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Namer, B.

Publications and source records attributed to Namer, B..

8 recordsLinked to original sources

A mechanically stable neural probe for percutaneous high-resolution, multichannel recordings in peripheral nerves

The development of neural probes has enabled a deeper understanding and improved treatment for neurological disorders. Microneurography is currently the gold standard for assessing the electrophysiological signature of pain mechanisms in the human peripheral nervous system. However, its clinical utility is limited by the low recording yield and signal-to-noise ratio of single-electrode probes. To overcome these limitations, we developed mechanically robust, multi-electrode probes designed for acute percutaneous insertion and recording in peripheral nerves. The electrical and mechanical stability of these probes was confirmed through repeated insertions in artificial human skin and rat peripheral nerves. In addition, ex vivo and in vivo experiments demonstrated enhanced functional performance, with multi-site recordings enabling the isolation of single-fiber activity. Importantly, our probes can be operated analogously to conventional microneurography needles while substantially increasing the information yield, providing enhanced capabilities for minimally invasive peripheral nerve assessment.

neuroscience↗

Peripheral Nociceptor Activity and Placebo Hypoalgesia: A Proof-of-Concept Study

Placebo effects illustrate clearly how cognitive states can influence physiological processes. While central mechanisms of placebo hypoalgesia, i.e. reduce sensitivity to painful stimuli due to expectations, are well established, it remains unclear whether such expectations modulate also peripheral activity. In this proof-of-principle study, we combined a well-established placebo paradigm with microneurography to directly assess responses of single nerve fibers in awake humans. Six healthy participants (18 fibers) underwent each a placebo and a control condition in a randomized crossover design. Placebo hypoalgesia was induced using verbal suggestion and classical conditioning. Manipulation checks confirmed that participants expected hypoalgesic effects of a placebo gel after conditioning. At the peripheral level, data on the recovery cycle of the nerve fibers indicated changes in the excitability of sleeping nociceptors (CMi) in the placebo compared to control condition, namely with enhanced and longer-lasting early subnormality. While other microneurographic outcome measures showed no consistent placebo effects, rather strong time-dependent reductions in fiber responsiveness independent of the experimental conditions were observed. These findings provide preliminary evidence that modulation of peripheral nociceptor activity by cognitive states, specifically expectations, is possible. Such modulation of peripheral activity appears to be fiber-type specific. Time effects have been neglected in microneurographic protocols. The pronounced time effects found here highlight the need for optimized such protocols.

neuroscience↗

A Hybrid Knowledge- and Data-driven Model for Automatic Assessment of Chemically Induced Spiking Patterns in C-fiber Microneurography

Analyzing temporal spike patterns in C-fibers recorded via microneurography is challenging due to the use of a single recording electrode, waveform variability, and high similarity of spike shapes across neurons, limiting the interpretation of sensory coding, such as pain and itch. We present a computational pipeline combining peak detection and supervised classification for spike sorting to improve the analysis of discharges, identified through activity-dependent conduction velocity changes. In the knowledge-driven step, we extract spike templates from electrically evoked spikes obtained during low-frequency stimulation and focus on the "best" template as the fiber of interest. Spike detection is further restricted to intervals showing activity-dependent latency shifts, substantially reducing the search space compared to unsupervised clustering. In the data-driven steps, we systematically evaluate three feature sets and machine learning models: One-class SVM, SVM, and XGBoost. For the evaluation, we created a specialized stimulation protocol, providing reliable ground truth labels for all electrically evoked spikes, allowing precise spike time-locking. Compared to Spike2 software, our approach achieved higher F1-scores and reduced false positives, indicating improved spike sorting. Although XGBoost achieved the highest median F1-scores, optimal performance was dependent on individual combinations of feature sets and models for each recording. In some recordings with many nerve fibers and a low signal-to-noise ratio, reliable sorting was not feasible. This highlights the necessity to determine sortability and optimal configurations for individual recordings. To illustrate the potential of our approach to sensory spike train analysis, we present a proof-of-concept application of the pipeline to chemically induced C-fiber activity. These findings represent an important step toward reliable analysis of activity associated with pain and itch signaling.

