Peripheral neural interfaces: Skeletal muscles are hyper-reinnervated according to the axonal capacity of the surgically rewired nerves

2024 · Vlad Tereshenko, Dominik Dotzauer, Martin Schmoll, Leopold Harnoncourt, Genova Rojas, Lisa Gfrerer, Kyle Eberlin, William Austen, Roland Blumer, Dario Farina, Oskar Aszmann · Science Advances

Abstract

Advances in robotics have outpaced the capabilities of man-machine interfaces to decipher and transfer neural information to and from prosthetic devices. We emulated clinical scenarios where high- (facial) or low-neural capacity (ulnar) donor nerves were surgically rewired to the sternomastoid muscle, which is controlled by a very small number of motor axons. Using retrograde tracing and electrophysiological assessments, we observed a nearly 15-fold functional hyper-reinnervation of the muscle after high-capacity nerve transfer, demonstrating its capability of generating a multifold of neuromuscular junctions. Moreover, the surgically redirected axons influenced the muscle’s physiological characteristics, by altering the expression of myosin heavy-chain types in alignment with the donor nerve. These findings highlight the remarkable capacity of skeletal muscles to act as biological amplifiers of neural information from the spinal cord for governing bionic prostheses, with the potential of expressing high-dimensional neural function for high-information transfer interfaces.

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Publication Details

Journal
Science Advances
Volume
10
Issue
9
Publisher
American Association for the Advancement of Science (AAAS)
ISSN
2375-2548