Bioelectronic chronotherapy: Towards sleep and circadian rhythm-aware brain implants

12th October 2023

Timing : 1 pm EST

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For a list of all talks at the NanoBio seminar Series Fall'23, see here


Implantable deep brain stimulation devices are an effective precision medicine treatment for neurological conditions, targeting pathological dynamics in brain networks. Like the rest of our physiological functioning, brain activity is profoundly influenced by sleep and circadian rhythms, but current brain stimulation devices do not take this into account. This is particularly important as biological rhythms interact with neurological disease, leading to predictable changes in disease symptoms and biomarkers, while sleep and circadian rhythm disruption is increasingly understood to be a causal factor in neurodegenerative as well as psychiatric disorders. Understanding the changes in pathological brain dynamics over the diurnal cycle will therefore not only allow for optimisation of therapy for different brain states and different times of day, but also pave the way for bioelectronic therapy ‘prescriptions’ that directly target sleep and circadian rhythm disruption. We will motivate our work by providing a characterization of predictable neural biomarker fluctuations in neurodegenerative and psychiatric conditions during active deep brain stimulation, and show that brain stimulation can influence patient sleep/wake rhythms. Next, we will describe the development of the DyNeuMo brain stimulation device, a research platform technology that has the capacity to change its stimulation programme according to time of day and behavioural state, which has now been implanted in several human clinical trials.