PMID- 26635583 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20151204 LR - 20200929 IS - 1662-5161 (Print) IS - 1662-5161 (Electronic) IS - 1662-5161 (Linking) VI - 9 DP - 2015 TI - Altered Neuronal Firing Pattern of the Basal Ganglia Nucleus Plays a Role in Levodopa-Induced Dyskinesia in Patients with Parkinson's Disease. PG - 630 LID - 10.3389/fnhum.2015.00630 [doi] LID - 630 AB - BACKGROUND: Levodopa therapy alleviates the symptoms of Parkinson's disease (PD), but long-term treatment often leads to motor complications such as levodopa-induced dyskinesia (LID). AIM: To explore the neuronal activity in the basal ganglia nuclei in patients with PD and LID. METHODS: Thirty patients with idiopathic PD (age, 55.1 +/- 11.0 years; disease duration, 8.7 +/- 5.6 years) were enrolled between August 2006 and August 2013 at the Xuanwu Hospital, Capital Medical University, China. Their Hoehn and Yahr (1967) scores ranged from 2-4 and their UPDRS III scores were 28.5 +/- 5.2. Fifteen of them had severe LID (UPDRS IV scores of 6.7 +/- 1.6). Microelectrode recording was performed in the globus pallidus internus (GPi) and subthalamic nucleus (STN) during pallidotomy (n = 12) or STN deep brain stimulation (DBS; bilateral, n = 12; unilateral, n = 6). The firing patterns and frequencies of various cell types were analyzed by assessing single cell interspike intervals (ISIs) and the corresponding coefficient of variation (CV). RESULTS: A total of 295 neurons were identified from the GPi (n = 12) and STN (n = 18). These included 26 (8.8%) highly grouped discharge, 30 (10.2%) low frequency firing, 78 (26.4%) rapid tonic discharge, 103 (34.9%) irregular activity, and 58 (19.7%) tremor-related activity. There were significant differences between the two groups (p < 0.05) for neurons with irregular firing, highly irregular cluster-like firing, and low-frequency firing. CONCLUSION: Altered neuronal activity was observed in the basal ganglia nucleus of GPi and STN, and may play important roles in the pathophysiology of PD and LID. FAU - Li, Xiaoyu AU - Li X AD - Department of Neurosurgery, Xuanwu Hospital, Capital Medical University Beijing, China. FAU - Zhuang, Ping AU - Zhuang P AD - Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University Beijing, China. FAU - Li, Yongjie AU - Li Y AD - Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University Beijing, China. LA - eng PT - Journal Article DEP - 20151125 PL - Switzerland TA - Front Hum Neurosci JT - Frontiers in human neuroscience JID - 101477954 PMC - PMC4658433 OTO - NOTNLM OT - Parkinson's disease OT - globus pallidus OT - levodopa OT - microelectrodes OT - movement disorders OT - subthalamic nucleus EDAT- 2015/12/05 06:00 MHDA- 2015/12/05 06:01 PMCR- 2015/01/01 CRDT- 2015/12/05 06:00 PHST- 2015/07/03 00:00 [received] PHST- 2015/11/04 00:00 [accepted] PHST- 2015/12/05 06:00 [entrez] PHST- 2015/12/05 06:00 [pubmed] PHST- 2015/12/05 06:01 [medline] PHST- 2015/01/01 00:00 [pmc-release] AID - 10.3389/fnhum.2015.00630 [doi] PST - epublish SO - Front Hum Neurosci. 2015 Nov 25;9:630. doi: 10.3389/fnhum.2015.00630. eCollection 2015.