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Spontaneous sleep modulates the firing pattern of Parkinsonian subthalamic nucleus
Authors:Alessandro Stefani  Salvatore Galati  Antonella Peppe  Andrea Bassi  Mariangela Pierantozzi  Atticus H Hainsworth  Giorgio Bernardi  Antonio Orlacchio  Paolo Stanzione  Paolo Mazzone
Institution:(1) CERC-IRCCS Fondazione S. Lucia, Via Ardeatina 306, Roma, Italy;(2) Dipartimento Neuroscienze, Clinica Neurologica, Università di Roma Tor Vergata, Via Montpellier 1, 00133 Rome, Italy;(3) Pharmacology Group, School of Pharmacy, De Montfort University, Leicester, United Kingdom;(4) Divisione di Neurochirurgia, Unità di Neurochirurgia Stereotassica e Funzionale, Ospedale CTO, ASL RMC, Roma, Italy
Abstract:In Parkinson’s disease, the subthalamic nucleus (STN) is a common target for functional neurosurgery. Recent investigations have suggested that physiological non-motor stimuli may dramatically alter STN firing properties. By maintaining long-lasting micro-recordings of STN single units in Parkinson’s disease (PD) patients, here we show that the neurons that are responsive to passive movements are also strongly modulated by altered vigilance state (awake vs. sleep). In addition, sleep was characterized by a distinctive irregular train-like firing pattern. These findings suggest that the reduction of the somato-sensory input modifies rigidity and, hence, STN discharge mode. Further, it is suggested that specific STN electrophysiological features are potential targets for future therapeutic interventions.
Keywords:DBS  Basal ganglia  Firing pattern  Parkinson’  s disease  Vigilance
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