [46]Bing C Characterization of different bubble formulations for blood-brain barrier opening using a focused ultrasound system with acoustic feedback control Sci. Rep. 2018 8 7986 10.1038/s41598-018-26330-7 29789589 PMC5964106 · DOI
  43. [47]Baseri B Choi JJ Tung Y-S Konofagou EE Multi-modality safety assessment of blood-brain barrier opening using focused ultrasound and definity microbubbles: a short-term study Ultrasound Med. Biol. 2010 36 1445 1459 10.1016/j.ultrasmedbio.2010.06.005 20800172 PMC3968780 · DOI
  44. [48]Leighton, T. G. The Acoustic Bubble. (Academic Press, 1997).
  45. [49]Zhang Y Zhang Y Li S The secondary Bjerknes force between two gas bubbles under dual-frequency acoustic excitation Ultrason. Sonochem. 2016 29 129 145 10.1016/j.ultsonch.2015.08.022 26584991 · DOI · Paper page
  46. [50]Chen X Wang J Pacella JJ Villanueva FS Dynamic behavior of microbubbles during long ultrasound tone-burst excitation: mechanistic insights into ultrasound-microbubble mediated therapeutics using high-speed imaging and cavitation detection Ultrasound Med. Biol. 2016 42 528 538 10.1016/j.ultrasmedbio.2015.09.017 26603628 PMC4698009 · DOI
  47. [51]Chomas JE Optical observation of contrast agent destruction Appl. Phys. Lett. 2000 77 1056 1058 10.1063/1.1287519 · DOI
  48. [52]Klibanov AL Shevchenko TI Raju BI Seip R Chin CT Ultrasound-triggered release of materials entrapped in microbubble–liposome constructs: a tool for targeted drug delivery J. Control. Release 2010 148 13 17 10.1016/j.jconrel.2010.07.115 20691227 PMC3085724 · DOI
  49. [53]Marmottant P Hilgenfeldt S Controlled vesicle deformation and lysis by single oscillating bubbles Nature 2003 423 153 156 10.1038/nature01613 12736680 · DOI
  50. [54]Wang JB Aryal M Zhong Q Vyas DB Airan RD Noninvasive ultrasonic drug uncaging maps whole-brain functional networks Neuron 2018 100 728-738 e7 PMC6274638 30408444
  51. [55]Zhong Q Polymeric perfluorocarbon nanoemulsions are ultrasound-activated wireless drug infusion catheters Biomaterials 2019 206 73 86 10.1016/j.biomaterials.2019.03.021 30953907 PMC6486876 · DOI
  52. [56]Gamou S Fukuda S Ogura M Sakamoto H Morita S Microinjection of propofol into the perifornical area induces sedation with decreasing cortical acetylcholine release in rats Anesth. Analg. 2010 111 395 402 10.1213/ANE.0b013e3181e24776 20495137 · DOI
  53. [57]Chemali JJ Van Dort CJ Brown EN Solt K Active emergence from propofol general anesthesia is induced by methylphenidate Anesthesiology 2012 116 998 1005 10.1097/ALN.0b013e3182518bfc 22446983 PMC3339625 · DOI
  54. [58]Bystritsky A A review of low-intensity focused ultrasound pulsation Brain Stimul. 2011 4 125 136 10.1016/j.brs.2011.03.007 21777872 · DOI
  55. [59]Morse, S. V. et al. Rapid short-pulse ultrasound delivers drugs uniformly across the murine blood-brain barrier with negligible disruption. Radiology291, 181625 (2019). PMC6493324 30912718
  56. [60]Khuri-Yakub BT Oralkan Ö Capacitive micromachined ultrasonic transducers for medical imaging and therapy J. Micromech. Microeng. 2011 21 054004 054014 10.1088/0960-1317/21/5/054004 21860542 PMC3158704 · DOI
  57. [61]Murrough JW Rapid and longer-term antidepressant effects of repeated ketamine infusions in treatment-resistant major depression Biol. Psychiatry 2013 74 250 256 10.1016/j.biopsych.2012.06.022 22840761 PMC3725185 · DOI · Paper page
  58. [62]Serafini G Howland RH Rovedi F Girardi P Amore M The role of ketamine in treatment-resistant depression: a systematic review Curr. Neuropharmacol. 2014 12 444 461 10.2174/1570159X12666140619204251 25426012 PMC4243034 · DOI · Paper page
  59. [64]Gerstenmayer M Fellah B Magnin R Selingue E Larrat B Acoustic transmission factor through the rat skull as a function of body mass, frequency and position Ultrasound Med Biol. 2018 44 2336 2344 10.1016/j.ultrasmedbio.2018.06.005 30076032 · DOI
  60. [65]Rossant C Spike sorting for large, dense electrode arrays Nat. Neurosci. 2016 19 634 10.1038/nn.4268 26974951 PMC4817237 · DOI
  61. [66]Arvanitis CD Livingstone MS Vykhodtseva N McDannold N Controlled ultrasound-induced blood-brain barrier disruption using passive acoustic emissions monitoring PLoS ONE 2012 7 e45783 10.1371/journal.pone.0045783 23029240 PMC3454363 · DOI
  62. [67]Kobus T Vykhodtseva N Pilatou M Zhang Y McDannold N Safety validation of repeated blood-brain barrier disruption using focused ultrasound Ultrasound Med. Biol. 2016 42 481 492 10.1016/j.ultrasmedbio.2015.10.009 26617243 PMC4816071 · DOI
  63. [68]Gonmori K Analysis of ibotenic acid and muscimol in Amanita mushrooms by hydrophilic interaction liquid chromatography–tandem mass spectrometry Forensic Toxicol. 2012 30 168 172 10.1007/s11419-012-0144-7 · DOI
  64. [69]Wang Y Kohane DS External triggering and triggered targeting strategies for drug delivery Nat. Rev. Mater. 2017 2 17020 10.1038/natrevmats.2017.20 · DOI

