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CN106861050A - A kind of wireless neuromodulation device based on light science of heredity - Google Patents

A kind of wireless neuromodulation device based on light science of heredity Download PDF

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CN106861050A
CN106861050A CN201710113614.4A CN201710113614A CN106861050A CN 106861050 A CN106861050 A CN 106861050A CN 201710113614 A CN201710113614 A CN 201710113614A CN 106861050 A CN106861050 A CN 106861050A
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余锂镭
黄兵
江洪
周晓亚
孟冠南
王梦龙
周丽平
李雪飞
袁申戌
王宇虹
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Abstract

本发明涉及医疗器械技术,具体涉及一种基于光遗传学的无线神经调控装置,包括病毒载体,病毒载体携带启动子、光敏感蛋白和荧光蛋白,启动子用于在特定目标组织特异性表达光敏感蛋白,实现特异性精准控制,光敏感蛋白是发挥作用的关键;还包括LED发光模块和无线调控装置;LED发光模块包括LED阵列和能量接收系统;无线调控装置包括能量发射系统和控制器;能量发射系统向能量接收系统传递能量;LED阵列和能量接收系统均封装于生物相容性绝缘材料中,设置在贴近病毒载体所在的目标组织处。该装置实现了光遗传学刺激系统的无线供能和远程控制。具有小型化,无线调控,产热少的,对靶组织损伤小特点,光遗传学所能应用的领域均可使用该装置。

The present invention relates to medical device technology, in particular to a wireless neuromodulation device based on optogenetics, including a virus vector carrying a promoter, a light-sensitive protein and a fluorescent protein, and the promoter is used to specifically express light in a specific target tissue. Sensitive protein, to achieve specific and precise control, light-sensitive protein is the key to play a role; also includes LED light-emitting module and wireless control device; LED light-emitting module includes LED array and energy receiving system; wireless control device includes energy emission system and controller; The energy transmitting system transmits energy to the energy receiving system; both the LED array and the energy receiving system are encapsulated in a biocompatible insulating material, and are arranged close to the target tissue where the virus vector is located. The device realizes the wireless energy supply and remote control of the optogenetic stimulation system. It has the characteristics of miniaturization, wireless control, less heat generation, and less damage to target tissues, and the device can be used in fields where optogenetics can be applied.

Description

一种基于光遗传学的无线神经调控装置A wireless neuromodulation device based on optogenetics

技术领域technical field

本发明属于医疗器械技术领域,尤其涉及一种基于光遗传学的无线神经调控装置。The invention belongs to the technical field of medical devices, in particular to a wireless neuromodulation device based on optogenetics.

背景技术Background technique

光遗传学(optogenetics)是近几年正在迅速发展的一项整合了光学、软件控制、基因操作技术、电生理等多学科交叉的生物工程技术。其主要原理是首先采用基因操作技术将光感基因转入到特定细胞中进行光敏感蛋白的表达,光敏感蛋白在相应波长的光照刺激下会分别对阳离子或者阴离子的通过产生选择性,从而造成细胞膜内外的膜电位发生变化,达到对细胞选择性地兴奋或者抑制的目的,从而对细胞、组织、器官和生物体的生理功能实现精准调控。光遗传学技术在神经科学等领域得到了迅速发展,2010年该技术入选《Nature Methods》杂志2010年年度方法,并被认为是最有希望获得诺贝尔生物学奖的技术之一。Optogenetics is a rapidly developing bioengineering technology that integrates optics, software control, gene manipulation technology, electrophysiology and other multidisciplinary disciplines. The main principle is to firstly use genetic manipulation technology to transfer light-sensitive genes into specific cells to express light-sensitive proteins. Light-sensitive proteins will be selective for the passage of cations or anions under the light stimulation of corresponding wavelengths, resulting in The membrane potential inside and outside the cell membrane changes to achieve the purpose of selectively exciting or inhibiting cells, so as to achieve precise regulation of the physiological functions of cells, tissues, organs and organisms. Optogenetic technology has developed rapidly in neuroscience and other fields. In 2010, this technology was selected as the 2010 annual method of "Nature Methods" magazine, and is considered to be one of the most promising technologies to win the Nobel Prize in Biology.

