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Live nerve interface can change the treatment of brain diseases

Recent advances in neural interface technology are shifting from rigid metal devices to designs inspired by biology itself, which may revolutionize how we treat nervous system conditions and interact with our own brains.

A new comprehensive review published in Nature Communications on February 28 details how researchers are increasingly turning to soft materials, living cells, and even completely biological components to create neural interfaces that live in harmony with the body rather than living in harmony with the body.

“Neural interface technology is increasingly developing into biologically inspired methods to enhance integration and long-term functionality,” wrote the author of the University of Pennsylvania Pereleman School of Medicine, which maps the field of rapidly growing bioinspired electronics.

Challenges have always been one of compatibility. Traditional neural interfaces, such as deep brain stimulation or brain computer interfaces for Parkinson’s disease, allow paralyzed patients to control computers – relying on rigid materials such as platinum, gold, and silicon. Although these materials do well to cause electricity, they fundamentally do not match the soft tissue of the brain.

Dr. Flavia Vitale, one of the authors of the study, and colleagues outlined how this mismatch creates many problems. Compared to brain tissue (about 1-30 kPa), the stiffness of silicon (about 180 GPA) prevents the device from properly meeting the biological surface. This mechanical disconnection can cause signal instability and physical damage to neural tissue during insertion and natural movement.

What’s even more problematic is the body’s rejection reaction. After implantation, the immune system immediately recognizes these devices as foreign invaders, causing inflammation. This reaction of foreign bodies causes protective glial scars to form around the device, gradually reducing signal quality and increasing electrode impedance.

From bionic electrons to live electrons

This review divides biologically inspired approaches into four increasingly comprehensive categories: bionic, bioactive, biohybrid and full life interfaces.

Bionic design uses soft, flexible materials to better match the mechanical properties of biological tissues. These include ultra-thin films, mesh structures and soft polymers that significantly reduce mechanical trauma and inflammation associated with rigid implants.

Several biomimicry neural interfaces have been advanced through clinical trials, including synchronized frames, wires of nerve crystals and precision neuroscientific thin-film microelectrode arrays.

Integration further, the bioactive interface combines biomolecules, such as extracellular matrix proteins and growth factors, which effectively interact with surrounding tissues to promote cell proliferation and reduce scarring.

However, the most fascinating development is that in biological hybridization and living electrons, the cells themselves become part of the interface.

The biohybrid neural interface combines a layer of living cells on the tissue device interface. These cells can improve biointegration and may act as active scaffolds for tissue regeneration. In one extraordinary example, the researchers developed a flexible device that sows with muscle cells, improving functional connectivity in four weeks compared to synthesized devices alone, thus improving electrical recording.

“These characteristics make the biomimicry platform conducive to electrophysiological recording and stimulation,” the author notes, explaining how tight integration of biological components can significantly improve device performance.

Life interface: When cells speak

Perhaps the most forward-looking approach is to develop fully alive interfaces, with biological components and living cells completely replacing synthetic materials. These systems use neuronal axons as signal sensors, rather than wires, and are wrapped and guided with a hydrogel microhull.

As the authors explain, this approach provides unprecedented integration with host tissue: “Synaptic integration with single axons of hundreds of host neurons can achieve high spatial resolution through biological multiplexing, and preferential synaptic formation based on neuronal subtypes may lead to improved target specificity.”

These survival interfaces show particular hope for the treatment of diseases such as Parkinson’s disease, where they can restore dopaminergic input to affected brain regions more effectively than current treatments such as current brain stimulation, which only provides symptom relief rather than addressing the underlying pathology.

Another author of this article, Dr. D. Kacy Cullen, has previously demonstrated how to use tissue-designed neural networks to create “live electrodes” that may provide a more accurate and stable brain computer interface than current technology.

Challenges on the road to clinical use

Despite the promise, these technologies face significant obstacles before they are widely adopted in the clinical field. For biohybridization and biointerfaces, ensuring cell survival, preventing immune rejection and achieving reliable functional integration with host tissue remains the main challenge.

The adjustment pathways of these complex hybrid devices are also not clear. Although frameworks exist for tissue engineering products and cell-based therapies, they are not developed for technologies that mix biological and electronic components.

Making these devices on a large scale adds another layer of complexity while following good manufacturing practices. The production process must be reproducible, reliable and strictly controlled to ensure safety and efficiency.

Technical limitations also exist. Current life interfaces rely on optical imaging to record neural activity, which limits data transmission bandwidth due to the relatively low temporal resolution of fluorescence microscopy. Advances in ultra-fast imaging technology are crucial to improving these systems.

A new paradigm for medical technology

Despite these challenges, the field is still developing rapidly. The methods described in this review not only represent incremental improvements to the prior art, but also represent a fundamental paradigm shift in our view of the interface between biology and technology.

As the boundaries between life and synthetic ingredients continue to blur, researchers and regulators will need to browse complex technical, ethical and regulatory considerations.

“As the difference between life and synthetic components becomes increasingly blurred, it is necessary to browse complex technical, ethical and regulatory consideration networks to be responsible for the next generation of biologically inspired next-generation neural interfaces that are safe, effective, equitable and accessible to patients, regardless of whether their geographical and socioeconomic locations are irrelevant to the patient’s geographical location and socioeconomic status.”

This shift to biologically inspired neural interfaces may ultimately lead to medical devices not recognized by the human body as foreign bodies, interactions with biological systems more seamlessly, and may last longer than current technologies – providing new hope for patients with neurological diseases, from epilepsy and Parkinson’s disease to spinal cord injury.

The next few decades may see that the neural interface is not only implanted in the body, but can also become a truly integrated part – bridging the gap between ideas and machines in a way that was previously limited to the realm of science fiction.

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