PMID- 31939008 OWN - NLM STAT- MEDLINE DCOM- 20210122 LR - 20240329 IS - 1573-6830 (Electronic) IS - 0272-4340 (Print) IS - 0272-4340 (Linking) VI - 40 IP - 6 DP - 2020 Aug TI - Unraveling the Role of Astrocytes in Subthalamic Nucleus Deep Brain Stimulation in a Parkinson's Disease Rat Model. PG - 939-954 LID - 10.1007/s10571-019-00784-3 [doi] AB - Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is an effective therapeutic strategy for motor symptoms of Parkinson's disease (PD) when L-DOPA therapy induces disabling side effects. Classical inflammatory activation of glial cells is well established in PD, contributing to the progressive neurodegenerative state; however, the role of DBS in regulating the inflammatory response remains largely unknown. To understand the involvement of astrocytes in the mechanisms of action of DBS, we evaluated the effect of STN-DBS in regulating motor symptoms, astrocyte reactivity, and cytokine expression in a 6-OHDA-induced PD rat model. To mimic in vivo DBS, we investigate the effect of high-frequency stimulation (HFS) in cultured astrocytes regulating cytokine induction and NF-kappaB activation. We found that STN-DBS improved motor impairment, induced astrocytic hyperplasia, and reversed increased IFN-gamma and IL-10 levels in the globus pallidus (GP) of lesioned rats. Moreover, HFS activated astrocytes and prevented TNF-alpha-induced increase of monocyte chemoattractant protein-1 (MCP-1) and NF-kappaB activation in vitro. Our results indicate that DBS/HFS may act as a regulator of the inflammatory response in PD states, attenuating classical activation of astrocytes and cytokine induction, potentially through its ability to regulate NF-kappaB activation. These findings may help us understand the role of astrocyte signaling in HFS, highlighting its possible relationship with the effectiveness of DBS in neurodegenerative disorders. FAU - Campos, Ana Carolina Pinheiro AU - Campos ACP AD - Division of Neuroscience, Hospital Sirio-Libanes, Sao Paulo, SP, 01308-060, Brazil. FAU - Kikuchi, Daniel Seicho AU - Kikuchi DS AD - Department of Medicine, Emory University, Atlanta, GA, 30322, USA. FAU - Paschoa, Amanda Faure Nardini AU - Paschoa AFN AD - Division of Neuroscience, Hospital Sirio-Libanes, Sao Paulo, SP, 01308-060, Brazil. FAU - Kuroki, Mayra Akemi AU - Kuroki MA AD - Division of Neuroscience, Hospital Sirio-Libanes, Sao Paulo, SP, 01308-060, Brazil. FAU - Fonoff, Erich Talamoni AU - Fonoff ET AD - Division of Neurosurgery, Department of Neurology, University of Sao Paulo Medical School, Sao Paulo, 01246-903, Brazil. FAU - Hamani, Clement AU - Hamani C AD - Sunnybrook Health Research Institute, Harquail Centre for Neuromodulation, Toronto, ON, M4N 3M5, Canada. FAU - Pagano, Rosana Lima AU - Pagano RL AUID- ORCID: 0000-0002-5351-6575 AD - Division of Neuroscience, Hospital Sirio-Libanes, Sao Paulo, SP, 01308-060, Brazil. rosana.lpagano@hsl.org.br. FAU - Hernandes, Marina Sorrentino AU - Hernandes MS AD - Department of Medicine, Emory University, Atlanta, GA, 30322, USA. LA - eng GR - 2016/07168-2/Sao Paulo Research Foundation/ GR - 2017/14020-4/Sao Paulo Research Foundation/ GR - 17SDG33410777/American Heart Association/ PT - Journal Article DEP - 20200114 PL - United States TA - Cell Mol Neurobiol JT - Cellular and molecular neurobiology JID - 8200709 RN - 0 (NF-kappa B) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Animals MH - Astrocytes/*pathology MH - *Deep Brain Stimulation MH - Disease Models, Animal MH - Electric Stimulation MH - Globus Pallidus/pathology MH - Hyperplasia MH - Inflammation/pathology MH - Male MH - Mice MH - Motor Activity MH - NF-kappa B/metabolism MH - Parkinson Disease/*pathology MH - Rats, Wistar MH - Signal Transduction MH - Subthalamic Nucleus/*pathology MH - Tumor Necrosis Factor-alpha/pharmacology PMC - PMC7295825 OTO - NOTNLM OT - Astrocytes OT - Deep brain stimulation OT - High-frequency stimulation OT - Inflammation OT - NF-kappaB OT - Parkinson's disease COIS- The authors declare that they have no competing interests. EDAT- 2020/01/16 06:00 MHDA- 2021/01/23 06:00 PMCR- 2020/01/14 CRDT- 2020/01/16 06:00 PHST- 2019/10/15 00:00 [received] PHST- 2019/12/31 00:00 [accepted] PHST- 2020/01/16 06:00 [pubmed] PHST- 2021/01/23 06:00 [medline] PHST- 2020/01/16 06:00 [entrez] PHST- 2020/01/14 00:00 [pmc-release] AID - 10.1007/s10571-019-00784-3 [pii] AID - 784 [pii] AID - 10.1007/s10571-019-00784-3 [doi] PST - ppublish SO - Cell Mol Neurobiol. 2020 Aug;40(6):939-954. doi: 10.1007/s10571-019-00784-3. Epub 2020 Jan 14.