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Therapeutic approaches targeting seizure networks. 针对癫痫发作网络的治疗方法。
Pub Date : 2024-08-07 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1441983
Jenna Langbein, Ujwal Boddeti, Matthew Kreinbrink, Ziam Khan, Ihika Rampalli, Muzna Bachani, Alexander Ksendzovsky

Epilepsy is one of the most common neurological disorders, affecting over 65 million people worldwide. Despite medical management with anti-seizure medications (ASMs), many patients fail to achieve seizure freedom, with over one-third of patients having drug-resistant epilepsy (DRE). Even with surgical management through resective surgery and/or neuromodulatory interventions, over 50 % of patients continue to experience refractory seizures within a year of surgery. Over the past 2 decades, studies have increasingly suggested that treatment failure is likely driven by untreated components of a pathological seizure network, a shift in the classical understanding of epilepsy as a focal disorder. However, this shift in thinking has yet to translate to improved treatments and seizure outcomes in patients. Here, we present a narrative review discussing the process of surgical epilepsy management. We explore current surgical interventions and hypothesized mechanisms behind treatment failure, highlighting evidence of pathologic seizure networks. Finally, we conclude by discussing how the network theory may inform surgical management, guiding the identification and targeting of more appropriate surgical regions. Ultimately, we believe that adapting current surgical practices and neuromodulatory interventions towards targeting seizure networks offers new therapeutic strategies that may improve seizure outcomes in patients suffering from DRE.

