“…Additionally, various studies have demonstrated that electrical stimulation can cause diverse effects such as increases in hippocampal and thalamic volume, increases in blood vessel size and synaptic density, cortical dendrite growth, and changes in mRNA expressionâsome of which may influence shortâterm local somatic and axonal response (Agnew et al, ; Baudry, Oliver, Creager, Wieraszko, & Lynch, ; Brownson, Little, Jarvis, & Salmons, ; Chakravarty et al, ; Cooperrider et al, ; Gall, Murray, & Isackson, ; Hirano, Becker, & Zimmerman, ; Morris, Feasey, ten Bruggencate, Herz, & Hollt, ; Pudenz, Bullara, Dru, & Talalla, ; Sankar et al, ; Veerakumar et al, ; Xia, Buja, Scarpulla, & McMillin, ; Xia et al, ). In chronic neuromodulation or neuroprosthetic applications, additional complexities arise from tissue changes in both the neuronal and nonâneuronal populations due to the implantation injury (glia, neurovasculature, immune cells) (Kolarcik et al, ; Kozai, JaquinsâGerstl, Vazquez, Michael, & Cui, ; Michelson et al, ; Salatino, Ludwig, Kozai, & Purcell, ; Wellman & Kozai, ), electrode material degradation (Alba, Du, Catt, Kozai, & Cui, ; Cogan, ; Cogan et al, ; Kozai et al, ; Wellman et al, ; Wilks et al, ), and plastic changes from longâterm electrical stimulation (Agnew et al, ; Baudry et al, ; Brownson et al, ; Chakravarty et al, ; Cooperrider et al, ; Gall et al, ; Hirano et al, ; Merrill et al, ; Morris et al, ; Pudenz et al, ; Sankar et al, ; Veerakumar et al, ; Xia et al, ). Future studies should be aimed at disentangling the complex network of dendrites, axons, and cell bodies of inhibitory and excitatory cells that may be present near the electrode in the brain (Overstreet et al, ).…”