Evidence map›Paper›PMID 38605039›Full record

ArticleNature communications2024

Neural signatures of indirect pathway activity during subthalamic stimulation in Parkinson's disease.

Leon A Steiner, David Crompton, Srdjan Sumarac, Artur Vetkas, Jürgen Germann, Maximilian Scherer, Maria Justich, Alexandre Boutet, Milos R Popovic, Mojgan Hodaie and 7 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Article
  2. Role of the subthalamic nucleus in motor control.Neural regeneration research · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Pallidal Evoked Resonant Neural Activity as a Candidate Biomarker for Deep Brain Stimulation in Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Paired Deep Brain Stimuli Elicit Short-Term Facilitation in Globus Pallidus Interna and Subthalamic Nucleus.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

17 authors.

Leon A SteinerKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada.
David CromptonKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada.
Srdjan SumaracKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada.ORCID http://orcid.org/0000-0002-3840-5957
Artur VetkasKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada.
Jürgen GermannKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada.ORCID http://orcid.org/0000-0003-0995-8226
Maximilian SchererKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada.
Maria JustichKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada.
Alexandre BoutetJoint Department of Medical Imaging, University of Toronto, Toronto, ON, M5G 1×6, Canada.
Milos R PopovicInstitute of Biomedical Engineering, University of Toronto, Toronto, ON, M5S 3G9, Canada.ORCID http://orcid.org/0000-0002-2837-2346
Mojgan HodaieKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada.ORCID http://orcid.org/0000-0001-6278-4929
Suneil K KaliaKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada.
Alfonso FasanoKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada.ORCID http://orcid.org/0000-0001-5346-0180
William D Hutchison WdKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada.
Andres M LozanoKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada.ORCID http://orcid.org/0000-0001-8257-3694
Milad LankaranyKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada.
Andrea A KühnDepartment of Neurology, Charité-Universitätsmedizin Berlin, Berlin, 10117, Germany.ORCID http://orcid.org/0000-0002-4134-9060
Luka MilosevicKrembil Brain Institute, University Health Network, Toronto, ON, M5T 1M8, Canada. luka.milosevic@mail.utoronto.ca.ORCID http://orcid.org/0000-0002-4051-5397

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) 424778381 - TRR 295Fondation Brain Canada (Fondation Neuro Canada) n/aGemeinnützige Hertie-Stiftung (Hertie Foundation) P1230041Gouvernement du Canada | Natural Sciences and Engineering Research Council of Canada (Conseil de Recherches en Sciences Naturelles et en Génie du Canada) RGPIN-202205181
6 · The paper itself

Abstract

Deep brain stimulation (DBS) of the subthalamic nucleus (STN) produces an electrophysiological signature called evoked resonant neural activity (ERNA); a high-frequency oscillation that has been linked to treatment efficacy. However, the single-neuron and synaptic bases of ERNA are unsubstantiated. This study proposes that ERNA is a subcortical neuronal circuit signature of DBS-mediated engagement of the basal ganglia indirect pathway network. In people with Parkinson's disease, we: (i) showed that each peak of the ERNA waveform is associated with temporally-locked neuronal inhibition in the STN; (ii) characterized the temporal dynamics of ERNA; (iii) identified a putative mesocircuit architecture, embedded with empirically-derived synaptic dynamics, that is necessary for the emergence of ERNA in silico; (iv) localized ERNA to the dorsal STN in electrophysiological and normative anatomical space; (v) used patient-wise hotspot locations to assess spatial relevance of ERNA with respect to DBS outcome; and (vi) characterized the local fiber activation profile associated with the derived group-level ERNA hotspot.

Indexed as

Deep Brain StimulationParkinson DiseaseSubthalamic NucleusBasal GangliaHumansNeurons

Identifiers

PMID38605039
PMCPMC11009243

What OpenQuestion holds

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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.