癫痫是最常见的神经系统疾病之一,影响着全球 6500 多万人。尽管使用抗癫痫药物(ASMs)进行内科治疗,但许多患者仍无法摆脱癫痫发作,超过三分之一的患者患有耐药性癫痫(DRE)。即使通过切除手术和/或神经调节干预进行手术治疗,50% 以上的患者在术后一年内仍会出现难治性癫痫发作。在过去的 20 年中,越来越多的研究表明,治疗失败很可能是由病理发作网络中未经治疗的成分导致的,这改变了人们对癫痫是一种局灶性疾病的传统认识。然而,这种思维方式的转变尚未转化为治疗方法的改进和患者发作结果的改善。在此,我们将对癫痫外科治疗过程进行叙述性回顾。我们探讨了当前的手术干预措施和治疗失败背后的假设机制,并强调了病理发作网络的证据。最后,我们讨论了网络理论如何为手术管理提供信息,指导识别和定位更合适的手术区域。最终,我们认为,调整当前的手术方法和神经调节干预措施,以癫痫发作网络为目标,可提供新的治疗策略,从而改善 DRE 患者的癫痫发作预后。
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引用次数: 0
The network is more important than the node: stereo-EEG evidence of neurocognitive networks in epilepsy 网络比节点更重要:癫痫患者神经认知网络的立体电子脑电图证据
Pub Date : 2024-07-24 DOI: 10.3389/fnetp.2024.1424004
Nicholas W. G. Murray, Anthony C. Kneebone, Petra L. Graham, Chong H. Wong, Greg Savage, Lisa Gillinder, Michael W. K. Fong
Neuropsychological assessment forms an integral part of the presurgical evaluation for patients with medically refractory focal epilepsy. Our understanding of cognitive impairment in epilepsy is based on seminal lesional studies that have demonstrated important structure-function relationships within the brain. However, a growing body of literature demonstrating heterogeneity in the cognitive profiles of patients with focal epilepsy (e.g., temporal lobe epilepsy; TLE) has led researchers to speculate that cognition may be impacted by regions outside the seizure onset zone, such as those involved in the interictal or “irritative” network.Neuropsychological data from 48 patients who underwent stereoelectroencephalography (SEEG) monitoring between 2012 and 2023 were reviewed. Patients were categorized based on the site of seizure onset, as well as their irritative network, to determine the impact of wider network activity on cognition. Neuropsychological data were compared with normative standards (i.e., z = 0), and between groups.There were very few distinguishing cognitive features between patients when categorized based purely on the seizure onset zone (i.e., frontal lobe vs. temporal lobe epilepsy). In contrast, patients with localized irritative networks (i.e., frontal or temporal interictal epileptiform discharges [IEDs]) demonstrated more circumscribed profiles of impairment compared with those demonstrating wider irritative networks (i.e., frontotemporal IEDs). Furthermore, the directionality of propagation within the irritative network was found to influence the manifestations of cognitive impairment.The findings suggest that neuropsychological assessment is sensitive to network activity beyond the site of seizure onset. As such, an overly focal interpretation may not accurately reflect the distribution of the underlying pathology. This has important implications for presurgical work-up in epilepsy, as well as subsequent surgical outcomes.
神经心理学评估是药物难治性局灶性癫痫患者术前评估不可或缺的一部分。我们对癫痫认知障碍的认识基于开创性的病变研究,这些研究证明了大脑内部重要的结构与功能关系。然而,越来越多的文献显示,局灶性癫痫(如颞叶癫痫)患者的认知特征具有异质性,这让研究人员推测,认知可能会受到发作起始区以外区域的影响,例如那些参与发作间期或 "刺激性 "网络的区域。根据发作开始的部位及其刺激性网络对患者进行分类,以确定更广泛的网络活动对认知的影响。神经心理学数据与常模标准(即 z = 0)进行了比较,并在组间进行了比较。相比之下,具有局部刺激性网络(即额叶或颞叶发作间期癫痫样放电 [IEDs])的患者与具有较广泛刺激性网络(即额颞叶 IEDs)的患者相比,表现出更多的障碍特征。研究结果表明,神经心理学评估对癫痫发作部位以外的网络活动非常敏感。因此,过于聚焦的解释可能无法准确反映潜在病理的分布。这对癫痫的术前检查和后续手术结果都有重要影响。
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引用次数: 0
Surrogate modelling of heartbeat events for improved J-peak detection in BCG using deep learning 利用深度学习建立心跳事件的替代模型,以改进卡介苗中的 J 峰检测
Pub Date : 2024-07-19 DOI: 10.3389/fnetp.2024.1425871
Christoph Schranz, Christina Halmich, Sebastian Mayr, Dominik P. J. Heib
Sleep, or the lack thereof, has far-reaching consequences on many aspects of human physiology, cognitive performance, and emotional wellbeing. To ensure undisturbed sleep monitoring, unobtrusive measurements such as ballistocardiogram (BCG) are essential for sustained, real-world data acquisition. Current analysis of BCG data during sleep remains challenging, mainly due to low signal-to-noise ratio, physical movements, as well as high inter- and intra-individual variability. To overcome these challenges, this work proposes a novel approach to improve J-peak extraction from BCG measurements using a supervised deep learning setup. The proposed method consists of the modeling of the discrete reference heartbeat events with a symmetric and continuous kernel-function, referred to as surrogate signal. Deep learning models approximate this surrogate signal from which the target heartbeats are detected. The proposed method with various surrogate signals is compared and evaluated with state-of-the-art methods from both signal processing and machine learning approaches. The BCG dataset was collected over 17 nights using inertial measurement units (IMUs) embedded in a mattress, together with an ECG for reference heartbeats, for a total of 134 h. Moreover, we apply for the first time an evaluation metric specialized for the comparison of event-based time series to assess the quality of heartbeat detection. The results show that the proposed approach demonstrates superior accuracy in heartbeat estimation compared to existing approaches, with an MAE (mean absolute error) of 1.1 s in 64-s windows and 1.38 s in 8-s windows. Furthermore, it is shown that our novel approach outperforms current methods in detecting the location of heartbeats across various evaluation metrics. To the best of our knowledge, this is the first approach to encode temporal events using kernels and the first systematic comparison of various event encodings for event detection using a regression-based sequence-to-sequence model.
睡眠或睡眠不足对人体生理、认知能力和情绪健康的许多方面都有深远影响。为确保不受干扰地监测睡眠,球心电图(BCG)等非侵入性测量对于持续获取真实世界的数据至关重要。目前,对睡眠期间的 BCG 数据进行分析仍具有挑战性,这主要是由于信噪比低、身体运动以及个体间和个体内的高变异性。为了克服这些挑战,本研究提出了一种新方法,利用有监督的深度学习设置来改进 BCG 测量中的 J 峰提取。所提出的方法包括用对称和连续的核函数(称为替代信号)对离散参考心跳事件进行建模。深度学习模型近似于该代理信号,并从中检测出目标心跳。我们将使用各种代理信号的拟议方法与最先进的信号处理和机器学习方法进行了比较和评估。此外,我们首次采用了专门用于比较基于事件的时间序列的评估指标来评估心跳检测的质量。结果表明,与现有方法相比,所提出的方法在心跳估计方面具有更高的准确性,64 秒窗口的 MAE(平均绝对误差)为 1.1 秒,8 秒窗口的 MAE(平均绝对误差)为 1.38 秒。此外,在检测心跳位置方面,我们的新方法在各种评估指标上都优于现有方法。据我们所知,这是第一种使用核对时间事件进行编码的方法,也是第一种使用基于回归的序列到序列模型对事件检测的各种事件编码进行系统比较的方法。
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引用次数: 0
Chaos control in cardiac dynamics: terminating chaotic states with local minima pacing. 心脏动力学中的混沌控制:用局部最小起搏终止混沌状态。
Pub Date : 2024-07-03 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1401661
Daniel Suth, Stefan Luther, Thomas Lilienkamp