自主神经系统虽然不受意识支配,但在维持机体生命健康方面发挥重要作用,比如不同状态下呼吸、心率、血压的变化均由自主神经控制。自主神经的交感、迷走成分互相拮抗,二者之间的平衡对维持机体健康十分重要。经过大量基础和临床研究,发现心脏自主神经系统的失平衡尤其是交感神经的过度兴奋参与并介导了心律失常、心力衰竭、心肌梗死、高血压等多种疾病的发生发展。因此通过各种手段调控自主神经使其再平衡十分重要,而目前对心脏自主神经再平衡的方法多为消融、切除等损毁方法,容易产生副作用,使用光遗传学技术调控自主神经不仅不损伤神经,而且可以做到精准、可控。但目前的光遗传学刺激系统多为有线设置,需要一根光纤连到体外,难以在临床推广,即使动物实验也存在对其活动的限制等不足。Although the autonomic nervous system is not controlled by consciousness, it plays an important role in maintaining the life and health of the body. For example, changes in breathing, heart rate, and blood pressure in different states are controlled by the autonomic nervous system. The sympathetic and vagal components of the autonomic nervous system are antagonistic to each other, and the balance between the two is very important to maintain the health of the body. After a lot of basic and clinical research, it is found that the imbalance of the autonomic nervous system of the heart, especially the overexcitation of the sympathetic nerve, participates in and mediates the occurrence and development of various diseases such as arrhythmia, heart failure, myocardial infarction, and hypertension. Therefore, it is very important to regulate the autonomic nerves by various means to rebalance them. At present, the methods for rebalancing the autonomic nerves of the heart are mostly damage methods such as ablation and resection, which are prone to side effects. Using optogenetics to regulate the autonomic nerves not only does not damage the nerve , and can be precise and controllable. However, most of the current optogenetic stimulation systems are wired and require an optical fiber to be connected to the outside of the body, which is difficult to promote clinically, and even animal experiments have limitations in their activities.

发明内容Contents of the invention

本发明的目的是提供一种无线供能的光遗传学刺激系统,能够利用连接wifi并通过APP进行交互,从而实现无线调控。The purpose of the present invention is to provide an optogenetics stimulation system with wireless power supply, which can be connected to wifi and interact through APP, so as to realize wireless regulation.

为实现上述目的,本发明采用的技术方案是:一种基于光遗传学的无线神经调控装置,包括病毒载体,所述病毒载体携带启动子、光敏感蛋白和荧光蛋白植入目标组织,所述启动子用于在特定目标组织特异性表达光敏感蛋白,实现特异性精准控制,所述荧光蛋白用于确认充分表达;其特征在于,还包括LED发光模块和无线调控装置;所述LED发光模块包括LED阵列和能量接收系统;所述无线调控装置包括能量发射系统和控制器;所述能量发射系统向所述能量接收系统传递能量;所述LED阵列和能量接收系统均封装于生物相容性绝缘材料中,设置在贴近所述病毒载体所在的目标组织处。In order to achieve the above object, the technical solution adopted by the present invention is: a wireless neuromodulation device based on optogenetics, including a virus vector, which carries a promoter, a light-sensitive protein and a fluorescent protein and is implanted into the target tissue. The promoter is used to specifically express a light-sensitive protein in a specific target tissue to achieve specific and precise control, and the fluorescent protein is used to confirm sufficient expression; it is characterized in that it also includes an LED light-emitting module and a wireless control device; the LED light-emitting module It includes an LED array and an energy receiving system; the wireless control device includes an energy emitting system and a controller; the energy emitting system transmits energy to the energy receiving system; the LED array and the energy receiving system are packaged in a biocompatible In the insulating material, it is placed close to the target tissue where the viral vector is located.

在上述的基于光遗传学的无线神经调控装置中,所述LED阵列包括数个LED;所述能量接收系统包括设置在所述数个LED周围的多个天线,所述多个天线依次连接整流器和放大器;所述放大器连接数个LED。In the above-mentioned wireless neuromodulation device based on optogenetics, the LED array includes several LEDs; the energy receiving system includes multiple antennas arranged around the several LEDs, and the multiple antennas are connected to the rectifier in turn and an amplifier; the amplifier connects several LEDs.

在上述的基于光遗传学的无线神经调控装置中,所述能量发射系统包括依次连接的供电系统、逆变器、控制模块和RF发射单元;所述控制器包括相互连接的控制面板、wifi接收模块、集成芯片,程序内置APP;所述能量发射系统与控制器连接且封装在同一个外壳里。In the optogenetics-based wireless neuromodulation device described above, the energy transmission system includes a power supply system, an inverter, a control module, and an RF transmission unit connected in sequence; the controller includes a control panel connected to each other, a wifi receiving Module, integrated chip, and APP built in the program; the energy emission system is connected with the controller and packaged in the same shell.

在上述的基于光遗传学的无线神经调控装置中,所述控制模块用于调节刺激参数,发出矩阵波;所述刺激参数包括刺激电压、刺激电流、刺激脉宽、间歇时间、持续时间。In the optogenetics-based wireless neuromodulation device above, the control module is used to adjust stimulation parameters and emit matrix waves; the stimulation parameters include stimulation voltage, stimulation current, stimulation pulse width, intermittent time, and duration.

在上述的基于光遗传学的无线神经调控装置中,所述无线调控装置采用内置电池或外接电源。In the aforementioned wireless neuromodulation device based on optogenetics, the wireless neuromodulation device uses a built-in battery or an external power supply.

在上述的基于光遗传学的无线神经调控装置中,所述病毒载体包括慢病毒和腺相关病毒;所述腺相关病毒包括AAV1、AAV2、AAV3、AAV4、AAV5、AAV6、AAV7、AAV8、AAV9,根据目标组织选用病毒亚型。In the above optogenetics-based wireless neuromodulation device, the viral vector includes lentivirus and adeno-associated virus; the adeno-associated virus includes AAV1, AAV2, AAV3, AAV4, AAV5, AAV6, AAV7, AAV8, AAV9, Select the virus subtype according to the target tissue.

