Department of Bioengineering, University of Utah, Salt Lake City, UT, USA.
Neuro Global Research, Medtronic Inc., Minneapolis, MN, USA.
Neurobiol Dis. 2018 Sep;117:137-148. doi: 10.1016/j.nbd.2018.05.013. Epub 2018 May 30.
The motor cortex and subthalamic nucleus (STN) of patients with Parkinson's disease (PD) exhibit abnormally high levels of electrophysiological oscillations in the ~12-35 Hz beta-frequency range. Recent studies have shown that beta is partly carried forward to regulate future motor states in the healthy condition, suggesting that steady state beta power is lower when a sequence of movements occurs in a short period of time, such as during fast gait. However, whether this relationship between beta power and motor states persists upon parkinsonian onset or in response to effective therapy is unclear. Using a 6-hydroxy dopamine (6-OHDA) rat model of PD and a custom-built behavioral and neurophysiological recording system, we aimed to elucidate a better understanding of the mechanisms underlying cortical beta power and PD symptoms. In addition to elevated levels of beta oscillations, we show that parkinsonian onset was accompanied by a decoupling of movement intensity - quantified as gait speed - from cortical beta power. Although subthalamic deep brain stimulation (DBS) reduced general levels of beta oscillations in the cortex of all PD animals, the brain's capacity to regulate steady state levels of beta power as a function of movement intensity was only restored in animals with therapeutic DBS. We propose that, in addition to lowering general levels of cortical beta power, restoring the brain's ability to maintain this inverse relationship is critical for effective symptom suppression.
帕金森病(PD)患者的运动皮层和丘脑底核(STN)在~12-35 Hz 的β频带范围内表现出异常高的电生理振荡水平。最近的研究表明,β部分向前传递以在健康条件下调节未来的运动状态,这表明当一连串运动在短时间内发生时,例如在快速步态中,稳定状态的β功率会降低。然而,这种β功率与运动状态之间的关系在帕金森病发作时或对有效治疗的反应中是否持续存在尚不清楚。使用 6-羟基多巴胺(6-OHDA)帕金森病大鼠模型和定制的行为和神经生理记录系统,我们旨在深入了解皮质β功率和 PD 症状背后的机制。除了β振荡水平升高外,我们还表明,帕金森病发作伴随着运动强度(以步态速度量化)与皮质β功率的解耦。尽管丘脑底核深部脑刺激(DBS)降低了所有 PD 动物皮质中β振荡的总体水平,但大脑调节β功率稳态水平作为运动强度函数的能力仅在具有治疗性 DBS 的动物中得到恢复。我们提出,除了降低皮质β功率的总体水平外,恢复大脑维持这种反相关关系的能力对于有效抑制症状至关重要。