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      Basal ganglia modulation of thalamocortical relay in Parkinson's disease and dystonia

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          Abstract

          Basal ganglia dysfunction has being implied in both Parkinson's disease and dystonia. While these disorders probably involve different cellular and circuit pathologies within and beyond basal ganglia, there may be some shared neurophysiological pathways. For example, pallidotomy and pallidal Deep Brain Stimulation (DBS) are used in symptomatic treatment of both disorders. Both conditions are marked by alterations of rhythmicity of neural activity throughout basal ganglia-thalamocortical circuits. Increased synchronized oscillatory activity in beta band is characteristic of Parkinson's disease, while different frequency bands, theta and alpha, are involved in dystonia. We compare the effect of the activity of GPi, the output nuclei of the basal ganglia, on information processing in the downstream neural circuits of thalamus in Parkinson's disease and dystonia. We use a data-driven computational approach, a computational model of the thalamocortical (TC) cell modulated by experimentally recorded data, to study the differences and similarities of thalamic dynamics in dystonia and Parkinson's disease. Our analysis shows no substantial differences in TC relay between the two conditions. Our results suggest that, similar to Parkinson's disease, a disruption of thalamic processing could also be involved in dystonia. Moreover, the degree to which TC relay fidelity is impaired is approximately the same in both conditions. While Parkinson's disease and dystonia may have different pathologies and differ in the oscillatory content of neural discharge, our results suggest that the effect of patterning of pallidal discharge is similar in both conditions. Furthermore, these results suggest that the mechanisms of GPi DBS in dystonia may involve improvement of TC relay fidelity.

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          Most cited references43

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          High frequency stimulation of the subthalamic nucleus eliminates pathological thalamic rhythmicity in a computational model.

          Deep brain stimulation (DBS) of the subthalamic nucleus (STN) or the internal segment of the globus pallidus (GPi) has recently been recognized as an important form of intervention for alleviating motor symptoms associated with Parkinson's disease, but the mechanism underlying its effectiveness remains unknown. Using a computational model, this paper considers the hypothesis that DBS works by replacing pathologically rhythmic basal ganglia output with tonic, high frequency firing. In our simulations of parkinsonian conditions, rhythmic inhibition from GPi to the thalamus compromises the ability of thalamocortical relay (TC) cells to respond to depolarizing inputs, such as sensorimotor signals. High frequency stimulation of STN regularizes GPi firing, and this restores TC responsiveness, despite the increased frequency and amplitude of GPi inhibition to thalamus that result. We provide a mathematical phase plane analysis of the mechanisms that determine TC relay capabilities in normal, parkinsonian, and DBS states in a reduced model. This analysis highlights the differences in deinactivation of the low-threshold calcium T -current that we observe in TC cells in these different conditions. Alternative scenarios involving convergence of thalamic signals in the cortex are also discussed, and predictions associated with these results, including the occurrence of rhythmic rebound bursts in certain TC cells in parkinsonian states and their drastic reduction by DBS, are stated. These results demonstrate how DBS could work by increasing firing rates of target cells, rather than shutting them down. Copyright 2004 Kluwer Academic Publishers
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            Abnormal oscillatory synchronisation in the motor system leads to impaired movement.

            Converging data suggest that abnormal synchronised oscillatory activity in the basal ganglia may contribute to bradykinesia in patients with Parkinson's disease. This synchrony preferentially occurs over 10-30 Hz, the so-called beta band. Correlative evidence has been supplemented by experiments in which direct stimulation of the basal ganglia in the beta band slows movement. Yet questions remain regarding the small scale of the latter effects and whether synchrony is an early or even obligatory feature of parkinsonism. Nevertheless, the principle that abnormally synchronised activity in the beta band can disrupt the function finds a precedent in the syndrome of cortical myoclonus. Here, pathologically synchronised discharges of pyramidal neurons are transmitted to the healthy spinal cord. The result is the synchronous discharge of motor units leading to rhythmic jerking.
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              Long-term results of a multicenter study on subthalamic and pallidal stimulation in Parkinson's disease.

