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Ajijola, O.

Publications and source records attributed to Ajijola, O..

4 recordsLinked to original sources

An Implantable Wireless Battery-Free Selective Vagus Nerve Stimulator

Objective. Vagus nerve stimulation (VNS) is an established clinical therapy for drug-resistant epilepsy and other inflammatory conditions. However, off-target stimulation can produce unwanted side effects that limit therapeutic stimulation and hinder the development of new neuromodulation therapies. Selective VNS (sVNS) offers a strategy to reduce off-target organ activation; however, this approach is not available in humans, and no implantable or portable devices exist to trial sVNS in the clinical setup. This work aimed to design, manufacture, and validate an implantable wireless, battery-free stimulator with a selectively addressable output stage for targeted current delivery to specific regions of the human vagus nerve (VN). Approach. We developed a near-field communication-controlled, wirelessly powered, battery-free, temporary implantable multichannel stimulation device, compatible with a 15-channel sVNS cuff electrode (14 selective electrode pairs and one circumferential whole-nerve channel). The device was encapsulated for short-term implantation and evaluated through benchtop characterisation, accelerated ageing, and validation in an acute porcine and a pilot human study. Main result. The sVNS device was evaluated in a porcine (n = 4) trial and a first-in-human pilot study (n = 1). Selective bradycardia of 23.28 {+/-} 12.91% was observed in pigs and 7.5% in the human participant. In the human, a clear separation of bradycardic and tachycardic effects was observed, with additional selectivity in laryngeal activity. Cardiac and laryngeal responses were separated by 231{degrees} around the circumference of the nerve. Significance. This work demonstrates the feasibility of wireless battery-free sVNS for cardiac applications using a temporary implantable device. Geometrically selective stimulation has the potential to improve therapeutic efficacy while reducing stimulation-related side effects, and may facilitate future therapies for heart failure and other autonomic disorders.

bioengineering↗

Neuropeptide Y regulation of L-type Ca2+ channel activity is altered following chronic myocardial infarction

Neuropeptide Y (NPY) is a co-transmitter released from sympathetic neurons along with norepinephrine (NE). It has been observed that cardiac NPY levels are significantly elevated following myocardial infarction (MI), and this has been linked to an increase in ventricular arrhythmogenicity associated with elevated sympathetic tone. However, the effects that NPY has on the electrical activity of ventricular myocytes remain poorly understood. Previous studies have examined the influence of NPY alone on cardiac ion channel function, but not in the presence of NE, which is the situation expected in vivo. Furthermore, no one has examined the effects of NPY on ion channel activity following MI. The present study explored the impact of NPY on the L-type Ca2+ current in ventricular myocytes isolated from the hearts of normal healthy pigs and pigs subjected to MI. We found that NPY alone has a stimulatory effect on the Ca2+ current in myocytes isolated from healthy pigs. However, in the presence of NE, the effect of NPY was inhibitory. The stimulatory effect of NPY alone was blocked by the Y1 receptor antagonist BIBO3304, while the inhibitory effect observed in the presence of NE was blocked by the Y2 receptor antagonist BIIE0246. When the effects of NPY were examined using hearts from pigs following recovery from MI, the stimulatory effect of NPY was absent in myocytes obtained from both remote and border zone areas of infarcted hearts. The inhibitory effect of NPY observed in the presence of NE was also absent in myocytes from remote areas of the infarcted heart. However, the inhibitory effect of NPY observed in the presence of NE was intact in border zone cells. The implications of these results are discussed as they relate to the potential arrhythmogenic effects of NPY following MI. Graphical Abstract. NPY exerts bimodular, context dependent effects on LTCC. O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=91 SRC="FIGDIR/small/690298v1_ufig1.gif" ALT="Figure 1"> View larger version (28K): org.highwire.dtl.DTLVardef@fb248borg.highwire.dtl.DTLVardef@1c3cd9org.highwire.dtl.DTLVardef@1def5b3org.highwire.dtl.DTLVardef@d4bfd5_HPS_FORMAT_FIGEXP M_FIG C_FIG Proposed signaling pathways for diverse effects of NPY in ventricular cardiac myocytes. Norepinephrine (NE) and neuropeptide Y (NPY) co-application results in a Y2/Gi-mediated reduction in {beta}-adrenergic ({beta}AR)/Gs enhanced ICaL, while NPY alone modestly enhances the current via Y1/Gq mechanism. These pathways are regionally altered following chronic MI.

