Evidence map›Paper›PMID 34959733›Full record

ArticlePharmaceuticals (Basel, Switzerland)2021

An Investigation for Large Volume, Focal Blood-Brain Barrier Disruption with High-Frequency Pulsed Electric Fields.

Melvin F Lorenzo, Sabrina N Campelo, Julio P Arroyo, Kenneth N Aycock, Jonathan Hinckley, Christopher B Arena, John H Rossmeisl, Rafael V Davalos

Open access · goldAbstract read
In one paragraph

Article in Pharmaceuticals (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

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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 2 institutions in 1 country.

Melvin F LorenzoDepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USA.ORCID 0000-0002-6518-5398
Sabrina N CampeloDepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USA.ORCID 0000-0001-6570-7427
Julio P ArroyoDepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USA.ORCID 0000-0003-4690-6337
Kenneth N AycockDepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USA.ORCID 0000-0003-3885-6798
Jonathan HinckleyDepartment of Small Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Blacksburg, VA 24061, USA.ORCID 0000-0001-9868-1163
Christopher B ArenaDepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USA.ORCID 0000-0002-9380-1194
John H RossmeislDepartment of Small Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Blacksburg, VA 24061, USA.ORCID 0000-0003-1655-7076
Rafael V DavalosDepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USA.ORCID 0000-0003-1503-9509
Virginia Tech · USVirginia–Maryland College of Veterinary Medicine · US

Funding

Sub-component for Institution # 16-01848 Novel moleculary targeted therapy of GBMP01CA207206 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DEBINSKI, WALDEMAR · 2017 to 2021
$9.0M
VT Initiative for Maximizing Student DiversityR25GM072767 · NIGMS · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI SMITH, EDWARD J · 2007 to 2021
$6.9M
Multi-receptor Targeting of GlioblastomaR01CA256285 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Waldemar Debinski · 2021 to 2026
$2.8M
High-frequency Irreversible Electroporation (H-FIRE) combinatorial GBM treatmentR01CA213423 · NCI · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI DAVALOS, RAFAEL VIDAL, VERBRIDGE, SCOTT S · 2017 to 2021
$1.7M
NCI NIH HHS P01 CA207206NCI NIH HHS R01 CA213423NCI NIH HHS R01 CA256285NIGMS NIH HHS R25 GM072767NIH HHS P01CA207206
6 · The paper itself

Abstract

The treatment of CNS disorders suffers from the inability to deliver large therapeutic agents to the brain parenchyma due to protection from the blood-brain barrier (BBB). Herein, we investigated high-frequency pulsed electric field (HF-PEF) therapy of various pulse widths and interphase delays for BBB disruption while selectively minimizing cell ablation. Eighteen male Fisher rats underwent craniectomy procedures and two blunt-tipped electrodes were advanced into the brain for pulsing. BBB disruption was verified with contrast T1W MRI and pathologically with Evans blue dye. High-frequency irreversible electroporation cell death of healthy rodent astrocytes was investigated in vitro using a collagen hydrogel tissue mimic. Numerical analysis was conducted to determine the electric fields in which BBB disruption and cell ablation occur. Differences between the BBB disruption and ablation thresholds for each waveform are as follows: 2-2-2 μs (1028 V/cm), 5-2-5 μs (721 V/cm), 10-1-10 μs (547 V/cm), 2-5-2 μs (1043 V/cm), and 5-5-5 μs (751 V/cm). These data suggest that HF-PEFs can be fine-tuned to modulate the extent of cell death while maximizing peri-ablative BBB disruption. Furthermore, numerical modeling elucidated the diffuse field gradients of a single-needle grounding pad configuration to favor large-volume BBB disruption, while the monopolar probe configuration is more amenable to ablation and reversible electroporation effects.

Indexed as

blood-brain barrier disruptionelectroporationEvans blue dyefinite element methodsGadoliniumpulsed field ablationT1-weighted MRItissue ablationtreatment planning

Identifiers

PMID34959733
PMCPMC8715747
OpenAlexW4200421926

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.