Excessive daytime sleepiness in a model of Parkinson’s disease improved by low-frequency stimulation of the pedunculopontine nucleus

Abstract Patients with Parkinson’s disease often complain of excessive daytime sleepiness which negatively impacts their quality of life. The pedunculopontine nucleus, proposed as a target for deep brain stimulation to improve freezing of gait in Parkinson’s disease, is also known to play a key role...

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Main Authors: Aurélie Davin, Stéphan Chabardès, Annaelle Devergnas, Caroline Benstaali, Claire-Anne N. Gutekunst, Olivier David, Napoléon Torres-Martinez, Brigitte Piallat
Format: Article
Language:English
Published: Nature Portfolio 2023-01-01
Series:npj Parkinson's Disease
Online Access:https://doi.org/10.1038/s41531-023-00455-7
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author Aurélie Davin
Stéphan Chabardès
Annaelle Devergnas
Caroline Benstaali
Claire-Anne N. Gutekunst
Olivier David
Napoléon Torres-Martinez
Brigitte Piallat
author_facet Aurélie Davin
Stéphan Chabardès
Annaelle Devergnas
Caroline Benstaali
Claire-Anne N. Gutekunst
Olivier David
Napoléon Torres-Martinez
Brigitte Piallat
author_sort Aurélie Davin
collection DOAJ
description Abstract Patients with Parkinson’s disease often complain of excessive daytime sleepiness which negatively impacts their quality of life. The pedunculopontine nucleus, proposed as a target for deep brain stimulation to improve freezing of gait in Parkinson’s disease, is also known to play a key role in the arousal system. Thus, the putative control of excessive daytime sleepiness by pedunculopontine nucleus area stimulation merits exploration for treating Parkinson’s disease patients. To this end, two adult nonhuman primates (macaca fascicularis) received a deep brain stimulation electrode implanted into the pedunculopontine nucleus area along with a polysomnographic equipment. Stimulation at low frequencies and high frequencies was studied, in healthy and then MPTP-treated nonhuman primates. Here, we observed that MPTP-treated nonhuman primates suffered from excessive daytime sleepiness and that low-frequency stimulation of the pedunculopontine nucleus area was effective in reducing daytime sleepiness. Indeed, low-frequency stimulation of the pedunculopontine nucleus area induced a significant increase in sleep onset latency, longer continuous periods of wakefulness and thus, a partially restored daytime wake architecture. These findings may contribute to the development of new therapeutic strategies in patients suffering from excessive daytime sleepiness.
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spelling doaj.art-2ef9e4e88d264bf3987872265c88fc132023-11-02T09:30:13ZengNature Portfolionpj Parkinson's Disease2373-80572023-01-019111210.1038/s41531-023-00455-7Excessive daytime sleepiness in a model of Parkinson’s disease improved by low-frequency stimulation of the pedunculopontine nucleusAurélie Davin0Stéphan Chabardès1Annaelle Devergnas2Caroline Benstaali3Claire-Anne N. Gutekunst4Olivier David5Napoléon Torres-Martinez6Brigitte Piallat7Univ. Grenoble Alpes, CEA, LETI, ClinatecUniv. Grenoble Alpes, CEA, LETI, ClinatecYerkes National Primate Research CenterUniv. Grenoble Alpes, Inserm, U1216, Grenoble Institut NeurosciencesEmory University School of MedicineUniv. Grenoble Alpes, Inserm, U1216, Grenoble Institut NeurosciencesUniv. Grenoble Alpes, CEA, LETI, ClinatecUniv. Grenoble Alpes, Inserm, U1216, Grenoble Institut NeurosciencesAbstract Patients with Parkinson’s disease often complain of excessive daytime sleepiness which negatively impacts their quality of life. The pedunculopontine nucleus, proposed as a target for deep brain stimulation to improve freezing of gait in Parkinson’s disease, is also known to play a key role in the arousal system. Thus, the putative control of excessive daytime sleepiness by pedunculopontine nucleus area stimulation merits exploration for treating Parkinson’s disease patients. To this end, two adult nonhuman primates (macaca fascicularis) received a deep brain stimulation electrode implanted into the pedunculopontine nucleus area along with a polysomnographic equipment. Stimulation at low frequencies and high frequencies was studied, in healthy and then MPTP-treated nonhuman primates. Here, we observed that MPTP-treated nonhuman primates suffered from excessive daytime sleepiness and that low-frequency stimulation of the pedunculopontine nucleus area was effective in reducing daytime sleepiness. Indeed, low-frequency stimulation of the pedunculopontine nucleus area induced a significant increase in sleep onset latency, longer continuous periods of wakefulness and thus, a partially restored daytime wake architecture. These findings may contribute to the development of new therapeutic strategies in patients suffering from excessive daytime sleepiness.https://doi.org/10.1038/s41531-023-00455-7
spellingShingle Aurélie Davin
Stéphan Chabardès
Annaelle Devergnas
Caroline Benstaali
Claire-Anne N. Gutekunst
Olivier David
Napoléon Torres-Martinez
Brigitte Piallat
Excessive daytime sleepiness in a model of Parkinson’s disease improved by low-frequency stimulation of the pedunculopontine nucleus
npj Parkinson's Disease
title Excessive daytime sleepiness in a model of Parkinson’s disease improved by low-frequency stimulation of the pedunculopontine nucleus
title_full Excessive daytime sleepiness in a model of Parkinson’s disease improved by low-frequency stimulation of the pedunculopontine nucleus
title_fullStr Excessive daytime sleepiness in a model of Parkinson’s disease improved by low-frequency stimulation of the pedunculopontine nucleus
title_full_unstemmed Excessive daytime sleepiness in a model of Parkinson’s disease improved by low-frequency stimulation of the pedunculopontine nucleus
title_short Excessive daytime sleepiness in a model of Parkinson’s disease improved by low-frequency stimulation of the pedunculopontine nucleus
title_sort excessive daytime sleepiness in a model of parkinson s disease improved by low frequency stimulation of the pedunculopontine nucleus
url https://doi.org/10.1038/s41531-023-00455-7
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