Basal Ganglia wk8 Flashcards
(48 cards)
what is the BG, and what does it assert influence on?
old system predating the neo-cortex, that exerts influence on motor and prefrontal areas via the Thalamus and also on limbic circuits
what does BG play a major role in?
in action selection, reinforcement learning, and cognition and decision-making – filters actions to make a selection, ready for execution
what does the BG consist of?
of a collection of nuclei that sit above the brainstem, but below the cerebral cortex:
How does the BG work in brief terms
- Cerebral cortex sends signal to the BG , forming a functional circuitry loop
- The cortex sends signals of a number of candidate actions and the BG filters these to make a selection of which action to perform
structure of the BG
- striatum = input structure that the cortex projects information through to enter the BG. conists of different regions:
- caudate, putamen, and nucleus accumbens each receive input from a different area of the cortex within the straitum
- globus pallidus
o interna (GPi)
o externa (GPe) - subthalamic nucleus sitting below the thalamus (STN)
- substantia nigra with multiple subdivisions and the pars compacta (SNc)
what does the cortex project to?
the striatum via an excitatory connection, simultaneously activating two following pathways - direct and indirect
direct pathway of cortex-striatum projection
striatum inhibits the internal Globus Palidus which inhibits the thalamus .
this double inhibition results in an increase in Thalamic activity via disinhibition (meaning when its released from inhibition= higher lvl of firing then default)
Net excitatory pathway-> exciting back to motor cortex to selecct motor plan
indirect pathway of cortex-striatum projection
striatum inhibits the external globus palidus, which inhibits the Subthalamic nucleus , before exciting the internal globus palidus .
as this becomes more active, it increases inhibiton of the Thalamus (gateway back to the cortex)
Net inhibatory = a balance of exi/inhib , suppressed actions go through this
how is the balance between BG pathways regulated?
regulated by the substantia nigra, which innervates the striatum with dopamine.
this has one excitatory and one inhibitory connection
burst of dopamine facilitates movement, activating the direct whilst inhibiting the indirect
dopaminergic connections
D1 receptors are excited by dopamine and innervate the direct pathway.
D2 receptors are inhibited by dopamine and directly innervate the indirect pathway.
what are the domain consequences for neuronal loss in the SNc?
on movement, cognitive control, and decision-making
where can consequences for neuronal loss in the SNc be seen?
this can be seen in PET scans where (ParkinsonsD) patients have an asymmetric loss of uptake on the tracer vs. normal patients when BG binds to D receptors
as cells die, black staining therefore vanishes from brain
weak direct pathways -> akinesia
the loss of dopaminergic innervation to the striatum causes severe imbalances in components of the BG circuit – no longer drives the direct pathway nor inhibits the indirect pathway
we lose excitatory input to the system
how does akinesia affect action plans?
little faccilitation of motor plans sent to cortex
unable to be selected efficiently, and those selected are slow and unrefined due to excessive inhibition from the indirect pathway – precisely what happens in PD
cardinal symptoms of PD
- Absence/slowness of movement (akinesia/bradykinesia)
- Stiffness or rigidity
- Tremor at “rest” (much reduced with active movement)
explanations of PD
- degeneration of dopaminergic neurons in the substantia nigra
- neurological disease caused by altercation in a single neurochemical- dopamine
- disordered motor signals are sent to the SMA
- imbalanced limbic system causes motivation and emotional disturbances as BG involved in various domains of functioning
Treatments for Parkinson’s disease
- Levodopa (L-dopa)
- Transplants (bone marrow, stem cells)
- Neuro-surgery to rebalance connections between striatum and SMA (deep brain stimulation)
what does L-DOPA do?
attempts to reinstate the balance between the pathways, by flooding the striatum with dopamine
though side effects are severe (too much dopamine)
why has neurosurgery been suggested to treat PD?
parts of the thalamus and globus Polus are taken out
suggested to reduce excess inhibition in the indirect pathway
strong direct and weak indirect pathways -> hyperkinesia
too much dopamine can push the balance of BG circuits too far towards the direct pathway, as this excitation can cause premature selection of action or uncontrolled selection of inappropriate actions as suppression is difficult
Causes of hyperkinesia
Long term L-DOPA outcome
Loos of striatal neurons or of STN (Huntingdons, Hemiballism, Tourettes)
examples of other basal/ cortical-based ganglia loops
- motor
- oculomotor
- executive/associative
- emotion/motivation
loops
what does BG act as during eye movements? (the occular motor loop)
a “filter” to add contextual information onto reflexive control of eye movements, through inhibiting the superior colliculus except for the target of interest
Prevention of reflexive eye movements also occur through the BG
input and output of BG
receives diverse cortical information from different systems (sensory-motor,limbic and cognitive)
output modulates activity in the Thalamus to shape selection and self-initiation of appropriate behaviours (modulation of thalamus + cortical state)