neuroscience↗

Modeling the Memory of Unmyelinated Axons: Integration of a Data-Driven Approach with Physiological Memory Concept

In this study, we present a simplified and resource-efficient computational model to predict activity-dependent conduction velocity changes of action in unmyelinated axons. This model serves as a complementary tool to Hodgkin-Huxley models. Our approach is based on the concept of "memory," where the speed of subsequent action potentials is modulated by prior activity. We utilized microneurography data from 95 mechano-insensitive C-fibers of healthy human participants, including both sexes, across various stimulation protocols to optimize model parameters. The model incorporates linear long-term and non-linear short-term memory components. By convolving the history of recorded action potentials with the memory function, the model can effectively predict the propagation speed of subsequent action potentials with low mean squared errors for the proposed one-dimensional and two-dimensional memory functions. This computational framework provides insights into the dynamics of unmyelinated axons under varying conditions and thus in signal processing along the axon and the short-term memory of axons. The models rapid computation times make it suitable for real-time applications in electrophysiological experiments. Significance StatementThis study introduces a novel model for simulating activity-dependent conduction velocity changes in unmyelinated axons, which crucially shape signal processing during conduction. While traditional Hodgkin-Huxley (HH) models offer valuable physiological insights, they are computationally intensive and challenging to adapt due to numerous parameters. Our approach leverages the concept of fiber "memory," capturing how prior activity shapes conduction. It requires fewer parameters and therefore makes it easier to fit to diverse datasets, including patient data. Importantly, our model is highly efficient and suitable for real-time applications, enabling rapid simulation and analysis that are not feasible with HH models.

neuroscience↗

Supervised Spike Sorting Feasibility of Noisy Single-Electrode Extracellular Recordings: Systematic Study of Human C-Nociceptors recorded via Microneurography

Sorting spikes from noisy single-channel in-vivo extracellular recordings is challenging, particularly due to the lack of ground truth data. Microneurography, an electrophysiological technique for studying peripheral sensory systems, employs experimental protocols that time-lock a subset of spikes. Stable propagation speed of nerve signals enables reliable sorting of these spikes. Leveraging this property, we established ground truth labels for data collected in two European laboratories and designed a proof-of-concept open-source pipeline to process data across diverse hardware and software systems. Using the labels derived from the time-locked spikes, we employed a supervised approach instead of the unsupervised methods typically used in spike sorting. We evaluated multiple low-dimensional representations of spikes and found that raw signal features outperformed more complex approaches, which are effective in brain recordings. However, the choice of the optimal features remained dataset-specific, influenced by the similarity of average spike shapes and the number of fibers contributing to the signal. Based on our findings, we recommend tailoring lightweight algorithms to individual recordings and assessing the "sortability feasibility" based on achieved accuracy and the research question before proceeding with sorting of non-time-locked spikes in future projects.

neuroscience↗

Molecular architecture of human dermal sleeping nociceptors

Human dermal sleeping nociceptors display ongoing activity in neuropathic pain, affecting 10% of the population. Despite advances in rodents, a molecular marker for these mechano-insensitive C-fibers (CMis) in human skin remains elusive, preventing targeted therapy. In this translational Patch-seq study, we combine single-cell transcriptomics following electrophysiological characterization with single-nucleus and spatial transcriptomics from pigs and humans. We functionally identified CMis in pig sensory neurons with patch-clamp using adapted protocols from human microneurography. We identified oncostatin-M-receptor (OSMR) and somatostatin (SST) as marker genes for CMis. Following dermal injection in healthy human volunteers, oncostatin-M, the ligand of OSMR, exclusively modulates CMis. We identified the entire molecular architecture of human dermal sleeping nociceptors, providing new therapeutic targets and the basis for a mechanistic understanding of neuropathic pain. One Sentence SummaryWe identify the molecular architecture and specifically OSMR and SST as molecular markers for human dermal sleeping nociceptors, key players in the generation of neuropathic pain. Short versionIn this Patch-seq study, we identify OSMR and SST as molecular markers for human dermal sleeping nociceptors, key players in the generation of neuropathic pain.

