Novel Evoked Synaptic Activity Potentials (ESAPs) Elicited by Spinal Cord Stimulation. 2023

Mahima Sharma, and Vividha Bhaskar, and Lillian Yang, and Mohamad FallahRad, and Nigel Gebodh, and Tianhe Zhang, and Rosana Esteller, and John Martin, and Marom Bikson
Neural Engineering Laboratory, Department of Biomedical Engineering, The City College of the City University of New York, City College Center for Discovery and Innovation, New York, NY 10031 mahima.sharma0@gmail.com.

Spinal cord stimulation (SCS) evokes fast epidural evoked compound action potential (ECAP) that represent activity of dorsal column axons, but not necessarily a spinal circuit response. Using a multimodal approach, we identified and characterized a delayed and slower potential evoked by SCS that reflects synaptic activity within the spinal cord. Anesthetized female Sprague Dawley rats were implanted with an epidural SCS lead, epidural motor cortex stimulation electrodes, an epidural spinal cord recording lead, an intraspinal penetrating recording electrode array, and intramuscular electromyography (EMG) electrodes in the hindlimb and trunk. We stimulated the motor cortex or the epidural spinal cord and recorded epidural, intraspinal, and EMG responses. SCS pulses produced characteristic propagating ECAPs (composed of P1, N1, and P2 waves with latencies <2 ms) and an additional wave ("S1") starting after the N2. We verified the S1-wave was not a stimulation artifact and was not a reflection of hindlimb/trunk EMG. The S1-wave has a distinct stimulation-intensity dose response and spatial profile compared with ECAPs. 6-Cyano-7-nitroquinoxaline-2,3-dione (CNQX; a selective competitive antagonist of AMPA receptors (AMPARs)] significantly diminished the S1-wave, but not ECAPs. Furthermore, cortical stimulation, which did not evoke ECAPs, produced epidurally detectable and CNQX-sensitive responses at the same spinal sites, confirming epidural recording of an evoked synaptic response. Finally, applying 50-Hz SCS resulted in dampening of S1-wave but not ECAPs. Therefore, we hypothesize that the S1-wave is synaptic in origin, and we term the S1-wave type responses: evoked synaptic activity potentials (ESAPs). The identification and characterization of epidurally recorded ESAPs from the dorsal horn may elucidate SCS mechanisms.

UI MeSH Term Description Entries
D004558 Electric Stimulation Use of electric potential or currents to elicit biological responses. Stimulation, Electric,Electrical Stimulation,Electric Stimulations,Electrical Stimulations,Stimulation, Electrical,Stimulations, Electric,Stimulations, Electrical
D005071 Evoked Potentials Electrical responses recorded from nerve, muscle, SENSORY RECEPTOR, or area of the CENTRAL NERVOUS SYSTEM following stimulation. They range from less than a microvolt to several microvolts. The evoked potential can be auditory (EVOKED POTENTIALS, AUDITORY), somatosensory (EVOKED POTENTIALS, SOMATOSENSORY), visual (EVOKED POTENTIALS, VISUAL), or motor (EVOKED POTENTIALS, MOTOR), or other modalities that have been reported. Event Related Potential,Event-Related Potentials,Evoked Potential,N100 Evoked Potential,P50 Evoked Potential,N1 Wave,N100 Evoked Potentials,N2 Wave,N200 Evoked Potentials,N3 Wave,N300 Evoked Potentials,N4 Wave,N400 Evoked Potentials,P2 Wave,P200 Evoked Potentials,P50 Evoked Potentials,P50 Wave,P600 Evoked Potentials,Potentials, Event-Related,Event Related Potentials,Event-Related Potential,Evoked Potential, N100,Evoked Potential, N200,Evoked Potential, N300,Evoked Potential, N400,Evoked Potential, P200,Evoked Potential, P50,Evoked Potential, P600,Evoked Potentials, N100,Evoked Potentials, N200,Evoked Potentials, N300,Evoked Potentials, N400,Evoked Potentials, P200,Evoked Potentials, P50,Evoked Potentials, P600,N1 Waves,N2 Waves,N200 Evoked Potential,N3 Waves,N300 Evoked Potential,N4 Waves,N400 Evoked Potential,P2 Waves,P200 Evoked Potential,P50 Waves,P600 Evoked Potential,Potential, Event Related,Potential, Event-Related,Potential, Evoked,Potentials, Event Related,Potentials, Evoked,Potentials, N400 Evoked,Related Potential, Event,Related Potentials, Event,Wave, N1,Wave, N2,Wave, N3,Wave, N4,Wave, P2,Wave, P50,Waves, N1,Waves, N2,Waves, N3,Waves, N4,Waves, P2,Waves, P50
D005260 Female Females
D000200 Action Potentials Abrupt changes in the membrane potential that sweep along the CELL MEMBRANE of excitable cells in response to excitation stimuli. Spike Potentials,Nerve Impulses,Action Potential,Impulse, Nerve,Impulses, Nerve,Nerve Impulse,Potential, Action,Potential, Spike,Potentials, Action,Potentials, Spike,Spike Potential
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013116 Spinal Cord A cylindrical column of tissue that lies within the vertebral canal. It is composed of WHITE MATTER and GRAY MATTER. Coccygeal Cord,Conus Medullaris,Conus Terminalis,Lumbar Cord,Medulla Spinalis,Myelon,Sacral Cord,Thoracic Cord,Coccygeal Cords,Conus Medullari,Conus Terminali,Cord, Coccygeal,Cord, Lumbar,Cord, Sacral,Cord, Spinal,Cord, Thoracic,Cords, Coccygeal,Cords, Lumbar,Cords, Sacral,Cords, Spinal,Cords, Thoracic,Lumbar Cords,Medulla Spinali,Medullari, Conus,Medullaris, Conus,Myelons,Sacral Cords,Spinal Cords,Spinali, Medulla,Spinalis, Medulla,Terminali, Conus,Terminalis, Conus,Thoracic Cords
D017207 Rats, Sprague-Dawley A strain of albino rat used widely for experimental purposes because of its calmness and ease of handling. It was developed by the Sprague-Dawley Animal Company. Holtzman Rat,Rats, Holtzman,Sprague-Dawley Rat,Rats, Sprague Dawley,Holtzman Rats,Rat, Holtzman,Rat, Sprague-Dawley,Sprague Dawley Rat,Sprague Dawley Rats,Sprague-Dawley Rats
D051381 Rats The common name for the genus Rattus. Rattus,Rats, Laboratory,Rats, Norway,Rattus norvegicus,Laboratory Rat,Laboratory Rats,Norway Rat,Norway Rats,Rat,Rat, Laboratory,Rat, Norway,norvegicus, Rattus
D062187 Spinal Cord Stimulation Application of electric current to the spine for treatment of a variety of conditions involving innervation from the spinal cord. Cord Stimulation, Spinal,Stimulation, Spinal Cord
D018750 6-Cyano-7-nitroquinoxaline-2,3-dione A potent excitatory amino acid antagonist with a preference for non-NMDA iontropic receptors. It is used primarily as a research tool. CNQX,1,4-dihydro-2,3-dihydroxy-7-nitro-6-quinoxalinecarbonitrile,6-Cyano-2,3-dihydroxy-7-nitroquinoxaline,FG-9065,6 Cyano 2,3 dihydroxy 7 nitroquinoxaline,6 Cyano 7 nitroquinoxaline 2,3 dione,FG 9065,FG9065

