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dc.contributor.authorMcAvoy, Malia
dc.contributor.authorTsosie, Jonathan K
dc.contributor.authorVyas, Keval N
dc.contributor.authorKhan, Omar F
dc.contributor.authorSadtler, Kaitlyn
dc.contributor.authorLanger, Robert
dc.contributor.authorAnderson, Daniel G
dc.date.accessioned2021-10-27T20:35:15Z
dc.date.available2021-10-27T20:35:15Z
dc.date.issued2019
dc.identifier.urihttps://hdl.handle.net/1721.1/136414
dc.description.abstract© 2019 The author(s). Complete re-innervation after a traumatic injury severing a muscle's peripheral nerve may take years. During this time, the denervated muscle atrophies and loses acetylcholine receptors, a vital component of the neuromuscular junction, limiting functional recovery. One common clinical treatment for atrophy is electrical stimulation; however, epimysial electrodes currently used are bulky and often fail due to an excessive inflammatory response. Additionally, there remains a need for a device providing in vivo monitoring of neuromuscular regeneration and the maintenance of acetylcholine receptors. Here, an implantable, flexible microelectrode array (MEA) was developed that provides surface neuromuscular stimulation and recording during long-term denervation. Methods: The MEA uses a flexible polyimide elastomer and an array of gold-based microelectrodes featuring Peano curve motifs, which together maintain electrode flexibility. The devices were implanted along the denervated gastrocnemius muscles of 5 rats. These rats underwent therapeutic stimulation using the MEA daily beginning on post-operative day 2. Another 5 rats underwent tibial nerve resection without implantation of MEA. Tissues were harvested on post-operative day 14 and evaluated for quantification of acetylcholine receptors and muscle fiber area using immunofluorescence and histological staining. Results: The Young's modulus was 1.67 GPa, which is comparable to native tendon and muscle. The devices successfully recorded electromyogram data when implanted in rats. When compared to untreated denervated muscles, MEA therapy attenuated atrophy by maintaining larger muscle fiber cross-sectional areas (p < 0.05). Furthermore, the acetylcholine receptor areas were markedly larger with MEA treatment (p < 0.05). Conclusions: This proof-of-concept work successfully demonstrates the ability to combine conformability, tensile strength-enhancing metal micropatterning, electrical stimulation and recording into a functional implant for both epimysial stimulation and recording.
dc.language.isoen
dc.publisherIvyspring International Publisher
dc.relation.isversionof10.7150/THNO.35436
dc.rightsCreative Commons Attribution 4.0 International license
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceTheranostics
dc.titleFlexible Multielectrode Array for Skeletal Muscle Conditioning, Acetylcholine Receptor Stabilization and Epimysial Recording After Critical Peripheral Nerve Injury
dc.typeArticle
dc.contributor.departmentKoch Institute for Integrative Cancer Research at MIT
dc.contributor.departmentMassachusetts Institute of Technology. Department of Chemical Engineering
dc.contributor.departmentMassachusetts Institute of Technology. Institute for Medical Engineering & Science
dc.relation.journalTheranostics
dc.eprint.versionFinal published version
dc.type.urihttp://purl.org/eprint/type/JournalArticle
eprint.statushttp://purl.org/eprint/status/PeerReviewed
dc.date.updated2021-06-03T17:14:09Z
dspace.orderedauthorsMcAvoy, M; Tsosie, JK; Vyas, KN; Khan, OF; Sadtler, K; Langer, R; Anderson, DG
dspace.date.submission2021-06-03T17:14:10Z
mit.journal.volume9
mit.journal.issue23
mit.licensePUBLISHER_CC
mit.metadata.statusAuthority Work and Publication Information Needed


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