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深部脑刺激可恢复帕金森病皮质网络中的信息处理。

Deep Brain Stimulation restores information processing in parkinsonian cortical networks.

作者信息

Piette Charlotte, Tin Sophie Ng Wing, Liège Astrid De, Bloch-Queyrat Coralie, Degos Bertrand, Venance Laurent, Touboul Jonathan

机构信息

Dynamics and Pathophysiology of Neuronal Networks Team, Center for Interdisciplinary Research in Biology, Collège de France, CNRS, INSERM, PSL University, 75005 Paris, France.

Department of Mathematics and Volen National Center for Complex Systems, Brandeis University, MA Waltham, USA.

出版信息

medRxiv. 2024 Aug 28:2024.08.25.24310748. doi: 10.1101/2024.08.25.24310748.

Abstract

Parkinson's disease (PD) is a neurodegenerative disorder associated with alterations of neural activity and information processing primarily in the basal ganglia and cerebral cortex. Deep brain stimulation (DBS) of the subthalamic nucleus (STN-DBS) is the most effective therapy when patients experience levodopa-induced motor complications. A growing body of evidence points towards a cortical effect of STN-DBS, restoring key electrophysiological markers, such as excessive beta band oscillations, commonly observed in PD. However, the mechanisms of STN-DBS remain elusive. Here, we aim to better characterize the cortical substrates underlying STN-DBS-induced improvement in motor symptoms. We recorded electroencephalograms (EEG) from PD patients and found that, although apparent EEG features were not different with or without therapy, EEG signals could more accurately predict limb movements under STN-DBS. To understand the origins of this enhanced information transmission under STN-DBS in the human EEG data, we investigated the information capacity and dynamics of a variety of computational models of cortical networks. The extent of improvement in decoding accuracy of complex naturalistic inputs under STN-DBS depended on the synaptic parameters of the network as well as its excitability and synchronization levels. Additionally, decoding accuracy could be optimized by adjusting STN-DBS parameters. Altogether, this work draws a comprehensive link between known alterations in cortical activity and the degradation of information processing capacity, as well as its restoration under DBS. These results also offer new perspectives for optimizing STN-DBS parameters based on clinically accessible measures of cortical information processing capacity.

摘要

帕金森病(PD)是一种神经退行性疾病,主要与基底神经节和大脑皮层的神经活动及信息处理改变有关。当患者出现左旋多巴诱导的运动并发症时,丘脑底核深部脑刺激(STN-DBS)是最有效的治疗方法。越来越多的证据表明STN-DBS具有皮层效应,可恢复帕金森病中常见的关键电生理指标,如过度的β波段振荡。然而,STN-DBS的机制仍然难以捉摸。在这里,我们旨在更好地描述STN-DBS诱导运动症状改善的皮层基础。我们记录了帕金森病患者的脑电图(EEG),发现尽管有无治疗时的明显EEG特征并无差异,但EEG信号在STN-DBS下能更准确地预测肢体运动。为了理解人类EEG数据中STN-DBS下这种增强的信息传递的起源,我们研究了各种皮层网络计算模型的信息容量和动态。STN-DBS下复杂自然主义输入解码准确性的改善程度取决于网络的突触参数及其兴奋性和同步水平。此外,通过调整STN-DBS参数可以优化解码准确性。总之,这项工作在已知的皮层活动改变与信息处理能力下降以及在DBS下的恢复之间建立了全面的联系。这些结果也为基于临床上可获取的皮层信息处理能力测量来优化STN-DBS参数提供了新的视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9101/11383511/3fc6548d4bdd/nihpp-2024.08.25.24310748v1-f0001.jpg

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