pharmacology and toxicology↗

The MICOS Complex Regulates Mitochondrial Structure and Oxidative Stress During Age-Dependent Structural Deficits in the Kidney

Due to aging, the efficiency of kidney function begins to decrease. Dysfunction in mitochondria and their cristae is a hallmark of aging. Therefore, age-related decline in kidney function could be attributed to changes in mitochondrial ultrastructure, increased reactive oxygen species, and alterations in metabolism and lipid composition. We sought to understand how mitochondrial ultrastructure is altered over time in tubular kidney cells. A serial block facing-scanning electron microscope and manual segmentation using the Amira software were employed to visualize murine kidney samples during the aging process at 3 months (young) and 2 years (old). We found that 2-year mitochondria are more fragmented with many uniquely shaped mitochondria observed across aging, concomitant with shifts in ROS, metabolomics, and lipid homeostasis. Furthermore, we demonstrate that the mitochondrial contact site and cristae organizing system (MICOS) complex is impaired in the kidney during aging. Disruption of the MICOS complex resulted in altered mitochondrial metabolic function and increased ROS levels. We found significant, detrimental structural changes in the mitochondria of aged kidney tubules, suggesting a potential mechanism underlying the increased frequency of kidney disease with aging. We hypothesize that disruption of the MICOS complex exacerbates mitochondrial dysfunction, creating a vicious cycle of mitochondrial degradation and oxidative stress, which impacts kidney health. Impact and ImplicationsDue to aging, the efficiency of kidney function begins to decrease, and the risk of kidney diseases may increase; however, the specific regulators of mitochondrial age-related changes are poorly understood. This study demonstrates that the MICOS complex may be a target for mitigating age-related mitochondrial changes. The MICOS complex is associated with oxidative stress and calcium dysregulation, which also arise in many kidney pathologies. HighlightsO_LIAging alters the MICOS mRNA levels and disease markers. C_LIO_LIAging reduces cristae architecture, mitochondrial volume and complexity in murine kidney ultrastructure C_LIO_LIReducing MIC60 and CHCHD6 lowers Ca2+ uptake and retention and induces oxidative stress in HEK cells. C_LIO_LIMetabolomic Profiling revealed that NAD+ and amino acid metabolism were altered in aged kidneys. C_LIO_LIMICOS deficiency alters the reduced basal, ATP-linked, maximal capacity and spare capacity. C_LIO_LIDecreased modeled expression of CHCHD6 in individuals of European genetic ancestry is linked to chronic kidney disease, whereas decreased modeled expression of OPA1 in individuals of African genetic ancestry is associated with chronic kidney disease. C_LI Graphical AbstractKidney aging causes a decline in the MICOS complex, concomitant with metabolic, lipidomic, and mitochondrial structural alterations. O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=142 SRC="FIGDIR/small/598108v3_ufig1.gif" ALT="Figure 1"> View larger version (53K): org.highwire.dtl.DTLVardef@1a868f0org.highwire.dtl.DTLVardef@1817bfborg.highwire.dtl.DTLVardef@1f2a1a3org.highwire.dtl.DTLVardef@520692_HPS_FORMAT_FIGEXP M_FIG C_FIG

physiology↗

Human Heart Failure Alters Mitochondria and Fiber 3D Structure Triggering Metabolic Shifts

This study, utilizing SBF-SEM, reveals structural alterations in mitochondria and myofibrils in human heart failure (HF). Mitochondria in HF show changes in structure, while myofibrils exhibit increased cross-sectional area and branching. Metabolomic and lipidomic analyses indicate concomitant dysregulation in key pathways. The findings underscore the need for personalized treatments considering individualized structural changes in HF.

physiology↗