In format provided by Birmingham et al. (JUNE 2014) NATURE REVIEWS | DRUG DISCOVERY www.nature.com/reviews/drugdisc Box S1 | Bioelectronic medicines: the detailed research roadmap
Creation of a visceral nerve atlas
Structural mappingOverall objective: Create organ-centric wiring diagrams in models representative of human anatomy.
Research imperatives:• Generate tools for high-resolution tracing of the fibre anatomy and taxonomy to and from individual organs o Build a library of tracers to visualize the full length of pre-ganglionic axons, ganglionic cell bodies, post-ganglionic axons, and intrinsic neurons 1 , with particular focus on tracing that starts at the target organ 2-5 o Advance approaches for high-resolution labelling of peripheral neurotransmitters, their receptors and co-receptors, and for imaging of myelination, peri-and epineurium o Develop and adapt micrometer-resolution imaging and 3D reconstruction techniques for visceral organs and peripheral nerves (for example, automated tissue slicing, clearing, in situ hybridization, multi-photon imaging) 6-12 • Explore inter-and intra-species variation in neuroanatomy and establish the optimal animal models for detailed mapping of each organ o Update and extend the macro-level innervation map of the major visceral organs in key animal model species and establish the extent to which this map is conserved in humans o Characterise the variability in different parts of these maps between individuals • Build organ-centric high-resolution maps for each visceral organ in their most representative animal model o Conduct high-resolution nerve tracing, labelling, and imaging in the animal model of choice, taking the organ as the starting point o Standardise and coordinate mapping, data management and 3D visualisation across organs • Establish methods to image and find nerves in the clinical setting o Develop tracers and associated imaging techniques that can be used in human preoperative and intra-operative settings to identify and localize peripheral nerves o Identify anatomical landmarks associated with putative intervention points for surgery
Functional mappingOverall objective: Map the neural signalling patterns that control individual organ functions.
Research imperatives:• Generate simultaneous recordings of neural signal pattern and organ function o Record both afferent (sensory) and efferent (motor) neural signals and associated end-organ biomarkers at a range of physiological stimuli