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从转化医学角度看肌张力障碍和帕金森病中振荡活动的病理生理学变化。

A translational perspective on pathophysiological changes of oscillatory activity in dystonia and parkinsonism.

机构信息

Department of Neurology, University Hospital of Würzburg, Josef-Schneider-Straße 11, 97080 Würzburg, Germany.

Department of Neurology, Movement Disorders and Neuromodulation Unit, Campus Charité Mitte, Charité-Universitätsmedizin Berlin, Berlin, Germany.

出版信息

Exp Neurol. 2022 Sep;355:114140. doi: 10.1016/j.expneurol.2022.114140. Epub 2022 Jun 8.

Abstract

Intracerebral recordings from movement disorders patients undergoing deep brain stimulation have allowed the identification of pathophysiological patterns in oscillatory activity that correlate with symptom severity. Changes in oscillatory synchrony occur within and across brain areas, matching the classification of movement disorders as network disorders. However, the underlying mechanisms of oscillatory changes are difficult to assess in patients, as experimental interventions are technically limited and ethically problematic. This is why animal models play an important role in neurophysiological research of movement disorders. In this review, we highlight the contributions of translational research to the mechanistic understanding of pathological changes in oscillatory activity, with a focus on parkinsonism and dystonia, while addressing the limitations of current findings and proposing possible future directions.

摘要

对接受深部脑刺激的运动障碍患者进行的颅内记录,使人们能够识别与症状严重程度相关的振荡活动的病理生理模式。振荡同步性的变化发生在脑区内部和之间,与运动障碍的网络障碍分类相匹配。然而,由于实验干预在技术上受到限制且存在伦理问题,因此很难在患者中评估振荡变化的潜在机制。这就是为什么动物模型在运动障碍的神经生理学研究中发挥着重要作用。在这篇综述中,我们强调了转化研究对振荡活动病理性变化的机制理解的贡献,重点是帕金森病和肌张力障碍,同时解决了当前研究结果的局限性,并提出了可能的未来方向。

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