Deep brain stimulation-guided optogenetic rescue of parkinsonian symptoms

Nat Commun. 2020 May 13;11(1):2388. doi: 10.1038/s41467-020-16046-6.

Abstract

Deep brain stimulation (DBS) of the subthalamic nucleus is a symptomatic treatment of Parkinson's disease but benefits only to a minority of patients due to stringent eligibility criteria. To investigate new targets for less invasive therapies, we aimed at elucidating key mechanisms supporting deep brain stimulation efficiency. Here, using in vivo electrophysiology, optogenetics, behavioral tasks and mathematical modeling, we found that subthalamic stimulation normalizes pathological hyperactivity of motor cortex pyramidal cells, while concurrently activating somatostatin and inhibiting parvalbumin interneurons. In vivo opto-activation of cortical somatostatin interneurons alleviates motor symptoms in a parkinsonian mouse model. A computational model highlights that a decrease in pyramidal neuron activity induced by DBS or by a stimulation of cortical somatostatin interneurons can restore information processing capabilities. Overall, these results demonstrate that activation of cortical somatostatin interneurons may constitute a less invasive alternative than subthalamic stimulation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Animals
  • Antiparkinson Agents / therapeutic use
  • Deep Brain Stimulation / methods*
  • Disease Models, Animal
  • Electrophysiological Phenomena / drug effects
  • Female
  • Humans
  • Levodopa / therapeutic use*
  • Male
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Motor Cortex / drug effects
  • Motor Cortex / metabolism
  • Motor Cortex / physiopathology
  • Optogenetics / methods
  • Oxidopamine
  • Parkinsonian Disorders / chemically induced
  • Parkinsonian Disorders / physiopathology
  • Parkinsonian Disorders / therapy*
  • Pyramidal Cells / drug effects
  • Pyramidal Cells / metabolism
  • Pyramidal Cells / physiology
  • Somatostatin / metabolism*
  • Subthalamic Nucleus / drug effects
  • Subthalamic Nucleus / metabolism
  • Subthalamic Nucleus / physiopathology

Substances

  • Antiparkinson Agents
  • Levodopa
  • Somatostatin
  • Oxidopamine