학술논문

An extraocular electrical stimulation approach to slow down the progression of retinal degeneration in an animal model.
Document Type
Article
Source
Scientific Reports. 11/20/2023, Vol. 13 Issue 1, p1-11. 11p.
Subject
*RETINAL degeneration
*MACULAR degeneration
*RETINAL diseases
*RETINITIS pigmentosa
*BIPOLAR cells
*RETROLENTAL fibroplasia
*PHOTORECEPTORS
*ELECTRIC stimulation
*RETINAL ganglion cells
Language
ISSN
2045-2322
Abstract
Retinal diseases such as retinitis pigmentosa (RP) and age-related macular degeneration (AMD) are characterized by unrelenting neuronal death. However, electrical stimulation has been shown to induce neuroprotective changes in the retina capable of slowing down the progression of retinal blindness. In this work, a multi-scale computational model and modeling platform were used to design electrical stimulation strategies to better target the bipolar cells (BCs), that along with photoreceptors are affected at the early stage of retinal degenerative diseases. Our computational findings revealed that biphasic stimulus pulses of long pulse duration could decrease the activation threshold of BCs, and the differential stimulus threshold between ganglion cells (RGCs) and BCs, offering the potential of targeting the BCs during the early phase of degeneration. In vivo experiments were performed to evaluate the electrode placement and parameters found to target bipolar cells and evaluate the safety and efficacy of the treatment. Results indicate that the proposed transcorneal Electrical Stimulation (TES) strategy can attenuate retinal degeneration in a Royal College of Surgeon (RCS) rodent model, offering the potential to translate this work to clinical practice. [ABSTRACT FROM AUTHOR]