High frequency stimulation of the subthalamic nucleus leads to presynaptic GABA(B)-dependent depression of subthalamo-nigral afferents

PLoS One. 2013 Dec 23;8(12):e82191. doi: 10.1371/journal.pone.0082191. eCollection 2013.

Abstract

Patients with akinesia benefit from chronic high frequency stimulation (HFS) of the subthalamic nucleus (STN). Among the mechanisms contributing to the therapeutic success of HFS-STN might be a suppression of activity in the output region of the basal ganglia. Indeed, recordings in the substantia nigra pars reticulata (SNr) of fully adult mice revealed that HFS-STN consistently produced a reduction of compound glutamatergic excitatory postsynaptic currents at a time when the tetrodotoxin-sensitive components of the local field potentials had already recovered after the high frequency activation. These observations suggest that HFS-STN not only alters action potential conduction on the way towards the SNr but also modifies synaptic transmission within the SNr. A classical conditioning-test paradigm was then designed to better separate the causes from the indicators of synaptic depression. A bipolar platinum-iridium macroelectrode delivered conditioning HFS trains to a larger group of fibers in the STN, while a separate high-ohmic glass micropipette in the rostral SNr provided test stimuli at minimal intensity to single fibers. The conditioning-test interval was set to 100 ms, i.e. the time required to recover the excitability of subthalamo-nigral axons after HFS-STN. The continuity of STN axons passing from the conditioning to the test sites was examined by an action potential occlusion test. About two thirds of the subthalamo-nigral afferents were occlusion-negative, i.e. they were not among the fibers directly activated by the conditioning STN stimulation. Nonetheless, occlusion-negative afferents exhibited signs of presynaptic depression that could be eliminated by blocking GABA(B) receptors with CGP55845 (1 µM). Further analysis of single fiber-activated responses supported the proposal that the heterosynaptic depression of synaptic glutamate release during and after HFS-STN is mainly caused by the tonic release of GABA from co-activated striato-nigral afferents to the SNr. This mechanism would be consistent with a gain-of-function hypothesis of DBS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Action Potentials / physiology
  • Afferent Pathways / drug effects
  • Afferent Pathways / physiology*
  • Animals
  • Conditioning, Psychological
  • Electric Stimulation*
  • Excitatory Postsynaptic Potentials / physiology
  • Glutamic Acid / pharmacology
  • Inhibitory Postsynaptic Potentials / drug effects
  • Ion Channel Gating / drug effects
  • Mice, Inbred C57BL
  • Models, Neurological
  • Neuronal Plasticity / drug effects*
  • Presynaptic Terminals / drug effects
  • Presynaptic Terminals / physiology*
  • Receptors, GABA / metabolism
  • Substantia Nigra / drug effects
  • Substantia Nigra / physiology*
  • Subthalamic Nucleus / drug effects
  • Subthalamic Nucleus / physiology*
  • gamma-Aminobutyric Acid / pharmacology*

Substances

  • Receptors, GABA
  • Glutamic Acid
  • gamma-Aminobutyric Acid

Grants and funding

This work was supported by the German Research Council DFG (Gr986/10-1, Exc 257/1), CHDI foundation (A-4480), and Charité Research Funds. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.