Current treatments of cardiac arrhythmias like ventricular fibrillation involve the application of a high-energy electric shock, that induces significant electrical currents in the myocardium and therefore involves severe side effects like possible tissue damage and post-traumatic stress. Using numerical simulations on four different models of 2D excitable media, this study demonstrates that low energy pulses applied shortly after local minima in the mean value of the transmembrane potential provide high success rates. We evaluate the performance of this approach for ten initial conditions of each model, ten spatially different stimuli, and different shock amplitudes. The investigated models of 2D excitable media cover a broad range of dominant frequencies and number of phase singularities, which demonstrates, that our findings are not limited to a specific kind of model or parameterization of it. Thus, we propose a method that incorporates the dynamics of the underlying system, even during pacing, and solely relies on a scalar observable, which is easily measurable in numerical simulations.

目前治疗心律失常(如心室颤动)的方法包括应用高能量电击,这会在心肌中诱发大量电流,因此会产生严重的副作用,如可能的组织损伤和创伤后应激。通过对四种不同的二维可激介质模型进行数值模拟,本研究证明,在跨膜电位平均值的局部极小值后不久施加低能量脉冲可获得较高的成功率。我们针对每个模型的十个初始条件、十个空间上不同的刺激和不同的冲击振幅,评估了这种方法的性能。所研究的二维可激介质模型涵盖了广泛的主导频率和相位奇异点数量,这表明我们的研究结果并不局限于特定类型的模型或其参数化。因此,我们提出了一种方法,它结合了底层系统的动力学,甚至在起搏过程中也是如此,并且只依赖于标量观测指标,这在数值模拟中很容易测量。
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引用次数: 0
Treatment effects in epilepsy: a mathematical framework for understanding response over time. 癫痫的治疗效果:了解随时间变化的反应的数学框架。
Pub Date : 2024-06-26 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1308501
Elanor G Harrington, Peter Kissack, John R Terry, Wessel Woldman, Leandro Junges

Epilepsy is a neurological disorder characterized by recurrent seizures, affecting over 65 million people worldwide. Treatment typically commences with the use of anti-seizure medications, including both mono- and poly-therapy. Should these fail, more invasive therapies such as surgery, electrical stimulation and focal drug delivery are often considered in an attempt to render the person seizure free. Although a significant portion ultimately benefit from these treatment options, treatment responses often fluctuate over time. The physiological mechanisms underlying these temporal variations are poorly understood, making prognosis a significant challenge when treating epilepsy. Here we use a dynamic network model of seizure transition to understand how seizure propensity may vary over time as a consequence of changes in excitability. Through computer simulations, we explore the relationship between the impact of treatment on dynamic network properties and their vulnerability over time that permit a return to states of high seizure propensity. For small networks we show vulnerability can be fully characterised by the size of the first transitive component (FTC). For larger networks, we find measures of network efficiency, incoherence and heterogeneity (degree variance) correlate with robustness of networks to increasing excitability. These results provide a set of potential prognostic markers for therapeutic interventions in epilepsy. Such markers could be used to support the development of personalized treatment strategies, ultimately contributing to understanding of long-term seizure freedom.

