The present invention discloses graphene bio-device for electrotherapy for recording and transmitting electrical signals of a microfabricated graphene microelectrode into cortical areas.
Epileptic seizure is a type of neurological disease that is often characterized by repetitive convulsions, and its prevalence is approximately 0.7% worldwide. It involves hyperexcitable activities in neurons, causing malfunctioning in cognition. Subsequently, an episode can trigger secondary physical injuries due to sudden surges of convulsions, which may be life-threatening. It is suggested that the thalamocortical system provides an anatomical network for the rhythmic brain activity of generalized seizure discharges. In vitro and in vivo recording techniques with an animal model of seizures have demonstrated an interaction between the thalamus and neocortex in the occurrence and synchronization of seizure activity. The studies revealed that a reciprocal connection between the thalamic reticular nucleus (TRN) and relay neurons in the thalamus initiated generalized seizures. This intrathalamic oscillation largely propagates and synchronizes with the cortex through the close reciprocality of the thalamocortical network.
The primary treatment for epilepsy is anticonvulsant medications. Chemicals boosting GABAergic inhibitory transmission (e.g., barbiturates and benzodiazepines) have been utilized for epilepsy alleviation. Meanwhile, treatments that reduce hyperexcitable firing (e.g., phenytoin and carbamazepine) are alternatives. In fact, seizures are partially controllable with some medications. However, medications have many side effects due to their global effect across the whole brain. Resection of brain areas in which seizures start is another viable option in some patients. As predicted, the ablation of neural tissues is irreversible and accordingly often associated with severe complications. For those whose seizures do not respond to medication and resection, neurostimulation, such as vagus nerve stimulation (VNS), deep brain stimulation (DBS), and responsive stimulation (RNS), have been considered and beneficially implemented in some patients. Electrical stimulation has the advantages of reversibility and adjustability even in patients who would be thought of as candidates for surgery. VNS, an electrical pulse generator installed along the vagus nerve in the neck, has been effective as an antiepileptic drug therapy in clinical trials. DBS installed into deep brain structures, such as the cerebellum, locus coeruleus, thalamic centromedian nucleus, caudate nucleus, subthalamus, hippocampus, and neocortical seizure foci, has shown some therapeutic effects. RNS, a cranially implanted neurostimulator, detects epileptiform activity via subdural cortical strip leads and treats it via an electrical stimulator before a seizure developsll. These devices have provided supplementary treatment options for patients with intractable seizures yet have unidentified side effects and complications, such as haemorrhage and infection.
Graphene has recently emerged as one of the most investigated two-dimensional materials due to its superior electrical, mechanical, and thermal properties. Therefore, graphene-based electrical devices also have electronic noise, leading to sensor technologies with unprecedented detection sensitivities of neural signals 16-18 and molecules. Moreover, long-term biocompatibility and mechanical flexibility for vulnerable brain tissues are well-known properties of graphene. These promising properties of graphene have increased its use in biomedical applications.
The inventor proposed the use of a graphene electrode for treating epilepsy. A microfabricated graphene microelectrode was placed to record and pass electrical signals into cortical areas. Epileptiform discharges detected with the graphene electrode were eliminated by applying electrical stimulations embedded in a subset of the graphene multichannel array. This graphene technology may allow clinical applications for therapeutic intervention in many brain diseases.
(Patent 001) Patent No. 10-0981184(KR)
The inventor proposed the use of a graphene electrode for treating epilepsy. A microfabricated graphene microelectrode was placed to record and pass electrical signals into cortical areas. Epileptiform discharges detected with the graphene electrode were eliminated by applying electrical stimulations embedded in a subset of the graphene multichannel array. This graphene technology may allow clinical applications for therapeutic intervention in many brain diseases.
In order to solve the problem, the present invention provides a graphene bio-device for electrotherapy, comprising a flexible substrate; an electrode made of graphene on the flexible substrate; and an insulation layer on the graphene electrode. Further, the graphene bio-device comprises electrodes for ground, reference, recording and stimulation.
