Long-Term Functionality of Transversal Intraneural Electrodes is Improved by Dexamethasone Treatment

• Published in: IEEE transactions on neural systems and rehabilitation engineering 2019-03, Vol.27 (3), p.457-464
• Main Authors: de la Oliva, N., del Valle, J., Delgado-Martinez, I., Mueller, M., Stieglitz, T., Navarro, Xavier
• Format: Article
• Language: English
• Subjects: Adrenal glands; Amputation; Animals; Axons; Dexamethasone; Electrodes; foreign body reaction; Implants; Inflammation; Inflammatory response; Interfaces; intraneural electrode; Muscles; Needles; Nerve fibers; Nervous system; Neural prostheses; neuroprosthesis; Peripheral nerves; Prosthetics; Rats; Recording; Sciatic nerve; Selectivity; Sensory feedback; Sensory neurons; Steroids; Stimulation
• ISSN: 1534-4320; 1558-0210
• DOI: 10.1109/TNSRE.2019.2897256

Neuroprostheses aimed to restore lost functions after a limb amputation are based on the interaction with the nervous system by means of neural interfaces. Among the different designs, intraneural electrodes implanted in peripheral nerves represent a good strategy to stimulate nerve fibers to send sensory feedback and to record nerve signals to control the prosthetic limb. However, intraneural electrodes, as any device implanted in the body, induce a foreign body reaction (FBR) that results in the tissue encapsulation of the device. The FBR causes a progressive decline of the electrode functionality over time due to the physical separation between the electrode active sites and the axons to the interface. Modulation of the inflammatory response has arisen as a good strategy to reduce the FBR and maintain electrode functionality. In this paper, transversal intraneural multi-channel electrodes (TIMEs) were implanted in the rat sciatic nerve and tested for three months to evaluate stimulation and recording capabilities under chronic administration of dexamethasone. Dexamethasone treatment significantly reduced the threshold for evoking muscle responses during the follow-up compared to saline-treated animals, without affecting the selectivity of stimulation. However, dexamethasone treatment did not improve the signal-to-noise ratio of the recorded neural signals. Dexamethasone treatment allowed to maintain more working active sites along time than saline treatment. Thus, systemic administration of dexamethasone appears as a useful treatment in chronically implanted animals with neural electrodes as it increases the number of functioning contacts of the implanted TIME and reduces the intensity needed to stimulate the nerve.