Serveur d'exploration sur la maladie de Parkinson

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Restoration of locomotive function in Parkinson’s disease by spinal cord stimulation: mechanistic approach

Identifieur interne : 002295 ( Main/Corpus ); précédent : 002294; suivant : 002296

Restoration of locomotive function in Parkinson’s disease by spinal cord stimulation: mechanistic approach

Auteurs : Romulo Fuentes ; Per Petersson ; Miguel A. L. Nicolelis

Source :

RBID : ISTEX:6FA0006D6F54663C55939D0CA33AA28CE8A7EBD8

English descriptors

Abstract

Specific motor symptoms of Parkinson’s disease (PD) can be treated effectively with direct electrical stimulation of deep nuclei in the brain. However, this is an invasive procedure, and the fraction of eligible patients is rather low according to currently used criteria. Spinal cord stimulation (SCS), a minimally invasive method, has more recently been proposed as a therapeutic approach to alleviate PD akinesia, in light of its proven ability to rescue locomotion in rodent models of PD. The mechanisms accounting for this effect are unknown but, from accumulated experience with the use of SCS in the management of chronic pain, it is known that the pathways most probably activated by SCS are the superficial fibers of the dorsal columns. We suggest that the prokinetic effect of SCS results from direct activation of ascending pathways reaching thalamic nuclei and the cerebral cortex. The afferent stimulation may, in addition, activate brainstem nuclei, contributing to the initiation of locomotion. On the basis of the striking change in the corticostriatal oscillatory mode of neuronal activity induced by SCS, we propose that, through activation of lemniscal and brainstem pathways, the locomotive increase is achieved by disruption of antikinetic low‐frequency (<30 Hz) oscillatory synchronization in the corticobasal ganglia circuits.

Url:
DOI: 10.1111/j.1460-9568.2010.07417.x

Links to Exploration step

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<title>Restoration of locomotive function in Parkinson’s disease by spinal cord stimulation: mechanistic approach</title>
</titleInfo>
<titleInfo type="abbreviated">
<title>Spinal stimulation for Parkinson’s disease</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA" lang="en">
<title>Restoration of locomotive function in Parkinson’s disease by spinal cord stimulation: mechanistic approach</title>
</titleInfo>
<name type="personal">
<namePart type="given">Romulo</namePart>
<namePart type="family">Fuentes</namePart>
<affiliation>Department of Neurobiology, Duke Medical Center, 311 Research Drive, Durham, NC 27710, USA</affiliation>
<description>R.F. and P.P. contributed equally to this work.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Per</namePart>
<namePart type="family">Petersson</namePart>
<affiliation>Department of Experimental Medical Science, NRC, Lund University, Lund, Sweden</affiliation>
<description>R.F. and P.P. contributed equally to this work.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Miguel A. L.</namePart>
<namePart type="family">Nicolelis</namePart>
<affiliation>Department of Neurobiology, Duke Medical Center, 311 Research Drive, Durham, NC 27710, USA</affiliation>
<affiliation>Center for Neuroengineering, Duke University, Durham, NC, USA</affiliation>
<affiliation>Department of Biomedical Engineering, Duke University, Durham, NC, USA</affiliation>
<affiliation>Department of Psychology and Neuroscience, Duke University, Durham, NC, USA</affiliation>
<affiliation>Edmond and Lily Safra International Institute of Neuroscience of Natal (ELS‐IINN), Natal RN, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
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<publisher>Blackwell Publishing Ltd</publisher>
<place>
<placeTerm type="text">Oxford, UK</placeTerm>
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<dateIssued encoding="w3cdtf">2010-10</dateIssued>
<edition>Received 22 April 2010, revised 9 July 2010, accepted 20 July 2010</edition>
<copyrightDate encoding="w3cdtf">2010</copyrightDate>
</originInfo>
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<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<extent unit="figures">2</extent>
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<abstract lang="en">Specific motor symptoms of Parkinson’s disease (PD) can be treated effectively with direct electrical stimulation of deep nuclei in the brain. However, this is an invasive procedure, and the fraction of eligible patients is rather low according to currently used criteria. Spinal cord stimulation (SCS), a minimally invasive method, has more recently been proposed as a therapeutic approach to alleviate PD akinesia, in light of its proven ability to rescue locomotion in rodent models of PD. The mechanisms accounting for this effect are unknown but, from accumulated experience with the use of SCS in the management of chronic pain, it is known that the pathways most probably activated by SCS are the superficial fibers of the dorsal columns. We suggest that the prokinetic effect of SCS results from direct activation of ascending pathways reaching thalamic nuclei and the cerebral cortex. The afferent stimulation may, in addition, activate brainstem nuclei, contributing to the initiation of locomotion. On the basis of the striking change in the corticostriatal oscillatory mode of neuronal activity induced by SCS, we propose that, through activation of lemniscal and brainstem pathways, the locomotive increase is achieved by disruption of antikinetic low‐frequency (<30 Hz) oscillatory synchronization in the corticobasal ganglia circuits.</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>dorsal column</topic>
<topic>electrical stimulation</topic>
<topic>Parkinson’s disease</topic>
<topic>spinal cord</topic>
</subject>
<relatedItem type="host">
<titleInfo>
<title>European Journal of Neuroscience</title>
</titleInfo>
<genre type="Journal">journal</genre>
<identifier type="ISSN">0953-816X</identifier>
<identifier type="eISSN">1460-9568</identifier>
<identifier type="DOI">10.1111/(ISSN)1460-9568</identifier>
<identifier type="PublisherID">EJN</identifier>
<part>
<date>2010</date>
<detail type="title">
<title>Special Feature: Deep Brain Stimulation</title>
</detail>
<detail type="volume">
<caption>vol.</caption>
<number>32</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>7</number>
</detail>
<extent unit="pages">
<start>1100</start>
<end>1108</end>
<total>9</total>
</extent>
</part>
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<identifier type="DOI">10.1111/j.1460-9568.2010.07417.x</identifier>
<identifier type="ArticleID">EJN7417</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 2010 The Authors. European Journal of Neuroscience © 2010 Federation of European Neuroscience Societies and Blackwell Publishing Ltd</accessCondition>
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<recordContentSource>WILEY</recordContentSource>
<recordOrigin>Blackwell Publishing Ltd</recordOrigin>
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