neuroscience↗

Biophysics of sodium channels during subthreshold depolarization in vitro and in silico

Voltage-gated sodium channels (VGSC) in the peripheral nervous system shape action potentials (AP) and thereby support the detection of sensory stimuli. Most of the nine mammalian VGSC subtypes are expressed in nociceptors, but predominantly, three are linked to several human pain syndromes: while Nav1.7 is suggested to be a (sub-)threshold channel, Nav1.8 is thought to support the fast AP upstroke. Nav1.9, as it produces large persistent currents, is attributed a role in determining the resting membrane potential. We characterized gating of Nav1.1-Nav1.3 and Nav1.5-Nav1.9 in manual patch clamp with focus on the AP subthreshold depolarization phase. Nav1.9 exhibited the most hyperpolarized activation while its fast inactivation resembled the depolarized inactivation of Nav1.8. For some VGSCs (e.g., Nav1.1 and Nav1.2), a positive correlation between ramp current and window current was detected. Using a modified Hodgkin-Huxley model which accounts for the time needed for inactivation to occur, we used the acquired data to simulate two nociceptive nerve fiber types (an A{delta}-and a mechano-insensitive C-nociceptor) containing VGSC conductances according to published human RNAseq data. Our simulations suggest that Nav1.9 is supporting both the AP upstroke and its shoulder. A reduced threshold for AP generation was induced by enhancing Nav1.7 conductivity or shifting its activation to more hyperpolarized potentials, as observed in Nav1.7-related pain disorders. Here, we provide a comprehensive, comparative functional characterization of VGSCs relevant in nociception and describe their gating with Hodgkin-Huxley-like models, which can serve as a tool to study their specific contributions to AP shape and sodium channel-related diseases. DisclaimerParts of this study were published as a preprint on bioRxiv: Koster, P.A., T. Stiehl, J. Tigerholm, A. Maxion, B. Namer, and A. Lampert. 2023. Biophysics of sodium channels during subthreshold depolarization in vitro and in silico. bioRxiv. doi.org/10.1101/2023.09.03.556095 (Preprint posted September 6, 2023) SummarySubthreshold gating of seven sodium channels (Nav1.1-3, Nav1.5-8) is determined by manual patch clamp and, together with Nav1.9, integrated into a computer model of an A{delta}-and a mechano-insensitive nociceptor (CMi). Simulations reveal contribution of Nav1.9 to the action potential upstroke and shoulder and prove useful for Nav1.7-related disease modelling.

physiology↗

Spontaneous activity in peripheral sensory nerves - A systematic review

In the peripheral nervous system, spontaneous activity in sensory neurons is considered to be one of the two main drivers of chronic pain states, alongside neuronal sensitization. Despite this, the precise nature and timing of this spontaneous activity in neuropathic pain is not well-established. Here, we have carried out a systematic search and data extraction of existing electrophysiological literature to shed light on which fibre types have been shown to maintain spontaneous activity and over what time frame. We examined both in vivo recordings of pre-clinical models of neuropathic pain, as well as microneurography recordings in humans. Our analyses reveal that there is broad agreement on the presence of spontaneous activity in neuropathic pain conditions, even months after injury or years after onset of neuropathic symptoms in humans. However, due to the highly specialised nature of the electrophysiological methods used to measure spontaneous activity, there is also a high degree of variability and uncertainty around these results. Specifically, there are very few directly controlled experiments, with little directly comparable data between human and animals. Given that spontaneous peripheral neuron activity is considered to be a key mechanistic feature of chronic pain conditions, it may be beneficial to conduct further experiments in this space.

neuroscience↗