Today, surgical procedures for implanting electronic
devices that stimulate the heart muscle to correct
abnormal cardiac rhythms are considered routine. But
addressing the brain in this way—and reaching areas
deep within the cerebral mass without destroying neurons
en route—is another matter.
While surgeons have successfully installed
electrodes in the brain that have restored a semblance
of sight or hearing, stopped the tremors of Parkinson's
disease, and cataloged the brain's responses to
environmental stimuli, they've always had to break in
through the skull. That procedure damages healthy brain
tissue, exposes patients to infection, and leaves wires
sticking out of their heads. And over time, scar tissue
forms around the electrodes, encapsulating them and
isolating them from the active brain tissue.
Now a promising new procedure has been proposed [see
photo]. In a
paper that appeared in the 5 July issue of The Journal
of Nanoparticle Research, researchers from the New York
University Medical Center, the Massachusetts Institute
of Technology, and the University of Tokyo demonstrate
how advances in nanotechnology could lead to a better
way of getting into the brain. The team, led by Rodolfo
Llinas, head of the department of physiology and
neuroscience at the NYU Medical Center, in New York
City, has devised a method for attaching electrodes to
small clusters of brain cells—or even individual
neurons—using the cardiovascular system as the conduit
through which wires are threaded.
The researchers predict that within a decade or so,
it will be possible to insert a catheter into a large
artery and guide it through the circulatory system to
the brain. Once there, an array of nanowires (wires with
diameters on the order of 10-9 meters) would spread into
a "bouquet" consisting of millions of tiny probes that
could use the 25 000 meters of 10-micrometer-wide
capillaries inside the brain as a way to harmlessly
reach specific locations within the brain.
In the team's proof-of-concept experiments, they
maneuvered 500-nm-diameter platinum wires through the
blood vessels in human tissue samples and detected the
electrical activity of living brain cells placed
adjacent to the tissue. At the same time, they created
software and hardware that will likely form a type of
analog-to-digital converter, turning signals emitted by
the brain into digital signals and vice versa.
"Five years ago, we [at the MIT BioInstrumentation
Laboratory] created arrays comprising 100
microelectrodes that [required us] to open the skull and
literally punch electrodes into the brain to do
recordings," said Patrick Anquetil, a coauthor of the
paper who is a Ph.D. candidate at MIT, in Cambridge,
Mass. "When we started our collaboration with Professor
Llinas and showed him the original work, he was really
shocked at how crude a method it was. It was his idea to
use the bloodstream, or, in his words, 'the plumbing
that is already there.'"
Since then, the challenge has been to create a
connector that is small enough at one end to reach any
neuron without blocking blood flow, but large enough at
the other end (roughly 500 mm) so it can connect with
instruments for recording or for delivering pulses of
electricity. "That's actually the whole problem with
nanotechnology," says Anquetil. "It's actually easy to
create these [very tiny] structures, but how do you
interface them with our macro world?"
One solution for making this stepping down of wire
gauges possible was changing the type of wire. The
platinum wires used in the experiments are being phased
out in favor of conducting polymers, because they are
cheaper, can be turned into much thinner wires, and are
more flexible. The team is working on a process to
create conducting polymer nanowires as thin as 100 nm.
They believe that a nanowire of this type can also
be made steerable so that it could be directed along one
of many small blood vessels branching out from a larger
one. When a small current is applied to a suitably doped
wire, the polymers swell or contract, prompting the wire
to bend in a controllable way. The arrangement in the
material of dopant (a chemical additive that determines
whether the material has the electrical properties of a
semiconductor or a conductor) can be electrochemically
switched in real time.
What's more, the conducting polymer material is
biodegradable, so depending on its composition, it can
be implanted for short-term studies or medical
diagnostics and will decompose in a manner similar to
the sutures used by surgeons to close wounds below the
skin. For longer-term connections, such as those that
would make possible a through-the-bloodstream cerebral
pacemaker for Parkinson's patients, a different polymer
formulation would be created from the same set of basic
molecular building blocks.
"One of the reasons we're so excited about [these
polymers] in the long term is that they are, to our
knowledge, the only materials that allow you to build a
whole system from the same class of materials," said
Anquetil. "Not only can you create wires to transmit
information or energy, you can build actuators [to
replicate the function of muscles], logic gates for
computation, or even sensors."
—Willie D. Jones