Aston Brain Centre, School of Life and Health Sciences, Aston University, Birmingham, UK.
Neuroscience. 2012 Feb 17;203:1-11. doi: 10.1016/j.neuroscience.2011.12.027. Epub 2011 Dec 22.
In Parkinson's disease, subthalamic nucleus (STN) neurons burst fire with increased periodicity and synchrony. This may entail abnormal release of glutamate, the major source of which in STN is cortical afferents. Indeed, the cortico-subthalamic pathway is implicated in the emergence of excessive oscillations, which are reduced, as are symptoms, by dopamine-replacement therapy or deep brain stimulation (DBS) targeted to STN. Here we hypothesize that glutamatergic synapses in the STN may be differentially modulated by low-frequency stimulation (LFS) and high-frequency stimulation (HFS), the latter mimicking deep brain stimulation. Recordings of evoked and spontaneous excitatory post synaptic currents (EPSCs) were made from STN neurons in brain slices obtained from dopamine-intact and chronically dopamine-depleted adult rats. HFS had no significant effect on evoked (e) EPSC amplitude in dopamine-intact slices (104.4±8.0%) but depressed eEPSCs in dopamine-depleted slices (67.8±6.2%). Conversely, LFS potentiated eEPSCs in dopamine-intact slices (126.4±8.1%) but not in dopamine-depleted slices (106.7±10.0%). Analyses of paired-pulse ratio, coefficient of variation, and spontaneous EPSCs suggest that the depression and potentiation have a presynaptic locus of expression. These results indicate that the synaptic efficacy in dopamine-intact tissue is enhanced by LFS. Furthermore, the synaptic efficacy in dopamine-depleted tissue is depressed by HFS. Therefore the therapeutic effects of DBS in Parkinson's disease appear mediated, in part, by glutamatergic cortico-subthalamic synaptic depression and implicate dopamine-dependent increases in the weight of glutamate synapses, which would facilitate the transfer of pathological oscillations from the cortex.
在帕金森病中,丘脑底核 (STN) 神经元以增加的周期性和同步性爆发性放电。这可能需要谷氨酸的异常释放,STN 中谷氨酸的主要来源是皮质传入。事实上,皮质-丘脑底核通路与过度振荡的出现有关,而这种振荡通过多巴胺替代疗法或针对 STN 的深部脑刺激 (DBS) 减少,症状也随之减少。在这里,我们假设 STN 中的谷氨酸能突触可能会受到低频刺激 (LFS) 和高频刺激 (HFS) 的不同调节,后者模拟深部脑刺激。我们从多巴胺完整和慢性多巴胺耗竭的成年大鼠获得的脑片中记录 STN 神经元的诱发和自发兴奋性突触后电流 (EPSC)。HFS 对多巴胺完整切片中的诱发 (e)EPSC 幅度没有显著影响 (104.4±8.0%),但在多巴胺耗竭切片中则降低 (67.8±6.2%)。相反,LFS 增强了多巴胺完整切片中的 eEPSC (126.4±8.1%),但不能增强多巴胺耗竭切片中的 eEPSC (106.7±10.0%)。成对脉冲比、变异系数和自发 EPSC 的分析表明,抑制和增强具有突触前表达的位置。这些结果表明,LFS 增强了多巴胺完整组织中的突触效能。此外,HFS 抑制了多巴胺耗竭组织中的突触效能。因此,DBS 在帕金森病中的治疗效果似乎部分通过谷氨酸能皮质-丘脑底核突触抑制来介导,并暗示多巴胺依赖性增加谷氨酸突触的权重,这将有助于从皮质转移病理性振荡。