癫痫是一种以反复发作为特征的神经系统疾病,全世界有超过 6500 万人患有癫痫。治疗通常从使用抗癫痫药物开始,包括单一疗法和综合疗法。如果药物治疗无效,通常会考虑采用手术、电刺激和病灶给药等侵入性更强的疗法,试图使患者摆脱癫痫发作。虽然很大一部分患者最终会从这些治疗方案中获益,但治疗反应往往会随着时间的推移而波动。人们对这些时间性变化背后的生理机制知之甚少,这使得预后成为治疗癫痫的一大挑战。在这里,我们使用癫痫发作转变的动态网络模型来了解癫痫发作倾向如何随着时间的推移而变化,这是兴奋性变化的结果。通过计算机模拟,我们探索了治疗对动态网络特性的影响与随着时间推移其脆弱性之间的关系,这种脆弱性允许癫痫发作倾向恢复到高发状态。对于小型网络,我们通过第一反式分量(FTC)的大小来说明其脆弱性。对于大型网络,我们发现网络效率、不一致性和异质性(度数方差)与网络对兴奋性增加的稳健性相关。这些结果为癫痫的治疗干预提供了一组潜在的预后标记。这些标记可用于支持个性化治疗策略的开发,最终有助于了解长期癫痫发作自由度。
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引用次数: 0
Pairing cellular and synaptic dynamics into building blocks of rhythmic neural circuits. A tutorial. 将细胞和突触动力学配对成节律神经回路的构建模块。教程。
Pub Date : 2024-06-25 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1397151
James Scully, Jassem Bourahmah, David Bloom, Andrey L Shilnikov

In this study we focus on two subnetworks common in the circuitry of swim central pattern generators (CPGs) in the sea slugs, Melibe leonina and Dendronotus iris and show that they are independently capable of stably producing emergent network bursting. This observation raises the question of whether the coordination of redundant bursting mechanisms plays a role in the generation of rhythm and its regulation in the given swim CPGs. To address this question, we investigate two pairwise rhythm-generating networks and examine the properties of their fundamental components: cellular and synaptic, which are crucial for proper network assembly and its stable function. We perform a slow-fast decomposition analysis of cellular dynamics and highlight its significant bifurcations occurring in isolated and coupled neurons. A novel model for slow synapses with high filtering efficiency and temporal delay is also introduced and examined. Our findings demonstrate the existence of two modes of oscillation in bicellular rhythm-generating networks with network hysteresis: i) a half-center oscillator and ii) an excitatory-inhibitory pair. These 2-cell networks offer potential as common building blocks combined in modular organization of larger neural circuits preserving robust network hysteresis.

在这项研究中,我们重点研究了海蛞蝓 Melibe leonina 和 Dendronotus iris 游动中央模式发生器(CPG)电路中常见的两个子网络,结果表明它们能够独立稳定地产生突发性网络猝发。这一观察结果提出了一个问题:冗余猝发机制的协调是否在特定游动 CPGs 的节律产生及其调节过程中起了作用。为了解决这个问题,我们研究了两个成对的节奏产生网络,并考察了它们的基本组成部分的特性:细胞和突触,它们对于网络的正确组装及其稳定功能至关重要。我们对细胞动力学进行了慢-快分解分析,并强调了在孤立和耦合神经元中发生的重要分岔。我们还引入并研究了一种具有高过滤效率和时间延迟的新型慢速突触模型。我们的研究结果表明,在具有网络滞后的双细胞节律产生网络中存在两种振荡模式:i)半中心振荡器;ii)兴奋-抑制对。这些双细胞网络有可能作为共同的构建模块,组合成更大的神经回路,从而保持稳健的网络滞后性。
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引用次数: 0
Network approach reveals preferential T-cell and macrophage association with α-linked β-cells in early stage of insulitis in NOD mice. 网络方法揭示了在 NOD 小鼠胰岛炎早期,T 细胞和巨噬细胞优先与 α 链接的 β 细胞结合。
Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1393397
Nirmala V Balasenthilkumaran, Jennifer C Whitesell, Laura Pyle, Rachel S Friedman, Vira Kravets

