Abstract

Primary motor cortex (MI) neurons discharge vigorously during voluntary movement. A cardinal symptom of Parkinson's disease (PD) is poverty of movement (akinesia). Current models of PD thus hypothesize that increased inhibitory pallidal output reduces firing rates in frontal cortex, including MI, resulting in akinesia and muscle rigidity. We recorded the simultaneous spontaneous discharge of several neurons in the arm-related area of MI of two monkeys and in the globus pallidus (GP) of one of the two. Accelerometers were fastened to the forelimbs to detect movement, and surface electromyograms were recorded from the contralateral arm of one monkey. The recordings were conducted before and after systemic treatment with 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP), rendering the animals severely akinetic and rigid with little or no tremor. The mean spontaneous MI rates during periods of immobility (four to five spikes/sec) did not change after MPTP; however, in this parkinsonian state, MI neurons discharged in long bursts (sometimes >2 sec long). These bursts were synchronized across many cells but failed to elicit detectable movement, indicating that even robust synchronous MI discharge need not result in movement. These synchronized population bursts were absent from the GP and were on a larger timescale than oscillatory synchrony found in the GP of tremulous MPTP primates, suggesting that MI parkinsonian synchrony arises independently of basal ganglia dynamics. After MPTP, MI neurons responded more vigorously and with less specificity to passive limb movement. Abnormal MI firing patterns and synchronization, rather than reduced firing rates, may underlie PD akinesia and persistent muscle rigidity.

Highlights

  • Primary motor cortex (MI) neurons discharge vigorously during voluntary movement

  • The parkinsonian symptoms stabilized in both monkeys 8 d after the first MPTP injection and remained stable up to the conclusion of the experiment

  • The dorsal tier is less vulnerable to toxic insult and projects to the ventral striatum, whereas the ventral tier is more vulnerable to toxic insult and projects to the dorsal striatum

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Summary

Introduction

Primary motor cortex (MI) neurons discharge vigorously during voluntary movement. A cardinal symptom of Parkinson’s disease (PD) is poverty of movement (akinesia). These facts have been incorporated succinctly into current physiological models of PD (Albin et al, 1989; DeLong, 1990) They hypothesize that the loss of midbrain dopaminergic cells leads to changes in firing rates throughout the basal ganglia (BG) that decrease motor cortical output, resulting in akinesia and rigidity. It follows that the predicted suppression of motor cortical discharge should be evident in MI, because it is the area of frontal cortex that is most closely related to spinal cord output and to the final execution of movement (Asanuma, 1989; Porter and Lemon, 1993). Because BG circuits are closely tied to the cortex (Gerfen and Wilson, 1996; Hoover and Strick, 1999; Bolam et al, 2000), it is likely that changes in neuronal synchronization and specificity will arise in the cortex as well

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