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Subthalamic Beta Burst Dynamics Differs for Parkinson’s Disease Phenotypes

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XXVII Brazilian Congress on Biomedical Engineering (CBEB 2020)

Part of the book series: IFMBE Proceedings ((IFMBE,volume 83))

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Abstract

Parkinson’s Disease (PD) is a neurodegenerative illness associated with dopaminergic loss in the basal ganglia circuit which can lead to heterogeneous motor symptoms such as tremor, rigidity and bradykinesia. The electrophysiological phenomena underlying these symptoms  is not completely understood, which imposes a major challenge for designing customized and more efficient Deep Brain Stimulation (DBS) protocols to match patients’ specificities and needs. Recently, it has been shown that elevated and prolonged beta (13–35 Hz) oscillations (i.e. beta bursts) from the subthalamic nucleus (STN) are associated with motor impairment in PD. Furthermore, motor improvement induced by pharmacological treatment relates to attenuation of intermittent beta activity. This work aims to analyze beta burst dynamics of two phenotypes of PD patients—the tremor dominant (TD) and the postural instability and gait difficulty (PIGD)—to better understand how features of beta oscillations correlate with the motor symptoms in such different PD’s categories. Through a wavelet analysis of 35 LFPs recorded in the sensorimotor portion of the STN from 15 TD and 20 PIGD patients, we show that PIGD patients exhibit longer beta bursts, while TD patients exhibit higher beta burst probability and an inverse significant correlation of burst duration with the rigidity score. These findings may provide critical markers for characterizing the electrophysiological mechanism underlying PD phenotypes and their symptoms, as also contribute to more efficient and customized DBS strategies.

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References

  1. Brown P, Oliviero A, Mazzone P, Insola A, Tonali P, Di Lazzaro V (2001) Dopamine dependency of oscillations between subthalamic nucleus and pallidum in Parkinson’s disease. J Neurosci 21(3):1033–1038

    Article  Google Scholar 

  2. Canessa A, Pozzi NG, Arnulfo G, Brumberg J, Reich MM, Pezzoli G et al (2016) Striatal dopaminergic innervation regulates subthalamic beta-oscillations and cortical-subcortical coupling during movements: Preliminary evidence in subjects with Parkinson’s disease. Front Hum Neurosci. https://doi.org/10.3389/fnhum.2016.00611

    Article  Google Scholar 

  3. Stebbins GT, Goetz CG, Burn DJ, Jankovic J, Khoo TK, Tilley TC (2013) How to identify tremor dominant and postural instability/ gait difficulty groups with the movement disorder society unified Parkinson’s disease rating scale: Comparison with the unified Parkinson’s disease rating scale. Mov Disord 28(5):668–670

    Article  Google Scholar 

  4. Kühn AA, Kupsch A, Schneider GH, Brown P (2006) Reduction in subthalamic 8–35 Hz oscillatory activity correlates with clinical improvement in Parkinson’s disease. Eur J Neurosci 23:1956–1960

    Article  Google Scholar 

  5. Kühn AA, Tsui A, Aziz T, Ray N, Brücke C, Kupsch A et al (2009) Pathological synchronisation in the subthalamic nucleus of patients with Parkinson’s disease relates to both bradykinesia and rigidity. Exp Neurol 215:380–387

    Article  Google Scholar 

  6. Salat D, Tolosa E (2013) Levodopa in the treatment of Parkinson’s disease: Current status and new developments. J Parkinson’s Dis 3:255–269

    Article  Google Scholar 

  7. Godinho F, Thobois S, Magnin M, Guenot M, Polo G, Benatru I et al (2006) Subthalamic nucleus stimulation in Parkinson’s disease: anatomical and electrophysiological localization of active contacts. J Neurol 253:1347–1355

    Article  Google Scholar 

  8. Wingeier B, Tcheng T, Koop MM, Hill BC, Heit G, Bronte-Stewart HM (2006). Intra-operative STN DBS attenuates the prominent beta rhythm in the STN in Parkinson’s disease. Exp Neurol.;

    Google Scholar 

  9. Rosa M, Arlotti M, Ardolino G, Cogiamanian F, Marceglia S, Di Fonzo A et al (2015) Adaptive deep brain stimulation in a freely moving parkinsonian patient. Mov Disord 30:1003–1005

    Article  Google Scholar 

  10. Little S, Pogosyan A, Neal S, Zavala B, Zrinzo L, Hariz M et al (2013) Adaptive deep brain stimulation in advanced Parkinson disease. Ann Neurol. 74:449–457

    Article  Google Scholar 

  11. Rosa M, Arlotti M, Marceglia S, Cogiamanian F, Ardolino G, Di FA et al (2017) Adaptive deep brain stimulation controls levodopa-induced side effects in Parkinsonian patients. Mov Disord 32:628–629

    Article  Google Scholar 

  12. Velisar A, Syrkin-Nikolau J, Blumenfeld Z, Trager MH, Afzal MF, Prabhakar V et al (2019) Dual threshold neural closed loop deep brain stimulation in Parkinson disease patients. Brain Stimul. 12:868–876

    Article  Google Scholar 

  13. Quinn EJ, Blumenfeld Z, Velisar A, Koop MM, Shreve LA, Trager MH et al (2015) Beta oscillations in freely moving Parkinson’s subjects are attenuated during deep brain stimulation. Mov Disord. 30:1750–1758

