Partial skull replacements capable of monitoring in real time and delivering substances into brain tissue, and uses thereof
10639397 ยท 2020-05-05
Assignee
- Research & Business Foundation SUNGKYUNKWAN UNIVERSITY (Suwon-si, KR)
- Institute For Basic Science (Daejeon, KR)
Inventors
- Seong-Gi Kim (Suwon-si, KR)
- Minah Suh (Seoul, KR)
- Chaejeong Heo (Suwon-si, KR)
- Hyoung Won Baac (Anyang-si, KR)
Cpc classification
A61B5/0095
HUMAN NECESSITIES
A61K49/226
HUMAN NECESSITIES
A61K49/0045
HUMAN NECESSITIES
A61L27/18
HUMAN NECESSITIES
A61B5/0084
HUMAN NECESSITIES
A61L27/18
HUMAN NECESSITIES
A61B5/4094
HUMAN NECESSITIES
A61B5/24
HUMAN NECESSITIES
International classification
A61L27/18
HUMAN NECESSITIES
A61K49/22
HUMAN NECESSITIES
Abstract
The present invention relates to a partial skull replacement consisting of polydimethylsiloxane (PDMS) and a method of monitoring biological tissues within a skull using the partial skull replacement. The method of monitoring using the partial skull replacement of the present invention has a minimal influence on intracranial pressure and cerebrospinal fluid flow as compared to a conventional cranial window technique using glass, and, by way of visualizing biological tissues within a skull with enhanced clarity, is expected to be usefully employed as a method of monitoring biological tissues within the skull.
Claims
1. A method of preparing a window in a skull, the method consisting of: removing the skull in a target site; disposing a partial skull replacement consisting of polydimethylsiloxane (PDMS) in an area from which the skull was removed; and sealing a connection between the skull and the partial skull replacement, wherein the method is characterized by minimalizing influence of a flow of cerebrospinal fluid and an intracranial pressure in the skull.
2. The method of claim 1, wherein the target site includes cerebral blood vessels or brain cells.
3. The method of claim 1, wherein the sealing comprises applying a dental resin between the skull and the partial skull replacement.
4. A method of monitoring biological tissues within a skull, the method consisting of: removing the skull in an area to be monitored; disposing a partial skull replacement consisting of polydimethylsiloxane (PDMS) in the area from which the skull was removed; sealing a connection between the skull and the partial skull replacement; and monitoring the biological tissues within the skull through the disposed partial skull replacement, wherein the method is characterized by minimalizing influence of a flow of cerebrospinal fluid and an intracranial pressure in the skull.
5. The method of claim 4, wherein the monitoring is carried out using a laser or ultrasound.
6. The method of claim 4, wherein the sealing comprises applying a dental resin between the skull and the partial skull replacement.
7. A method of injecting an agent into a skull, the method consisting of: removing the skull in an area of injection; disposing a partial skull replacement consisting of polydimethylsiloxane (PDMS) in an area from which the skull was removed; sealing a connection between the skull and the partial skull replacement; penetrating the partial skull replacement with an injection tool; and injecting the agent into the skull via the injection tool that has penetrated the partial skull replacement, wherein the method is characterized by minimalizing influence of a flow of cerebrospinal fluid and an intracranial pressure in the skull.
8. The method of claim 7, wherein the agent is a lesion inducer, a therapeutic agent, a treatment promoter, a diagnostic agent, or an imaging agent.
9. The method of claim 7, wherein the injection tool is a pipette or a needle.
10. The method of claim 7, wherein the sealing comprises applying a dental resin between the skull and the partial skull replacement.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The above and other objects, features and advantages of the present invention will become more apparent to those of ordinary skill in the art by describing in detail exemplary embodiments thereof with reference to the accompanying drawings, in which:
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DETAILED DESCRIPTION OF EXEMPLARY EMBODIMENTS
(16) Based on the excellent transparency, hydrophobicity, and elastic of polydimethylsiloxane (PDMS), the present inventors devised a partial skull replacement consisting of PDMS and a method of implanting the same into a skull, and completed the present invention based on the fact that the partial skull replacement and the method enabled the long-term visualization of brain tissues within the skull in real time by maintaining intracranial pressure and cerebrospinal fluid (CSF) flow, and the monitoring of brain functions by allowing the penetration of various foreign agents (substances) and ultrasound.
(17) Hereinafter, the present invention will be described in detail.
(18) The present invention provides a partial skull replacement consisting of PDMS and, by replacing a part of the skull, visualization of biological tissues within the skull or delivery of a foreign substance into the biological tissues.