One of the challenges in studying islet inflammation-insulitis-is that it is a transient phenomenon. Traditional reporting of the insulitis progression is based on cumulative, donor-averaged values of leucocyte density in the vicinity of pancreatic islets, that hinder intra- and inter-islet heterogeneity of disease progression. Here, we aimed to understand why insulitis is non-uniform, often with peri-insulitis lesions formed on one side of an islet. To achieve this, we demonstrated the applicability of network theory in detangling intra-islet multi-cellular interactions during insulitis. Specifically, we asked the question "What is unique about regions of the islet that interact with immune cells first". This study utilized the non-obese diabetic mouse model of type one diabetes and examined the interplay among α-, β-, T-cells, myeloid cells, and macrophages in pancreatic islets during the progression of insulitis. Disease evolution was tracked based on the T/β cell ratio in individual islets. In the early stage, we found that immune cells are preferentially interacting with α-cell-rich regions of an islet. At the islet periphery α-linked β-cells were found to be targeted significantly more compared to those without α-cell neighbors. Additionally, network analysis revealed increased T-myeloid, and T-macrophage interactions with all β-cells.

研究胰岛炎症--胰岛炎的挑战之一是它是一种短暂现象。传统的胰岛炎进展报告是基于胰岛附近白细胞密度的累积值和供体平均值,这阻碍了疾病进展在胰岛内部和胰岛之间的异质性。在此,我们旨在了解为什么胰岛炎是不均匀的,往往在胰岛的一侧形成胰岛周围病变。为此,我们展示了网络理论在胰岛炎期间胰岛内部多细胞相互作用中的适用性。具体来说,我们提出了 "胰岛首先与免疫细胞相互作用的区域有何独特之处 "这一问题。本研究利用非肥胖一型糖尿病小鼠模型,研究了胰岛炎发展过程中胰岛中的α细胞、β细胞、T细胞、骨髓细胞和巨噬细胞之间的相互作用。根据单个胰岛中的T/β细胞比值追踪疾病的演变。我们发现,在早期阶段,免疫细胞优先与胰岛中富含α细胞的区域相互作用。在胰岛外围,与没有α细胞邻近的胰岛细胞相比,与α细胞有联系的β细胞成为攻击目标的情况明显增多。此外,网络分析显示,T-骨髓细胞和 T-巨噬细胞与所有 β 细胞的相互作用都有所增加。
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引用次数: 0
Resilience of the slow component in timescale-separated synchronized oscillators. 时标分离同步振荡器中慢速分量的恢复能力
Pub Date : 2024-06-19 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1399352
Melvyn Tyloo

Physiological networks are usually made of a large number of biological oscillators evolving on a multitude of different timescales. Phase oscillators are particularly useful in the modelling of the synchronization dynamics of such systems. If the coupling is strong enough compared to the heterogeneity of the internal parameters, synchronized states might emerge where phase oscillators start to behave coherently. Here, we focus on the case where synchronized oscillators are divided into a fast and a slow component so that the two subsets evolve on separated timescales. We assess the resilience of the slow component by, first, reducing the dynamics of the fast one using Mori-Zwanzig formalism. Second, we evaluate the variance of the phase deviations when the oscillators in the two components are subject to noise with possibly distinct correlation times. From the general expression for the variance, we consider specific network structures and show how the noise transmission between the fast and slow components is affected. Interestingly, we find that oscillators that are among the most robust when there is only a single timescale, might become the most vulnerable when the system undergoes a timescale separation. We also find that layered networks seem to be insensitive to such timescale separations.

