Lidia Gómez-Cid1, Xiaochen Liu1, Yuanyuan Jiang1, Ksenija Tasich1, Weitao Man1, David Hike1, Alice Zhou1, Sangcheon Choi1, and Xin Yu1
1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States
Synopsis
Keywords: Task/Intervention Based fMRI, Translational Studies, high-field MRI, multimodal, traumatic brain injury
Motivation: There is a lack of effective treatments and understanding of the mechanisms behind disorders of consciousness, including coma.
Goal(s): Explore the mechanisms behind thalamus-mediated subcortical reactivation to promote effective therapies for disorders of consciousness.
Approach: Study brain changes induced by optogenetic stimulation of the central thalamus (CThal) at different frequencies in unconscious rats with fMRI and electrophysiology.
Results: CThal stimulation can trigger brain state changes and electrophysiologically activate the cingulate cortex and other areas of the cortex similar to a more conscious state. BOLD signal activation in the cortex seems to be dependent on the CThal stimulation frequency.
Impact: This study provides useful insights into frequency-dependent central
thalamus-mediated brain state changes and offers opportunities to investigate
the potential of CThal stimulation in promoting subcortical reactivation and acute coma recovery in a rodent model.
Introduction
Subcortical reactivation, which may be
mediated by the central thalamus (CThal), is crucial in acute coma recovery1.
However, the detailed mechanisms are still unknown. Here we explore the changes
in brain dynamics induced by optogenetic stimulation of CThal at different
frequencies with fMRI and electrophysiology.Methods
Long-Evans rats (3.5 weeks old) were injected
with two viral vectors to introduce channelrhodopsin in CaMKII+ cells in CThal for
optogenetics and for glutamate sensing in the Cingulate Cortex (Cg1). After 3
weeks, the animals were divided into two groups: MRI (n=13) and
electrophysiology (n=3). The rats were anesthetized (2% isofluorane) and
optogenetically stimulated at CThal while glutamate was recorded in Cg1 with optical
fibers inserted. BOLD signal was acquired from the MRI group
and Local Field Potentials (LFP) were recorded in Cg1 and the forepaw
somatosensory cortex (S1FL) in the electrophysiology group. CThal stimulation was
performed at 3, 10 and 40 Hz. Control recordings were also included: without
stimulation and while transitioning from deeply anesthetized (2% isofluorane)
to a less anesthetized state (0.25% isofluorane).
MRI images
were acquired with a 14 T/13 mm horizontal-bore scanner equipped with a 6 cm RRI
gradient set producing 1 T/m. A transceiver surface coil was used to acquire functional
images. fMRI scans with block design were performed using multi-slice 2D Echo
planar imaging (EPI) sequence: TR 2 s, TE 5.5 ms, FOV 1.92 x 1.92 x 1.92 cm3,
Matrix 64 x 64 x 64 (300 µm isotropic resolution). Optogenetic stimulation block
design consisted of an “8s on, 32s off” stimulation paradigm repeated ten
times. Three trials were acquired for each condition in each animal.Results
CThal stimulation at the different
frequencies triggered a strong positive BOLD response in CThal and in Cg1.
However, the different stimulation frequencies triggered varying responses throughout
the cortex. 3 Hz stimulation shows the strongest positive BOLD activation in cortical
areas, followed by 40 Hz stimulation. This positive BOLD correlation is considerably
less with 10 Hz stimulation (Figure 1). This observation suggests that
10 Hz opto-stimulation-driven brain state changes may cause less robust BOLD
signal changes in anesthetized rats.
In addition, CThal stimulation in
deeply anesthetized animals drives the electrophysiological signals in Cg1 and
in other regions of the cortex (S1FL) to a profile similar to a less
anesthetized (or more awake) state. As the brain transitions to a less
anesthetized state, the frequency of bursting events increases, as well as the
higher frequency content in the LFP at Cg1 and S1FL (Figure 2A-B). These
changes are also observed during the periods of CThal stimulation despite the
anesthesia level being maintained (Figure 3A, B and D). Phase amplitude
coupling between the delta-theta waves and the delta-alpha waves also increases
during the periods of CThal stimulation (Figure 3E), similarly to when animals
transition to a less anesthetized state (Figure 2C).
Sustained CThal stimulation in
deeply anesthetized animals is occasionally able to drive long-lasting brain
state changes similar to transitions to less anesthetized states (which are
barely seen in the absence of stimulation). An example of brain state change
induced by 10 Hz CThal stimulation is shown in Figure 3C. This change is
characterized by an increased number of bursting events, increased high
frequency content in the glutamate signal, and changes in the respiratory
pattern.Discussion
Differences observed in BOLD signal
activation in the cortex for different CThal stimulation frequencies may be
crucial for understanding the triggers of brain state changes to an awake state
and to design more effective treatments for disorders of consciousness. Future
studies will be directed towards investigating the reasons behind the absence
of strong positive BOLD correlation under the 10 Hz stimulation, which may be due
to occasional triggering of negative BOLD in the cortex2. This would
be similar to what spontaneously happens in awakening humans3. In
addition, the potential of these CThal stimulation strategies to promote
subcortical reactivation and acute
coma recovery will be further studied in our rodent model4.Conclusions
CThal stimulation
is capable of triggering brain state changes and electrophysiologically activating
the cingulate cortex and other areas of the cortex similar to a more conscious
state. BOLD signal activation in the cortex seems to be dependent on the CThal
stimulation frequency. These findings provide useful insights into the understanding
of frequency-dependent central thalamus-mediated brain state changes and offer
the opportunity to evaluate the potential of these stimulation strategies in
promoting subcortical reactivation and acute coma recovery in our rodent model.Acknowledgements
This research was funded
by NIH funding (RF1NS113278, RF1NS124778, R01NS122904, R01NS120594, R21NS121642),
NSF grant 2123971, and the S10 instrument grants (S10 RR023043 and S10 RR023401)
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