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The effects of electrical stimulation on neurons and glia of the central nervous system

Review

Devlin J, Gilbert RJ · 2025

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Electrical stimulation downregulates pro-inflammatory cytokines and upregulates anti-inflammatory cytokines in astrocytes and microglia, promoting regenerative states.

Plain English Summary

Summary written for general audiences

The authors reviewed 124 manuscripts to bridge basic research and clinical translation on electrical stimulation effects on neurons and glia in vitro and in vivo. Direct current stimulation promotes axonal extension toward the cathode while axons retract at the anode, limiting regeneration. Alternating current stimulation alternates electrode polarity, enabling axonal extension in both directions. Electrical stimulation downregulates pro-inflammatory cytokines and upregulates anti-inflammatory cytokines in astrocytes and microglia, promoting regenerative states. Both direct and alternating current stimulation enhance oligodendrocyte precursor cell differentiation into oligodendrocytes, increasing myelin content.

Why This Matters

The intensity and duration of electrical stimulation significantly affects the extent of neurite outgrowth. When combined with stem cell treatments, drug delivery approaches, or electroactive biomaterials, electrical stimulation facilitates greater efficacy of these approaches. Clinically, short single sessions of electrical stimulation have shown long-term improvement. Preliminary efforts have been implemented to restore gait, hand tremors, and speech in spinal cord injuries, Parkinson's Disease, and stroke patients, respectively.

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Cite This Study
Devlin J, Gilbert RJ (2025). The effects of electrical stimulation on neurons and glia of the central nervous system.
Show BibTeX
@article{devlin_j_gilbert_rj_ce4744,
  author = {Devlin J and Gilbert RJ},
  title = {The effects of electrical stimulation on neurons and glia of the central nervous system},
  year = {2025},
  doi = {10.1088/1741-2552/ae2f9c},
  
}

Quick Questions About This Study

The review covered both direct current (DC) and alternating current (AC) stimulation paradigms applied to in vitro or in vivo preclinical models.
Direct current stimulation promotes axonal extension toward the cathode while axons retract at the anode, limiting regeneration.
Electrical stimulation downregulates pro-inflammatory cytokine production and upregulates anti-inflammatory cytokine production in astrocytes and microglia, promoting A2 or M2 reactive states conducive to regeneration.
Electrical stimulation combined with stem cell treatments, drug delivery approaches, or electroactive biomaterials facilitates greater efficacy of these approaches.
Preliminary clinical efforts have used electrical stimulation to restore gait, hand tremors, and speech in spinal cord injury, Parkinson's Disease, and stroke patients, respectively.