Publications by authors named "Roy V Sillitoe"

Article Synopsis
  • Dystonia is linked to cerebellar dysfunction, causing both motor and non-motor symptoms like abnormal movements and sleep issues, prompting the need for combined treatment approaches.
  • Deep brain stimulation (DBS) is effective for reducing motor symptoms in dystonia and may also help improve sleep, though research on its dual effectiveness specifically targeting the cerebellum is limited.
  • In a study using mouse models of dystonia, cerebellar DBS improved sleep quality and timing, enhanced wakefulness, reduced the delay to REM sleep, and alleviated severe motor symptoms, suggesting it could be a promising dual-therapy option.
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Article Synopsis
  • * Researchers used a classifier model to analyze the neuron spike patterns in mouse models of these disorders, successfully categorizing the mice based on their spike signatures.
  • * The study found that similar spike patterns can lead to various movement issues and that artificially creating these patterns in healthy mice produced the expected movement disorders.
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The cerebellum, a phylogenetically ancient brain region, has long been considered strictly a motor control structure. Recent studies have implicated the cerebellum in cognition, sensation, emotion and autonomic function, making it an important target for further investigation. Here, we show that cerebellar Purkinje neurons in mice are activated by the hormone asprosin, leading to enhanced thirst, and that optogenetic or chemogenetic activation of Purkinje neurons induces rapid manifestation of water drinking.

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Dystonia is the third most common movement disorder and an incapacitating co-morbidity in a variety of neurologic conditions. Dystonia can be caused by genetic, degenerative, idiopathic, and acquired etiologies, which are hypothesized to converge on a "dystonia network" consisting of the basal ganglia, thalamus, cerebellum, and cerebral cortex. In acquired dystonia, focal lesions to subcortical areas in the network - the basal ganglia, thalamus, and cerebellum - lead to a dystonia that can be difficult to manage with canonical treatments, including deep brain stimulation (DBS).

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The cerebellum has a well-established role in controlling motor functions, including coordination, posture, and the learning of skilled movements. The mechanisms for how it carries out motor behavior remain under intense investigation. Interestingly though, in recent years the mechanisms of cerebellar function have faced additional scrutiny since nonmotor behaviors may also be controlled by the cerebellum.

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Article Synopsis
  • Purkinje cell dysfunction impairs movement and may also affect sleep regulation, as seen in a mouse model with silenced Purkinje cell neurotransmission.
  • The study observed that these mutant mice showed decreased wakefulness and REM sleep while experiencing increased non-REM sleep and longer delays in reaching REM sleep.
  • The results suggest a link between cerebellar dysfunction and altered sleep patterns, emphasizing the need to investigate cerebellar circuits in relation to sleep disorders.
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Objective: Patients who experience postoperative pediatric cerebellar mutism syndrome (CMS) during treatment for medulloblastoma have long-term deficits in neurocognitive functioning; however, the consequences on functional or adaptive outcomes are unknown. The purpose of the present study was to compare adaptive, behavioral, and emotional functioning between survivors with and those without a history of CMS.

Methods: The authors examined outcomes in 45 survivors (15 with CMS and 30 without CMS).

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Deep brain stimulation (DBS), a method in which electrical stimulation is delivered to specific areas of the brain, is an effective treatment for managing symptoms of a number of neurological and neuropsychiatric disorders. Clinical access to neural circuits during DBS provides an opportunity to study the functional link between neural circuits and behavior. This review discusses how the use of DBS in Parkinson's disease and dystonia has provided insights into the brain networks and physiological mechanisms that underlie motor control.

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Article Synopsis
  • * The review discusses how different brain injuries, such as those from cerebral palsy, affect this network and lead to various forms of dystonia, including both acquired and focal dystonias.
  • * It also explores how the dystonia network reacts to treatments like sensory tricks, botulinum toxin, and deep brain stimulation, and uses mouse models to enhance our understanding of the underlying brain circuits involved in the disorder.
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Dystonia is a movement disorder characterized by involuntary co- or over-contractions of the muscles, which results in abnormal postures and movements. These symptoms arise from the pathophysiology of a brain-wide dystonia network. There is mounting evidence suggesting that the cerebellum is a central node in this network.

