Evidence map›Paper›PMID 33495588›Full record

ArticleCommunications biology2021

Restoration of breathing after opioid overdose and spinal cord injury using temporal interference stimulation.

Michael D Sunshine, Antonino M Cassarà, Esra Neufeld, Nir Grossman, Thomas H Mareci, Kevin J Otto, Edward S Boyden, David D Fuller

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Communications biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. [Progresses on temporal interference electromagnetic stimulation for non-invasive deep brain function modulation].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
    Pooled it
  2. Pooled it
  3. Article
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  5. Article
  6. Review
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  8. Article
  9. An update on spinal cord injury and diaphragm neuromotor control.Expert review of respiratory medicine · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. [Research progress on transcranial electrical stimulation for deep brain stimulation].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2023
    Review
  14. Article
  15. Upper limb prostheses: bridging the sensory gap.The Journal of hand surgery, European volume · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Michael D SunshineRehabilitation Science PhD Program, University of Florida, Gainesville, FL, 32611, USA.ORCID 0000-0002-7133-4185
Antonino M CassaràFoundation for Research on Information Technologies in Society (IT'IS), 8004, Zurich, Switzerland.ORCID 0000-0003-3375-7440
Esra NeufeldFoundation for Research on Information Technologies in Society (IT'IS), 8004, Zurich, Switzerland.
Nir GrossmanDivision of Brain Sciences, Imperial College London, London, SW7 2BU, United Kingdom.
Thomas H MareciDepartment of Biochemistry and Molecular Biology, University of Florida, Gainesville, FL, 32611, USA.ORCID 0000-0003-4700-2364
Kevin J OttoJ. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, FL, 32611, USA.
Edward S BoydenDepartments of Brain and Cognitive Sciences, Media Arts and Sciences, and Biological Engineering, McGovern and Koch Institutes, MIT, Cambridge, MA, 02139, USA.ORCID 0000-0002-0419-3351
David D FullerDepartment of Physical Therapy, University of Florida, Gainesville, FL, 32611, USA. dfuller@phhp.ufl.edu.ORCID 0000-0001-5013-5972
University of Florida · USFoundation for Research on Information Technologies in Society · CHHoward Hughes Medical Institute · USUK Dementia Research Institute · GB

Funding

Training In Rehabilitation and Neuromuscular PlasticityT32HD043730 · NICHD · UNIVERSITY OF FLORIDA · PI DAVID D FULLER · 2003 to 2026
$5.3M
Phrenic motoneuron activation usingtemporal interferenceR21NS109571 · NINDS · UNIVERSITY OF FLORIDA · PI FULLER, DAVID D · 2018 to 2019
$409k
A new method of spinal stimulation TO activate the diaphragmF31HL145831 · NHLBI · UNIVERSITY OF FLORIDA · PI SUNSHINE, MICHAEL · 2019 to 2020
$74k
Medical Research Council MC_PC_16046NHLBI NIH HHS F31 HL145831NICHD NIH HHS T32 HD043730NINDS NIH HHS R21 NS109571
6 · The paper itself

Abstract

Respiratory insufficiency is a leading cause of death due to drug overdose or neuromuscular disease. We hypothesized that a stimulation paradigm using temporal interference (TI) could restore breathing in such conditions. Following opioid overdose in rats, two high frequency (5000 Hz and 5001 Hz), low amplitude waveforms delivered via intramuscular wires in the neck immediately activated the diaphragm and restored ventilation in phase with waveform offset (1 Hz or 60 breaths/min). Following cervical spinal cord injury (SCI), TI stimulation via dorsally placed epidural electrodes uni- or bilaterally activated the diaphragm depending on current and electrode position. In silico modeling indicated that an interferential signal in the ventral spinal cord predicted the evoked response (left versus right diaphragm) and current-ratio-based steering. We conclude that TI stimulation can activate spinal motor neurons after SCI and prevent fatal apnea during drug overdose by restoring ventilation with minimally invasive electrodes.

Indexed as

AnimalsApneaDiaphragmElectric Stimulation TherapyFemaleMaleModels, BiologicalOpiate OverdoseRatsRats, Sprague-DawleySpinal Cord Injuries

Identifiers

PMID33495588
PMCPMC7835220
OpenAlexW3121999851

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.