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Differential modulation of movement speed with state-dependent deep brain stimulation in Parkinson’s disease

Subthalamic deep brain stimulation (STN-DBS) provides unprecedented spatiotemporal precision for the treatment of Parkinson’s disease (PD), allowing for direct real-time state-specific adjustments. Inspired by findings from optogenetic stimulation in mice, we hypothesized that STN-DBS can mimic dopa...

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Hauptverfasser: Cavallo, Alessia (VerfasserIn) , Köhler, Richard M. (VerfasserIn) , Busch, Johannes L. (VerfasserIn) , Habets, Jeroen G. V. (VerfasserIn) , Merk, Timon (VerfasserIn) , Zvarova, Patricia (VerfasserIn) , Vanhoecke, Jojo (VerfasserIn) , Binns, Thomas S. (VerfasserIn) , Al-Fatly, Bassam (VerfasserIn) , de Almeida Marcelino, Ana Luisa (VerfasserIn) , Darcy, Natasha (VerfasserIn) , Schneider, Gerd-Helge (VerfasserIn) , Krause, Patricia (VerfasserIn) , Horn, Andreas (VerfasserIn) , Faust, Katharina (VerfasserIn) , Herz, Damian (VerfasserIn) , Yttri, Eric (VerfasserIn) , Cagnan, Hayriye (VerfasserIn) , Kühn, Andrea A. (VerfasserIn) , Neumann, Wolf-Julian (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: September 12, 2025
In: Science advances
Year: 2025, Jahrgang: 11, Heft: 37, Pages: 1-14
ISSN:2375-2548
DOI:10.1126/sciadv.adx6849
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1126/sciadv.adx6849
Verlag, kostenfrei, Volltext: https://www.science.org/doi/10.1126/sciadv.adx6849
Volltext
Verfasserangaben:Alessia Cavallo, Richard M. Köhler, Johannes L. Busch, Jeroen G.V. Habets, Timon Merk, Patricia Zvarova, Jojo Vanhoecke, Thomas S. Binns, Bassam Al-Fatly, Ana Luisa de Almeida Marcelino, Natasha Darcy, Gerd-Helge Schneider, Patricia Krause, Andreas Horn, Katharina Faust, Damian M. Herz, Eric Yttri, Hayriye Cagnan, Andrea A. Kühn, Wolf-Julian Neumann
Beschreibung
Zusammenfassung:Subthalamic deep brain stimulation (STN-DBS) provides unprecedented spatiotemporal precision for the treatment of Parkinson’s disease (PD), allowing for direct real-time state-specific adjustments. Inspired by findings from optogenetic stimulation in mice, we hypothesized that STN-DBS can mimic dopaminergic reinforcement of ongoing movement kinematics during stimulation. To investigate this hypothesis, we delivered DBS bursts during particularly fast and slow movements in 24 patients with PD. Our findings reveal that DBS during fast movements enhanced future movement speed more than DBS during slow movements, raising movement speed to the level of healthy controls. To understand which brain circuits mediate this neurophysiological mechanism, we investigated the behavioral effects using magnetic resonance imaging connectomics and motor cortex electrocorticography. Last, we demonstrate that machine learning-based brain signal decoding can be used to predict continuous movement speed for fully embedded state-dependent closed-loop algorithms. Our findings provide important evidence for reinforcement-based DBS circuit mechanisms that may inspire previously unexplored treatment avenues for dopaminergic disorders.
Beschreibung:Gesehen am 03.02.2026
Beschreibung:Online Resource
ISSN:2375-2548
DOI:10.1126/sciadv.adx6849

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