Electric field stimulation directs target-specific axon regeneration and partial restoration of vision after optic nerve crush injury.

Failure of central nervous system (CNS) axons to regenerate after injury results in permanent disability. Several molecular neuro-protective and neuro-regenerative strategies have been proposed as potential treatments but do not provide the directional cues needed to direct target-specific axon rege...

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Main Authors: Timothy Kim, Ege Iseri, Micalla G Peng, Sasha Medvidovic, Timothy Silliman, Pooyan Pahlavan, Gengle Niu, Connie Huang, Anahit Simonyan, Javad Pahnahad, Petcy Yao, Phillip Lam, Vahini Garimella, Mahnaz Shahidi, Michael S Bienkowski, Darrin J Lee, Biju Thomas, Gianluca Lazzi, Kimberly K Gokoffski
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0315562
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author Timothy Kim
Ege Iseri
Micalla G Peng
Sasha Medvidovic
Timothy Silliman
Pooyan Pahlavan
Gengle Niu
Connie Huang
Anahit Simonyan
Javad Pahnahad
Petcy Yao
Phillip Lam
Vahini Garimella
Mahnaz Shahidi
Michael S Bienkowski
Darrin J Lee
Biju Thomas
Gianluca Lazzi
Kimberly K Gokoffski
author_facet Timothy Kim
Ege Iseri
Micalla G Peng
Sasha Medvidovic
Timothy Silliman
Pooyan Pahlavan
Gengle Niu
Connie Huang
Anahit Simonyan
Javad Pahnahad
Petcy Yao
Phillip Lam
Vahini Garimella
Mahnaz Shahidi
Michael S Bienkowski
Darrin J Lee
Biju Thomas
Gianluca Lazzi
Kimberly K Gokoffski
author_sort Timothy Kim
collection DOAJ
description Failure of central nervous system (CNS) axons to regenerate after injury results in permanent disability. Several molecular neuro-protective and neuro-regenerative strategies have been proposed as potential treatments but do not provide the directional cues needed to direct target-specific axon regeneration. Here, we demonstrate that applying an external guidance cue in the form of electric field stimulation to adult rats after optic nerve crush injury was effective at directing long-distance, target-specific retinal ganglion cell (RGC) axon regeneration to native targets in the diencephalon. Stimulation was performed with asymmetric charged-balanced (ACB) waveforms that are safer than direct current and more effective than traditional, symmetric biphasic waveforms. In addition to partial anatomical restoration, ACB waveforms conferred partial restoration of visual function as measured by pattern electroretinogram recordings and local field potential recordings in the superior colliculus-and did so without the need for genetic manipulation. Our work suggests that exogenous electric field application can override cell-intrinsic and cell-extrinsic barriers to axon regeneration, and that electrical stimulation performed with specific ACB waveforms may be an effective strategy for directing anatomical and functional restoration after CNS injury.
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publisher Public Library of Science (PLoS)
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spelling doaj-art-ad15c15a2522484dba4c2d74f352dea22025-01-17T05:31:32ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031556210.1371/journal.pone.0315562Electric field stimulation directs target-specific axon regeneration and partial restoration of vision after optic nerve crush injury.Timothy KimEge IseriMicalla G PengSasha MedvidovicTimothy SillimanPooyan PahlavanGengle NiuConnie HuangAnahit SimonyanJavad PahnahadPetcy YaoPhillip LamVahini GarimellaMahnaz ShahidiMichael S BienkowskiDarrin J LeeBiju ThomasGianluca LazziKimberly K GokoffskiFailure of central nervous system (CNS) axons to regenerate after injury results in permanent disability. Several molecular neuro-protective and neuro-regenerative strategies have been proposed as potential treatments but do not provide the directional cues needed to direct target-specific axon regeneration. Here, we demonstrate that applying an external guidance cue in the form of electric field stimulation to adult rats after optic nerve crush injury was effective at directing long-distance, target-specific retinal ganglion cell (RGC) axon regeneration to native targets in the diencephalon. Stimulation was performed with asymmetric charged-balanced (ACB) waveforms that are safer than direct current and more effective than traditional, symmetric biphasic waveforms. In addition to partial anatomical restoration, ACB waveforms conferred partial restoration of visual function as measured by pattern electroretinogram recordings and local field potential recordings in the superior colliculus-and did so without the need for genetic manipulation. Our work suggests that exogenous electric field application can override cell-intrinsic and cell-extrinsic barriers to axon regeneration, and that electrical stimulation performed with specific ACB waveforms may be an effective strategy for directing anatomical and functional restoration after CNS injury.https://doi.org/10.1371/journal.pone.0315562
spellingShingle Timothy Kim
Ege Iseri
Micalla G Peng
Sasha Medvidovic
Timothy Silliman
Pooyan Pahlavan
Gengle Niu
Connie Huang
Anahit Simonyan
Javad Pahnahad
Petcy Yao
Phillip Lam
Vahini Garimella
Mahnaz Shahidi
Michael S Bienkowski
Darrin J Lee
Biju Thomas
Gianluca Lazzi
Kimberly K Gokoffski
Electric field stimulation directs target-specific axon regeneration and partial restoration of vision after optic nerve crush injury.
PLoS ONE
title Electric field stimulation directs target-specific axon regeneration and partial restoration of vision after optic nerve crush injury.
title_full Electric field stimulation directs target-specific axon regeneration and partial restoration of vision after optic nerve crush injury.
title_fullStr Electric field stimulation directs target-specific axon regeneration and partial restoration of vision after optic nerve crush injury.
title_full_unstemmed Electric field stimulation directs target-specific axon regeneration and partial restoration of vision after optic nerve crush injury.
title_short Electric field stimulation directs target-specific axon regeneration and partial restoration of vision after optic nerve crush injury.
title_sort electric field stimulation directs target specific axon regeneration and partial restoration of vision after optic nerve crush injury
url https://doi.org/10.1371/journal.pone.0315562
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