Evidence map›Paper›PMID 40073201›Full record

ArticleBrain : a journal of neurology2025

Modulating inhibitory synaptic plasticity to restore basal ganglia dynamics in Parkinson's disease.

Kiah A Spencer, Alexandra Boogers, Srdjan Sumarac, David B J Crompton, Leon A Steiner, Luka Zivkovic, Yijinmide Buren, Alexandre Boutet, Andres M Lozano, Suneil K Kalia and 3 more

Abstract read
In one paragraph

Article in Brain : a journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
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  6. 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

13 authors.

Kiah A SpencerKrembil Brain Institute, University Health Network, Toronto, ON M5T 1M8, Canada.
Alexandra BoogersKrembil Brain Institute, University Health Network, Toronto, ON M5T 1M8, Canada.
Srdjan SumaracKrembil Brain Institute, University Health Network, Toronto, ON M5T 1M8, Canada.ORCID 0000-0002-3840-5957
David B J CromptonKrembil Brain Institute, University Health Network, Toronto, ON M5T 1M8, Canada.
Leon A SteinerKrembil Brain Institute, University Health Network, Toronto, ON M5T 1M8, Canada.
Luka ZivkovicKrembil Brain Institute, University Health Network, Toronto, ON M5T 1M8, Canada.
Yijinmide BurenKrembil Brain Institute, University Health Network, Toronto, ON M5T 1M8, Canada.
Alexandre BoutetKrembil Brain Institute, University Health Network, Toronto, ON M5T 1M8, Canada.
Andres M LozanoKrembil Brain Institute, University Health Network, Toronto, ON M5T 1M8, Canada.
Suneil K KaliaKrembil Brain Institute, University Health Network, Toronto, ON M5T 1M8, Canada.
William D HutchisonKrembil Brain Institute, University Health Network, Toronto, ON M5T 1M8, Canada.
Alfonso FasanoKrembil Brain Institute, University Health Network, Toronto, ON M5T 1M8, Canada.ORCID 0000-0001-5346-0180
Luka MilosevicKrembil Brain Institute, University Health Network, Toronto, ON M5T 1M8, Canada.ORCID 0000-0002-4051-5397

Funding

CIHR PJT 191880Natural Sciences and Engineering Research Council of Canada RGPIN-2022-05181Parkinson Canada
6 · The paper itself

Abstract

Parkinson's disease is characterized, in part, by hypoactivity of direct pathway inhibitory projections from striatum to the globus pallidus internus (GPi) and indirect pathway inhibitory projections from globus pallidus externus (GPe) to the subthalamic nucleus (STN). In people with Parkinson's disease (n = 32), we explored the potential use of intracranial stimulation for eliciting long-term potentiation (LTP) of these underactive pathways to produce improvement of symptoms that persist beyond stimulation cessation. During GPi deep brain stimulation (DBS) surgery, we found strong evidence (P < 0.05; BF10 > 10) of increased amplitudes of hand movements and striato-GPi evoked potentials before versus after high-frequency microstimulation. In a small sample of outpatients with sensing-enabled GPi-DBS, we found anecdotal evidence (P < 0.10; BF10 > 1) of improved hand movements and attenuated beta frequency oscillations. In STN, enduring behavioural effects, potentiation of GPe-STN projections (intraoperative), and decreases to beta oscillations (extraoperative) were not observed. Our findings support that LTP-like effects in GPi may produce motor improvements that extend beyond stimulation cessation, while the lack of effects in STN suggests the need for optimizing stimulation paradigms for effective LTP induction. These findings nevertheless highlight the potential of LTP-based strategies for sustained therapeutic benefits, which may be useful for mitigating DBS side-effects and optimizing battery usage.

Indexed as

Basal GangliaDeep Brain StimulationNeuronal PlasticityParkinson DiseaseAgedFemaleGlobus PallidusHumansLong-Term PotentiationMaleMiddle AgedSubthalamic Nucleusbasal gangliadeep brain stimulationglobus pallidus internusParkinson’s diseasesubthalamic nucleussynaptic plasticity

Identifiers

PMID40073201
PMCPMC12233548

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.