Evidence map›Paper›PMID 26780572›Full record

ArticleNeuroImage2016

Fornix deep brain stimulation circuit effect is dependent on major excitatory transmission via the nucleus accumbens.

Erika K Ross, Joo Pyung Kim, Megan L Settell, Seong Rok Han, Charles D Blaha, Hoon-Ki Min, Kendall H Lee

Abstract read
In one paragraph

Article in NeuroImage, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 41 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Erika K RossDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA; Mayo Graduate School, Mayo Clinic, Rochester, MN 55905, USA.
Joo Pyung KimDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA; Department of Neurosurgery, Bundang CHA Hospital, CHA University School of Medicine, Seongnam, Korea.
Megan L SettellDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Seong Rok HanDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA; Department of Neurosurgery, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, Korea.
Charles D BlahaDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Hoon-Ki MinDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA; Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN 55905, USA. Electronic address: min.paul@mayo.edu.
Kendall H LeeDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA; Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN 55905, USA. Electronic address: lee.kendall@mayo.edu.
Mayo Clinic · USMayo Clinic in Florida · USCHA University Bundang Medical Center · KRInje University Ilsan Paik Hospital · KR

Funding

WINCS and DBSR01NS070872 · NINDS · MAYO CLINIC ROCHESTER · PI LEE, KENDALL H. · 2011 to 2015
$1.7M
NINDS NIH HHS R01 NS070872NINDS NIH HHS R01 NS 70872
6 · The paper itself

Abstract

introductionDeep brain stimulation (DBS) is a circuit-based treatment shown to relieve symptoms from multiple neurologic and neuropsychiatric disorders. In order to treat the memory deficit associated with Alzheimer's disease (AD), several clinical trials have tested the efficacy of DBS near the fornix. Early results from these studies indicated that patients who received fornix DBS experienced an improvement in memory and quality of life, yet the mechanisms behind this effect remain controversial. It is known that transmission between the medial limbic and corticolimbic circuits plays an integral role in declarative memory, and dysfunction at the circuit level results in various forms of dementia, including AD. Here, we aimed to determine the potential underlying mechanism of fornix DBS by examining the functional circuitry and brain structures engaged by fornix DBS.

methodsA multimodal approach was employed to examine global and local temporal changes that occur in an anesthetized swine model of fornix DBS. Changes in global functional activity were measured by functional MRI (fMRI), and local neurochemical changes were monitored by fast scan cyclic voltammetry (FSCV) during electrical stimulation of the fornix. Additionally, intracranial microinfusions into the nucleus accumbens (NAc) were performed to investigate the global activity changes that occur with dopamine and glutamate receptor-specific antagonism.

resultsHemodynamic responses in both medial limbic and corticolimbic circuits measured by fMRI were induced by fornix DBS. Additionally, fornix DBS resulted in increases in dopamine oxidation current (corresponding to dopamine efflux) monitored by FSCV in the NAc. Finally, fornix DBS-evoked hemodynamic responses in the amygdala and hippocampus decreased following dopamine and glutamate receptor antagonism in the NAc.

conclusionsThe present findings suggest that fornix DBS modulates dopamine release on presynaptic dopaminergic terminals in the NAc, involving excitatory glutamatergic input, and that the medial limbic and corticolimbic circuits interact in a functional loop.

Indexed as

Deep Brain StimulationAnimalsDopamineFornix, BrainHemodynamicsImage Processing, Computer-AssistedMagnetic Resonance ImagingNucleus AccumbensSwineSynaptic TransmissionDopamineDeep brain stimulationDopamineFast scan cyclic voltammetryFornixFunctional magnetic resonance imagingNucleus accumbens

Identifiers

PMID26780572
PMCPMC4764383
OpenAlexW2235155741

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.