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      Synaptic Dysfunction in Dystonia: Update From Experimental Models

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          Abstract

          Dystonia, the third most common movement disorder, refers to a heterogeneous group of neurological diseases characterized by involuntary, sustained or intermittent muscle contractions resulting in repetitive twisting movements and abnormal postures. In the last few years, several studies on animal models helped expand our knowledge of the molecular mechanisms underlying dystonia. These findings have reinforced the notion that the synaptic alterations found mainly in the basal ganglia and cerebellum, including the abnormal neurotransmitters signalling, receptor trafficking and synaptic plasticity, are a common hallmark of different forms of dystonia. In this review, we focus on the major contribution provided by rodent models of DYT- TOR1A, DYT- THAP1, DYT- GNAL, DYT/ PARK- GCH1, DYT/PARK- TH and DYT- SGCE dystonia, which reveal that an abnormal motor network and synaptic dysfunction represent key elements in the pathophysiology of dystonia.

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          Most cited references161

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          Phenomenology and classification of dystonia: a consensus update.

          This report describes the consensus outcome of an international panel consisting of investigators with years of experience in this field that reviewed the definition and classification of dystonia. Agreement was obtained based on a consensus development methodology during 3 in-person meetings and manuscript review by mail. Dystonia is defined as a movement disorder characterized by sustained or intermittent muscle contractions causing abnormal, often repetitive, movements, postures, or both. Dystonic movements are typically patterned and twisting, and may be tremulous. Dystonia is often initiated or worsened by voluntary action and associated with overflow muscle activation. Dystonia is classified along 2 axes: clinical characteristics, including age at onset, body distribution, temporal pattern and associated features (additional movement disorders or neurological features); and etiology, which includes nervous system pathology and inheritance. The clinical characteristics fall into several specific dystonia syndromes that help to guide diagnosis and treatment. We provide here a new general definition of dystonia and propose a new classification. We encourage clinicians and researchers to use these innovative definition and classification and test them in the clinical setting on a variety of patients with dystonia. © 2013 Movement Disorder Society. © 2013 Movement Disorder Society.
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            Functional neuroanatomy of the basal ganglia.

            The "basal ganglia" refers to a group of subcortical nuclei responsible primarily for motor control, as well as other roles such as motor learning, executive functions and behaviors, and emotions. Proposed more than two decades ago, the classical basal ganglia model shows how information flows through the basal ganglia back to the cortex through two pathways with opposing effects for the proper execution of movement. Although much of the model has remained, the model has been modified and amplified with the emergence of new data. Furthermore, parallel circuits subserve the other functions of the basal ganglia engaging associative and limbic territories. Disruption of the basal ganglia network forms the basis for several movement disorders. This article provides a comprehensive account of basal ganglia functional anatomy and chemistry and the major pathophysiological changes underlying disorders of movement. We try to answer three key questions related to the basal ganglia, as follows: What are the basal ganglia? What are they made of? How do they work? Some insight on the canonical basal ganglia model is provided, together with a selection of paradoxes and some views over the horizon in the field.
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              The cerebellum communicates with the basal ganglia.

              The cerebral cortex is interconnected with two major subcortical structures: the basal ganglia and the cerebellum. How and where cerebellar circuits interact with basal ganglia circuits has been a longstanding question. Using transneuronal transport of rabies virus in macaques, we found that a disynaptic pathway links an output stage of cerebellar processing, the dentate nucleus, with an input stage of basal ganglia processing, the striatum.
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                Author and article information

                Journal
                Curr Neuropharmacol
                Curr Neuropharmacol
                CN
                Current Neuropharmacology
                Bentham Science Publishers
                1570-159X
                1875-6190
                1 September 2023
                1 September 2023
                : 21
                : 11
                : 2310-2322
                Affiliations
                [1 ]deptLaboratory of Neurophysiology and Plasticity , IRCCS Fondazione Santa Lucia , Rome, , Italy;
                [2 ]deptDepartment of System Medicine , University of Rome Tor Vergata , Rome, , Italy;
                [3 ]deptDepartment of Biology and Biotechnology “L. Spallanzani” , University of Pavia , Pavia, , Italy;
                [4 ]deptDepartment of Brain and Behavioral Sciences , University of Pavia , Pavia, , Italy;
                [5 ]IRCCS Fondazione Mondino , Pavia, , Italy
                Author notes
                [* ]Address correspondence to this author at the Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy, and IRCCS Mondino Foundation, Pavia, Italy; E-mails: antonio.pisani@ 123456unipv.it ; antonio.pisani@ 123456mondino.it
                Article
                CN-21-2310
                10.2174/1570159X21666230718100156
                10556390
                37464831
                73b21b26-e036-4268-8147-2edb28a20199
                © 2023 Bentham Science Publishers

                © 2023 The Author(s). Published by Bentham Science Publisher. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode)

                History
                : 11 October 2022
                : 05 December 2022
                : 12 December 2022
                Categories
                Medicine, Neurology, Pharmacology, Neuroscience

                Pharmacology & Pharmaceutical medicine
                synaptic dysfunction,movement disorders,dystonia,striatum,cerebellum,rodent models

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