Connolly Allison T, Muralidharan Abirami, Hendrix Claudia, Johnson Luke, Gupta Rahul, Stanslaski Scott, Denison Tim, Baker Kenneth B, Vitek Jerrold L, Johnson Matthew D
Department of Biomedical Engineering, University of Minnesota, USA.
J Neural Eng. 2015 Dec;12(6):066012. doi: 10.1088/1741-2560/12/6/066012. Epub 2015 Oct 15.
Using the Medtronic Activa® PC + S system, this study investigated how passive joint manipulation, reaching behavior, and deep brain stimulation (DBS) modulate local field potential (LFP) activity in the subthalamic nucleus (STN) and globus pallidus (GP).
Five non-human primates were implanted unilaterally with one or more DBS leads. LFPs were collected in montage recordings during resting state conditions and during motor tasks that facilitate the expression of parkinsonian motor signs. These recordings were made in the naïve state in one subject, in the parkinsonian state in two subjects, and in both naïve and parkinsonian states in two subjects.
LFPs measured at rest were consistent over time for a given recording location and parkinsonian state in a given subject; however, LFPs were highly variable between subjects, between and within recording locations, and across parkinsonian states. LFPs in both naïve and parkinsonian states across all recorded nuclei contained a spectral peak in the beta band (10-30 Hz). Moreover, the spectral content of recorded LFPs was modulated by passive and active movement of the subjects' limbs. LFPs recorded during a cued-reaching task displayed task-related beta desynchronization in STN and GP. The bidirectional capabilities of the Activa® PC + S also allowed for recording LFPs while delivering DBS. The therapeutic effect of STN DBS on parkinsonian rigidity outlasted stimulation for 30-60 s, but there was no correlation with beta band power.
This study emphasizes (1) the variability in spontaneous LFPs amongst subjects and (2) the value of using the Activa® PC + S system to record neural data in the context of behavioral tasks that allow one to evaluate a subject's symptomatology.
本研究使用美敦力Activa® PC + S系统,调查了被动关节操作、伸手行为和深部脑刺激(DBS)如何调节丘脑底核(STN)和苍白球(GP)中的局部场电位(LFP)活动。
五只非人灵长类动物单侧植入一个或多个DBS电极。在静息状态和促进帕金森运动体征表达的运动任务期间,通过组合记录收集LFP。这些记录在一名受试者的未患病状态下进行,在两名受试者的帕金森病状态下进行,在两名受试者的未患病和帕金森病状态下均进行。
对于给定的记录位置和给定受试者的帕金森病状态,静息时测量的LFP随时间一致;然而,LFP在受试者之间、记录位置之间和内部以及帕金森病状态之间高度可变。在所有记录核的未患病和帕金森病状态下,LFP均在β波段(10 - 30Hz)包含一个频谱峰值。此外,记录的LFP的频谱内容受到受试者肢体的被动和主动运动的调节。在提示伸手任务期间记录的LFP在STN和GP中显示出与任务相关的β去同步化。Activa® PC + S的双向功能还允许在进行DBS时记录LFP。STN DBS对帕金森病僵硬的治疗效果在刺激后持续30 - 60秒,但与β波段功率无关。
本研究强调了(1)受试者之间自发LFP的变异性,以及(2)使用Activa® PC + S系统在行为任务背景下记录神经数据的价值,该任务允许评估受试者的症状。