在上述的基于光遗传学的无线神经调控装置中,所述光敏感蛋白选用兴奋性光敏感蛋白、抑制性光敏感蛋白、双向调节光敏感蛋白。In the above optogenetics-based wireless neuromodulation device, the light-sensitive protein is selected from excitatory light-sensitive protein, inhibitory light-sensitive protein, and bidirectionally regulated light-sensitive protein.

在上述的基于光遗传学的无线神经调控装置中,所述兴奋性光敏感蛋白若选用ChR2,则所述LED阵列发射470nm左右波长的光线;若选用VChR1,则所述LED阵列发射545nm左右波长的光线; 若选用C1V1,则所述LED阵列发射540nm左右波长的光线;所述抑制性光敏感蛋白若选用ArchT,则所述LED阵列发射565nm左右波长的光线; 若选用eNpHR3.0,则所述LED阵列发射590nm左右波长的光线;若选用eBR,则所述LED阵列发射540nm左右波长的光线;所述双向调节光敏感蛋白若选用ChR2-step function opsins,则所述LED阵列发射470nm附近波长光线激活,发射590nm附近波长光线抑制;若选用VCHR-step functionopsins,则所述LED阵列发射560nm附近波长光线激活,发射390nm附近波长光线抑制。In the aforementioned wireless neuromodulation device based on optogenetics, if ChR2 is selected as the excitatory light-sensitive protein, the LED array emits light with a wavelength of about 470nm; if VChR1 is selected, the LED array emits light with a wavelength of about 545nm If C1V1 is selected, the LED array emits light with a wavelength of about 540nm; if the inhibitory light-sensitive protein is ArchT, the LED array emits light with a wavelength of about 565nm; if eNpHR3.0 is selected, the The LED array emits light with a wavelength of about 590nm; if eBR is selected, the LED array emits light with a wavelength of about 540nm; if ChR2-step function opsins is selected for the bidirectionally regulated light-sensitive protein, the LED array emits light with a wavelength near 470nm The light is activated and suppressed by emitting light with a wavelength near 590nm; if VCHR-step function opsins are selected, the LED array emits light with a wavelength near 560nm for activation and emits light with a wavelength near 390nm for suppression.

在上述的基于光遗传学的无线神经调控装置中,所述光敏感蛋白既可通过病毒载体在目标组织中特异性表达,也可在动物实验中通过转基因动物模型、Cre-loxP系统使目标组织表达光敏感蛋白。In the above-mentioned optogenetics-based wireless neuromodulation device, the light-sensitive protein can be specifically expressed in the target tissue through a viral vector, or can be transformed into a target tissue through a transgenic animal model and the Cre-loxP system in animal experiments. Express light-sensitive protein.

光敏感蛋白是基于光遗传学的无线神经调控装置发挥作用的关键,被特定波长光线激活后通道开放,引起细胞膜内外离子流动,改变细胞膜电位,引起去极化、超级化,从而起兴奋、抑制作用。Light-sensitive protein is the key to the function of wireless neuromodulation devices based on optogenetics. After being activated by light of a specific wavelength, the channel opens, causing ion flow inside and outside the cell membrane, changing the cell membrane potential, causing depolarization and hyperpolarization, thereby causing excitation and inhibition. effect.

本发明的有益效果是:实现了光遗传学刺激系统的无线供能和远程控制。具有小型化,无线调控,产热少,对靶组织损伤小的特点,光遗传学所能应用的领域均可使用该装置。The beneficial effect of the invention is that wireless energy supply and remote control of the optogenetic stimulation system are realized. It has the characteristics of miniaturization, wireless control, less heat generation, and less damage to target tissues. The device can be used in fields where optogenetics can be applied.

附图说明Description of drawings

图1为本发明一个实施例的整体结构示意图;Fig. 1 is the overall structure schematic diagram of an embodiment of the present invention;

图2为本发明一个实施例的LED阵列和能量接收系统示意图;Fig. 2 is a schematic diagram of an LED array and an energy receiving system according to an embodiment of the present invention;

图3为本发明一个实施例的无线调控装置及能量发射系统示意图;Fig. 3 is a schematic diagram of a wireless control device and an energy transmission system according to an embodiment of the present invention;

图4为本发明一个实施例的能量发射系统和能量接收系统连接示意图;Fig. 4 is a schematic diagram of connection between an energy transmitting system and an energy receiving system according to an embodiment of the present invention;

图5为本发明一个实施例的工作流程示意图;Fig. 5 is a schematic workflow diagram of an embodiment of the present invention;

其中,101-无线调控装置、102-无线射频信号、103-LED发光模块、104-左侧星状神经节、105-LED阵列、106-LED发射特定波长光线、201-能量发射系统、202-能量接收系统及LED阵列、401-病毒载体注射示意图、402-病毒载体、403-光照刺激作用机制图。Among them, 101-wireless control device, 102-radio frequency signal, 103-LED light-emitting module, 104-left stellate ganglion, 105-LED array, 106-LED emit light of specific wavelength, 201-energy emission system, 202- Energy receiving system and LED array, 401-viral vector injection schematic diagram, 402-viral vector, 403-light stimulation mechanism diagram.

