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

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Non-homogeneous effect of levodopa on inhibitory circuits in Parkinson's disease and dyskinesia.

Identifieur interne : 000781 ( PubMed/Corpus ); précédent : 000780; suivant : 000782

Non-homogeneous effect of levodopa on inhibitory circuits in Parkinson's disease and dyskinesia.

Auteurs : Laetitia Barbin ; Christophe Leux ; Paul Sauleau ; Claire Meyniel ; Jean-Michel Nguyen ; Yann Pereon ; Philippe Damier

Source :

RBID : pubmed:23000298

English descriptors

Abstract

Levodopa-induced dyskinesia in patients with Parkinson's disease (PD) has been shown to be associated with an abnormal plasticity in the motor cortex. We investigated whether changes in the excitability of inhibitory and excitatory motor circuits could underlie maladaptive mechanisms associated with dyskinesia.

DOI: 10.1016/j.parkreldis.2012.08.012
PubMed: 23000298

Links to Exploration step

pubmed:23000298

Le document en format XML

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<title xml:lang="en">Non-homogeneous effect of levodopa on inhibitory circuits in Parkinson's disease and dyskinesia.</title>
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<name sortKey="Barbin, Laetitia" sort="Barbin, Laetitia" uniqKey="Barbin L" first="Laetitia" last="Barbin">Laetitia Barbin</name>
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<nlm:affiliation>INSERM, CIC 0004, Nantes, France.</nlm:affiliation>
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<name sortKey="Leux, Christophe" sort="Leux, Christophe" uniqKey="Leux C" first="Christophe" last="Leux">Christophe Leux</name>
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<name sortKey="Sauleau, Paul" sort="Sauleau, Paul" uniqKey="Sauleau P" first="Paul" last="Sauleau">Paul Sauleau</name>
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<name sortKey="Meyniel, Claire" sort="Meyniel, Claire" uniqKey="Meyniel C" first="Claire" last="Meyniel">Claire Meyniel</name>
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<name sortKey="Nguyen, Jean Michel" sort="Nguyen, Jean Michel" uniqKey="Nguyen J" first="Jean-Michel" last="Nguyen">Jean-Michel Nguyen</name>
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<name sortKey="Pereon, Yann" sort="Pereon, Yann" uniqKey="Pereon Y" first="Yann" last="Pereon">Yann Pereon</name>
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<term>Female</term>
<term>Humans</term>
<term>Levodopa (adverse effects)</term>
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<term>Middle Aged</term>
<term>Motor Cortex (drug effects)</term>
<term>Motor Cortex (physiopathology)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Transcranial Magnetic Stimulation</term>
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<term>Antiparkinson Agents</term>
<term>Levodopa</term>
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<term>Motor Cortex</term>
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<term>Parkinson Disease</term>
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<term>Dyskinesia, Drug-Induced</term>
<term>Motor Cortex</term>
<term>Parkinson Disease</term>
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<div type="abstract" xml:lang="en">Levodopa-induced dyskinesia in patients with Parkinson's disease (PD) has been shown to be associated with an abnormal plasticity in the motor cortex. We investigated whether changes in the excitability of inhibitory and excitatory motor circuits could underlie maladaptive mechanisms associated with dyskinesia.</div>
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<Volume>19</Volume>
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<Title>Parkinsonism & related disorders</Title>
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<ArticleTitle>Non-homogeneous effect of levodopa on inhibitory circuits in Parkinson's disease and dyskinesia.</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Levodopa-induced dyskinesia in patients with Parkinson's disease (PD) has been shown to be associated with an abnormal plasticity in the motor cortex. We investigated whether changes in the excitability of inhibitory and excitatory motor circuits could underlie maladaptive mechanisms associated with dyskinesia.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Using single and paired transcranial magnetic stimulation (TMS), we studied motor threshold, silent period (SP) duration, intracortical facilitation (ICF), short intracortical inhibition (SICI) and low- and high-intensity long intracortical inhibition (LICI) in 10 dyskinetic and 10 non-dyskinetic patients, matched for disease and treatment duration, before (OFF state) and after (ON state) levodopa, and in 10 healthy controls.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In the OFF state, the two groups of patients showed similar motor cortex excitability with a reduced SICI compared to controls. LICI was weaker and increasing stimulation intensity had a lower effect on SP duration in dyskinetic patients than in controls. In dyskinetic patients, in contrast to non-dyskinetic patients, levodopa failed to increase SICI and SP duration, and potentiated to a lesser extent the effect of increasing the stimulation intensity on LICI. Although levodopa improved motor symptoms to a similar extent in both dyskinetic and non-dyskinetic patients, it failed to activate effectively the excitability of the inhibitory systems in dyskinetic patients.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">These findings suggest that dyskinesia is associated with an abnormal effect of levodopa on cortical motor inhibitory circuits.</AbstractText>
<CopyrightInformation>Copyright © 2012 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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