4.5 Article

ANTI-INFLAMMATORY AND NEUROPROTECTIVE EFFECTS OF TRANSCRANIAL ULTRASOUND STIMULATION ON PARKINSON'S DISEASE

Journal

ULTRASOUND IN MEDICINE AND BIOLOGY
Volume 48, Issue 2, Pages 265-274

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.ultrasmedbio.2021.10.001

Keywords

Ultrasound; Parkinson's disease; Glial cell line-derived neurotrophic factor; Neuro-inflammation; 6-Hydroxydopamine

Funding

  1. Min-istry of Science and Technology of Taiwan
  2. MOST [109-2321-B-010-004, MOST 108-2314-B-010-034-MY3, MOST 106-2221-E-010-004-MY3]
  3. Cheng Hsin General Hospital Foundation [CY11006, CY10927]

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This study investigated the impact of low-intensity pulsed ultrasound (LIPUS) on the pathology of Parkinson's disease (PD) in an animal model. Results showed that LIPUS treatment inhibited glial activation, preserved neurotrophic factors, dopamine transporter and tight junction proteins of the blood-brain barrier, suggesting its potential as a treatment for PD through multiple neuroprotective mechanisms.
Low-intensity pulsed ultrasound (LIPUS) is a promising non-invasive neuromodulation tool for deep brain stimulation. Here, we investigated the impact of LIPUS, including neuroprotective effects, on the pathology of Parkinson's disease (PD) in an animal model. Sprague-Dawley rats were injected with 6-hydroxydopamine (6-OHDA) at two sites in the right striatum. LIPUS (1 MHz, 5% duty cycle, 1-Hz pulse repetition frequency, 15 min/d) stimulation was then applied to some of the rats (the 6-OHDA + LIPUS group) beginning 2 wk after the 6-OHDA administration, while the remaining rats (the 6-OHDA group) received no LIPUS stimulation. The 6-OHDA-induced inflammatory responses and expressions of neurotrophic factors were quantified with immuno-fluorescence activity. The safety of LIPUS was assessed using hematoxylin and eosin and Nissl staining. LIPUS treatment significantly inhibited 6-OHDA-induced glial activation and the phosphorylation of nuclear factor-kappa B p65 in the substantia nigra pars compacta. Further study revealed that LIPUS effectively preserved the levels of neurotrophic factors, dopamine transporter and tight junction proteins of the blood-brain barrier in the 6-OHDA + LIPUS group compared with the 6-OHDA group. These results indicate that LIPUS acts via multiple neuroprotective mechanisms in the PD rat model and suggest that LIPUS can be viewed as a potential treatment for PD. (C) 2021 World Federation for Ultrasound in Medicine & Biology. All rights reserved.

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