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Submyelin potassium accumulation may functionally block subsets of local axons during deep brain stimulation: a modeling study

S C Bellinger1, G Miyazawa2 and P N Steinmetz1,3

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Deep brain stimulation has been used for over a decade to relieve the symptoms of Parkinson's disease, although its mechanism of action remains poorly understood. To better understand the direct effects of DBS on central neurons, a computational model of a myelinated axon has been constructed which includes the effects of K+ accumulation within the peri-axonal space. Using best estimates of anatomic and electrogenic model parameters for in vivo STN axons, the model predicts a functional block along the axon due to K+ accumulation in the submyelin space. The functional block occurs for a range of model parameters: high stimulation frequencies (>130 Hz); high extracellular K+ concentrations (>3 × 10−3 M); low maximum Na+/K+ ATPase current densities (<0.026 A m−2); low diffusion coefficients for K+ diffusion out of the submyelin space (<2.4 × 10−9 m2 s−1); small periaxonal space widths of the myelin attachment sections (<2.7 × 10−9 m) and perinodal/internodal sections (<8.4 × 10−9 m). These results suggest that therapeutic DBS of the STN likely results in a functional block for many STN axons, although a subset of STN axons may also be activated at the stimulating frequency.


PACS

87.19.L- Neuroscience

87.16.Uv Active transport processes

87.19.X- Diseases

87.16.D- Membranes, bilayers, and vesicles

87.19.R- Mechanical and electrical properties of tissues and organs

Subjects

Medical physics

Biological physics

Dates

Issue 3 (September 2008)

Received 27 December 2007, accepted for publication 29 May 2008

Published 19 June 2008



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