具体实施方式detailed description

下面结合附图对本发明的实施方式进行详细描述。Embodiments of the present invention will be described in detail below in conjunction with the accompanying drawings.

本实施例采用如下技术方案:一种基于光遗传学的无线神经调控装置,包括病毒载体,所述病毒载体携带启动子、光敏感蛋白和荧光蛋白植入目标组织,所述启动子用于在特定目标组织特异性表达光敏感蛋白,实现特异性精准控制,所述荧光蛋白用于确认充分表达;其特征在于,还包括LED发光模块和无线调控装置;所述LED发光模块包括LED阵列和能量接收系统;所述无线调控装置包括能量发射系统和控制器;所述能量发射系统向所述能量接收系统传递能量;所述LED阵列和能量接收系统均封装于生物相容性绝缘材料中,设置在贴近所述病毒载体所在的目标组织处。This embodiment adopts the following technical solution: a wireless neuromodulation device based on optogenetics, including a virus vector carrying a promoter, a light-sensitive protein and a fluorescent protein implanted in the target tissue, and the promoter is used to The light-sensitive protein is specifically expressed in a specific target tissue to achieve specific and precise control. The fluorescent protein is used to confirm sufficient expression; it is characterized in that it also includes an LED light-emitting module and a wireless control device; the LED light-emitting module includes LED arrays and energy The receiving system; the wireless control device includes an energy transmitting system and a controller; the energy transmitting system transmits energy to the energy receiving system; the LED array and the energy receiving system are all encapsulated in a biocompatible insulating material, set In close proximity to the target tissue where the viral vector is located.

进一步,所述LED阵列包括数个LED;所述能量接收系统包括设置在所述数个LED周围的多个天线,所述多个天线依次连接整流器和放大器;所述放大器连接数个LED。Further, the LED array includes several LEDs; the energy receiving system includes multiple antennas arranged around the several LEDs, and the multiple antennas are sequentially connected to a rectifier and an amplifier; the amplifier is connected to several LEDs.

进一步,所述能量发射系统包括依次连接的供电系统、逆变器、控制模块和RF发射单元;所述控制器包括相互连接的控制面板、wifi接收模块、集成芯片,程序内置APP;所述能量发射系统与控制器连接且封装在同一个外壳里。Further, the energy transmission system includes a power supply system, an inverter, a control module, and an RF transmission unit connected in sequence; the controller includes a control panel connected to each other, a wifi receiving module, an integrated chip, and a program built-in APP; the energy The launch system is connected to the controller and packaged in the same housing.

进一步,所述控制模块用于调节刺激参数,发出矩阵波;所述刺激参数包括刺激电压、刺激电流、刺激脉宽、间歇时间、持续时间。Further, the control module is used to adjust stimulation parameters and emit matrix waves; the stimulation parameters include stimulation voltage, stimulation current, stimulation pulse width, intermittent time, and duration.

进一步,所述无线调控装置采用内置电池或外接电源。Further, the wireless control device adopts a built-in battery or an external power supply.

进一步,所述病毒载体包括慢病毒和腺相关病毒;所述腺相关病毒包括AAV1、AAV2、AAV3、AAV4、AAV5、AAV6、AAV7、AAV8、AAV9,根据目标组织选用病毒亚型。Further, the viral vector includes lentivirus and adeno-associated virus; the adeno-associated virus includes AAV1, AAV2, AAV3, AAV4, AAV5, AAV6, AAV7, AAV8, AAV9, and the virus subtype is selected according to the target tissue.

进一步,所述光敏感蛋白选用兴奋性光敏感蛋白、抑制性光敏感蛋白、双向调节光敏感蛋白。Further, the light-sensitive protein is selected from excitatory light-sensitive protein, inhibitory light-sensitive protein, and bidirectionally regulated light-sensitive protein.

进一步,所述兴奋性光敏感蛋白若选用ChR2,则所述LED阵列发射470nm左右波长的光线;若选用VChR1,则所述LED阵列发射545nm左右波长的光线; 若选用C1V1,则所述LED阵列发射540nm左右波长的光线;所述抑制性光敏感蛋白若选用ArchT,则所述LED阵列发射565nm左右波长的光线; 若选用eNpHR3.0,则所述LED阵列发射590nm左右波长的光线;若选用eBR,则所述LED阵列发射540nm左右波长的光线;所述双向调节光敏感蛋白若选用ChR2-step function opsins,则所述LED阵列发射470nm附近波长光线激活,发射590nm附近波长光线抑制;若选用VCHR-step function opsins,则所述LED阵列发射560nm附近波长光线激活,发射390nm附近波长光线抑制。Further, if ChR2 is selected as the excitatory light-sensitive protein, the LED array emits light with a wavelength of about 470nm; if VChR1 is selected, the LED array emits light with a wavelength of about 545nm; if C1V1 is selected, the LED array Emit light with a wavelength of about 540nm; if the inhibitory photosensitive protein is selected as ArchT, the LED array will emit light with a wavelength of about 565nm; if eNpHR3.0 is selected, the LED array will emit light with a wavelength of about 590nm; if selected eBR, the LED array emits light with a wavelength of about 540nm; if ChR2-step function opsins are selected for the bidirectionally regulated light-sensitive protein, the LED array emits light with a wavelength near 470nm for activation, and emits light with a wavelength near 590nm for inhibition; VCHR-step function opsins, the LED array emits light with a wavelength near 560nm for activation, and emits light with a wavelength near 390nm for suppression.

