Lighting up the Brain: Deep Brain Stimulation Unlocks Potential Treatment for Parkinson’s

Published on September 28, 2022

Imagine your brain is a bustling city, with each neighborhood responsible for different functions. In the fight against Parkinson’s disease (PD), scientists have been exploring new areas to target with deep brain stimulation (DBS). While the usual suspects, the globus pallidus internal (GPi) and subthalamic nucleus (STN), have brought relief to many PD patients, they may fall short for others. That’s where the lateral globus pallidus (GP) comes in. By zapping this brain region with DBS, researchers discovered promising improvements in motor symptoms. The PF nucleus, a close neighbor of GP, has strong ties to PD pathology. In this study, scientists monitored the activity of PF in PD rats after GP-DBS. Excitingly, they found that GP-DBS could reverse abnormal electrical activity in PF, offering hope for potential PD treatment strategies. Curious about the cutting-edge research paving the way for new Parkinson’s treatments? Dive into the details and explore the full study.

Deep brain stimulation (DBS) is an effective treatment for Parkinson’s disease (PD). The most common sites targeted for DBS in PD are the globus pallidus internal (GPi) and subthalamic nucleus (STN). However, STN-DBS and GPi-DBS have limited improvement in some symptoms and even aggravate disease symptoms. Therefore, discovering new targets is more helpful for treating refractory symptoms of PD. Therefore, our study selected a new brain region, the lateral globus pallidus (GP), as the target of DBS, and the study found that GP-DBS can improve motor symptoms. It has been reported that the thalamic parafascicular (PF) nucleus is strongly related to PD pathology. Moreover, the PF nucleus and GP have very close direct and indirect fiber connections. However, whether GP-DBS can change the activity of the PF remains unclear. Therefore, in this study, we monitored the activity changes in the PF nucleus in PD rats during a quiet awake state after GP-DBS. We found that GP-DBS could reverse the electrical activity of the PF nucleus in PD model rats, including the discharge pattern of the neurons and the local field potential (0.7–12 and 12–70 Hz). Based on the results mentioned above, PF activity in PD model rats could be changed by GP-DBS. Thus, the normalization of PF neuronal activity may be a potential mechanism for GP-DBS in the treatment of PD; these findings lay the foundation for PD treatment strategies.

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