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在帕金森病模型大鼠中,中脑导水管周围灰质刺激诱导的膀胱收缩间隔缩短可被丘脑底核刺激逆转。

Decreased bladder contraction interval induced by periaqueductal grey stimulation is reversed by subthalamic stimulation in a Parkinson's disease model rat.

作者信息

Yamamoto Tatsuya, Sakakibara Ryuji, Uchiyama Tomoyuki, Kuwabara Satoshi

机构信息

Department of Rehabilitation Sciences, Chiba Prefectural University of Health Sciences, Japan.

Department of Neurology, Chiba University Graduate School of Medicine, Chiba, Japan.

出版信息

IBRO Neurosci Rep. 2023 Oct 17;15:293-303. doi: 10.1016/j.ibneur.2023.10.004. eCollection 2023 Dec.

Abstract

The medial prefrontal cortex (mPFC) regulates bladder contractions via the periaqueductal grey (PAG). Subthalamic nucleus deep brain stimulation (STN-DBS) modulates urinary afferent information from PAG in Parkinson's disease (PD). We do not know how STN-DBS modulates the activities of mPFC induced by PAG stimulation. We aim to clarify how STN-DBS modulates the neuronal activity of mPFC induced by PAG stimulation and its effects on bladder contraction Experiments were conducted under urethane anesthesia in normal (n = 9) and 6-hydroxydopamine hemi-lesioned PD rats (n = 7). Left-sided PAG stimulation and STN-DBS were applied with simultaneous bladder contraction monitoring. Local field potential (LFP) recording and collection of extracellular fluid in the mPFC were performed before stimulation, during PAG stimulation, during PAG+STN stimulation, and after stimulation. The bladder inter-contraction intervals significantly decreased with PAG stimulation with a concomitant decrease in mPFC LFP power in PD rats. Adding STN stimulation to PAG stimulation significantly increased the bladder inter-contraction intervals with a concomitant increase in mPFC LFP power in PD rats. Several mPFC catecholamine levels were modulated by PAG or PAG+STN stimulation in PD rats. The present study revealed that STN-DBS modulate the activities of mPFC induced by PAG, thereby leading to normalization of bladder contraction.

摘要

内侧前额叶皮质(mPFC)通过导水管周围灰质(PAG)调节膀胱收缩。丘脑底核深部脑刺激(STN-DBS)可调节帕金森病(PD)中来自PAG的尿传入信息。我们尚不清楚STN-DBS如何调节由PAG刺激诱导的mPFC的活动。我们旨在阐明STN-DBS如何调节由PAG刺激诱导的mPFC的神经元活动及其对膀胱收缩的影响。实验在正常大鼠(n = 9)和6-羟基多巴胺半损伤的PD大鼠(n = 7)的乌拉坦麻醉下进行。在同步监测膀胱收缩的情况下,施加左侧PAG刺激和STN-DBS。在刺激前、PAG刺激期间、PAG + STN刺激期间和刺激后,进行mPFC的局部场电位(LFP)记录和细胞外液采集。在PD大鼠中,PAG刺激使膀胱收缩间期显著缩短,并伴有mPFC LFP功率降低。在PAG刺激的基础上增加STN刺激,可显著延长PD大鼠的膀胱收缩间期,并伴有mPFC LFP功率增加。在PD大鼠中,PAG或PAG + STN刺激可调节几种mPFC儿茶酚胺水平。本研究表明,STN-DBS可调节由PAG诱导的mPFC活动,从而使膀胱收缩恢复正常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5598/10598527/9c54a7ed111b/gr1.jpg

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