The neural substrates of rapid-onset Dystonia-Parkinsonism.

TitleThe neural substrates of rapid-onset Dystonia-Parkinsonism.
Publication TypeJournal Article
Year of Publication2011
AuthorsD Calderon P, Fremont R, Kraenzlin F, Khodakhah K
JournalNat Neurosci
Volume14
Issue3
Pagination357-65
Date Published2011 Mar
ISSN1546-1726
KeywordsAnimals, Basal Ganglia, Cerebellum, Disease Models, Animal, Dystonic Disorders, Electroencephalography, Enzyme Inhibitors, Humans, Mice, Motor Activity, Neural Pathways, Neurons, Ouabain, Posture, Sodium-Potassium-Exchanging ATPase, Stress, Physiological
Abstract

Although dystonias are a common group of movement disorders, the mechanisms by which brain dysfunction results in dystonia are not understood. Rapid-onset Dystonia-Parkinsonism (RDP) is a hereditary dystonia caused by mutations in the ATP1A3 gene. Affected individuals can be free of symptoms for years, but rapidly develop persistent dystonia and Parkinsonism-like symptoms after a stressful experience. Using a mouse model, we found that an adverse interaction between the cerebellum and basal ganglia can account for the symptoms of these individuals. The primary instigator of dystonia was the cerebellum, whose aberrant activity altered basal ganglia function, which in turn caused dystonia. This adverse interaction between the cerebellum and basal ganglia was mediated through a di-synaptic thalamic pathway that, when severed, alleviated dystonia. Our results provide a unifying hypothesis for the involvement of cerebellum and basal ganglia in the generation of dystonia and suggest therapeutic strategies for the treatment of RDP.

DOI10.1038/nn.2753
Alternate JournalNat Neurosci
PubMed ID21297628
PubMed Central IDPMC3430603
Grant ListR01 NS058949 / NS / NINDS NIH HHS / United States
R21 NS054251 / NS / NINDS NIH HHS / United States
NS054251 / NS / NINDS NIH HHS / United States
R01 NS050808 / NS / NINDS NIH HHS / United States
R01 NS063227 / NS / NINDS NIH HHS / United States
NS063227 / NS / NINDS NIH HHS / United States
S10 RR027888 / RR / NCRR NIH HHS / United States
T32 GM007288 / GM / NIGMS NIH HHS / United States
NS058949 / NS / NINDS NIH HHS / United States