生理网络通常由大量在不同时间尺度上演化的生物振荡器组成。相位振荡器对这类系统的同步动力学建模特别有用。如果与内部参数的异质性相比,耦合足够强,就可能出现相位振荡器开始表现出一致性的同步状态。在这里,我们将重点研究同步振荡器被分为快慢两个部分,从而使这两个子集在不同的时间尺度上演化的情况。首先,我们利用莫里-茨万齐格(Mori-Zwanzig)形式主义降低快速分量的动态,从而评估慢速分量的恢复能力。其次,当两个分量中的振荡器受到可能具有不同相关时间的噪声影响时,我们评估相位偏差的方差。根据方差的一般表达式,我们考虑了特定的网络结构,并展示了快速和慢速分量之间的噪声传输是如何受到影响的。有趣的是,我们发现在只有单一时标时最稳健的振荡器,在系统发生时标分离时可能变得最脆弱。我们还发现,分层网络似乎对这种时标分离不敏感。
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引用次数: 0
Dynamics of a network mediated by IL-36 and involved in the pathogenesis of psoriasis. 由 IL-36 介导并参与银屑病发病机制的网络动态。
Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1363791
Sneha Pandey, Syona Tiwari, Sulagna Basu, Rajiv Kumar Mishra, Rakesh Pandey

The pathogenesis of the inflammatory, chronic, and common skin disease psoriasis involves immune cells, skin cells (keratinocytes), and the cytokines they secrete. Hyperproliferation and abnormal differentiation of keratinocytes are hallmarks of the disease. The roles of cytokines such as TNFα, IL-15, IL-17, and IL-23 in psoriasis have been studied through mathematical/computational models as well as experiments. However, the role of proinflammatory cytokine IL-36 in the onset and progression of psoriasis is still elusive. To explore the role of IL-36, we construct a network embodying indirect cell-cell interactions of a few immune and skin cells mediated by IL-36 based on existing knowledge. We also develop a mathematical model for the network and perform a global sensitivity analysis. Our results suggest that the model is most sensitive to a parameter that represents the level of cytokine IL-36. In addition, a steady-state analysis of the model suggests that an increase in the level of IL-36 could lead to the hyperproliferation of keratinocytes and, thus, psoriasis. Our analysis also highlights that the plaque formation and progression of psoriasis could occur through either a gradual or a switch-like increase in the keratinocyte population. We propose that the switch-like increase would be due to a bistable behavior of the network toward either a psoriatic or healthy state and could be used as a novel treatment strategy.

炎症性慢性常见皮肤病银屑病的发病机制涉及免疫细胞、皮肤细胞(角质形成细胞)及其分泌的细胞因子。角质形成细胞的过度增殖和异常分化是该病的特征。人们通过数学/计算模型和实验研究了 TNFα、IL-15、IL-17 和 IL-23 等细胞因子在银屑病中的作用。然而,促炎细胞因子 IL-36 在银屑病发病和进展过程中的作用仍然难以捉摸。为了探索 IL-36 的作用,我们根据现有知识构建了一个网络,体现了 IL-36 介导的一些免疫细胞和皮肤细胞之间的间接细胞-细胞相互作用。我们还为该网络建立了一个数学模型,并进行了全局敏感性分析。结果表明,该模型对代表细胞因子 IL-36 水平的参数最为敏感。此外,对模型进行的稳态分析表明,IL-36 水平的增加会导致角质细胞过度增殖,从而引发银屑病。我们的分析还强调,牛皮癣的斑块形成和进展可能是通过角质形成细胞数量的渐进式或开关式增加而发生的。我们认为,开关样增加是由于网络向银屑病或健康状态的双稳态行为,可作为一种新的治疗策略。
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引用次数: 0
Coordinated reset stimulation of plastic neural networks with spatially dependent synaptic connections. 对具有空间依赖性突触连接的可塑性神经网络进行协调重置刺激。
Pub Date : 2024-05-28 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1351815
Justus A Kromer, Peter A Tass