(19) In addition, the present invention provides a method of preparing a window in the skull, wherein the method includes removing the skull in a target site; and disposing a partial skull replacement consisting of PDMS in the area from which the skull was removed.
(20) The term partial skull replacement used herein refers to a material replacing a part of a skull bone. For the objectives of the present invention, besides consisting of a biocompatible material, a partial skull replacement is necessarily a transparent material for the visualization of brain within the skull and needs to consist of a soft material so that the penetration of ultrasound, a glass pipette, and the like is possible.
(21) Conventionally, a cranial window technique, in which a part of a skull is removed and the area is covered with glass, has been used as a method of visualizing biological tissues within the skull, but such a method affects intracranial pressure, thus making long-term monitoring difficult to achieve. Not only that, since the final structure is a closed structure enclosed by a glass cover, it is difficult to make an insertion through the hard and highly brittle glass for the installation of an additional electrode and the direct injection of a brain signal measuring device or a drug. Hence, to solve such problems, the present inventors prepared a window by producing a partial skull replacement consisting of PDMS and disposing the same in place of a removed part of the skull. Therefore, the final structure of the produced window is a flexible structure in which only PDMS, without an additional device or material (e.g. glass), is used, which makes the structure capable of being bent, expanded, or allowing an insertion/penetration without constraint. Hence, besides enabling the delivery of various agents such as drugs or proteins into the brain within the skull, the partial skull replacement of the present invention can enable the real-time monitoring of changes in brain tissues within the skull due to the high light transmittance and high ultrasonic transmittance of PDMS.
(22) Examples of biological tissues within a skull to be monitored through the present invention include brain tissue and blood vessels in the brain. Such biological tissues are preferably, but are not limited to, cerebral blood vessels, neurons or glial cells.
(23) In one exemplary embodiment of the present invention, PDMS, among the candidate materials for a partial skull replacement, was found to have low cytotoxicity and high transparency. Hence, an artificial partial skull replacement consisting of PDMS was produced and attached to the skull of an living rat to prepare a final window consisting only of a PDMS attachment (see Examples 1 and 2).
(24) In another exemplary embodiment of the present invention, the use of an attached artificial partial skull replacement of the present invention enabled the visualization of cerebral cortex up to as much as 10 weeks to 15 weeks after the attaching of the partial skull replacement and the observation of the brain with high clarity. In addition, that the use of the attached artificial partial skull replacement of the present invention did not cause an influence on cerebrospinal fluid (CSF) flow and intracranial pressure as compared to conventional glass/agar was confirmed in detail by simulation, and the high ultrasonic transmittance of the material itself was also confirmed (see Example 3).
(25) Therefore, the partial skull replacement consisting of PDMS can be usefully employed for monitoring biological tissues within a skull.
(26) Hence, in another aspect of the present invention, the present invention provides a method of monitoring biological tissues within a skull, wherein the method includes removing the skull in an area to be monitored; disposing a partial skull replacement consisting of PDMS in the area from which the skull was removed; and monitoring the biological tissues within the skull through the disposed partial skull replacement.
(27) In other words, by preparing a window using PDMS, the monitoring method of the present invention can visualize brain tissue with improved clarity, have a minimal influence on CSF flow and maintain intracranial pressure at a constant level, keeping the brain healthy, and thus, enabling long-term monitoring.
(28) In still another exemplary embodiment of the present invention, it was confirmed that the use of the attached artificial partial skull replacement of the present invention enables the repetitive and direct administration of various agents such as drugs or proteins, which makes the attached artificial partial skull replacement of the present invention usable for the imaging of brain tissue or changes in brain tissue functionality (see Example 4).
(29) Thus, it is advantageous to prepare a window by disposing a partial skull replacement consisting of PDMS in a part of the skull, as the partial skull replacement enables the direct and repetitive administration of various foreign substances for the monitoring of brain, treatment, or the like into tissues.
(30) Hence, in still another aspect of the present invention, the present invention provides a method of injecting an agent into the skull, wherein the method includes removing the skull in an area of injection; disposing a partial skull replacement consisting of PDMS in the area from which the skull was removed; penetrating the partial skull replacement with an injection tool; and injecting the agent into the skull via the penetrated injection tool.
(31) As used herein, the term agent refers to a foreign substance that can be administered to diagnose tissues in a living body or induce, treat, or facilitate the treatment of a lesion. For example, the term agent may refer to a biochemical substance such as a protein or a drug, but is not limited thereto.
(32) In the present invention, the injection tool for injecting the agent is preferably, but is not limited to, a pipette or a needle.
(33) Hereinafter, exemplary examples of the invention will be described for promoting an understanding of the invention. However, the following examples should be considered in a descriptive sense only and the scope of the invention is not limited to the following examples.
