Evidence map›Paper›PMID 31721369›Full record

ArticleHuman brain mapping2020

GABAergic changes in the thalamocortical circuit in Parkinson's disease.

Annelies J M van Nuland, Hanneke E M den Ouden, Heidemarie Zach, Michiel F M Dirkx, Jack J A van Asten, Tom W J Scheenen, Ivan Toni, Roshan Cools, Rick C Helmich

Open access · bronzeAbstract read
In one paragraph

Article in Human brain mapping, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

50 citing papers in PubMed, 86 citations in OpenAlex.

  1. Altered Excitation-Inhibition Balance and mGluRInternational journal of molecular sciences · 2026
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  9. The therapeutic potential ofFrontiers in microbiology · 2026
    Review
  10. Review
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  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Dysfunction of motor cortices in Parkinson's disease.Cerebral cortex (New York, N.Y. : 1991) · 2024
    Review
  20. Article
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

9 authors at 1 institution in 2 countries.

Annelies J M van NulandRadboud University Nijmegen, Donders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging, Nijmegen, The Netherlands.ORCID 0000-0003-1487-1184
Hanneke E M den OudenRadboud University Nijmegen, Donders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging, Nijmegen, The Netherlands.ORCID 0000-0001-7039-5130
Heidemarie ZachRadboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Department of Neurology, Nijmegen, The Netherlands.
Michiel F M DirkxRadboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Department of Neurology, Nijmegen, The Netherlands.
Jack J A van AstenRadboud University Medical Centre, Department of Radiology and Nuclear Medicine, Nijmegen, The Netherlands.
Tom W J ScheenenRadboud University Medical Centre, Department of Radiology and Nuclear Medicine, Nijmegen, The Netherlands.
Ivan ToniRadboud University Nijmegen, Donders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging, Nijmegen, The Netherlands.ORCID 0000-0003-0936-3601
Roshan CoolsRadboud University Nijmegen, Donders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging, Nijmegen, The Netherlands.ORCID 0000-0001-8994-5534
Rick C HelmichRadboud University Nijmegen, Donders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging, Nijmegen, The Netherlands.ORCID 0000-0003-4035-6573
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Parkinson's disease is characterized by bradykinesia, rigidity, and tremor. These symptoms have been related to an increased gamma-aminobutyric acid (GABA)ergic inhibitory drive from globus pallidus onto the thalamus. However, in vivo empirical evidence for the role of GABA in Parkinson's disease is limited. Some discrepancies in the literature may be explained by the presence or absence of tremor. Specifically, recent functional magnetic resonance imaging (fMRI) findings suggest that Parkinson's tremor is associated with reduced, dopamine-dependent thalamic inhibition. Here, we tested the hypothesis that GABA in the thalamocortical motor circuit is increased in Parkinson's disease, and we explored differences between clinical phenotypes. We included 60 Parkinson patients with dopamine-resistant tremor (n = 17), dopamine-responsive tremor (n = 23), or no tremor (n = 20), and healthy controls (n = 22). Using magnetic resonance spectroscopy, we measured GABA-to-total-creatine ratio in motor cortex, thalamus, and a control region (visual cortex) on two separate days (ON and OFF dopaminergic medication). GABA levels were unaltered by Parkinson's disease, clinical phenotype, or medication. However, motor cortex GABA levels were inversely correlated with disease severity, particularly rigidity and tremor, both ON and OFF medication. We conclude that cortical GABA plays a beneficial rather than a detrimental role in Parkinson's disease, and that GABA depletion may contribute to increased motor symptom expression.

Indexed as

AgedCreatineDopamine AgentsFemalegamma-Aminobutyric AcidHumansMagnetic Resonance SpectroscopyMaleMiddle AgedMotor CortexMuscle RigidityNerve NetParkinson DiseaseThalamusTremorCreatineDopamine Agentsgamma-Aminobutyric Aciddopaminegamma-aminobutyric acidmagnetic resonance spectroscopymotor cortexParkinson diseasethalamustremor

Identifiers

PMID31721369
PMCPMC7267977
OpenAlexW2986117264

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.