Subthalamic Nucleus Neuronal Firing Rate Increases with Parkinson’s Disease Progression
Identifieur interne : 003207 ( Ncbi/Curation ); précédent : 003206; suivant : 003208Subthalamic Nucleus Neuronal Firing Rate Increases with Parkinson’s Disease Progression
Auteurs : Michael S. Remple ; Courtney H. Bradenham ; C. Chris Kao ; P. David Charles ; Joseph S. Neimat ; Peter E. KonradSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
- methods : Deep Brain Stimulation.
- pathology : Parkinson Disease, Subthalamic Nucleus.
- physiology : Action Potentials, Neurons.
- therapy : Parkinson Disease.
- Aged, Disease Progression, Female, Humans, Male, Microelectrodes, Middle Aged.
Abstract
Parkinson’s disease (PD) is a neurodegenerative disorder characterized by progressive loss of dopaminergic cells in the central nervous system, in particular the substantia nigra, resulting in an unrelenting loss of motor and non-motor function. Animal models of PD reveal hyperactive neurons in the subthalamic nucleus (STN) that have increased firing rates and bursting activity compared to controls. Although STN activity has been characterized in advanced stage PD patients, it has not been described in early stage PD patients. Here we present the results of STN neuronal recordings from early stage PD patients (Hoehn and Yahr stage II) enrolled in an ongoing clinical trial compared to recordings from age and sex matched advanced PD patients. STN neurons had a significantly lower firing rate in early versus advanced PD (28.7Hz vs. 36.3Hz; p<0.01). The overall activity of the STN was also significantly lower in early versus late PD, as measured by background neuronal noise (12.4mV vs. 14.0mV; p <0.05). No significant difference was identified between groups in the bursting or variability of neuronal firing in the STN, as measured by a burst index or the interspike interval coefficient of variability. The results suggest that neuronal firing in STN increases with PD progression.
Url:
DOI: 10.1002/mds.23708
PubMed: 21542021
PubMed Central: 3151310
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Michael S. Remple<affiliation><nlm:aff id="A1"> Dept of Neurosurgery, Vanderbilt University Medical Center, Nashville TN</nlm:aff>
<wicri:noCountry code="subfield">Nashville TN</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A2"> Dept of Neurology, Vanderbilt University Medical Center, Nashville TN</nlm:aff>
<wicri:noCountry code="subfield">Nashville TN</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A1"> Dept of Neurosurgery, Vanderbilt University Medical Center, Nashville TN</nlm:aff>
<wicri:noCountry code="subfield">Nashville TN</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A2"> Dept of Neurology, Vanderbilt University Medical Center, Nashville TN</nlm:aff>
<wicri:noCountry code="subfield">Nashville TN</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A1"> Dept of Neurosurgery, Vanderbilt University Medical Center, Nashville TN</nlm:aff>
<wicri:noCountry code="subfield">Nashville TN</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="A1"> Dept of Neurosurgery, Vanderbilt University Medical Center, Nashville TN</nlm:aff>
<wicri:noCountry code="subfield">Nashville TN</wicri:noCountry>
</affiliation>
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<front><div type="abstract" xml:lang="en"><p id="P1">Parkinson’s disease (PD) is a neurodegenerative disorder characterized by progressive loss of dopaminergic cells in the central nervous system, in particular the substantia nigra, resulting in an unrelenting loss of motor and non-motor function. Animal models of PD reveal hyperactive neurons in the subthalamic nucleus (STN) that have increased firing rates and bursting activity compared to controls. Although STN activity has been characterized in advanced stage PD patients, it has not been described in early stage PD patients. Here we present the results of STN neuronal recordings from early stage PD patients (Hoehn and Yahr stage II) enrolled in an ongoing clinical trial compared to recordings from age and sex matched advanced PD patients. STN neurons had a significantly lower firing rate in early versus advanced PD (28.7Hz vs. 36.3Hz; p<0.01). The overall activity of the STN was also significantly lower in early versus late PD, as measured by background neuronal noise (12.4mV vs. 14.0mV; p <0.05). No significant difference was identified between groups in the bursting or variability of neuronal firing in the STN, as measured by a burst index or the interspike interval coefficient of variability. The results suggest that neuronal firing in STN increases with PD progression.</p>
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