Caligiore Daniele, Mannella Francesco, Baldassarre Gianluca
National Research Council, Institute of Cognitive Sciences and Technologies, Rome, Italy.
Front Neurosci. 2019 May 29;13:550. doi: 10.3389/fnins.2019.00550. eCollection 2019.
Although the occurrence of Parkinsonian akinesia and tremor is traditionally associated to dopaminergic degeneration, the multifaceted neural processes that cause these impairments are not fully understood. As a consequence, current dopamine medications cannot be tailored to the specific dysfunctions of patients with the result that generic drug therapies produce different effects on akinesia and tremor. This article proposes a computational model focusing on the role of dopamine impairments in the occurrence of akinesia and resting tremor. The model has three key features, to date never integrated in a single computational system: (a) an architecture constrained on the basis of the relevant known system-level anatomy of the basal ganglia-thalamo-cortical loops; (b) spiking neurons with physiologically-constrained parameters; (c) a detailed simulation of the effects of both phasic and tonic dopamine release. The model exhibits a neural dynamics compatible with that recorded in the brain of primates and humans. Moreover, it suggests that akinesia might involve both tonic and phasic dopamine dysregulations whereas resting tremor might be primarily caused by impairments involving tonic dopamine release and the responsiveness of dopamine receptors. These results could lead to develop new therapies based on a system-level view of the Parkinson's disease and targeting phasic and tonic dopamine in differential ways.
虽然帕金森氏症的运动不能和震颤传统上被认为与多巴胺能神经元变性有关,但导致这些损伤的多方面神经过程尚未完全被理解。因此,目前的多巴胺药物无法根据患者的特定功能障碍进行定制,结果是通用药物疗法对运动不能和震颤产生不同的效果。本文提出了一个计算模型,重点关注多巴胺损伤在运动不能和静止性震颤发生中的作用。该模型有三个关键特征,迄今为止从未整合在一个单一的计算系统中:(a)一种基于基底神经节-丘脑-皮质环路相关已知系统层面解剖结构的架构;(b)具有生理约束参数的发放神经元;(c)对相位性和紧张性多巴胺释放效应的详细模拟。该模型展示出与在灵长类动物和人类大脑中记录到的神经动力学相兼容。此外,它表明运动不能可能涉及紧张性和相位性多巴胺调节异常,而静止性震颤可能主要由涉及紧张性多巴胺释放和多巴胺受体反应性的损伤引起。这些结果可能会促使基于帕金森病系统层面观点并以不同方式针对相位性和紧张性多巴胺开发新的疗法。