更进一步,所述光敏感蛋白既可通过病毒载体在目标组织中特异性表达,也可在动物实验中通过转基因动物模型、Cre-loxP系统使目标组织表达光敏感蛋白。Furthermore, the light-sensitive protein can be specifically expressed in the target tissue through a virus vector, or can be expressed in the target tissue through a transgenic animal model or Cre-loxP system in animal experiments.

具体实施时,如图1所示,一种基于光遗传学的无线神经调控装置,包含病毒载体,LED发光模块和无线调控装置。病毒载体使目标区域特异性表达光敏感蛋白,LED发光模块包括LED阵列和能量接收系统,LED阵列用于发射适合光敏感蛋白波长的光照,能量接收系统用于接收能量;无线调控装置包括能量发射系统和控制器;能量发射系统包括供电系统、逆变器、控制模块和RF发射单元;控制器包括相互连接的控制面板、wifi接收模块、集成芯片,程序内置APP,能量发射系统和控制器合并在一个装置上,且封装在同一个外壳里。每次发放刺激的记录存储集成芯片,可连接wifi,上传APP,通过手机等移动端同步,绘制治疗曲线。During specific implementation, as shown in FIG. 1 , a wireless neuromodulation device based on optogenetics includes a virus vector, an LED light-emitting module and a wireless neuromodulation device. The virus vector enables the specific expression of light-sensitive proteins in the target area. The LED light-emitting module includes an LED array and an energy receiving system. The LED array is used to emit light suitable for the wavelength of the light-sensitive protein, and the energy receiving system is used to receive energy; System and controller; energy transmission system includes power supply system, inverter, control module and RF transmission unit; controller includes interconnected control panel, wifi receiving module, integrated chip, program built-in APP, energy transmission system and controller combined on one device and housed in the same housing. The record and storage of each stimulation is integrated into the chip, which can be connected to wifi, uploaded to APP, synchronized through mobile phones and other mobile terminals, and draw treatment curves.

如图2所示,LED发光模块,用于发出特定波长光照,刺激目标组织内光敏感蛋白,改变目标组织细胞内外膜电位,从而兴奋或抑制目标组织,LED发光模块含有数个LED阵列和能量接收系统均封装于生物相容性绝缘材料之内,LED阵列贴近目标组织,可完整照射到每个目标组织。LED所发射波长取决于光敏感蛋白,ArchT可采用565nm左右波长光照,ChR2可采用470nm左右波长光照。能量接收系统包含LED周围的天线,整流器和放大器;天线可收到无线调控装置发出射频信号,从而转化为电信号,并通过整流器转化为直流电,再经过放大器发大,产生足以供应LED发光的能量。能量接收系统与LED阵列一起封装于生物相容性绝缘材料中。As shown in Figure 2, the LED light-emitting module is used to emit light of a specific wavelength to stimulate the light-sensitive protein in the target tissue and change the potential of the inner and outer membranes of the target tissue cells, thereby exciting or inhibiting the target tissue. The LED light-emitting module contains several LED arrays and energy The receiving system is packaged in a biocompatible insulating material, and the LED array is close to the target tissue, which can fully irradiate each target tissue. The wavelength emitted by the LED depends on the light-sensitive protein. ArchT can be illuminated with a wavelength of about 565nm, and ChR2 can be illuminated with a wavelength of about 470nm. The energy receiving system includes an antenna around the LED, a rectifier and an amplifier; the antenna can receive the radio frequency signal sent by the wireless control device, which is converted into an electrical signal, and converted into direct current through the rectifier, and then amplified by the amplifier to generate enough energy for the LED to emit light . The energy receiving system is packaged with the LED array in a biocompatible insulating material.

如图3所示,无线调控装置包括能量发射系统和控制器。能量发射系统由供电系统、逆变器、控制模块和RF发射单元组成;控制器由控制面板、wifi接收模块和APP组成。无线调控装置由内置电池或外界电源供电,能量发射单元产生电流后经过逆变器转化为交流电,交流电经过RF发射单元,发出射频信号,传递出能量,供能量接收系统接收。其控制模块,可调节刺激参数,包括刺激电压、刺激电流、刺激脉宽、间歇时间、持续时间,发出矩阵波。无线调控装置还带有wifi接收模块、集成芯片,程序内置APP,可将每次发放刺激及的记录存储下来,连接wifi并通过上传APP与手机等移动设备进行同步,绘制治疗曲线。As shown in Figure 3, the wireless control device includes an energy transmission system and a controller. The energy transmission system is composed of power supply system, inverter, control module and RF transmission unit; the controller is composed of control panel, wifi receiving module and APP. The wireless control device is powered by a built-in battery or an external power supply. The energy transmitting unit generates current and converts it into alternating current through an inverter. The alternating current passes through the RF transmitting unit to send out a radio frequency signal and transmit energy for the energy receiving system to receive. Its control module can adjust stimulation parameters, including stimulation voltage, stimulation current, stimulation pulse width, intermittent time, duration, and emit matrix waves. The wireless control device is also equipped with a wifi receiving module, an integrated chip, and a built-in APP in the program, which can store the records of each stimulus and release, connect to wifi and synchronize with mobile devices such as mobile phones by uploading the APP, and draw the treatment curve.