Related Publications

Mahima Sharma, and Vividha Bhaskar, and Lillian Yang, and Mohamad FallahRad, and Nigel Gebodh, and Tianhe Zhang, and Rosana Esteller, and John Martin, and Marom Bikson
April 1975, Electroencephalography and clinical neurophysiology,
Mahima Sharma, and Vividha Bhaskar, and Lillian Yang, and Mohamad FallahRad, and Nigel Gebodh, and Tianhe Zhang, and Rosana Esteller, and John Martin, and Marom Bikson
January 1999, Electroencephalography and clinical neurophysiology. Supplement,
Mahima Sharma, and Vividha Bhaskar, and Lillian Yang, and Mohamad FallahRad, and Nigel Gebodh, and Tianhe Zhang, and Rosana Esteller, and John Martin, and Marom Bikson
July 2005, Neurologia medico-chirurgica,
Mahima Sharma, and Vividha Bhaskar, and Lillian Yang, and Mohamad FallahRad, and Nigel Gebodh, and Tianhe Zhang, and Rosana Esteller, and John Martin, and Marom Bikson
October 1999, Spine,
Mahima Sharma, and Vividha Bhaskar, and Lillian Yang, and Mohamad FallahRad, and Nigel Gebodh, and Tianhe Zhang, and Rosana Esteller, and John Martin, and Marom Bikson
July 2000, Spinal cord,
Mahima Sharma, and Vividha Bhaskar, and Lillian Yang, and Mohamad FallahRad, and Nigel Gebodh, and Tianhe Zhang, and Rosana Esteller, and John Martin, and Marom Bikson
April 1991, Neurosurgery,
Mahima Sharma, and Vividha Bhaskar, and Lillian Yang, and Mohamad FallahRad, and Nigel Gebodh, and Tianhe Zhang, and Rosana Esteller, and John Martin, and Marom Bikson
June 1994, The Journal of thoracic and cardiovascular surgery,
Mahima Sharma, and Vividha Bhaskar, and Lillian Yang, and Mohamad FallahRad, and Nigel Gebodh, and Tianhe Zhang, and Rosana Esteller, and John Martin, and Marom Bikson
January 2013, Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference,
Mahima Sharma, and Vividha Bhaskar, and Lillian Yang, and Mohamad FallahRad, and Nigel Gebodh, and Tianhe Zhang, and Rosana Esteller, and John Martin, and Marom Bikson
January 1993, Electroencephalography and clinical neurophysiology,
Mahima Sharma, and Vividha Bhaskar, and Lillian Yang, and Mohamad FallahRad, and Nigel Gebodh, and Tianhe Zhang, and Rosana Esteller, and John Martin, and Marom Bikson
December 1990, Sheng li xue bao : [Acta physiologica Sinica],
Copied contents to your clipboard!