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Article Synopsis
  • Dystonia, linked to cerebellar dysfunction, causes issues like abnormal movements and disrupted sleep, indicating a need for therapies addressing both symptoms simultaneously.
  • Deep brain stimulation (DBS) has shown effectiveness in reducing motor symptoms of dystonia and may also help with sleep disturbances, though its dual effects targeting the cerebellum haven't been fully explored.
  • In experiments with genetic mouse models of dystonia, cerebellar DBS improved sleep quality and timing, reduced the latency to REM sleep, and alleviated severe motor symptoms, suggesting its potential as a combined treatment strategy.
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Article Synopsis
  • - Dystonia is a common motor disorder marked by involuntary muscle contractions, leading to painful postures and jerky movements, with diverse symptoms that vary among patients in terms of severity and progression.
  • - The condition is linked to various genetic factors and brain regions, primarily involving dysfunction in the basal ganglia and cerebellum, complicating the understanding of its mechanisms.
  • - Research using animal models has revealed critical insights into how these brain regions interact and has paved the way for developing new therapies, such as drug treatments and brain stimulation techniques.
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Article Synopsis
  • Purkinje cell dysfunction is linked to not only movement disorders like ataxia but also sleep regulation, as shown in a study using a mouse model with silenced neurotransmission.
  • The research indicated that while circadian rhythms remain unchanged, mutant mice exhibited reduced wakefulness and REM sleep, and increased NREM sleep, with prolonged time before entering REM sleep.
  • Findings suggest that dysfunction in Purkinje cells may disrupt normal sleep patterns and highlight the cerebellum as a potential target for treating sleep issues related to motor disorders.
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  • Thalamo-cortical networks play a crucial role in seizures, but the exact mechanisms behind their initiation are still unclear.
  • This study investigates the ventral posteromedial nucleus (VPM) of the thalamus as a potential source of generalized convulsive motor seizures, using an in vivo optogenetic mouse model to examine thalamic neuron activity during seizures.
  • Findings suggest that diverse neural activity in the VPM, along with significant contributions from inputs like the cerebellum, is essential for seizure initiation, with lidocaine injections into cerebellar nuclei effectively blocking the seizures.
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Article Synopsis
  • * Deep brain stimulation (DBS) is a treatment method where electrodes are implanted in regions like the basal ganglia or thalamus to help improve motor function when other treatments don’t work.
  • * Recent research is exploring the cerebellum as a new DBS target for dystonia, involving a procedure that targets the interposed cerebellar nuclei in mice to help correct motor dysfunction, which could lead to new treatment approaches for various motor and non-motor disorders.
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Article Synopsis
  • Electromyography (EMG) is a method used for analyzing motor function by recording muscle activity, but challenges arise when trying to obtain clear signals from freely moving mice, especially in motor disease models.
  • Unstable recording conditions, often due to poor surgical techniques, lead to low signal quality making it difficult to analyze muscle activity effectively.
  • The text describes an improved surgical procedure to ensure stable electrode implantation for better EMG recordings, allowing for accurate study of muscle behavior during activity and motor dysfunction in mice.
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The cerebellum contributes to a diverse array of motor conditions including ataxia, dystonia, and tremor. The neural substrates that encode this diversity are unclear. Here, we tested whether the neural spike activity of cerebellar output neurons is distinct between movement disorders with different impairments, generalizable across movement disorders with similar impairments, and capable of causing distinct movement impairments.

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Article Synopsis
  • Insults to the developing cerebellum can lead to issues in movement, language, and social interactions, highlighting the cerebellum's importance in behavior.
  • The study examines how impairing two types of cerebellar neurons affects mice's abilities to perform motor tasks and engage in social behaviors over time.
  • Findings suggest that the brain can adapt to some damage but not all, with different cerebellar neurons playing unique roles in motor skills and social communication development.
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Article Synopsis
  • - Dystonia is a common movement disorder characterized by painful twisting postures due to muscle contractions, previously thought to mainly stem from basal ganglia issues but now seen as involving networks throughout the brain, including the cerebellum.
  • - The disorder's symptoms can include not only motor issues but also non-motor problems like sleep disturbances, potentially linked to disruptions in shared brain pathways.
  • - Recent research suggests the cerebellum plays a key role in both motor function and sleep regulation, which could lead to new treatment options targeting cerebellar circuits to improve outcomes for those with dystonia.
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Article Synopsis
  • - Dystonia, the third most common movement disorder, is linked to sleep issues, particularly in the cerebellum, which plays a crucial role in regulating sleep but whose exact impact on these impairments is not well understood.
  • - Researchers created two genetically modified mouse models of dystonia to study how cerebellar dysfunction affects both movement and sleep; these models show different levels of motor disorders but share issues with neurotransmission in cerebellar circuits.
  • - Findings revealed that both mouse models experienced more wakefulness and non-REM sleep while struggling to enter REM sleep, suggesting that the alterations in cerebellar circuits contribute to sleep quality problems independently from motor symptoms in dystonia.
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Spinocerebellar ataxia type 1 (SCA1) is a paradigmatic neurodegenerative disease in that it is caused by a mutation in a broadly expressed protein, ATXN1; however, only select populations of cells degenerate. The interaction of polyglutamine-expanded ATXN1 with the transcriptional repressor CIC drives cerebellar Purkinje cell pathogenesis; however, the importance of this interaction in other vulnerable cells remains unknown. Here, we mutated the 154Q knockin allele of Atxn1 mice to prevent the ATXN1-CIC interaction globally.

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Article Synopsis
  • - Tremor is a common movement disorder with no cure, and propranolol, a β-adrenergic receptor blocker, is the leading treatment that helps reduce tremor severity, but the mechanisms behind its effectiveness are not fully understood.
  • - Research with healthy and tremor-affected mice showed that propranolol effectively reduced tremor levels in both groups but did not alleviate related ataxia symptoms.
  • - The study found that propranolol alters the activity of neurons in the cerebellum and works through β-adrenergic receptors, suggesting it plays a role in the treatment of tremor through modulation of cerebellar circuits.
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