» Articles » PMID: 38682230

Effects of Unilateral High Frequency Stimulation of the Subthalamic Nucleus on Risk-avoidant Behavior in a Partial 6-hydroxydopamine Model of Parkinson's Disease

Overview
Date 2024 Apr 29
PMID 38682230
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is a well-established treatment for the motor symptoms of Parkinson's disease (PD). While PD is primarily characterized by motor symptoms such as tremor, rigidity, and bradykinesia, it also involves a range of non-motor symptoms, and anxiety is one of the most common. The relationship between PD and anxiety is complex and can be a result of both pathological neural changes and the psychological and emotional impacts of living with a chronic progressive condition. Managing anxiety in PD is critical for improving the patients' quality of life. However, patients undergoing STN DBS can occasionally experience increased anxiety.

Methods: This study investigates changes in risk-avoidant behavior following STN DBS in a pre-motor animal model of PD under chronic and acute unilateral high frequency stimulation.

Results: No significant changes in risk-avoidant behaviors were observed in rats who underwent STN DBS compared with sham stimulation controls. Chronic stimulation prevented sensitization in the elevated zero maze.

Conclusions: These results suggest that unilateral stimulation of the STN may have minimal effects on risk-avoidant behaviors in PD. However, additional research is required to fully understand the mechanisms responsible for changes in anxiety during STN DBS for PD.

References
1.
Santiago R, Barbieiro J, Lima M, Dombrowski P, Andreatini R, Vital M . Depressive-like behaviors alterations induced by intranigral MPTP, 6-OHDA, LPS and rotenone models of Parkinson's disease are predominantly associated with serotonin and dopamine. Prog Neuropsychopharmacol Biol Psychiatry. 2010; 34(6):1104-14. DOI: 10.1016/j.pnpbp.2010.06.004. View

2.
Wilensky A, Schafe G, LeDoux J . The amygdala modulates memory consolidation of fear-motivated inhibitory avoidance learning but not classical fear conditioning. J Neurosci. 2000; 20(18):7059-66. PMC: 6772812. View

3.
Chang S, Kimble C, Kim I, Paek S, Kressin K, Boesche J . Development of the Mayo Investigational Neuromodulation Control System: toward a closed-loop electrochemical feedback system for deep brain stimulation. J Neurosurg. 2013; 119(6):1556-65. PMC: 4001796. DOI: 10.3171/2013.8.JNS122142. View

4.
Tovote P, Fadok J, Luthi A . Neuronal circuits for fear and anxiety. Nat Rev Neurosci. 2015; 16(6):317-31. DOI: 10.1038/nrn3945. View

5.
Kubler D, Astalosch M, Gaus V, Krause P, Marcelino A, Schneider G . Gender-specific outcomes of deep brain stimulation for Parkinson's disease - results from a single movement disorder center. Neurol Sci. 2023; 44(5):1625-1631. PMC: 10102088. DOI: 10.1007/s10072-023-06598-y. View