Intramembrane Cavitation as a Predictive Bio-Piezoelectric Mechanism for Ultrasonic Brain Stimulation
Michael Plaksin, Shy Shoham, Eitan Kimmel

TL;DR
This paper proposes a biophysical model where intramembrane cavitation in neurons explains how low-intensity ultrasound can stimulate the brain, highlighting a novel bio-piezoelectric mechanism underlying ultrasonic neurostimulation.
Contribution
It introduces a new model linking intramembrane cavitation to neuronal excitation, advancing understanding of ultrasound neuromodulation mechanisms.
Findings
Model explains CNS ultrasound stimulation features
Predicts efficacy dependence on stimulation parameters
Supports neuronal intramembrane piezoelectricity hypothesis
Abstract
Low-intensity ultrasonic waves can remotely and nondestructively excite central nervous system (CNS) neurons. While diverse applications for this effect are already emerging, the biophysical transduction mechanism underlying this excitation remains unclear. Recently, we suggested that ultrasound-induced intramembrane cavitation within the bilayer membrane could underlie the biomechanics of a range of observed acoustic bioeffects. In this paper, we show that, in CNS neurons, ultrasound-induced cavitation of these nanometric bilayer sonophores can induce a complex mechanoelectrical interplay leading to excitation, primarily through the effect of currents induced by membrane capacitance changes. Our model explains the basic features of CNS acoustostimulation and predicts how the experimentally observed efficacy of mouse motor cortical ultrasonic stimulation depends on stimulation…
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