    Article  Google Scholar 

  14. Telkes I, Viswanathan A, Jimenez-Shahed J, Abosch A, Ozturk M, Gupte A et al (2018) Local field potentials of subthalamic nucleus contain electrophysiological footprints of motor subtypes of Parkinson’s disease. Proc Natl Acad Sci U S a. 36:E8567–E8576

    Google Scholar 

  15. Baldi JB, Bianqueti BL, Fim Neto A, Almeida TP, Yoneyama T, Rocha MS, Soriano DC, Godinho F (2019) Rest and active arm movement classification based on subthalamic nucleus LFPs for Parkinson's disease subtypes. SIIM 2019

    Google Scholar 

  16. Bianqueti BL, Baldi, JB, Fim Neto A, Almeida TP, Yoneyama T, Rocha MS, Soriano DC, Godinho F (2019) Distinct Parkinson's disease symptoms relates to different LFP frequency bands. SIIM 2019

    Google Scholar 

  17. Tinkhauser G, Pogosyan A, Little S, Beudel M, Herz DM, Tan H et al (2017) The modulatory effect of adaptive deep brain stimulation on beta bursts in Parkinson’s disease. Brain 140:1053–1067

    Article  Google Scholar 

  18. Tinkhauser G, Pogosyan A, Tan H, Herz DM, Kühn AA, Brown P (2017) Beta burst dynamics in Parkinson’s disease off and on dopaminergic medication. Brain 140:2968–2981

    Article  Google Scholar 

  19. Lofredi R, Tan H, Neumann WJ, Yeh CH, Schneider GH, Kühn AA et al (2019) Beta bursts during continuous movements accompany the velocity decrement in Parkinson’s disease patients. Neurobiol Dis. 127:462–471

    Article  Google Scholar 

  20. Moraud EM, Tinkhauser G, Agrawal M, Brown P, Bogacz R (2018) Predicting beta bursts from local field potentials to improve closed-loop DBS paradigms in Parkinson’s patients. Proc Ann Int Conf IEEE Eng Med Biol Soc EMBS 978:5386–3646

    Google Scholar 

  21. van Wijk BCM, Beudel M, Jha A, Oswal A, Foltynie T, Hariz MI et al (2016) Subthalamic nucleus phase-amplitude coupling correlates with motor impairment in Parkinson’s disease. Clin Neurophysiol. 127:2010–2019

    Article  Google Scholar 

  22. Litvak V, Jha A, Eusebio A, Oostenveld R, Foltynie T, Limousin P et al (2011) Resting oscillatory cortico-subthalamic connectivity in patients with Parkinson’s disease. Brain 134:359–374

    Article  Google Scholar 

  23. Oswal A, Brown P, Litvak V (2013) Synchronized neural oscillations and the pathophysiology of Parkinson’s disease. Curr Opin Neurol 26:662–670

    Article  Google Scholar 

  24. Jankovic J, Carter J, Gauthier S, Goetz C, Golbe L, Huber S et al (1990) Variable expression of Parkinson’s disease: a base-line analysis of the DATATOP cohort Parkinson Study Group. Neurology 40:1529–1534

    Article  Google Scholar 

  25. Theodoridis S, Pikrakis A, Koutroumbas K, Cavouras D (2010) Introduction to pattern recognition: a matlab approach. A Matlab Approach, Introduction to Pattern Recognition

    Google Scholar 

  26. Eisinger RS, Cagle JN, Opri E, Alcantara J, Cernera S, Foote KD et al (2020) Parkinsonian beta dynamics during rest and movement in the dorsal pallidum and subthalamic nucleus. J Neurosci. 40:2859–2867

    Article  Google Scholar 

  27. Schmidt SL, Peters JJ, Turner DA, Grill WM (2020) Continuous deep brain stimulation of the subthalamic nucleus may not modulate beta bursts in patients with Parkinson’s disease. Brain Stimul 13:433–443

    Article  Google Scholar 

  28. Fim Neto A, Baldi JB, Bianqueti BL, Almeida TP, Yoneyama T, Rocha MS, Godinho F, Soriano DC (2020) Estimation of beta burst durations from subthalamic nucleus local field potentials in Parkinson’s disease through hilbert and continuous wavelets transforms. 8th Latin American conference on biomedical engineering and the 42nd national conference on biomedical engineering, CLAIB-CNIB 2019. IFMBE Proceedings

    Google Scholar 

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Acknowledgements

Acknowledgments to Federal University of ABC and Santa Marcelina Hospital for providing the resources and contributing for developing this project and also to FAPESP (2018/14283-8, 2018/14285-0, 2019/09512-0, 2017/00319-8), CNPq (117659/2018-5), Capes (2019/1814368), BRAINN (2013/07559-3) and FINEP (n. 01.16.0067.00) for financial support.

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Fim Neto, A. et al. (2022). Subthalamic Beta Burst Dynamics Differs for Parkinson’s Disease Phenotypes. In: Bastos-Filho, T.F., de Oliveira Caldeira, E.M., Frizera-Neto, A. (eds) XXVII Brazilian Congress on Biomedical Engineering. CBEB 2020. IFMBE Proceedings, vol 83. Springer, Cham. https://doi.org/10.1007/978-3-030-70601-2_325

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  • DOI: https://doi.org/10.1007/978-3-030-70601-2_325

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  • Online ISBN: 978-3-030-70601-2

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