Circuit-Specific Deep Brain Stimulation Provides Insights into Movement Control DOI
Aryn H. Gittis, Roy V. Sillitoe

Annual Review of Neuroscience, Journal Year: 2024, Volume and Issue: 47(1), P. 63 - 83

Published: March 1, 2024

Deep brain stimulation (DBS), a method in which electrical is delivered to specific areas of the brain, an effective treatment for managing symptoms number neurological and neuropsychiatric disorders. Clinical access neural circuits during DBS provides opportunity study functional link between behavior. This review discusses how use Parkinson's disease dystonia has provided insights into networks physiological mechanisms that underlie motor control. In parallel, from basic science about patterns impact plasticity communication within are transforming therapy treating circuits, with goal training out its diseased state.

Language: Английский

Gamma entrainment induced by deep brain stimulation as a biomarker for motor improvement with neuromodulation DOI Creative Commons
Varvara Mathiopoulou, Jeroen Habets, Lucia K. Feldmann

et al.

Nature Communications, Journal Year: 2025, Volume and Issue: 16(1)

Published: March 26, 2025

Abstract Finely tuned gamma (FTG) oscillations from the subthalamic nucleus (STN) and cortex in Parkinson’s disease (PD) patients undergoing deep brain stimulation (DBS) are often associated with dyskinesia. Recently it was shown that DBS entrains activity at 1:2 of frequency; however, functional role this signal is not yet fully understood. We recorded local field potentials STN 19 chronically implanted PD on dopaminergic medication during DBS, rest, repetitive movements. Here we show high-frequency induced entrainment 15/19 patients. Spontaneous FTG present 8 patients; five these dyskinesia occurred or were enhanced entrained stimulation. Further, there a significant increase power movement comparison to while had faster movements compared those without. These findings argue for relevance stimulation-induced as prokinetic that, necessarily promoting DBS-induced can be promising neurophysiological biomarker identifying optimal amplitude closed-loop DBS.

Language: Английский

Citations

0

Shared pathway-specific network mechanisms of dopamine and deep brain stimulation for the treatment of Parkinson’s disease DOI Creative Commons
Thomas Samuel Binns, Richard Köhler, Jonathan Vanhoecke

et al.

Nature Communications, Journal Year: 2025, Volume and Issue: 16(1)

Published: April 15, 2025

Abstract Deep brain stimulation is a circuit intervention that can modulate distinct neural pathways for the alleviation of neurological symptoms in patients with disorders. In Parkinson’s disease, subthalamic deep clinically mimics effect dopaminergic drug treatment, but shared pathway mechanisms on cortex – basal ganglia networks are unknown. To address this critical knowledge gap, we combined fully invasive multisite recordings undergoing surgery normative MRI-based whole-brain connectomics. Our findings demonstrate dopamine and exert mesoscale effects through modulation local population activity. contrast, at macroscale, its suppression excessive interregional network synchrony associated indirect hyperdirect pathways. results provide better understanding stimulation, laying foundation advanced closed-loop neurostimulation therapies.

Language: Английский

Citations

0

Prioritizing Parkinson’s disease risk genes in genome-wide association loci DOI Creative Commons
Lara M. Lange,

Catalina Cerquera Cleves,

Marijn Schipper

et al.

npj Parkinson s Disease, Journal Year: 2025, Volume and Issue: 11(1)

Published: April 16, 2025

Abstract Many drug targets in ongoing Parkinson’s disease (PD) clinical trials have strong genetic links. While genome-wide association studies (GWAS) nominate regions associated with disease, pinpointing causal genes is challenging. Our aim was to prioritize additional druggable underlying PD GWAS signals. The polygenic priority score (PoPS) integrates information from MAGMA gene-level associations and over 57,000 features. We applied PoPS East Asian European data prioritized based on PoPS, distance the signal, non-synonymous credible set variants. 46 genes, including well-established ( SNCA , LRRK2 GBA1 TMEM175 VPS13C ), literature evidence supporting a mechanistic link RIT2, BAG3 SCARB2, FYN, DYRK1A, NOD2, CTSB, SV2C, ITPKB relatively unexplored PD. hold potential for repurposing or development. high-confidence links pathogenesis that may represent our next-best candidates developing disease-modifying therapeutics.

Language: Английский

Citations

0

Pallidal Deep Brain Stimulation Enhances Habitual Behavior in a Neuro‐Computational Basal Ganglia Model During a Reward Reversal Learning Task DOI Creative Commons
Oliver Maith,

Dave Apenburg,

Fred H. Hamker

et al.

European Journal of Neuroscience, Journal Year: 2025, Volume and Issue: 61(9)

Published: May 1, 2025

ABSTRACT Deep brain stimulation (DBS) within the basal ganglia is a widely used therapeutic intervention for neurological disorders; however, its precise mechanisms of action remain unclear. This study investigates how DBS may affect decision‐making processes through computational modeling ganglia. A rate‐coded model incorporating direct, indirect, and hyperdirect pathways was utilized alongside cortico‐thalamic shortcut known promoting habitual behavior. Simulations two‐choice reward reversal learning task were conducted to replicate data from patients with dystonia in ON OFF conditions. We demonstrate that plasticity shortcut, which bypasses ganglia, crucial reproducing patients' behavioral data, emphasizing role habit formation. Simulated increased behavior following reversal. Integrating different revealed suppression stimulated neurons, efferent axons, combined variant promoted Analyses thalamic inputs showed that, despite differing effects on model's activity plasticity, these variants consistently reduced influence while enhancing shortcut. Notably, distinguishable by their divergent discontinued stimulation. These findings underscore potential multifaceted processes. In particular, our proposes modulates balance between reward‐guided

Language: Английский

Citations

0

Circuit-Specific Deep Brain Stimulation Provides Insights into Movement Control DOI
Aryn H. Gittis, Roy V. Sillitoe

Annual Review of Neuroscience, Journal Year: 2024, Volume and Issue: 47(1), P. 63 - 83

Published: March 1, 2024

Deep brain stimulation (DBS), a method in which electrical is delivered to specific areas of the brain, an effective treatment for managing symptoms number neurological and neuropsychiatric disorders. Clinical access neural circuits during DBS provides opportunity study functional link between behavior. This review discusses how use Parkinson's disease dystonia has provided insights into networks physiological mechanisms that underlie motor control. In parallel, from basic science about patterns impact plasticity communication within are transforming therapy treating circuits, with goal training out its diseased state.

Language: Английский

Citations

2