Example 1
Search for Skull Substitute Material
(34) 1-1. Preparation of Substitute Materials
(35) First, the present inventors searched for a material for a partial skull replacement for long-term monitoring of a surface of the brain within the skull. For this, glass, agarose (at 1% concentration), silicone, polyethylene terephthalate (PET), and PDMS were selected as candidate materials for a partial skull replacement and were each prepared in a cell culture dish (
(36) 1-2. Evaluation of Cytotoxicity
(37) In preparation for an application into biological tissue, the cytotoxicity of the candidate materials for a partial skull replacement prepared in Example 1-1 were evaluated. Specifically, SH-SY5Y cells, which are the human neuroblastoma cell lines, were cultured in cell culture dishes, each of which was treated with each candidate material for a partial skull replacement. 24 hours later, the cell viability was calculated, and the cell proliferation forms were observed under an optical microscope.
(38) The results show that, as shown in
(39) 1-3. Evaluation of Hydrophilicity and Transparency
(40) When a skull replacement material is actually used to prepare a window, the excellent transparency of the skull replacement material is required for the monitoring of biological tissues through the skull replacement material. In addition, the hydrophobicity of the substitute material is beneficial for maintaining such transparency. More specifically, when the skull replacement material is more hydrophilic rather than hydrophobic, it is likely that cells and other proteins adhere to the material, and dura mater that was removed may also rapidly proliferate thereon, causing the transparency of the window to be reduced gradually with a long-term use of the window. For this reason, the hydrophilicity and transparency of the candidate materials for a partial skull replacement, which were prepared in Example 1-1, were evaluated.
(41) More specifically, the hydrophilicity was determined by applying a water drop on a surface of the materials of interest and subsequently measuring the contact angle between the material surface and the water drop. In this case, a contact angle of 90 or more indicates hydrophobicity. Accordingly, a water drop was applied on a surface of each skull replacement material prepared in Example 1-1, and then, the contact angle between each material surface and the water drop was measured to generate results, as shown in
(42) In addition, the transparency was determined by measuring absorbance at wavelengths ranging from 300 nm to 700 nm, and an absorbance measured close to 0 indicates high transparency. Accordingly, the absorbance of each material was measured at wavelengths ranging from 300 nm to 700 nm, and as shown in
(43) 1-4. Ultrasound Transmission Properties
(44) Reducing the loss of ultrasound by reflection is very important when the use of ultrasound is intended. That is, a difference in acoustic impedance (Z) between two different materials results in ultrasound reflection at the interface, and the larger the reflection is, the lower the ultrasonic transmittance becomes, and the material becomes less adequate as a cranial window. An acoustic reflection coefficient (R) is proportional to the square of the difference in acoustic impedance (Z.sub.1 and Z.sub.2) between two materials and is represented by the following equation:
R=(Z.sub.2Z.sub.1).sup.2/(Z.sub.2+Z.sub.1).sup.2
(45) Therefore, it is required to use a window having an acoustic impedance similar to that of brain tissue or CSF to reduce the loss of ultrasound by reflection.
(46) Among candidate materials for a partial skull replacement prepared according to Example 1-1, PDMS has an acoustic impedance of 1.04 Rayl (or, 1.04 kg/(m.sup.2.Math.sec)) that is close to the acoustic impedance of brain tissue (1.6 Rayl) and water (1.48 Rayl), and, the reflection corresponds to be 3 to 5% when the PDMS is in contact with these materials. In contrast, glass has an acoustic impedance of 12.3 MRayl, which results in pronounced impedance mismatch and thus the large reflection of 59% when brought into contact with brain tissue. In addition, when ultrasound is used for imaging, the ultrasound experiences reflection twice at the entering and exiting interfaces of the window. The loss of the ultrasound increases even more when glass is used for the window. As a result, when the realization of ultrasound imaging or treatment from outside the window is intended, the use of PDMS can achieve a significantly low loss of ultrasound by reflection as compared to when conventional glass is used.
(47) In addition, when ultrasound passes through PDMS, the ultrasonic attenuation within the PDMS medium increases with the ultrasound operation frequency and the thickness of PDMS. The ultrasonic attenuation in the frequency band (<10 MHz) typically used for the imaging and treating of a living body is well known, and, based on PDMS with 1-mm thickness, ultrasound propagation through the PDMS film results in 1-dB attenuation for 3-MHz frequency, and 3-dB attenuation for 9-MHz frequency [Tsou et al., Ultrasound Med. Biol. 34, 963 (2008)]. When PDMS is selected as the skull replacement material, a cranial window typically having a small thickness of about 0.1 to 0.2 mm can be easily prepared, and ultrasonic attenuation significantly lower than the aforementioned attenuation value can be realized.
