La maladie de Parkinson en France (serveur d'exploration)

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Deep brain stimulation of the subthalamic nucleus regulates postabsorptive glucose metabolism in patients with Parkinson's disease.

Identifieur interne : 000727 ( PubMed/Corpus ); précédent : 000726; suivant : 000728

Deep brain stimulation of the subthalamic nucleus regulates postabsorptive glucose metabolism in patients with Parkinson's disease.

Auteurs : Marie Batisse-Lignier ; Isabelle Rieu ; Christelle Guillet ; Estelle Pujos ; Béatrice Morio ; Jean-Jacques Lemaire ; Franck Durif ; Yves Boirie

Source :

RBID : pubmed:23633215

English descriptors

Abstract

Subthalamic nucleus-deep brain stimulation (STN-DBS) is an alternative treatment for patients with uncontrolled symptoms of Parkinson's disease (PD), but it has other nonmotor impact. Because STN-DBS alters the energy expenditure in humans, we hypothesized that STN-DBS may affect postabsorptive glucose metabolism in patients with PD.

DOI: 10.1210/jc.2012-3838
PubMed: 23633215

Links to Exploration step

pubmed:23633215

Le document en format XML

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<name sortKey="Batisse Lignier, Marie" sort="Batisse Lignier, Marie" uniqKey="Batisse Lignier M" first="Marie" last="Batisse-Lignier">Marie Batisse-Lignier</name>
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<nlm:affiliation>Unité de Nutrition Humaine, BP 10448, Clermont Université, Clermont-Ferrand, France.</nlm:affiliation>
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<name sortKey="Rieu, Isabelle" sort="Rieu, Isabelle" uniqKey="Rieu I" first="Isabelle" last="Rieu">Isabelle Rieu</name>
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<name sortKey="Guillet, Christelle" sort="Guillet, Christelle" uniqKey="Guillet C" first="Christelle" last="Guillet">Christelle Guillet</name>
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<name sortKey="Pujos, Estelle" sort="Pujos, Estelle" uniqKey="Pujos E" first="Estelle" last="Pujos">Estelle Pujos</name>
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<name sortKey="Morio, Beatrice" sort="Morio, Beatrice" uniqKey="Morio B" first="Béatrice" last="Morio">Béatrice Morio</name>
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<name sortKey="Lemaire, Jean Jacques" sort="Lemaire, Jean Jacques" uniqKey="Lemaire J" first="Jean-Jacques" last="Lemaire">Jean-Jacques Lemaire</name>
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<name sortKey="Durif, Franck" sort="Durif, Franck" uniqKey="Durif F" first="Franck" last="Durif">Franck Durif</name>
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<term>Female</term>
<term>Glucose (metabolism)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (metabolism)</term>
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<term>Subthalamic Nucleus (physiology)</term>
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<term>Blood Glucose</term>
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<term>Subthalamic Nucleus</term>
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<div type="abstract" xml:lang="en">Subthalamic nucleus-deep brain stimulation (STN-DBS) is an alternative treatment for patients with uncontrolled symptoms of Parkinson's disease (PD), but it has other nonmotor impact. Because STN-DBS alters the energy expenditure in humans, we hypothesized that STN-DBS may affect postabsorptive glucose metabolism in patients with PD.</div>
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<Day>31</Day>
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<Title>The Journal of clinical endocrinology and metabolism</Title>
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<ArticleTitle>Deep brain stimulation of the subthalamic nucleus regulates postabsorptive glucose metabolism in patients with Parkinson's disease.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Subthalamic nucleus-deep brain stimulation (STN-DBS) is an alternative treatment for patients with uncontrolled symptoms of Parkinson's disease (PD), but it has other nonmotor impact. Because STN-DBS alters the energy expenditure in humans, we hypothesized that STN-DBS may affect postabsorptive glucose metabolism in patients with PD.</AbstractText>
<AbstractText Label="RESEARCH DESIGN AND METHODS" NlmCategory="METHODS">Endogenous glucose production (EGP) and whole-body glucose disposal rates (GDRs) were assessed in the postabsorptive state during a primed continuous iv infusion of D-[6,6-(2)H2]glucose for 5 hours in 8 STN-DBS-treated patients with PD, without (Stim-OFF) and during STN-DBS (Stim-ON) treatment. EGP and GDR in PD patients were compared with glucose kinetics of 8 matched healthy control subjects. Plasma concentrations of insulin, glucagon, and free fatty acids were also determined.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">EGP and GDR were higher in PD patients in Stim-OFF conditions than in the control group (2.62 ± 0.09 vs 2.27 ± 0.10 mg/kg·min, P < .05). Despite no significant changes in blood glucose throughout the kinetic study, a significant and consistent 22% decrease in EGP occurred in PD patients during Stim-ON (2.04 ± 0.07 mg/kg(-1)·min(-1); P < .01), and whole-body glucose kinetics in Stim-ON patients were no more different from those of the control subjects (P = NS). No difference in insulin, glucagon, or free fatty acid concentrations was observed in the patients between Stim-OFF and Stim-ON conditions.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Deep brain stimulation in patients with PD affects EGP glucose disposal, suggesting that a cross talk between the central nervous system and peripheral tissues may regulate glucose homeostasis.</AbstractText>
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