The present invention provides a neurostimulating apparatus, comprising the graphene bio-device; a neurostimulator generating sinusoidal high frequency stimulation signals; an amplifier intensifying brain signals from the graphene bio-device; and an interface transmitting the amplified brain signals to a user terminal.
The present invention provides a method for detecting signals from a mammalian brain or a tissue and electrical stimulation to the brain and the tissue.
Graphene bio-device in the present invention measured corticography with low noise and alleviated seizure signals successfully by imposing electrical stimulation.
Hereinafter, the present invention will be described in details based on examples.
The flexible substrate is used as a support substrate for graphene electrodes. The flexible substrate is a film of PET (Polyethylene terephthalate), PC (polycarbonate), PES (polyethersulfone), PI (polyamide), PMMA (polymethyl methacrylate) and COP (cyclo-olefin polymers), and can be made of materials having a flexibility. The flexible substrate has a flexibility depending on material properties.
The graphene is a transparent material for an electrode, and has properties of high charge-transfer (˜200,000 cm2/V·s) and high thermal conductivity (˜5000 W/mK) and excellent chemical resistance. Additionally, the graphene has no band-gap and thus absorbs all ranges of light wavelength evenly but the width of the graphene is 1-layer. As a result, transparency of the graphene amounts to 97.7% and the graphene has properties of excellent electrical conduction, exceptional mechanical strength (Young's modulus ˜1.0 TPa) and high flexibility (ε ˜25%). Based on the properties, the graphene can be used as a material for a transparent electrode.
The graphene can be manufactured in form of a thin film and thus have properties of flexibility and elasticity. Moreover, electrical property of the graphene is not influenced by transformation and thus the graphene can be used as an detect electrode applicable to a flexible apparatus.
The insulation layer can be composed of insulating materials and can be preferably OCR (optical clean resin), OCA (optical clean adhesive) or SU-8.
The neurostimulator can further comprise an amplifier 3. The amplifier can intensify electrical signals of a brain detected for a recording electrode in the graphene bio-device. Moreover, the neurostimulator in the present invention can further comprise an interface 4 transmitting the brain signals intensified by the amplifier to a user terminal.
The terminal can provide the detected brain signals visually, and further comprise a display and a speaker. For example, the terminal can be a cell phone, a smart phone, laptop computer, desktop computer, PDA (personal digital assistants), PMP (portable multimedia player), a navigator and a digital TV.
Hereinafter, the present invention is described in details based on examples.
1. Graphene Electrode Fabrication and Characterization
Monolayer graphene was grown on 25 μm thick Cu foil using the CVD method. The roll of copper foil (thickness: 25 μm, size: 210×297 mm2, Alfa_Aesar Co.) is loaded into a tubular quartz tube and then heated to 1,000° C. under atmospheric pressure. After the graphene had grown up on the Cu foil by supplying a gas mixture including carbon source (CH4:H2:He=50:15:1000 sccm), it was rapidly cooled to room temperature at a rate of ˜10° C./s with flowing H2 or He while moving furnace and then a graphene film grown up on the Cu foil was produced.
To make multilayer graphene electrodes, PMMA was used for supporting layers on graphene. After synthesizing graphene on Cu foil and spin-coating the PMMA, the film was floated on about 0.1M (NH4)2S2O8 solution. Then the Cu was removed and the PMMA/G film was lifted up using another Cu foil with grown graphene. A multilayer film was formed repeating the etching and the transfer process. The PMMA-coated graphene obtained after the etching of Cu foil in aqueous ammonium persulfate solution was transferred onto another graphene on Cu foil. Then, the graphene was transferred onto a SU-8 epoxy substrate. The transferred graphene was patterned using photolithography and oxygen plasma etching. Nitric acid was used for chemical doping of graphene.