(48) To summarize the results, PDMS, which has little cytotoxicity, high transparency, and acoustic impedance matching with brain tissues or CSF, was confirmed to be most appropriate as the skull replacement material for the long-term monitoring of a brain surface within the skull. Therefore, in the following examples, tests were carried out by using PDMS as the skull replacement material.
Example 2
Preparation of Window by Attaching Artificial Skull Substitute
(49) The present inventors intended to apply PDMS, which was selected to be most appropriate as the skull replacement material according to the above Example 1, to the skull of a rat.
(50) As appears in
Example 3
Confirmation of Excellence of Artificial Skull Substitute in Biological Tissue Monitoring
(51) A cross-section of the skull to which the artificial partial skull replacement is attached according to Example 2 is provided the schematics in
(52) 3-1. Evaluation of Stability of Brain Surface Tissues and Blood Vessels
(53) Brain tissue and blood vessels within the skull were monitored for any change for a long period of 10 weeks from the day the artificial partial skull replacement was attached. As shown in
(54) In addition, to prove the excellence of the present invention, which enables the long-term monitoring of the brain and a biological structure within the skull, changes in intracranial pressure and CSF flow caused by each of the artificial partial skull replacement of the present invention and conventional glass/agar were compared. The result as shown in
(55) 3-2. Observation of Blood Flow Changes in Brain
(56) Real-time changes in the brain blood flow of a rat (5 weeks post-implantation) to which the artificial partial skull replacement of the present invention was attached were measured by laser speckle photography. As appears in
(57) 3-3. Monitoring of Brain Using Ultrasound
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(59) In addition, (B) on the right-hand side of the diagram may be used for a photoacoustic imaging purpose. A waveguide for the delivery of light to the central portion is installed in a central part of the transducer to induce the direct incidence of a nanosecond pulse laser into the brain, in which case, the laser beam passes through the transparent PDMS window and reaches the target site in the brain. The absorbed pulse laser beam results in photoacoustic ultrasound generated from the brain, and such ultrasound once again passes through the PDMS window and reaches the transducer. The measured ultrasound can be produced into an image by the control electronics.
Example 4
Confirmation of Excellence of Artificial Skull Substitute in Delivery of Agent into Biological Tissues
(60) The following experiments were carried out with the intention to demonstrate the feasibility of a direct delivery of a foreign substance into brain tissues through the artificial partial skull replacement of the present invention and the repetitive administration of the foreign substance.
(61) 4-1. Imaging of Brain Tissues
(62) First, the artificial partial skull replacement of the present invention was attached to the skull of a transgenic mouse expressing green fluorescence for microglia, and the brain tissues of the living mouse was produced into an image by an in-vivo multi photon confocal laser microscope that uses a laser.
(63) As shown in
(64) Additionally, after surgically providing an artificial partial skull replacement to a transgenic mouse expressing green fluorescence for microglia, a hydrogel protein marked with a red fluorescent protein was directly injected into brain tissue through a glass pipette, and the reactions of microglial cells were monitored through repetitive in-vivo multi photon confocal imaging over 20 days (
(65) 4-2. Measurement of Brain Tissue Signals
(66) After the attachment of the artificial partial skull replacement of the present invention, the functions of brain tissue were measured in real time.
(67) First, when the feasibility of the direct penetration of an electrode for measuring brain signals into brain tissues through the artificial partial skull replacement of the present invention was tested, it was found that various electrodes (
(68) Next, to measure the functionality of brain tissue, two glass pipettes were inserted into an artificial partial skull replacement consisting of PDMS, as shown in
(69) Next, when the brain signals were measured, a local field potential (LFP), which is a signal indicating epilepsy induced by 4-AP, was detected as shown in
(70) Next, even when the pipette was removed after the brain signal measurement, the artificial partial skull replacement of the present invention remained intact, without leaving any traces, as shown in
(71) The results of using an artificial partial skull replacement consisting of PDMS indicate the possibility of a direct, repetitive, and long-term administration of various foreign substances into a single animal, which leads to the direct observation of changes in brain tissue functionality by a penetration method, which has been impossible to carry out by far. Also indicated is the feasibility of conducting an experiment on a living animal repetitively for an extended period of time, because the artificial structure remains intact even after the experiment.
(72) The above description of the invention is only exemplary, and it will be understood by those skilled in the art that various modifications can be made without departing from the scope of the present invention and without changing essential features. Therefore, the above-described examples should be considered in a descriptive sense only and not for the purposes of limitation.