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基底神经节的复杂动力学:运动系统之外的健康与疾病

Complex Dynamics in the Basal Ganglia: Health and Disease Beyond the Motor System.

作者信息

Andres Daniela S, Darbin Olivier

机构信息

From the Science and Technology School, National University of San Martin, Buenos Aires, Argentina (DSA); the Department of Neurology, University of South Alabama, Mobile, Ala. (OD); and the Division of System Neurophysiology, National Institute for Physiological Sciences, Okazaki, Japan (OD).

出版信息

J Neuropsychiatry Clin Neurosci. 2018 Spring;30(2):101-114. doi: 10.1176/appi.neuropsych.17020039. Epub 2017 Nov 29.

Abstract

The rate and oscillatory hypotheses are the two main current frameworks of basal ganglia pathophysiology. Both hypotheses have emerged from research on movement disorders sharing similar conceptualizations. These pathological conditions are classified either as hypokinetic or hyperkinetic, and the electrophysiological hallmarks of basal ganglia dysfunction are categorized as prokinetic or antikinetic. Although nonmotor symptoms, including neurobehavioral symptoms, are a key manifestation of basal ganglia dysfunction, they are uncommonly accounted for in these models. In patients with Parkinson's disease, the broad spectrum of motor symptoms and neurobehavioral symptoms challenges the concept that basal ganglia disorders can be classified into two categories. The profile of symptoms of basal ganglia dysfunction is best characterized by a breakdown of information processing, accompanied at an electrophysiological level by complex alterations of spiking activity from basal ganglia neurons. The authors argue that the dynamics of the basal ganglia circuit cannot be fully characterized by linear properties such as the firing rate or oscillatory activity. In fact, the neuronal spiking stream of the basal ganglia circuit is irregular but has temporal structure. In this context, entropy was introduced as a measure of probabilistic irregularity in the temporal organization of neuronal activity of the basal ganglia, giving place to the entropy hypothesis of basal ganglia pathology. Obtaining a quantitative characterization of irregularity of spike trains from basal ganglia neurons is key to elaborating a new framework of basal ganglia pathophysiology.

摘要

速率假说和振荡假说目前是基底神经节病理生理学的两个主要框架。这两种假说均源于对具有相似概念化的运动障碍的研究。这些病理状况被分类为运动减少型或运动增多型,而基底神经节功能障碍的电生理特征则被归类为促动型或抗动型。尽管包括神经行为症状在内的非运动症状是基底神经节功能障碍的关键表现,但在这些模型中却很少被考虑。在帕金森病患者中,广泛的运动症状和神经行为症状对基底神经节疾病可分为两类这一概念提出了挑战。基底神经节功能障碍的症状特征最好用信息处理中断来描述,在电生理水平上则伴有基底神经节神经元放电活动的复杂改变。作者认为,基底神经节回路的动力学不能完全用诸如放电率或振荡活动等线性特性来描述。事实上,基底神经节回路的神经元放电流是不规则的,但具有时间结构。在这种情况下,引入熵作为衡量基底神经节神经元活动时间组织中概率不规则性的指标,从而产生了基底神经节病理学的熵假说。获得基底神经节神经元放电序列不规则性的定量特征是阐述基底神经节病理生理学新框架的关键。

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