2. Thalamocortical Slice Preparation
All animal handling procedures were approved by the Institutional Animal Care and Use Committee at Incheon National University. C57BL/6 mice (postnatal age: 3-6 weeks) for brain slices were deeply anaesthetized with 2% isoflurane. The brain was quickly removed and placed into chilled (4° C.), oxygenated (5% CO2 and 95% O2) slicing medium containing (in mM): 212 sucrose, 5 KCl, 1.23 NaH2PO4, 26 NaHCO3, 11 glucose, 1.5 MgCl2, and 2.5 CaCl2. The thalamocortical slices (400 μm) containing somatosensory cortex and thalamus were cut according to the protocol (Agmon, A. et al. Neuroscience 41, 365-379(1991)). Brain slices were then transferred to a holding chamber containing oxygenated physiological saline made up of (in mM): 124 NaCl, 4 KCl, 1.23 NaH2PO4, 26 NaHCO3, glucose, 1.5 MgCl2, and 2 CaCl2. After about 1 hour of recovery, individual slices were transferred to a recording chamber. Oxygenated physiological saline was continuously superfused at a rate of 1.5 ml/min. The focal injection of bicuculline (1 mM) into thalamocortical slices induced two main types of spontaneous activity: ictal-like monotonic bursts of 3-5 Hz, similar to human generalized seizures in terms of frequency and duration of EEG recordings, and interictal-like activities.
3. In Vivo Animal Surgery
An in vivo experiment was conducted with a halothane-anaesthetized mouse (1200 mg/kg, i.p.) with its head fixed in a stereotaxic apparatus. Five-week-old male mice were used in the experiments. A craniotomy exposed a 5×5 mm2 region of the cortex. The cerebral spinal fluid (CSF) was drained to reduce the probability of cerebral oedema. In this procedure, muscles were blunt-dissected over the occipital skull to expose the cisterna magna above the axis at the top of the spinal cord. The dura was slit with a sharp knife, and a cotton wick was used to drain the CSF. With the head stabilized in an eye clamp and stereotaxic apparatus, a scalp incision was made under clean surgical conditions, and a craniotomy was performed by cutting out a window of bone from the calvaria. This enabled neurophysiological recording in the target zone of the brain. The dura mater is routinely resected during animal recording; it was left intact with graphene electrodes introduced transdurally in animal recording studies.
4. In Vitro and In Vivo Neural Recordings
The neural recording setups were built in-house as illustrated in
The fabrication and feasibility of graphene electrodes for electrotherapy are illustrated in
The inventors in the present invention examined the electrochemical properties of four different types of electrodes: mono-, bi-, and four-layer graphene and gold. As the number of the stacked layers increased, the impedance of the graphene electrodes decreased, just like a gold electrode (
The specific capacitance was calculated based on [Formula 1].
I is current density (A/cm2), ΔV is a range of Voltage scan, m is electrode mass and s is scan velocity (mV/s).
This indicated that the four-layer graphene electrode likely enhances the amount of charge transfer when electrical stimulation is applied. Such an improvement of charge transfer ability can allow the dimensions of the electrodes to decrease, which has an impact on the reduced power consumption and thus a low probability of physical damage to the brain by electrical stimulation. To examine the long-term stability of the doped four-layer graphene electrode in artificial cerebrospinal fluid (ACSF), electrochemical impedance spectroscopy (EIS) was measured at Day 0, Day 1, and Day 5 (
To test the detectability of epileptiform activity by the four-layer graphene multichannel electrode, the 60×60 pmt graphene electrodes were mounted onto thalamocortical slices (
Two types of spontaneous activities, such as ictal-like bursting and interictal-like activities, were observed within 5 min after focal application of 1 mM bicuculline, a GABAA receptor antagonist. There were 5-20 second long ictal-like bursting activities (
Next, in vivo brain responses were obtained with the graphene electrodes in anaesthetized animals. The graphene device was placed on the somatosensory and/or motor cortical area (
Amplitudes varied presumably depending on the degree of contact of graphene on the cortex, the sites affected by bicuculline, or both. Particularly, the pattern of brain signals in a seizure episode was similar in all spots.