              We report the 5 to 6 year follow-up of a multicenter study of bilateral subthalamic nucleus (STN) and globus pallidus internus (GPi) deep brain stimulation (DBS) in advanced Parkinson's disease (PD) patients. Thirty-five STN patients and 16 GPi patients were assessed at 5 to 6 years after DBS surgery. Primary outcome measure was the stimulation effect on the motor Unified Parkinson's Disease Rating Scale (UPDRS) assessed with a prospective cross-over double-blind assessment without medications (stimulation was randomly switched on or off). Secondary outcomes were motor UPDRS changes with unblinded assessments in off- and on-medication states with and without stimulation, activities of daily living (ADL), anti-PD medications, and dyskinesias. In double-blind assessment, both STN and GPi DBS were significantly effective in improving the motor UPDRS scores (STN, P < 0.0001, 45.4%; GPi, P = 0.008, 20.0%) compared with off-stimulation, regardless of the sequence of stimulation. In open assessment, both STN- and GPi-DBS significantly improved the off-medication motor UPDRS when compared with before surgery (STN, P < 0.001, 50.5%; GPi, P = 0.002, 35.6%). Dyskinesias and ADL were significantly improved in both groups. Anti-PD medications were significantly reduced only in the STN group. Adverse events were more frequent in the STN group. These results confirm the long-term efficacy of STN and GPi DBS in advanced PD. Although the surgical targets were not randomized, there was a trend to a better outcome of motor signs in the STN-DBS patients and fewer adverse events in the GPi-DBS group. (c) 2010 Movement Disorder Society.
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                Author and article information

                Journal
                Front Comput Neurosci
                Front Comput Neurosci
                Front. Comput. Neurosci.
                Frontiers in Computational Neuroscience
                Frontiers Media S.A.
                1662-5188
                05 September 2013
                2013
                : 7
                : 124
                Affiliations
                [1] 1Department of Mathematics, Drexel University Philadelphia, PA, USA
                [2] 2Department of Mathematical Sciences and Center for Mathematical Biosciences, Indiana University Purdue University Indianapolis Indianapolis, IN, USA
                [3] 3Department of Neurological Surgery, Indiana University School of Medicine Indianapolis, IN, USA
                [4] 4Stark Neurosciences Research Institute, Indiana University School of Medicine Indianapolis, IN, USA
                Author notes

                Edited by: Izhar Bar-Gad, Bar-Ilan University, Israel

                Reviewed by: Todd Troyer, University of Texas, USA; Sen Song, Tsinghua University, USA

                *Correspondence: Yixin Guo, Department of Mathematics, Drexel University, Philadelphia, PA 19104, USA e-mail: yixin@ 123456math.drexel.edu;
                Leonid L. Rubchinsky, Department of Mathematical Sciences and Center for Mathematical Biosciences, Indiana University Purdue University Indianapolis, 402 N. Blackford St., Indianapolis, IN, 46032, USA e-mail: leo@ 123456math.iupui.edu

                This article was submitted to the journal Frontiers in Computational Neuroscience.

                †Present address: Choongseok Park, Department of Mathematics, North Carolina A&T State University, Greensboro, NC, USA

                Article
                10.3389/fncom.2013.00124
                3763197
                24046745
                fdd9759e-5170-40c5-8eab-f01b27ba9ce9
                Copyright © 2013 Guo, Park, Worth and Rubchinsky.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 20 April 2013
                : 17 August 2013
                Page count
                Figures: 6, Tables: 2, Equations: 5, References: 51, Pages: 11, Words: 9589
                Categories
                Neuroscience
                Original Research Article

                Neurosciences
                thalamocortical relay,parkinson's disease,dystonia,basal ganglia,globus pallidus
                Neurosciences
                thalamocortical relay, parkinson's disease, dystonia, basal ganglia, globus pallidus

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