Biology subjects

Dingle, A. M.

Publications and source records attributed to Dingle, A. M..

3 recordsLinked to original sources

bioRxiv2025

Towards Optimizing Target Engagement in Non-Invasive Trigeminal Nerve Stimulation: Anatomical Characterization and Computational Modeling of the Human Trigeminal Nerve

ObjectiveCranial nerve stimulation (CNS) uses electric current to modulate higher-order brain activity and organ function via nerves, including the vagus and trigeminal, with applications in migraine, epilepsy, and pediatric ADHD. The trigeminal nerve is an emerging target for non-invasive neuromodulation due to the superficial trajectory of its branches, the supraorbital (SON), infraorbital (ION), and mental nerves (MN), and the predominantly sensory composition of the SON and ION. However, the parameters and outcomes of trigeminal nerve stimulation (TNS) remain varied. ApproachThis study characterizes the anatomical course, tissue composition, and activation profiles of the SON, ION, and MN using five human donors. CT imaging was utilized to localize each nerves exit foramen and distance to midline. Microdissections quantified nerve circumference and depth relative to the skin surface. Histological analysis described the number of fascicles and fascicular tissue area. Nerve depths were incorporated into computational models to illustrate the activation function across tissue layers, comparing expected nociceptor and nerve trunk activation functions as a measure of neural engagement. Main ResultsThe SON was found to be significantly more superficial than the ION and MN and had a higher nerve-to-connective tissue ratio relative to the MN. Computational modeling demonstrated that the activation function at the depths of nociceptors was orders of magnitude greater than within the main nerve trunks, suggesting preferential recruitment of cutaneous nociceptors, dependent on nociceptor density. SignificanceThe SON presents the most accessible and anatomically favorable target for transcutaneous trigeminal nerve stimulation among the branches examined due to its superficial location. However, preferential activation of low-threshold nociceptors compared to nerve trunks may lead to treatment-limiting off-target side effects, favoring strategies that target fibers of interest within the skin. These findings offer an anatomically informed framework to guide further computational modeling and electrode design for targeted trigeminal neuromodulation.

neuroscience↗

bioRxiv2025

Combined Central and Peripheral Nerve Stimulation Improves Functional Recovery of Mixed Peripheral Nerve Injury in a Rat Forelimb Model

IntroductionPeripheral nerve reinnervation following nerve injury is often a slow and incomplete process, resulting in significant morbidity and permanent loss of function of the injured extremity in many patients. Prior studies have shown the efficacy of electrical stimulation to synchronize the axonal regeneration of both motor and sensory neurons in peripheral nerve injury models. Moreover, separate investigations have also shown the use of cranial nerve stimulation, principally the vagus nerve, to improve functional outcomes. However, no study has investigated the synergistic effects of both intraoperative electrical stimulation and cranial nerve stimulation for functional improvement within a peripheral nerve injury model. This investigation quantifies the efficacy of combined intraoperative electrical stimulation and trigeminal nerve stimulation on motor and sensory functional recovery in a rat peripheral nerve injury model. MethodsTwelve adult male Lewis rats were trained in a reach and pull task for a food reward using their right forelimb with baseline force thresholds and percent success of the pull task recorded. Baseline sensory data was retrieved using an automated von Frey monofilament test. All rats underwent surgical transection and 2mm gap repair of their median and ulnar nerve of their right forelimb followed by 1 hour of intraoperative electrical stimulation. Trigeminal nerve stimulation throughout the rehabilitation period was completed via supraorbital nerve headcap electrodes. Motor and sensory data were compared to historic cohorts comprised of sham surgery (no nerve injury), brief intraoperative electrical stimulation, trigeminal nerve stimulation, and a sham peripheral and trigeminal nerve stimulation group. Polarization sensitive optical computed tomography (PS-OCT) was used to assess nerve regeneration in fixed tissue samples. ResultsThe combined cohort of rodents were able to recover to their pre-injury motor function by the third week of rehabilitation, faster than either of the singular electrical stimulation cohorts assessed previously. Moreover, functional sensory data of the combined stim cohort demonstrated no change when compared to their pre-injury baseline. ConclusionsPeripheral nerve electrical stimulation and trigeminal nerve stimulation are two separately acting mechanisms of therapy that employ electric waveforms to improve the functional recovery of injured peripheral nerves. The former acts within the periphery to synchronize axonal growth and regeneration of the injured neurons, while the latter acts centrally to augment neuroplasticity. When used simultaneously in a rodent peripheral nerve injury model, these modalities have shown to build upon each other to deliver a faster functional motor recovery, while sensory recovery outcomes remain to be demonstrated.

neuroscience↗

bioRxiv2019

Functional Vagotopy in the Cervical Vagus Nerve of the Domestic Pig: Implications for Vagus Nerve Stimulation

Given current clinical interest in vagus nerve stimulation, there are surprisingly few studies characterizing the anatomy of the vagus nerve in large animal models as it pertains to on-and off-target engagement of local fibers. We sought to address this gap by evaluating vagal anatomy in the domestic pig, whose vagus nerve organization and size approximates the human cervical vagus nerve. We provide data on key features across the cervical vagus nerve including diameter, number and diameter of fascicles, and distance of fascicles from the epineural surface where stimulating electrodes are placed. We also characterized the relative locations of the superior and recurrent laryngeal branches of the vagus nerve that have been implicated in therapy limiting side effects with common electrode placement. We identified key variants across the cohort that may be important for vagus nerve stimulation with respect to changing sympathetic/parasympathetic tone, such as cross-connections to the sympathetic trunk. We discovered that cell bodies of pseudo-unipolar cells aggregate together to form a very distinct grouping within the nodose ganglion. This distinct grouping gives rise to a larger number of smaller fascicles as one moves caudally down the cervical vagus nerve. This often leads to a distinct bimodal organization, or vagotopy that may be advantageous to exploit in design of electrodes/stimulation paradigms. Finally, we placed our data in context of historic and recent histology spanning mouse, rat, canine, pig, non-human primate and human models, thus providing a comprehensive resource to understand similarities and differences across species.

neuroscience↗