| Home > Publications Database > Subthalamic nucleus deep brain stimulation induces sustained neurorestoration in the mesolimbic dopaminergic system in a Parkinson's disease model. |
| Journal Article | DZNE-2021-00857 |
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2021
Academic Press
Orlando, Fla.
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Please use a persistent id in citations: doi:10.1016/j.nbd.2021.105404
Abstract: Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is an established therapeutic principle in Parkinson's disease, but the underlying mechanisms, particularly mediating non-motor actions, remain largely enigmatic.The delayed onset of neuropsychiatric actions in conjunction with first experimental evidence that STN-DBS causes disease-modifying effects prompted our investigation on how cellular plasticity in midbrain dopaminergic systems is affected by STN-DBS.We applied unilateral or bilateral STN-DBS in two independent cohorts of 6-hydroxydopamine hemiparkinsonian rats four to eight weeks after dopaminergic lesioning to allow for the development of a stable dopaminergic dysfunction prior to DBS electrode implantation.After 5 weeks of STN-DBS, stimulated animals had significantly more TH+ dopaminergic neurons and fibres in both the nigrostriatal and the mesolimbic systems compared to sham controls with large effect sizes of gHedges = 1.9-3.4. DBS of the entopeduncular nucleus as the homologue of the human Globus pallidus internus did not alter the dopaminergic systems. STN-DBS effects on mesolimbic dopaminergic neurons were largely confirmed in an independent animal cohort with unilateral STN stimulation for 6 weeks or for 3 weeks followed by a 3 weeks washout period. The latter subgroup even demonstrated persistent mesolimbic dopaminergic plasticity after washout. Pilot behavioural testing showed that augmentative dopaminergic effects on the mesolimbic system by STN-DBS might translate into improvement of sensorimotor neglect.Our data support sustained neurorestorative effects of STN-DBS not only in the nigrostriatal but also in the mesolimbic system as a potential factor mediating long-latency neuropsychiatric effects of STN-DBS in Parkinson's disease.
Keyword(s): Animals (MeSH) ; Corpus Striatum: metabolism (MeSH) ; Deep Brain Stimulation: methods (MeSH) ; Dopaminergic Neurons: metabolism (MeSH) ; Female (MeSH) ; Limbic System: metabolism (MeSH) ; Male (MeSH) ; Oxidopamine: toxicity (MeSH) ; Parkinsonian Disorders: chemically induced (MeSH) ; Parkinsonian Disorders: metabolism (MeSH) ; Parkinsonian Disorders: therapy (MeSH) ; Rats (MeSH) ; Rats, Wistar (MeSH) ; Substantia Nigra: metabolism (MeSH) ; Subthalamic Nucleus: metabolism (MeSH) ; Tyrosine 3-Monooxygenase: metabolism (MeSH) ; Ventral Tegmental Area: metabolism (MeSH) ; 6-hydroxydopamine ; Deep brain stimulation ; Dopaminergic neurons ; Mesolimbic system ; Neurorestoration ; Nigrostriatal system ; Parkinson's disease ; Subthalamic nucleus ; Ventral tegmental area
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