Background: Abnormal neuronal synchrony is associated with several neurological disorders, including Parkinson's disease (PD), essential tremor, dystonia, and epilepsy. Coordinated reset (CR) stimulation was developed computationally to counteract abnormal neuronal synchrony. During CR stimulation, phase-shifted stimuli are delivered to multiple stimulation sites. Computational studies in plastic neural networks reported that CR stimulation drove the networks into an attractor of a stable desynchronized state by down-regulating synaptic connections, which led to long-lasting desynchronization effects that outlasted stimulation. Later, corresponding long-lasting desynchronization and therapeutic effects were found in animal models of PD and PD patients. To date, it is unclear how spatially dependent synaptic connections, as typically observed in the brain, shape CR-induced synaptic downregulation and long-lasting effects.

Methods: We performed numerical simulations of networks of leaky integrate-and-fire neurons with spike-timing-dependent plasticity and spatially dependent synaptic connections to study and further improve acute and long-term responses to CR stimulation.

Results: The characteristic length scale of synaptic connections relative to the distance between stimulation sites plays a key role in CR parameter adjustment. In networks with short synaptic length scales, a substantial synaptic downregulation can be achieved by selecting appropriate stimulus-related parameters, such as the stimulus amplitude and shape, regardless of the employed spatiotemporal pattern of stimulus deliveries. Complex stimulus shapes can induce local connectivity patterns in the vicinity of the stimulation sites. In contrast, in networks with longer synaptic length scales, the spatiotemporal sequence of stimulus deliveries is of major importance for synaptic downregulation. In particular, rapid shuffling of the stimulus sequence is advantageous for synaptic downregulation.

Conclusion: Our results suggest that CR stimulation parameters can be adjusted to synaptic connectivity to further improve the long-lasting effects. Furthermore, shuffling of CR sequences is advantageous for long-lasting desynchronization effects. Our work provides important hypotheses on CR parameter selection for future preclinical and clinical studies.

背景:神经元同步性异常与多种神经系统疾病有关,包括帕金森病(PD)、本质性震颤、肌张力障碍和癫痫。协调复位(CR)刺激是为抵消异常神经元同步性而开发的计算方法。在协调重置刺激过程中,相移刺激会传递到多个刺激点。对可塑性神经网络进行的计算研究表明,CR 刺激通过下调突触连接,使网络进入稳定的非同步状态的吸引子,从而产生持久的非同步效应,其持续时间超过刺激。后来,在脊髓灰质炎动物模型和脊髓灰质炎患者身上也发现了相应的持久去同步化和治疗效果。迄今为止,还不清楚大脑中通常观察到的空间依赖性突触连接是如何形成 CR 诱导的突触下调和持久效应的:我们对具有尖峰计时可塑性和空间依赖性突触连接的漏整合-发射神经元网络进行了数值模拟,以研究并进一步改善对CR刺激的急性和长期反应:结果:相对于刺激点之间的距离,突触连接的特征长度尺度在 CR 参数调整中起着关键作用。在突触长度尺度较短的网络中,通过选择适当的刺激相关参数,如刺激振幅和形状,可以实现大幅度的突触下调,而与所采用的刺激传递时空模式无关。复杂的刺激形状可诱导刺激点附近的局部连接模式。相反,在具有较长突触长度尺度的网络中,刺激释放的时空顺序对突触下调至关重要。特别是,刺激序列的快速洗牌有利于突触下调:我们的研究结果表明,CR 刺激参数可根据突触连接性进行调整,以进一步提高其持久效果。结论:我们的研究结果表明,CR 刺激参数可根据突触连通性进行调整,从而进一步改善长效效应。此外,CR 序列的洗牌对长效去同步化效应有利。我们的研究为未来的临床前和临床研究提供了有关 CR 参数选择的重要假设。
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引用次数: 0
期刊
Frontiers in network physiology
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