无线神经调控装置既可用于调控心脏自主神经系统,通过再平衡自主神经来治疗心律失常、改善心肌缺血、心力衰竭、预防猝死等疾病,也可用于植入颈部等其他部位,实现治疗抑郁症等其他作用,不仅可以用于临床,亦可用于动物实验。The wireless neuromodulation device can be used to regulate the autonomic nervous system of the heart, treat arrhythmia, improve myocardial ischemia, heart failure, prevent sudden death and other diseases by rebalancing the autonomic nervous system, and can also be used to implant the neck and other parts to achieve the treatment of depression Symptoms and other effects, not only can be used for clinical, but also for animal experiments.

病毒载体主要为慢病毒、腺相关病毒,腺相关病毒包括AAV1、AAV2、AAV3、AAV4、AAV5、AAV6、AAV7、AAV8、AAV9,根据作用对象及目标组织选择具体病毒类型及病毒亚型,动物实验、短期使用可用腺相关病毒,特点在于转染效率高。长期实验、临床使用可采用慢病毒,其特点在于可以整合至宿主基因组,稳定表达。腺相关病毒AAV9亚型主要对心脏、中枢神经系统、肌肉等组织亲和性高,AAV8亚型主要对肝脏、眼、神经系统亲和力高,引起可根据不同靶器官选择特定病毒亚型,针对心脏可用AAV9亚型。根据需要采用兴奋性光敏感蛋白,抑制性光敏感蛋,双向调节光敏感蛋白,用于抑制星状神经节活性治疗心律失常可采用ArchT、eNpHR作为抑制性光敏感蛋白,病毒载体还携带特异性启动子,仅在靶器官表达目的基因,达到特异性精准控制。在动物实验时,也可再用转基因动物模型、Cre-loxP系统表达光敏感蛋白,只使用本发明中的LED光照系统和无线控能、控制系统。Viral vectors are mainly lentiviruses and adeno-associated viruses. Adeno-associated viruses include AAV1, AAV2, AAV3, AAV4, AAV5, AAV6, AAV7, AAV8, and AAV9. Specific virus types and virus subtypes are selected according to the target objects and target tissues. Animal experiments 1. Adeno-associated virus can be used for short-term use, which is characterized by high transfection efficiency. Lentivirus can be used for long-term experiments and clinical use, which is characterized in that it can be integrated into the host genome and expressed stably. The AAV9 subtype of adeno-associated virus mainly has high affinity to the heart, central nervous system, muscle and other tissues, and the AAV8 subtype mainly has high affinity to the liver, eye, and nervous system, causing specific virus subtypes to be selected according to different target organs. Available AAV9 subtypes. Excitatory light-sensitive proteins, inhibitory light-sensitive proteins, and bidirectionally-regulated light-sensitive proteins are used as needed to inhibit the activity of stellate ganglia and treat arrhythmias. ArchT and eNpHR can be used as inhibitory light-sensitive proteins, and the virus vector also carries specificity. The promoter expresses the target gene only in the target organ to achieve specific and precise control. In animal experiments, transgenic animal models and the Cre-loxP system can also be used to express light-sensitive proteins, and only the LED lighting system and wireless energy control and control system of the present invention are used.

LED阵列用于发出特定波长光照,刺激目标组织内光敏感蛋白,改变目标组织细胞内外膜电位,从而兴奋或抑制靶组织,LED阵列含有数个LED封装于生物相容性绝缘材料之内,贴近目标组织,可完整照射到整个目标组织。LED所发射波长取决于光敏感蛋白, ChR2采用470nm左右波长光照,VChR1,采用545nm左右波长光线; C1V1采用540nm波长左右光线;ArchT采用565nm左右波长光线; eNpHR3.0采用590nm左右波长光线;eBR,采用540nm左右波长光线。The LED array is used to emit light of a specific wavelength, stimulate light-sensitive proteins in the target tissue, change the potential of the inner and outer membranes of the target tissue cells, and thereby excite or inhibit the target tissue. The LED array contains several LEDs packaged in a biocompatible insulating material, close to The target tissue can be fully irradiated to the entire target tissue. The wavelength emitted by the LED depends on the light-sensitive protein. ChR2 uses light with a wavelength of about 470nm; VChR1 uses light with a wavelength of about 545nm; C1V1 uses light with a wavelength of about 540nm; ArchT uses light with a wavelength of about 565nm; eNpHR3.0 uses light with a wavelength of about 590nm; Light with a wavelength of about 540nm is used.