Next, the inventors identified whether the epileptiform activity could be eliminated by sinusoidal high frequency stimulation (sHFS). The stimulating parameters of amplitude (1 V), frequency (100 Hz), and duration (30 sec) were adapted from the previous references using the DBS system. They were designed for developing therapeutic devices for epileptic seizures. The sHFS stimulation blocked bursting activities up to 2 min after the stimulation (
The present invention integrates ultrathin and flexible graphene into an array of electrocorticography, which realizes comprehensive cortical ensemble activities (for diagnosis purposes) and treat brain diseases (for treatment purposes). The multichannel graphene electrode in the present invention successfully detected brain signals with high-throughput spatiotemporal resolution and stopped a drug-induced ictal-like activity. Such integration of simultaneous recording and stimulation could lead to a fundamental change in approaches for diagnostic and therapeutic biomedical devices.
sHFS was used to control abnormal neuronal activities, such as movement disorders, seizures, and psychiatric symptoms in the past. sHFS mimicked by AC stimulation typically has the intensity of 1-10 V and a pulse of 100-165 Hz in a clinical DBS system, which is comparable to the protocol of the present invention for epidermal electronics (1 V, 100 Hz for an animal model). The inventors implemented a sinusoidal wave as the envelope of carrier frequency because suppressive thresholds on epileptiform activities were lower in sHFS than in pulse train HFS (pHFS). In fact, sinusoidal stimulation efficiently suppressed somatic neural activity and the axonal conduction of bursting neurons. The results were different from studies using pHFS, which has suppressive effects on axonal conduction and synaptic efficacy. For example, the steeper rise time, as in pulse train stimulation, may boost an excitatory response. It is interesting that the sHFS has been associated with increases in extracellular potassium in the epileptic brain. It is well known that elevated extracellular potassium concentrations reduce action potential amplitudes, depress presynaptic potentials, affect axonal signaling and subsequently cause a depolarization blockade. On the other hand, sHFS left normal electrical signals unaffected in our study. sHFS can be a useful parameter for therapeutic stimulation, as it shows a selective effect on epileptic discharges (
DBS and RNS penetrate into the brain, which frequently causes physical damage and harmful immune responses. The present invention introduce epidermal electronics to control epilepsy noninvasively. The metal Ag is used in conventional electrodes and is often corrosive, being easily degraded through sulfidation and oxidation in various biological environments. Because of its toxicity and instability, bare Ag is limited for use in neural implants. Meanwhile, when Ag is coated with graphene, electrochemical reactions on the Ag surface can be eliminated. CV and potentiodynamic polarization tests have shown that graphene coating significantly reduces Ag corrosion in phosphate-buffered saline. Consistent with the previous study, the present invention showed that the graphene electrodes have long-lasting stability and biocompatibility. Importantly, epidermal graphene on the cortical surface, where there are abundant digital parts of neurons such as axons and dendrites, might be less harmful than electrodes penetrating into the deep areas of the brain where damageable cell bodies are localized. Lastly, the mechanical flexibility and compliance of the epidermal electronics guaranteed reliable detectability of neural signals.
Current epidermal electronics should be further developed according to structure and function to better fit human cortex. Once graphene-based, foldable electronics detect epileptic discharges on the surface of the cortex, electrical pulses embedded in a subset of the multichannel array can be given to stop epileptic discharges. A portable, wireless brain stimulator that fits in a pocket will switch the power for the electrical pulses for convenient use. The present invention is a useful tool for epilepsy and may also be a therapeutic instrument for patients suffering from several neuronal disorders, such as Parkinson's disease, schizophrenia, tinnitus and depression.
Number | Date | Country | Kind |
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10-2018-0007881 | Jan 2018 | KR | national |
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20140222103 | Lauritzen | Aug 2014 | A1 |
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Number | Date | Country |
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10-0981184 | Sep 2010 | KR |
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Number | Date | Country | |
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20190224474 A1 | Jul 2019 | US |