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2000 Fiscal Year Final Research Report Summary

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
KeywordsDeep brain Stimulation / Globus pallidus / Parkinson's disease / Basal ganglia / Striatum / Movement disorders / Monkey / Therapy
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.

  • Research Products

    (32 results)

All Other

All Publications (32 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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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

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Published: 2002-03-26  

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