Evidence map›Paper›PMID 32919091›Full record

ArticleBrain stimulation

Deep brain stimulation of terminating axons.

Kelsey L Bower, Cameron C McIntyre

Abstract read
In one paragraph

Article in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
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

27 citing papers in PubMed.

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  8. A survey on integral equations for bioelectric modeling.Physics in medicine and biology · 2024
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  9. Review
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  12. Advances in Deep Brain Stimulation: From Mechanisms to Applications.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Review
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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

2 authors.

Kelsey L BowerDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA.
Cameron C McIntyreDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA. Electronic address: ccm4@case.edu.

Funding

Pathway targeted deep brain stimulation for Parkinson's diseaseR01NS085188 · NINDS · UNIVERSITY OF MINNESOTA · PI HAREL, NOAM, MCINTYRE, CAMERON · 2013 to 2017
$3.4M
Understanding the effects of deep brain stimulation on cortical processingR01NS086100 · NINDS · CLEVELAND CLINIC LERNER COM-CWRU · PI MCINTYRE, CAMERON, TAYLOR, DAWN MARIE · 2014 to 2018
$2.2M
Computational Models of Deep Brain Stimulation of the Cerebellothalamic and Subthalamopallidal PathwaysF31NS098696 · NINDS · CASE WESTERN RESERVE UNIVERSITY · PI BOWER, KELSEY · 2016 to 2020
$223k
NINDS NIH HHS F31 NS098696NINDS NIH HHS R01 NS085188NINDS NIH HHS R01 NS086100
6 · The paper itself

Abstract

backgroundDeep brain stimulation (DBS) of the subthalamic region is an established treatment for the motor symptoms of Parkinson's disease. Several types of neural elements reside in the subthalamic region, including subthalamic nucleus (STN) neurons, fibers of passage, and terminating afferents. Recent studies suggest that direct activation of a specific population of subthalamic afferents, known as the hyperdirect pathway, may be responsible for some of the therapeutic effects of subthalamic DBS.

objectiveThe goal of this study was to quantify how axon termination affects neural excitability from DBS. We evaluated how adjusting different stimulation parameters influenced the relative excitability of terminating axons (TAs) compared to fibers of passage (FOPs).

methodsWe used finite element electric field models of DBS, coupled to multi-compartment cable models of axons, to calculate activation thresholds for populations of TAs and FOPs. These generalized models were used to evaluate the response to anodic vs. cathodic stimulation, with short vs. long stimulus pulses.

resultsTerminating axons generally exhibited lower thresholds than fibers of passage across all tested parameters. Short pulse widths accentuated the relative excitability of TAs over FOPs. CONCLUSION(S): Our computational results demonstrate a hyperexcitability of terminating axons to DBS that is robust to variation in the stimulation parameters, as well as the axon model parameters.

Indexed as

Electrodes, ImplantedAxonsDeep Brain StimulationHumansNeuronsParkinson DiseaseSubthalamic NucleusAfferent inputsAnodicCathodicHyperdirect pathwaySubthalamic nucleus

Identifiers

PMID32919091
PMCPMC7722159

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Registered trials

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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.