本实施例的无线神经调控装置,除可用于调控心脏自主神经外,还可用于控制中枢神经、颈部迷走神经治疗抑郁症等用途,由于其小型化,无线调控,产热少、对靶组织损伤小的特点,光遗传学所能应用的领域均可使用该系统。The wireless neuromodulation device of this embodiment can not only be used to regulate the autonomic nerves of the heart, but also can be used to control the central nervous system and the cervical vagus nerve to treat depression. Due to its miniaturization and wireless regulation, it produces less heat and damages the target tissue. Small features, the system can be used in the fields where optogenetics can be applied.

以下将本实施例的无线神经调控装置应用于通过抑制左侧星状神经节来减少室性心律失常,改善心肌缺血预后。如图1所示,首先通过手术方式将携带有ArchT的AAV9病毒注射至左侧星状神经节104,并在附近植入LED发光模块103,约4周时ArchT稳定表达,此时打开无线调控装置101控制开关,在控制面板中调整好刺激参数,无线调控装置101发出无线射频信号102,被植入的LED发光模块103接收,LED发光模块103内部的能量接收系统接收信号,出现电流,供给LED阵列105发出565nm波长光线106照射左侧星状神经节104,左侧星状神经节104内ArchT被激活,导致神经细胞内外离子分布变化,膜电位呈现超极化改变,抑制神经电活动,从而降低交感神经兴奋性,减少心肌梗死后室性心律失常等的发生。In the following, the wireless neuromodulation device of this embodiment is applied to reduce ventricular arrhythmia and improve the prognosis of myocardial ischemia by inhibiting the left stellate ganglion. As shown in Figure 1, the AAV9 virus carrying ArchT is first surgically injected into the left stellate ganglion 104, and an LED light-emitting module 103 is implanted nearby. After about 4 weeks, ArchT is stably expressed, and at this time, the wireless regulation is turned on. The device 101 controls the switch, and adjusts the stimulation parameters in the control panel. The wireless control device 101 sends out a radio frequency signal 102, which is received by the implanted LED light emitting module 103. The energy receiving system inside the LED light emitting module 103 receives the signal, and a current appears to supply The LED array 105 emits 565nm wavelength light 106 to irradiate the left stellate ganglion 104, and the ArchT in the left stellate ganglion 104 is activated, resulting in changes in the distribution of ions inside and outside the nerve cells, hyperpolarized changes in the membrane potential, and inhibition of nerve electrical activity. Thereby reducing the excitability of the sympathetic nerve and reducing the incidence of ventricular arrhythmia after myocardial infarction.

如图2所示LED阵列104照射左侧星状神经节示意图。LED发光模块103内部的能量接收系统202中天线接收射频信号,转化为电能,并通过整流器转化为直流电,经放大器放大,供应LED发光。A schematic diagram of the LED array 104 irradiating the left stellate ganglion as shown in FIG. 2 . The antenna in the energy receiving system 202 inside the LED light emitting module 103 receives the radio frequency signal, converts it into electrical energy, and converts it into direct current through a rectifier, and amplifies it through an amplifier to supply LED light.

如图3所示无线调控装置101中能量发射系统201包括供电系统、逆变器、控制模块和RF发射单元,并内置集成芯片和wifi模块,程序内置APP。能量由内置电池或外接电源供应,并经过逆流器转化为交流电,电流流经RF发射单元,发射出无线射频信号为LED供能。As shown in Figure 3, the energy transmission system 201 in the wireless control device 101 includes a power supply system, an inverter, a control module and an RF transmission unit, and has a built-in integrated chip and a wifi module, and a built-in APP. The energy is supplied by a built-in battery or an external power supply, and is converted into alternating current through an inverter, and the current flows through the RF transmitting unit, which emits a wireless radio frequency signal to power the LED.

如图4所示,能量发射系统201发射出无线能量被能量接收系统202接收,用于供应LED发光。As shown in FIG. 4 , the wireless energy emitted by the energy transmitting system 201 is received by the energy receiving system 202 for supplying the LED to emit light.

如图5中所示,病毒载体注射示意图401,光照刺激作用机制图403。携带有特定序列的病毒载体402,启动子作用为在特定目标组织特异性表达,视蛋白即光敏感蛋白发挥离子通道作用,是该系统的核心,可根据需要选用抑制性或敏感性等类型,荧光蛋白可用于检测确认目标蛋白是否表达。本实施例中可以AAV9携带ArchT作为光敏感蛋白,并连接荧光蛋白,当病毒注入104左侧星状神经节内后,经过4周左右病毒稳定表达,此时给予565nm光照左侧形状神经节(LSG),使得神经细胞内外膜电位发生变化,神经细胞超极化,同抑制LSG内神经活性降低心肌梗死后心律失常的发生。As shown in FIG. 5 , a schematic diagram 401 of viral vector injection, and a schematic diagram 403 of light stimulation mechanism. The viral vector 402 carrying a specific sequence, the promoter function is to specifically express in a specific target tissue, and the opsin, that is, the light-sensitive protein, plays the role of an ion channel, which is the core of the system. Inhibitory or sensitive types can be selected according to needs. Fluorescent proteins can be used to detect whether the target protein is expressed. In this embodiment, AAV9 can carry ArchT as a light-sensitive protein and connect to a fluorescent protein. After the virus is injected into the left stellate ganglion of 104, the virus is stably expressed after about 4 weeks. At this time, 565 nm light is given to the left shape ganglion ( LSG), which changes the inner and outer membrane potential of nerve cells, hyperpolarizes nerve cells, and inhibits the nerve activity in LSG to reduce the occurrence of arrhythmia after myocardial infarction.

