Wireless bioresorbable electronic system enables sustained nonpharmacological neuroregenerative therapy

  • Jahyun Koo
  • , Matthew R. MacEwan
  • , Seung Kyun Kang
  • , Sang Min Won
  • , Manu Stephen
  • , Paul Gamble
  • , Zhaoqian Xie
  • , Ying Yan
  • , Yu Yu Chen
  • , Jiho Shin
  • , Nathan Birenbaum
  • , Sangjin Chung
  • , Sung Bong Kim
  • , Jawad Khalifeh
  • , Daniel V. Harburg
  • , Kelsey Bean
  • , Michael Paskett
  • , Jeonghyun Kim
  • , Zohny S. Zohny
  • , Seung Min Lee
  • Ruoyao Zhang, Kaijing Luo, Bowen Ji, Anthony Banks, Hyuck Mo Lee, Younggang Huang, Wilson Z. Ray, John A. Rogers

Research output: Contribution to journalArticlepeer-review

434 Scopus citations

Abstract

Peripheral nerve injuries represent a significant problem in public health, constituting 2–5% of all trauma cases1. For severe nerve injuries, even advanced forms of clinical intervention often lead to incomplete and unsatisfactory motor and/or sensory function2. Numerous studies report the potential of pharmacological approaches (for example, growth factors, immunosuppressants) to accelerate and enhance nerve regeneration in rodent models3–10. Unfortunately, few have had a positive impact in clinical practice. Direct intraoperative electrical stimulation of injured nerve tissue proximal to the site of repair has been demonstrated to enhance and accelerate functional recovery11,12, suggesting a novel nonpharmacological, bioelectric form of therapy that could complement existing surgical approaches. A significant limitation of this technique is that existing protocols are constrained to intraoperative use and limited therapeutic benefits13. Herein we introduce (i) a platform for wireless, programmable electrical peripheral nerve stimulation, built with a collection of circuit elements and substrates that are entirely bioresorbable and biocompatible, and (ii) the first reported demonstration of enhanced neuroregeneration and functional recovery in rodent models as a result of multiple episodes of electrical stimulation of injured nervous tissue.

Original languageEnglish
Pages (from-to)1830-1836
Number of pages7
JournalNature Medicine
Volume24
Issue number12
DOIs
StatePublished - 1 Dec 2018
Externally publishedYes

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