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Push-pull effects of basal ganglia network in Parkinson’s disease inferred by functional MRI

Lookup NU author(s): Professor Marcus Kaiser

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


Abstract

© The Author(s) 2024.Deep brain stimulation (DBS) can ameliorate motor symptoms in Parkinson’s disease (PD), but its mechanism remains unclear. This work constructs a multi-scale brain model using the fMRI data from 27 PD patients with subthalamic DBS and 30 healthy controls. The model fits microscopic coupling parameters in the cortico-basal ganglia-thalamic neural loop to match individual connectivity, finding the “push-pull” effect of basal ganglia network. Specifically, increased GABAergic projection into the thalamus from basal ganglia worsens rigidity, while reduced GABAergic projection within the cortex exacerbates bradykinesia, suggesting that the dopamine deficiency induces the chain coupling variations to “push” the network to an abnormal state. Conversely, DBS can alleviate rigidity by enhancing GABAergic projections within the basal ganglia, and improve bradykinesia by reducing cortical projections to basal ganglia, exhibiting that DBS “pulls” the network to a healthy state. This work combines the microscopic and macroscopic neural information for understanding PD and its treatment.


Publication metadata

Author(s): Wang Y, Jiang Z, Chu C, Zhang Z, Wang J, Li D, He N, Fietkiewicz C, Zhou C, Kaiser M, Bai X, Zhang C, Liu C

Publication type: Article

Publication status: Published

Journal: npj Parkinson's Disease

Year: 2024

Volume: 10

Issue: 1

Online publication date: 20/11/2024

Acceptance date: 07/11/2024

Date deposited: 17/12/2024

ISSN (electronic): 2373-8057

Publisher: Nature Research

URL: https://doi.org/10.1038/s41531-024-00835-7

DOI: 10.1038/s41531-024-00835-7

Data Access Statement: The data collected in this study are available from the corresponding author, upon reasonable request.


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Funding

Funder referenceFunder name
the China Postdoctoral Science Foundation under Grant Number 2023M740711
the National Natural Science Foundation of China under Grant 62173241
the STI2030-Major Projects under Grant 2022ZD0205300
the National Natural Science Foundation of China under grant 82401483
the Postdoctoral Fellowship Program of China Post- doctoral Science Foundation under Grant Number GZC20230529

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