Cited by

Sorted by citations

Authors
Ozdas, M. S., Shah, A. S., Johnson, P. M., Patel, N., Marks, M., Yasar, T. B., Stalder, U., Bigler, L., von der Behrens, W., Sirsi, S. R., & Yanik, M. F.
Affiliations
  • University of Zurich (CH)
  • The University of Texas at Dallas (US)
Corresponding author
  • Shah, Aagam S.
  • Yanik, Mehmet Fatih
Venue
Nature Communications
Published
2020-10-01
Volume
11
Issue
1
Pages
4929-4929
ISSN
2041-1723 (ISSN-L)
OpenAlex
W3091567990
Cited by
63
References
5
Citations by year
2026: 5 · 2025: 7 · 2024: 12 · 2023: 18 · 2022: 10 · 2021: 10 · 2020: 1
FWCI
3.06
Type
journal article
Language
en
Open access
Locations
  • Nature Communications (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, cc-by)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Repository for Publications and Research Data (ETH Zurich) (submittedVersion, cc-by)
  • Zurich Open Repository and Archive (University of Zurich) (submittedVersion, cc-by)
  • ETH Zürich Research Collection (cc-by)
  • Zurich Open Repository and Archive (University of Zurich)
Funders
  • European Commission (HORIZON2020)
  • National Cancer Institute (R01CA235756)
  • H2020 European Research Council (818179)
Topics
  • Physical Sciences › Engineering › Biomedical Engineering › Ultrasound and Hyperthermia Applications
  • Physical Sciences › Engineering › Biomedical Engineering › Photoacoustic and Ultrasonic Imaging
  • Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
Keywords
focused ultrasound, blood-brain barrier, GABA-A receptor agonists, motor cortex, sensory signaling, non-invasive neuromodulation, passive cavitation detection, MRI contrast agents, drug delivery, brain circuits
MeSH terms
Ultrasonic Waves, Animals, Blood-Brain Barrier, Brain Diseases, Dose-Response Relationship, Radiation, Drug Carriers, Female, Humans, Magnetic Resonance Imaging, Muscimol, Stereotaxic Techniques, Ultrasonography, Interventional, Models, Animal, Rats, GABA-A Receptor Agonists

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