Biology subjects

Lacour, S. P.

Publications and source records attributed to Lacour, S. P..

3 recordsLinked to original sources

bioRxiv2025

Injured SSTR2+ nociceptor axons in neuromas drive chronic spontaneous neuropathic pain

Spontaneous pain is a common but poorly understood consequence of peripheral nerve injury1-3, including injuries that lead to the formation of neuromas4,5. We developed a chronic neuroma model for measuring spontaneous pain-related behaviours in mice, which revealed that limb flicks - emerging predominantly 2 months post-injury - reflect spontaneous paroxysmal pain. Ectopic activity of injured dorsal root ganglia (DRG) sensory neurons whose axonal endings terminate within the neuroma drives this spontaneous pain. In vivo imaging showed that a subset of small-diameter DRG sensory neurons are the source of spontaneous neural signals emanating from the neuroma, and these spontaneously active neurons are distinct from the intact larger diameter sensory neurons that mediate stimulus-evoked mechanical allodynia from spared nerves. Cell-type-specific gain- and loss-of-function studies identified a genetically- and functionally-defined subtype of small-diameter C-fibre nociceptors whose injured axons in neuromas drive spontaneous limb flicks/neuropathic pain. These findings establish the neurobiological basis of spontaneous pain enabling targeted pain management strategies and define a cellular and mechanistic separation between spontaneous and evoked neuropathic pain.

neuroscience↗

bioRxiv2019

Mechanical matching of implant to host minimises foreign body reaction

Medical implants offer a unique and powerful therapeutic approach in many areas of medicine. However, their lifetime is often limited as they may cause a foreign body reaction (FBR) leading to their encapsulation by scar tissue1-4. Despite the importance of this process, how cells recognise implanted materials is still poorly understood5, 6. Here, we show how the mechanical mismatch between implants and host tissue leads to FBR. Fibroblasts and macrophages, which are both crucially involved in mediating FBR, became activated when cultured on materials just above the stiffness of healthy tissue. Coating stiff implants with a thin layer of hydrogel or silicone with a tissue-like elastic modulus ([~]20 kPa in subcutaneous and [~]2 kPa in peripheral nerve implants) or softer significantly reduced inflammation and fibrosis three months after implantation. Materials stiffer than the host tissue led to nuclear localisation of the mechanosensitive transcriptional regulator YAP in neighbouring cells in vivo, confirming mechanotransduction. The alleviation of FBR by soft coatings not exceeding the stiffness of the host tissue provides a strategy to achieve long-term implant stability without extensive modification of current implant manufacturing techniques, facilitating clinical translation.

bioengineering↗

bioRxiv2019

A biomimetic electrical stimulation strategy to induce asynchronous stochastic neural activity

Electrical stimulation is an effective method to communicate with the nervous system. Here, we demonstrate that current stimulation paradigms fail to reproduce the stochastic and asynchronous properties of natural patterns of neural activity, and introduce a novel biomimetic stimulation (BioS) strategy that overcomes these limitations. We hypothesized that high-frequency amplitude-modulated bursts of stimulation could induce asynchronous neural firings by distributing recruitment over the duration of a burst, without sacrificing the ability to precisely control neural activity. We tested this hypothesis using computer simulations and ex vivo experiments. We found that BioS bursts induce asynchronous, stochastic, yet controllable, neural activity. We established that varying the amplitude, duration, and repetition frequency of a BioS burst enables graded modulation of the number of recruited fibers, their firing rate, and the synchronicity of the responses. These results demonstrate an unprecedented level of control over artificially induced neural activity, enabling the design of next-generation biomimetic stimulation paradigms with potentially profound consequences for the field of neurostimulation.

bioengineering↗