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[Abstract Title]. - Society for Neuroscience

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University of Cincinnati<br />

<strong>Title</strong>: Development of a clinically relevant plat<strong>for</strong>m <strong>for</strong> the evaluation of the neuroprotective<br />

effects of HF STN-DBS in parkinsonian rats<br />

Authors: *A. SPIELES-ENGEMANN, M. M. BEHBEHANI, B. T. TERPSTRA, T. J.<br />

COLLIER, K. STEECE-COLLIER, L. MADHAVAN, K. PAUMIER, S. WOHLGENANT, S.<br />

GOMBASH, C. E. SORTWELL;<br />

Univ. Cincinnati, Cincinnati, OH<br />

<strong>Abstract</strong>: High-frequency deep brain stimulation of the subthalamic nucleus (HF STN-DBS) is<br />

the most frequently practiced surgical therapy <strong>for</strong> treatment of Parkinson‟s disease (PD).<br />

However, its clinical use has proceeded without a complete understanding of its mechanism of<br />

action. There<strong>for</strong>e, we set out to develop a rodent model that closely approximates its clinical<br />

application in PD. To target the STN accurately and consistently, we utilized extracellular<br />

microelectrode recordings to guide placement of the stimulator. Targeting was confirmed via dye<br />

injections in the electrode trajectory and with Kluver-Barrera staining. To determine the volume<br />

of tissue activated, we conducted dual stimulation-recording experiments with a stimulating<br />

electrode placed in the STN and a recording electrode placed at varying distances away.<br />

Recordings were made at each site be<strong>for</strong>e and after STN stimulation (130 Hz, 60 κs pulse width,<br />

80-100 κA). Our studies indicate that STN-DBS at routine clinical parameters causes current<br />

spread approximately 250 κm from the stimulator tip. Subsequently, stimulators were placed in<br />

the anterior portion of the STN to minimize current spread to the SN. To establish a clinicallyrelevant<br />

model of nigrostriatal dopamine denervation, a number of different lesion protocols<br />

were tested using differing volumes of 6-hydroxydopamine (1-3 κl) injected into varying<br />

locations in the striatum. Lesions were assessed via stereological counts of tyrosine hydroxylase<br />

immunoreactive neurons in the substantia nigra (SN). The functional effects of lesioning were<br />

assessed via the cylinder task. Our studies have identified a protocol that is similar to the clinical<br />

presentation of Parkinson‟s disease in that it causes a progressive lesion (2 wk = 50% SN lesion,<br />

4 wk = 70%, 6 wk = 75%) that generated significant deficits in <strong>for</strong>elimb akinesia and rotational<br />

asymmetry. Finally, we lesioned animals with a progressive lesion protocol, implanted STN<br />

stimulators utilizing extracellular microelectrode recordings, and stimulated animals <strong>for</strong> 2 weeks.<br />

Placement of stimulators was confirmed histologically and functional effects of stimulation were<br />

assessed via the cylinder task. Results of the long-term stimulation experiments revealed<br />

functional improvement in <strong>for</strong>elimb akinesia and accurate long-term targeting of the STN. In<br />

conclusion, these studies show that long-term stimulation of STN without substantial current<br />

spread into the SN improves akinesia and indicates that the procedures we have developed can<br />

be used <strong>for</strong> a reproducible, clinically-relevant long-term model of HF STN-DBS that has a wide<br />

variety of applications.<br />

Disclosures: A. Spieles-Engemann, None; M.M. Behbehani, None; B.T. Terpstra, None; T.J.<br />

Collier, None; K. Steece-Collier, None; L. Madhavan, None; K. Paumier, None; S.<br />

Wohlgenant, None; S. Gombash, None; C.E. Sortwell, None.

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