The Genetic Etiology of Parkinson's Disease Does Not Robustly Affect Subthalamic Physiology

Caroline Weill, Akiva Gallant, Halen Baker Erdman, Muneer Abu Snineh, Eduard Linetsky, Hagai Bergman, Zvi Israel, David Arkadir

Research output: Contribution to journalArticlepeer-review

Abstract

Background: It is unknown whether Parkinson's disease (PD) genetic heterogeneity, leading to phenotypic and pathological variability, is also associated with variability in the unique PD electrophysiological signature. Such variability might have practical implications for adaptive deep brain stimulation (DBS). Objective: The aim of our work was to study the electrophysiological activity in the subthalamic nucleus (STN) of patients with PD with pathogenic variants in different disease-causing genes. Methods: Electrophysiological data from participants with negative genetic tests were compared with those from GBA, LRRK2, and PRKN-PD. Results: We analyzed data from 93 STN trajectories (GBA-PD: 28, LRRK2-PD: 22, PARK-PD: 10, idiopathic PD: 33) of 52 individuals who underwent DBS surgery. Characteristics of β oscillatory activity in the dorsolateral motor part of the STN were similar for patients with negative genetic tests and for patients with different forms of monogenic PD. Conclusions: The genetic heterogeneity in PD is not associated with electrophysiological differences. Therefore, similar adaptive DBS algorithms would be applicable to genetically heterogeneous patient populations.

Original languageEnglish
Pages (from-to)484-489
Number of pages6
JournalMovement Disorders
Volume38
Issue number3
DOIs
StatePublished - Mar 2023

Keywords

  • Parkinson's disease
  • beta oscillations
  • deep brain stimulation
  • genetics

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Neurology

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