The motor inhibitory network in patients with asymmetrical Parkinson's disease: An fMRI study.

Dopamine Functional connectivity Imaging Inhibition Parkinson’s disease Stop-signal reaction time task Subthalamic nucleus fMRI

Journal

Brain imaging and behavior
ISSN: 1931-7565
Titre abrégé: Brain Imaging Behav
Pays: United States
ID NLM: 101300405

Informations de publication

Date de publication:
Jun 2022
Historique:
accepted: 13 10 2021
pubmed: 13 1 2022
medline: 18 5 2022
entrez: 12 1 2022
Statut: ppublish

Résumé

Recent imaging studies with the stop-signal task in healthy individuals indicate that the subthalamic nucleus, the pre-supplementary motor area and the inferior frontal gyrus are key components of the right hemisphere "inhibitory network". Limited information is available regarding neural substrates of inhibitory processing in patients with asymmetric Parkinson's disease. The aim of the current fMRI study was to identify the neural changes underlying deficient inhibitory processing on the stop-signal task in patients with predominantly left-sided Parkinson's disease. Fourteen patients and 23 healthy controls performed a stop-signal task with the left and right hands. Behaviorally, patients showed delayed response inhibition with either hand compared to controls. We found small imaging differences for the right hand, however for the more affected left hand when behavior was successfully inhibited we found reduced activation of the inferior frontal gyrus bilaterally and the insula. Using the stop-signal delay as regressor, contralateral underactivation in the right dorsolateral prefrontal cortex, inferior frontal and anterior putamen were found in patients. This finding indicates dysfunction of the right inhibitory network in left-sided Parkinson's disease. Functional connectivity analysis of the left subthalamic nucleus showed a significant increase of connectivity with bilateral insula. In contrast, the right subthalamic nucleus showed increased connectivity with visuomotor and sensorimotor regions of the cerebellum. We conclude that altered inhibitory control in left-sided Parkinson's disease is associated with reduced activation in regions dedicated to inhibition in healthy controls, which requires engagement of additional regions, not observed in controls, to successfully stop ongoing actions.

Identifiants

pubmed: 35020124
doi: 10.1007/s11682-021-00587-5
pii: 10.1007/s11682-021-00587-5
pmc: PMC9107438
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1349-1361

Subventions

Organisme : Centro de Investigación Médica Aplicada, Universidad de Navarra
ID : 2018.071

Informations de copyright

© 2022. The Author(s).

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Auteurs

Francis R Loayza (FR)

Neuroimaging Laboratory, Neurosciences Department, Center for Applied Medical Research (CIMA), University of Navarra, 31008, Pamplona, Spain.
Neuroimaging and BioEngineering Laboratory, Faculty of Mechanical Engineering, Polytechnic University (ESPOL), Guayaquil, Ecuador.

Ignacio Obeso (I)

HM-CINAC, HM Puerta del Sur, 28938 Móstoles, and CEU-San Pablo University, 28003, Madrid, Spain.
CIBERNED, Instituto Carlos III, Madrid, Spain.

Rafael González Redondo (RG)

CIBERNED, Instituto Carlos III, Madrid, Spain.
Department of Neurology, Clínica Universidad de Navarra, Pamplona, Spain.

Federico Villagra (F)

Neuroimaging Laboratory, Neurosciences Department, Center for Applied Medical Research (CIMA), University of Navarra, 31008, Pamplona, Spain.

Elkin Luis (E)

Neuroimaging Laboratory, Neurosciences Department, Center for Applied Medical Research (CIMA), University of Navarra, 31008, Pamplona, Spain.

José A Obeso (JA)

HM-CINAC, HM Puerta del Sur, 28938 Móstoles, and CEU-San Pablo University, 28003, Madrid, Spain.
CIBERNED, Instituto Carlos III, Madrid, Spain.

Marjan Jahanshahi (M)

Cognitive-Motor Neuroscience Group, Department of Clinical and Movement Neurosciences, UCL Queen Square, Institute of Neurology & The National Hospital for Neurology and Neurosurgery, London, WC1N 3BG, UK.

Maria A Pastor (MA)

Neuroimaging Laboratory, Neurosciences Department, Center for Applied Medical Research (CIMA), University of Navarra, 31008, Pamplona, Spain. mapastor@unav.es.
Department of Neurology, Clínica Universidad de Navarra, Pamplona, Spain. mapastor@unav.es.

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