Maurice Nicolas, Thierry Anne-Marie, Glowinski Jacques, Deniau Jean-Michel
Institut National de la Santé et de la Recherche Médicale U.114, Chaire de Neuropharmacologie, Collège de France, 75231 Paris Cedex 05, France.
J Neurosci. 2003 Oct 29;23(30):9929-36. doi: 10.1523/JNEUROSCI.23-30-09929.2003.
The subthalamic nucleus (STN), a major component of the basal ganglia, exerts an excitatory influence on the output structures of this system i.e., the substantia nigra pars reticulata (SNR) and the internal segment of the globus pallidus. High-frequency stimulation of the STN is a method currently used to treat parkinsonian symptoms. The aim of the present study was to analyze the effects of STN high-frequency stimulation on the activity of SNR neurons and to investigate its impact on the transfer of information between the cerebral cortex and the SNR. During STN high-frequency stimulation, the activity of SNR cells was decreased at low-intensity stimulation, whereas it was increased at a higher intensity. The decrease in the discharge of SNR cells likely results from the activation of a GABAergic transmission in the SNR because this effect was blocked by local application of bicuculline. The increased activity likely results from the activation of the glutamatergic subthalamonigral projection because the latency of the evoked excitations was consistent with the conduction time of the subthalamonigral neurons. Finally, during STN high-frequency stimulation, the transmission of cortical information along the direct trans-striatal pathway was preserved, whereas the functionality of the trans-subthalamic pathways was partly preserved or completely blocked depending on the stimulation intensity. The present data indicate that STN high-frequency stimulation influences the activity of SNR cells through activation of their excitatory and inhibitory synaptic afferent pathways as well as antidromic activation of the projection neurons.
底丘脑核(STN)是基底神经节的主要组成部分,对该系统的输出结构,即黑质网状部(SNR)和苍白球内侧段,施加兴奋性影响。高频刺激STN是目前用于治疗帕金森症状的一种方法。本研究的目的是分析STN高频刺激对SNR神经元活动的影响,并研究其对大脑皮层与SNR之间信息传递的作用。在STN高频刺激期间,低强度刺激时SNR细胞的活动降低,而高强度刺激时则增加。SNR细胞放电的减少可能是由于SNR中GABA能传递的激活,因为局部应用荷包牡丹碱可阻断这种效应。活动增加可能是由于谷氨酸能底丘脑 - 黑质投射的激活,因为诱发兴奋的潜伏期与底丘脑 - 黑质神经元的传导时间一致。最后,在STN高频刺激期间,沿直接纹状体通路的皮层信息传递得以保留,而经底丘脑通路的功能根据刺激强度部分保留或完全阻断。目前的数据表明,STN高频刺激通过激活SNR细胞的兴奋性和抑制性突触传入通路以及投射神经元的逆向激活来影响其活动。