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Background: Long?恡erm implantation of a fine metal electrode, even without chronic electrical stimulation may produce
unwanted effects. Neuropathological examination of brain tissue from patients with deep brain stimulation (DBS) revealed
activated astrocytes and microglia regardless of the underlying disease. Electrical stimulation is not required to see signs
of neuro?恑nflammation; inflammatory changes have been observed around recording electrodes used for characterizing
epileptogenic tissue and around cerebral spinal fluid (CSF) shunt catheters.
Objectives: To understand the earliest reactions to implantation of a metal electrode, we studied the cellular and cytokine
responses over time to transient insertion of a fine needle (maximum diameter of 200 渭m) into the dorsal hippocampus of the
mouse. We tested the hypothesis that creation of a focal micro?恖esion in hippocampus elicits self?恟epair mechanisms mediated
by cytokines which activate microglia, promote astrocytosis and stimulate stem/progenitor cells to proliferate and generate
new neurons.
Method: Brief stereotaxic insertion and removal of an a micro?恘eedle into the right hippocampus resulted in a) significantly
increased expression of granulocyte?恈olony stimulating factor (G?怌SF), the chemokine MIP?1a and the pro?恑nflammatory
cytokine IL12p40; b) pronounced activation of microglia and astrocytes, and c) increase in hippocampal neurogenesis.
Summary: This study describes immediate and early humoral and cellular mechanisms of the brain锟絪 response to micro?恑njury
that will be useful for investigation of potential neuro?恜rotective and deleterious effects of deep brain stimulation (DBS) in
various neuro?恜sychiatric disorders, and eventually replace the DBS.
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