Astrocyte Responses Influence Local Effects of Whole‐Brain Magnetic Stimulation in Parkinsonian Rats

Background Excessive glutamatergic transmission in the striatum is implicated in Parkinson's disease (PD) progression. Astrocytes maintain glutamate homeostasis, protecting from excitotoxicity through the glutamate–aspartate transporter (GLAST), whose alterations have been reported in PD. Nonin...

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Vydané v:Movement disorders Ročník 38; číslo 12; s. 2173 - 2184
Hlavní autori: Natale, Giuseppina, Colella, Micol, De Carluccio, Maria, Lelli, Daniele, Paffi, Alessandra, Carducci, Filippo, Apollonio, Francesca, Palacios, Daniela, Viscomi, Maria Teresa, Liberti, Micaela, Ghiglieri, Veronica
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Hoboken, USA John Wiley & Sons, Inc 01.12.2023
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ISSN:0885-3185, 1531-8257, 1531-8257
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Shrnutí:Background Excessive glutamatergic transmission in the striatum is implicated in Parkinson's disease (PD) progression. Astrocytes maintain glutamate homeostasis, protecting from excitotoxicity through the glutamate–aspartate transporter (GLAST), whose alterations have been reported in PD. Noninvasive brain stimulation using intermittent theta‐burst stimulation (iTBS) acts on striatal neurons and glia, inducing neuromodulatory effects and functional recovery in experimental parkinsonism. Objective Because PD is associated with altered astrocyte function, we hypothesized that acute iTBS, known to rescue striatal glutamatergic transmission, exerts regional‐ and cell‐specific effects through modulation of glial functions. Methods 6‐Hydroxydopamine‐lesioned rats were exposed to acute iTBS, and the areas predicted to be more responsive by a biophysical, hyper‐realistic computational model that faithfully reconstructs the experimental setting were analyzed. The effects of iTBS on glial cells and motor behavior were evaluated by molecular and morphological analyses, and CatWalk and Stepping test, respectively. Results As predicted by the model, the hippocampus, cerebellum, and striatum displayed a marked c‐FOS activation after iTBS, with the striatum showing specific morphological and molecular changes in the astrocytes, decreased phospho‐CREB levels, and recovery of GLAST. Striatal‐dependent motor performances were also significantly improved. Conclusion These data uncover an unknown iTBS effect on astrocytes, advancing the understanding of the complex mechanisms involved in TMS‐mediated functional recovery. Data on numerical dosimetry, obtained with a degree of anatomical details never before considered and validated by the biological findings, provide a framework to predict the electric‐field induced in different specific brain areas and associate it with functional and molecular changes. © 2023 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.
Bibliografia:Relevant conflicts of interest/financial disclosures or potential conflict of interest
Giuseppina Natale and Micol Colella are equally first authors; Maria Teresa Viscomi, Micaela Liberti, and Veronica Ghiglieri are equally last authors.
Funding agencies
This work was supported by a grant from the Fresco Parkinson Institute to the New York University School of Medicine and The Marlene and Paolo Fresco Institute for Parkinson's and Movement Disorders, which were made possible with support from Marlene and Paolo Fresco (to V.G.). Università Cattolica del Sacro Cuore contributed to the funding of this research project (Linea D1 to M.T.V.).
The authors have no financial conflicts of interest.
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ISSN:0885-3185
1531-8257
1531-8257
DOI:10.1002/mds.29599