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High frequency stimulation of the subthalamic nucleus leads to presynaptic GABA(B)-dependent depression of subthalamo-nigral afferents.
Dvorzhak, Anton; Gertler, Christoph; Harnack, Daniel; Grantyn, Rosemarie.
Afiliación
  • Dvorzhak A; Cluster of Excellence NeuroCure, Department of Experimental Neurology, University Medicine Charité, Berlin, Germany.
  • Gertler C; Department of Experimental Neurology, University Medicine Charité, Berlin, Germany.
  • Harnack D; Department of Experimental Neurology, University Medicine Charité, Berlin, Germany.
  • Grantyn R; Cluster of Excellence NeuroCure, Department of Experimental Neurology, University Medicine Charité, Berlin, Germany.
PLoS One ; 8(12): e82191, 2013.
Article en En | MEDLINE | ID: mdl-24376521
Patients with akinesia benefit from chronic high frequency stimulation (HFS) of the subthalamic nucleus (STN). Among the mechanisms contributing to the therapeutic success of HFS-STN might be a suppression of activity in the output region of the basal ganglia. Indeed, recordings in the substantia nigra pars reticulata (SNr) of fully adult mice revealed that HFS-STN consistently produced a reduction of compound glutamatergic excitatory postsynaptic currents at a time when the tetrodotoxin-sensitive components of the local field potentials had already recovered after the high frequency activation. These observations suggest that HFS-STN not only alters action potential conduction on the way towards the SNr but also modifies synaptic transmission within the SNr. A classical conditioning-test paradigm was then designed to better separate the causes from the indicators of synaptic depression. A bipolar platinum-iridium macroelectrode delivered conditioning HFS trains to a larger group of fibers in the STN, while a separate high-ohmic glass micropipette in the rostral SNr provided test stimuli at minimal intensity to single fibers. The conditioning-test interval was set to 100 ms, i.e. the time required to recover the excitability of subthalamo-nigral axons after HFS-STN. The continuity of STN axons passing from the conditioning to the test sites was examined by an action potential occlusion test. About two thirds of the subthalamo-nigral afferents were occlusion-negative, i.e. they were not among the fibers directly activated by the conditioning STN stimulation. Nonetheless, occlusion-negative afferents exhibited signs of presynaptic depression that could be eliminated by blocking GABA(B) receptors with CGP55845 (1 µM). Further analysis of single fiber-activated responses supported the proposal that the heterosynaptic depression of synaptic glutamate release during and after HFS-STN is mainly caused by the tonic release of GABA from co-activated striato-nigral afferents to the SNr. This mechanism would be consistent with a gain-of-function hypothesis of DBS.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sustancia Negra / Vías Aferentes / Terminales Presinápticos / Núcleo Subtalámico / Estimulación Eléctrica / Ácido gamma-Aminobutírico / Plasticidad Neuronal Límite: Animals Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2013 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sustancia Negra / Vías Aferentes / Terminales Presinápticos / Núcleo Subtalámico / Estimulación Eléctrica / Ácido gamma-Aminobutírico / Plasticidad Neuronal Límite: Animals Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2013 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos