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Development of globus pallidus externus stimulation for Parkinson's disease

Research Project

Project/Area Number 10557130
Research Category

Grant-in-Aid for Scientific Research (B).

Allocation TypeSingle-year Grants
Section展開研究
Research Field Cerebral neurosurgery
Research InstitutionKumamoto University

Principal Investigator

GOTO Satoshi  Kumamoto Univ. Hospital Lecturer, 医学部・附属病院, 講師 (50240916)

Co-Investigator(Kenkyū-buntansha) MORIOKA Motohiro  Kumamoto Univ.Hospital Instructor, 医学部・附属病院, 助手 (20295140)
USHIO Yukitaka  Kumamoto Univ.Sch.Med. Professor, 医学部, 教授 (20028583)
Project Period (FY) 1998 – 2000
Project Status Completed (Fiscal Year 2000)
Budget Amount *help
¥6,000,000 (Direct Cost: ¥6,000,000)
Fiscal Year 2000: ¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 1999: ¥1,800,000 (Direct Cost: ¥1,800,000)
Fiscal Year 1998: ¥2,500,000 (Direct Cost: ¥2,500,000)
KeywordsDeep brain Stimulation / Globus pallidus / Parkinson's disease / Basal ganglia / Striatum / Movement disorders / Monkey / Therapy / Basal Ganglia / Movement Disorders / monkey
Research Abstract

In order to produce the primate model of Parkinson's disease (PD), we injected 1-methyl-4-phenyl-1, 2, 3, 6-tetrahydropyridine (MPTP) to Cynomolgus monkeys. For quantitative assessment of parkinsonian symptoms, the Gash's hemi-parkinsonian primate rating scale (Gash's scale) was used. Care of the animals was in accordance with regulations promulgated by the Center for Animal Resources and Development of Kumamoto University. Under general anesthesia, animals received an intermittent administration of MPTP (1.2 mg/kg) per each for several weeks. After 4-8 weeks, the animals developed parkinsonism showing more than 15 points with Gash's scale. Quadripolar deep brain stimulation (DBS) electrodes were then implanted into the globus pallidus using the stereotactic surgical procedures. Electrostimulation of the globus pallidus internus with the parameters (130-160Hz and 90μs) produced significant improvement of parkinsonian signs, as shown in treatment of patients with PD.Stimulation of the globus pallidus externus with the parameters (5Hz and 90-100μs) also alleviated the parkinsonism by reducing 6-7 points of Gash's scale. Postmorten examinations on the two animals showed that there was marked depletion of dopaminergic neurons in the substantia nigra and that the electrodes had been inserted into the globus pallidus.

Report

(4 results)
  • 2000 Annual Research Report   Final Research Report Summary
  • 1999 Annual Research Report
  • 1998 Annual Research Report
  • Research Products

    (53 results)

All Other

All Publications (53 results)

  • [Publications] 後藤恵: "カルシニューリンの構造と細胞機能調節(総説)."蛋白質・核酸・酵素. 43. 1706-1714 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] S.Nagahiro et al.: "Pathophysiology and treatment of cerebral ischemia."J.Med.Invest.. 45. 57-70 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] K.Korematsu,S.Goto: "Cadherin-8 protein expression in gray matter structures and nerve fibers in the neonatal and adult mouse brain."Neuroscience. 87. 303-315 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] K.Korematsu,S.Goto: "Heterogeneity of cadherin-8 expression in the neonatal rat striatum : comparison with the striatal compartments."Exp.Neurol.. 154. 531-536 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] M.Yoshikawa,S.Goto: "Pattern formation of the striatal efferent projections in vitro."Biomed.Res.. 20. 181-186 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] A.Okamura,S.Goto: "Overexpression of striatal enriched phosphatase (STEP) promotes neurite outgrowth induced by cAMP analogue in PC12 cells."Mol.Brain Res.. 67. 1-9 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] S.Nishikawa,S.Goto: "Transient and compartmental expression of the reeler gene product Reelin in the developing rat striatum."Brain Res.. 850. 244-248 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 西川重幸,後藤恵: "両側淡蒼球内節刺激によるMeige症候群の治療経験."機能的脳神経外科. 39. 126-127 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 西川重幸,後藤恵: "片側淡蒼球内節凝固術後のパーキンソン病運動機能の経時的変化."機能的脳神経外科. 39. 62-63 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 西川重幸,後藤恵: "パーキンソン病振戦に対するposterior GPi pallidotomyの効果."機能的脳神経外科. 39. 64-65 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] S.Hasegawa et al.: "Expression of neuron specific phosphatase, striatal enriched phosphatase (STEP) in reactive astrocytes after transient."GLIA. 29. 316-329 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] S.Goto et al.: "Apraxia of lid opening is alleviated by pallidal stimulation in a patient with Parkinson's disease."Eur.J.Neurol.. 7. 337-340 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] M.Kudo,S.Goto et al.: "Bilateral thalamic stimulation for Holmes' tremor caused by unilateral brainstem lesion."Mov.Disord.. 16. 170-174 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] D.Muta,S.Goto et al.: "Bilateral pallidal stimulation for idiopathic segmental axial dystonia advanced from Meige syndrome refractory to thalamotomy."Mov.Disord. 2001. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] S.Goto et al.: "Abolition of post-apoplectic hemichorea by Vo-complex thalamotomy : long-term follow-up study."Mov.Disord. 2001. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] T.Hamasaki,S.Goto et: "Early-generated preplate neurons in the developing telencephalon : Inward migration into the developing striatum."Cerebral Cortex 2001. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] T.Hamasaki,S.Goto: "A role of netrin-1 in the formation of the subcortical structure striatum : Repulsive action on the migration of.."J.Neurosci. 2001. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] S.Goto et al.: "Temporal sequence of response to unilateral GPi pallidotomy of motor symptoms in Parkinson's disease."Stereotact.Funct.Neurosurg.. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] S.Nagahiro, M.Uno, K.Sato, S.Goto, M.Morioka and Y.Ushio.: "Pathophysiology and treatment of cerebral ischemia."J.Med.Invest.. 45. 57-70 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] K.Korematsu, T.Nishi, A.Okamura, S.Goto, M.Morioka, J.Hamada and Y.Ushio.: "Cadherin-8 protein expression in gray matter structures and nerve fibers in the neonatal and adult mouse brain."Neuroscience. 87. 303-315 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] K.Korematsu, S.Goto, A.Okamura and Y.Ushio.: "Heterogeneity of cadherin-8 expression in the neonatal rat striatum : comparison with the striatal compartments."Exp.Neurol.. 154. 531-536 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] M.Yoshikawa, S.Goto, T.Hamasaki, S.Nishikawa and Y.Ushio.: "Pattern formation of the striatal efferent projections in vitro."Biomed.Res.. 20. 181-186 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] A.Okamura, S.Goto, T.Nishi, T.Hamasakiand Y.Ushio.: "Overexpression of striatal enriched phosphatase (STEP) promotes neurite outgrowth induced by a cAMP analogue in PC12 cells."Mol.Brain Res.. 67. 1-9 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] S.Nishikawa, S.Goto, T.Hamasaki, M.Ogawa and Y.Ushio.: "Transient and compartmental expression of the reeler gene product Reelin in the developing rat striatum."Brain Res.. 850. 244-248 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] S.Hasegawa, M.Morioka, S.Goto, K.Korematsu, A.Okamura, S.Yano, Y.Kai and Y.Ushio.: "Expression of neuron specific phosphatase, striatal enriched phosphatase (STEP) in reactive astrocytes after transient forebrain ischemia."GLIA. 29. 316-329 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] S.Goto, K.Kihara, T.Hamasaki, S.Nishikawa, Y.Hirata and Y.Ushio.: "Apraxia of lid opening is alleviated by pallidal stimulation in a patient with Parkinson's disease."Eur.J.Neurol.. 7. 337-340 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] M.Kudo, S.Goto, S.Nishikawa, T.Hamasaki, N.Soyama, S.Mita and Y.Ushio: "Bilateral thalamic stimulation for Holmes' tremor caused by unilateral brainstem lesion"Mov.Disord.. 16. 170-174 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] D.Muta, S.Goto, N.Inoue, S.Nishikawa, T.Hamasaki, S.Mita and Y.Ushio.: "Bilateral pallidal stimulation for idiopathic segmental axial dystonia advanced from Meige syndrome refractory to bilateral thalamotomy"Mov.Disord.. (in press). (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] S.Goto, N.Kunitoku, T.Hamasaki, S.Nishikawa and Y.Ushio.: "Abolition of post-apoplectic hemichorea by Vo-complex thalamotomy : long-term follow-up study."Mov.Disord.. (in press). (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] T.Hamasaki, S.Goto, S.Nishikawa and Y.Ushio.: "Early-generated preplate neurons in the developing telencephalon : Inward migration into the developing striatum."Cerebral Cortex. (in press). (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] T.Hamasaki, S.Goto, S.Nishikawa and Y.Ushio.: "A role of netrin-1 in the formation of the subcortical structure striatum : Repulsive action on the migration of late-born striatal neurons"J.Neurosci.. (in press). (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] S.Goto, T,Hamasaki, S.Nishikawa, A.Okamura, M.Yoshikawa, K.Yamada, S.Mita and Y.Ushio.: "Temporal sequence of response to unilateral GPi pallidotomy of motor symptoms in Parkinson's disease."Stereotact.Funct.Neurosurg.. (in press). (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] S.Goto et al.: "Apraxia of lid opening is alleviated by pallidal stimulation in a patient with Parkinson's disease."Europ.J.Neurol.. 7. 337-340 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] S.Hasegawa,M.Morioka,S.Goto et al.: "Expression of neuron specific phosphatase, striatal enriched phosphatase (STEP) in reactive astrocytes."Glia. 29. 316-329 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] S.Nishikawa,S.Goto et al.: "Temporal sequence of response to unilateral GPi pallidotomy of motor symptoms in Parkinson's disease."Functional Neurosurgery. 39. 62-63 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] S.Nishikawa,S.Goto et al.: "Impact of GPi pallidotomy on tremor in Parkinson's disease."Functional Neurosurgery. 39. 64-65 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] S.Nishikawa,S.Goto et al.: "Bilateral globus pallidus internus stimulation for Meige syndrome."Functional Neurosurgery. 39. 126-127 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] M.Kudo,S.Goto, et al.: "Bilateral thalamic stimulation for Holmes' tremor caused by unilateral brain stem lesion."Movement Disorders. 16. 170-174 (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] D.Muta,S.Goto et al.: "Bilateral pallidal stimulation for idiopathic segmental axial dystonia advanced from Meiqe syndrome..."Movement Disorders. (in press).

    • Related Report
      2000 Annual Research Report
  • [Publications] S.Goto et al.: "Abolition of post-apoplectic hemichorea by Vo-complex thalamotomy : long-term follow-up study."Movement Disorders. (in press).

    • Related Report
      2000 Annual Research Report
  • [Publications] T.Hamasaki,S.Goto et al.: "Early-generated preplate neurone in the developing telencephalon : Inward miqration into the striatum."Cerebral Cortex. (in press).

    • Related Report
      2000 Annual Research Report
  • [Publications] T.Hamasaki,S.Goto, et al.: "A role of netrin-1 in the development of the subcortical structure striatum : Repulsive action"J.Neurosci.. (in press).

    • Related Report
      2000 Annual Research Report
  • [Publications] Goto S,et al.: "Apraxia of lid opening is alleviated by pallidal stimulation in a patient with Parkinson's disease."Eur. J. Neurol.. (in press).

    • Related Report
      1999 Annual Research Report
  • [Publications] Hasegawa S,Morioka M,Goto S.: "Expression of neuron specific phosphatase, striatal enriched phosphatase (STEP) in..."GLIA. 29. 316-329 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] Nishikawa S,Goto S,et al.: "Transient and compartmental expression of the reeler gene product Reelin in the developing rat striatum."Brain Res.. 850. 244-248 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Okamura A,Goto S,et al.: "Over expression of striatal enriched phosphatase (STEP) promotes neurite outgrowth induced by..."Molec. Brain Res.. 67. 1-9 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Yoshikawa M,Goto S.,et al: "Pattern formation of the striatal efferent projection in vitro."Biomed. Res.. 20. 181-186 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Goto, S, et al.: "Globus pallidus pallidus internus deep brain stimulation markedly alle-viates apraxia of lid opening as well as qait freezing.." Neurology. (in press).

    • Related Report
      1998 Annual Research Report
  • [Publications] Yoshikawa M, Goto S, et al.: "Neurotoxicity evoked by NMDA in the organotypic static slice cultures of rat cerebrocortices." Acta Neuropathologica. 95. 592-596 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Korematsu K, Goto S: "Heterogeneity of cadherin-8 expression in the neonatal rat striatum : Comparison with the striatal compartments." Experimental Neurology. 154. 531-536 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Korematsu K. et al.: "Cadherin-8 protein expression in gray matter structures and nerve fibers in the neonatal and adult mouse brain." Neuroscience. 87. 303-315 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Okamura A, Goto S, et: "Overexpression of striatal enriched phosphatase promotes neurite outgrowth induced by a cAMP analogue in PC12 cells" Molecular Brain Research. (in press).

    • Related Report
      1998 Annual Research Report
  • [Publications] 後藤 恵: "カルツニューリンの構造と細胞機能調節" 蛋白質・核酸・酵素. 43. 1706-1714 (1998)

    • Related Report
      1998 Annual Research Report

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Published: 1998-04-01   Modified: 2016-04-21  

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