Evidence map›Paper›PMID 33652130›Full record

ArticleBrain stimulation

Deep brain stimulation of midbrain locomotor circuits in the freely moving pig.

Stephano J Chang, Andrea J Santamaria, Francisco J Sanchez, Luz M Villamil, Pedro Pinheiro Saraiva, Francisco Benavides, Yohjans Nunez-Gomez, Juan P Solano, Ioan Opris, James D Guest and 1 more

Open access · goldAbstract 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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.2field-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

19 citing papers in PubMed, 43 citations in OpenAlex.

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  6. The Mesencephalic Locomotor Region: Multiple Cell Types, Multiple Behavioral Roles, and Multiple Implications for Disease.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2024
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  14. Cholinergic Modulation of Locomotor Circuits in Vertebrates.International journal of molecular sciences · 2022
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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

11 authors at 2 institutions in 2 countries.

Stephano J ChangNeuroscience Graduate Program, University of Miami Miller School of Medicine, Miami, FL, USA; The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA; Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada.
Andrea J SantamariaThe Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA.
Francisco J SanchezThe Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA.
Luz M VillamilThe Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA.
Pedro Pinheiro SaraivaThe Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA.
Francisco BenavidesThe Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA.
Yohjans Nunez-GomezDepartment of Pediatric Critical Care, University of Miami Miller School of Medicine, Miami, FL, USA.
Juan P SolanoDepartment of Pediatric Critical Care, University of Miami Miller School of Medicine, Miami, FL, USA.
Ioan OprisThe Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA.
James D GuestNeuroscience Graduate Program, University of Miami Miller School of Medicine, Miami, FL, USA; The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Brian R NogaNeuroscience Graduate Program, University of Miami Miller School of Medicine, Miami, FL, USA; The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. Electronic address: bnoga@miami.edu.
University of Miami · USUniversity of British Columbia · CA

Funding

Gait ignition after SCIR01NS089972 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI GUEST, JAMES DAVID, NOGA, BRIAN RONALD · 2015 to 2019
$2.4M
Olympus VS120 Fluorescence and Brightfield Slide Scanner for High-Throughput Image Acquisition at the University of MiamiS10OD023579 · OD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI MENDEZ, ARMANDO J · 2017 to 2017
$223k
NIH HHS S10 OD023579NINDS NIH HHS R01 NS089972
6 · The paper itself

Abstract

backgroundDeep brain stimulation (DBS) of the mesencephalic locomotor region (MLR) has been studied as a therapeutic target in rodent models of stroke, parkinsonism, and spinal cord injury. Clinical DBS trials have targeted the closely related pedunculopontine nucleus in patients with Parkinson's disease as a therapy for gait dysfunction, with mixed reported outcomes. Recent studies suggest that optimizing the MLR target could improve its effectiveness.

objectiveWe sought to determine if stereotaxic targeting and DBS in the midbrain of the pig, in a region anatomically similar to that previously identified as the MLR in other species, could initiate and modulate ongoing locomotion, as a step towards generating a large animal neuromodulation model of gait.

methodsWe implanted Medtronic 3389 electrodes into putative MLR structures in Yucatan micropigs to characterize the locomotor effects of acute DBS in this region, using EMG recordings, joint kinematics, and speed measurements on a manual treadmill.

resultsMLR DBS initiated and augmented locomotion in freely moving micropigs. Effective locomotor sites centered around the cuneiform nucleus and stimulation frequency controlled locomotor speed and stepping frequency. Off-target stimulation evoked defensive and aversive behaviors that precluded locomotion in the animals.

conclusionPigs appear to have an MLR and can be used to model neuromodulation of this gait-promoting center. These results indicate that the pig is a useful model to guide future clinical studies for optimizing MLR DBS in cases of gait deficiencies associated with such conditions as Parkinson's disease, spinal cord injury, or stroke.

Indexed as

Deep Brain StimulationParkinson DiseaseAnimalsGaitHumansLocomotionMesencephalonSwineCuneiform nucleusDeep brain stimulationDefensive behaviorLocomotionMesencephalic locomotor regionPig

Identifiers

PMID33652130
PMCPMC9097921
OpenAlexW3134475547

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.