应当理解的是,本说明书未详细阐述的部分均属于现有技术。It should be understood that the parts not described in detail in this specification belong to the prior art.

虽然以上结合附图描述了本发明的具体实施方式,但是本领域普通技术人员应当理解,这些仅是举例说明,可以对这些实施方式做出多种变形或修改,而不背离本发明的原理和实质。本发明的范围仅由所附权利要求书限定。Although the specific embodiments of the present invention have been described above in conjunction with the accompanying drawings, those of ordinary skill in the art should understand that these are only examples, and various variations or modifications can be made to these embodiments without departing from the principles and principles of the present invention. substance. The scope of the invention is limited only by the appended claims.

Claims (9)

1. a kind of wireless neuromodulation device based on light science of heredity, including viral vectors, the viral vectors carrying promoter, Photaesthesia albumen and fluorescin implantation destination organization, the promoter are used in the specific expressed photaesthesia of specific objective tissue Albumen, realizes that specificity is precisely controlled, and the fluorescin gives full expression to for confirmation;Characterized in that, also luminous including LED Module and wireless regulation and control device;The LED light module includes LED array and energy acceptance system;The wireless regulation and control device Including energy emission system and controller;The energy emission system transmits energy to the energy acceptance system;It is described LED gusts Row and energy acceptance system are packaged in biocompatibility insulating materials, the target where being arranged on the viral vectors At tissue.
2. the wireless neuromodulation device of light science of heredity is based on as claimed in claim 1, it is characterised in that the LED array Including several LED;The energy acceptance system includes the multiple antennas being arranged on around several LED, the multiple antenna It is sequentially connected rectifier and amplifier;The amplifier connects several LED.
3. the wireless neuromodulation device of light science of heredity is based on as claimed in claim 1, it is characterised in that the energy transmitting System includes the electric power system, inverter, control module and the RF transmitter units that are sequentially connected;The controller includes being connected with each other Control panel, wifi receiver modules, integrated chip, the built-in APP of program;The energy emission system is connected and seals with controller In same shell.
4. the wireless neuromodulation device of light science of heredity is based on as claimed in claim 3, it is characterised in that the control module For adjusting stimulation parameter, matrix ripple is sent;When the stimulation parameter includes stimulation voltage, stimulating current, stimulates pulsewidth, interval Between, the duration.
5. the wireless neuromodulation device of light science of heredity is based on as claimed in claim 1, it is characterised in that the wireless regulation and control Device uses internal battery or external power supply.
6. the wireless neuromodulation device of light science of heredity is based on as claimed in claim 1, it is characterised in that the viral vectors Including slow virus and adeno-associated virus;The adeno-associated virus include AAV1, AAV2, AAV3, AAV4, AAV5, AAV6, AAV7, AAV8, AAV9, virus subtype is selected according to destination organization.
7. the wireless neuromodulation device of light science of heredity is based on as claimed in claim 1, it is characterised in that the photaesthesia egg It is white to select excitability photaesthesia albumen, inhibition photaesthesia albumen, bidirectional modulation photaesthesia albumen.
8. the wireless neuromodulation device of light science of heredity is based on as claimed in claim 7, it is characterised in that the excitability light If sensitive Protein launches the light of 470nm or so wavelength from ChR2, the LED array;If from VChR1, the LED The light of array emitter 545nm or so wavelength;If from C1V1, the light of the LED array transmitting 540nm or so wavelength; If the inhibition photaesthesia albumen launches the light of 565nm or so wavelength from ArchT, the LED array;If from ENpHR3.0, the then light of LED array transmitting 590nm or so wavelength;If from eBR, the LED array transmitting The light of 540nm or so wavelength;If the bidirectional modulation photaesthesia albumen is from ChR2-step function opsins, The LED array transmitting 470nm wavelength light activation nearby, nearby wavelength light suppresses transmitting 590nm;If from VCHR- Step function opsins, then the LED array transmitting 560nm wavelength light activation nearby, wavelength near transmitting 390nm Light suppresses.
9. the wireless neuromodulation device of light science of heredity is based on as claimed in claim 1, it is characterised in that the photaesthesia egg Bai Jike by viral vectors it is specific expressed in targeted tissue, can also pass through in zoopery transgenic animal model, Cre-loxP systems make destination organization express photaesthesia albumen.
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CN114099975A (en) * 2021-11-15 2022-03-01 北京京东方技术开发有限公司 Stomach retention capsule, waistband and method for stimulating stomach nerves
CN114099975B (en) * 2021-11-15 2023-07-14 北京京东方技术开发有限公司 A gastric retention capsule, belt and gastric nerve stimulation method
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Application publication date: 20170620