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Table 2 Orthodromic and antidromic effects of DBS

From: Neuronal and synaptic adaptations underlying the benefits of deep brain stimulation for Parkinson's disease

Species

Stimulation target

Stimulus parameter

Effects in the distant regions

Citations

PD rhesus monkeys (in vivo)

STN

HFS (210 Οs, 1.8 and 3 V, 136 Hz, for 5 min)

Increased mean discharge rate and stimulus-synchronized regular firing pattern in GPe and GPi neurons

[81]

PD rhesus monkeys (in vivo)

STN

HFS (136 Hz)

Inhibited VA/VLo neurons and activated VPLo neurons; reduced burst activity in VA/VLo neurons; conversed oscillatory activity in VA/VLo and VPLo neurons

[112]

PD rhesus monkeys (in vivo)

STN

HFS (125 Οs, 0.2 mA 130 Hz, for 4 h; 120 Οs, 2.1 V, 130 Hz, for 4 h)

Activation of M1 waned over time, but synchronization of spontaneous spiking in M1 was significantly reduced during DBS

[110]

PD and normal rats (in vivo)

STN

HFS (60 μs, 10–1000 μA, 130 Hz, for 5 s)

Decreased activity of SNr neurons  and increased activity of VL neurons

[42]

PD and normal rats (in vivo)

STN

HFS (0.1 ms, 0.08–0.26 mA, 40–160 Hz)

Induced antidromic spiking of deep layer cortical neurons; triggered a dampened oscillation in cortex

[106]

PD rats (in vivo)

STN

HFS (125 Hz, for 5 min)

Increased spontaneous firing and decreased episodes of burst firing of the CxFn in the motor cortex 

[88]

PD mice (in vivo)

STN

HFS (60 μs, 2–4 V, 130 Hz, for 2 min)

Normalized pathological hyperactivity of motor cortex pyramidal cells

[82]

PD mice (in vivo)

STN

HFS (60 Οs, 200 ΟA, 60 and 100 Hz)

Increased activity of SNr and M1 neurons

[45]

Normal rats (in vivo)

STN

HFS (60 Οs, 300 ΟA, 130 Hz, for 5 s)

Decreased activity in 91% of SNr cells and 80% of GPi cells but activated 100% of GP cells

[94]

Normal rats (ex vivo)

STN

HFS (100 Οs, 130 Hz, for 30 s)

Increased spontaneous spiking in half of SNr neurons while decreased activity in the other half

[96]

Normal rats (in vivo)

STN

Electrical stimulation (69 μs, 100 μA, 0.5–130 Hz, for 300 s)

Produced some entrainment of firing in PPN

[101]

PD mice (in vivo)

STN

Optical HFS using ChR2 (100–130 Hz)

Reduced theta and alpha and increased gamma power in M1

[108]

PD patients (in vivo)

STN

Electrical stimulation (1, 2 and 3 mA, 1 Hz for 30 s or 10 Hz for 30 s)

Activated the SMG, premotor and motor regions

[100]

PD and dystonia patients (in vivo)

STN and GPi

HFS (0.5 s, 4 ΟA, 200 Hz)

Inhibited firing in the GPi and the SNr

[227]

PD monkey

GPi

HFS (0.2 ms, 300 ΟA, 120 Hz)

Decreased and increased discharge frequency in 77% and 16% of thalamic neurons, respectively; reduced bursting in thalamic neurons

[113]

  1. CxFn Corticofugal projection neurons, GP Globus pallidus, GPe Globus pallidus externus, GPi Globus pallidus internus, HFS High-frequency stimulation, M1 Primary motor cortex, PPN Pedunculopontine nucleus, SMG Superior marginal gyrus, SNr Substantial nigra pars reticulate, STG Superior temporal gyrus, STN Subthalamic nucleus, VA/VLo Ventralis anterior /ventralis lateralis pars oralis, VL Ventrolateral thalamus, VPLo Ventralis lateralis posterior pars oralis