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Robotic bioreactors for the longitudinal control of restorative remodelling in the human skeletal muscle

Project description

How regenerative robotics can transform rehabilitation

Muscle damage, impacting essential functions like movement and respiration, poses a significant challenge. Recovery hinges on the interaction between the neuromuscular and immune systems. While inflammation is crucial initially to clear debris, its persistence can hinder neuromuscular recovery. The ERC-funded ROBOREACTOR project addresses this issue by revolutionising rehabilitation robotics. Unlike traditional robots that only offer immediate support, ROBOREACTOR controls muscle inflammation and remodelling over extended time periods. This project will develop robots to deliver electro-mechanical stimuli to human muscles and spinal neurons for weeks. By integrating biosignal processing and modelling, ROBOREACTOR aims to regenerate new healthy neuromuscular tissues after neuromuscular injuries. The project will demonstrate this technology in tissue-engineered human muscles in vitro and in stroke patients in vivo.

Objective

Muscle damage impairs vital functions e.g. movement, respiration. Recovery depends on the long-term interaction between neuromuscular and immune systems. If exposed to regimens of electro-mechanical stimuli, damaged muscles can remodel new structural properties over days. Inflammation at the damage site is initially needed to clear debris but if prolonged, as in many neuromuscular disorders, it may hamper structural remodeling.

Rehabilitation robots such as exoskeletons and neurostimulators can deliver tunable stimuli to muscles. However, although they can compensate for lack of e.g. muscle strength (within seconds), they cannot control for how muscles remodel across days. ROBOREACTOR shifts the paradigm, to control muscle key inflammation and remodeling factors over large time scales, where the knowledge gap is.

1) I will develop robots that deliver electro-mechanical stimuli to fibres and innervating spinal neurons in humans across weeks. By combining biosignal processing and modeling, I will predict how robot-stimuli influence key inflammation and remodeling processes in vivo, with cell-scale resolution.
2) I will engineer human tissues in vitro and develop robots that can expose tissues to the same stimuli experienced by muscles during robotic training in vivo. This will enable modeling subcellular inflammation and remodeling factors, with detail not attained in humans.
3) I will fit subcellular models in vitro and embed them in multi-scale models built in vivo. This will create new model-based controllers to demonstrate how robots optimize for inflammation to enhance, otherwise hampered remodeling. With a focus on neural and muscular dependences in post-stroke subjects, I propose muscle remodeling as a proxy for neuromuscular repair, a new concept in neurorobotics.

This opens to chronic robotic bioreactors, for maintenance of skeletal, cardiac, tubular organs; revisiting fundamental principles of human-robot interaction with broad impact on health.

Fields of science (EuroSciVoc)

Keywords

Programme(s)

Topic(s)

Funding Scheme

HORIZON-ERC - HORIZON ERC Grants

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Call for proposal

(opens in new window) ERC-2023-COG

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Host institution

UNIVERSITEIT TWENTE
Net EU contribution
€ 2 000 000,00
Address
DRIENERLOLAAN 5
7522 NB Enschede
Netherlands
Region
Oost-Nederland Overijssel Twente
Activity type
Higher or Secondary Education Establishments
Links
Total cost
€ 2 000 000,00

Beneficiaries (1)