Developing and Evaluating a Flexible Wireless Microcoil Array Based Integrated Interface for Epidural Cortical Stimulation

Epidural electrical stimulation effectively restores locomotion function in rats with complete spinal cord injury

Epidural electrical stimulation can restore limb motor function after spinal cord injury by reactivating the surviving neural circuits. In previous epidural electrical stimulation studies, single electrode sites and continuous tetanic stimulation have often been used. With this stimulation, the body is prone to declines in tolerance and locomotion coordination. In the present study, rat models of complete spinal cord injury were established by vertically cutting the spinal cord at the T8 level to eliminate disturbance from residual nerve fibers, and were then subjected to epidural electrical stimulation. The flexible extradural electrode had good anatomical topology and matched the shape of the spinal canal of the implanted segment. Simultaneously, the electrode stimulation site was able to be accurately applied to the L2–3 and S1 segments of the spinal cord. To evaluate the biocompatibility of the implanted epidural electrical stimulation electrodes, GFAP/Iba-1 double-labeled immunofluorescence staining was performed on the spinal cord below the electrodes at 7 days after the electrode implantation. Immunofluorescence results revealed no significant differences in the numbers or morphologies of microglia and astrocytes in the spinal cord after electrode implantation, and there was no activated Iba-1⁺ cell aggregation, indicating that the implant did not cause an inflammatory response in the spinal cord. Rat gait analysis showed that, at 3 days after surgery, gait became coordinated in rats with spinal cord injury under burst stimulation. The regained locomotion could clearly distinguish the support phase and the swing phase and dynamically adjust with the frequency of stimulus distribution. To evaluate the matching degree between the flexible epidural electrode (including three stimulation contacts), vertebral morphology, and the level of the epidural site of the stimulation electrode, micro-CT was used to scan the thoracolumbar vertebrae of rats before and after electrode implantation. Based on the experimental results of gait recovery using three-site stimulation electrodes at L2–3 and S1 combined with burst stimulation in a rat model of spinal cord injury, epidural electrical stimulation is a promising protocol that needs to be further explored. This study was approved by the Animal Ethics Committee of Chinese PLA General Hospital (approval No. 2019-X15-39) on April 19, 2019.

Novel double anisotropic conductive flexible composite film endued with improved luminescence

Brand-new double anisotropic conductive flexible composite films (ACFs) were firstly put forward, devised and fabricated. The flexible array composite films were constructed via electrospinning using highly aligned Janus nanoribbons as conductive and constitutive units. The Janus nanoribbon consists of two parts, which are respectively conducting side and insulating-luminescent side. The Janus nanoribbons array composite film has two layers, and the two layers are combined tightly to form a top-to-bottom structure. In the composite film, the length direction of the Janus nanoribbons (namely conducting direction) in the two layers is perpendicular, so that a composite film with double electrically conductive anisotropy is achieved. In addition, by adjusting the content of PANI, conductive anisotropy of each layer of the composite film can be tuned, and the conductance in the conducting direction is about 10⁸ times stronger than that in the insulating direction. The Janus nanoribbon array composite films also have tunable and improved luminescent properties, achieving bi-functionality of double anisotropically electrical conduction and luminescence. The proposed design concept and preparation technology will provide theoretical and technical support for the design and fabrication of novel multifunctional ACFs.

Brand-new double anisotropic conductive flexible composite films endued with tuned electrically conductive anisotropy and improved luminescence were prepared by electrospinning.