Published in

National Academy of Sciences, Proceedings of the National Academy of Sciences, 27(116), p. 13592-13601, 2019

DOI: 10.1073/pnas.1817689116

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Role of cerebellar GABAergic dysfunctions in the origins of essential tremor

Journal article published in 2019 by Xu Zhang ORCID, Sabato Santaniello ORCID
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Significance We investigated the mechanisms of tremor generation in essential tremor (ET). Using computational modeling we show that tremor-related activity can originate from the olivocerebellar loop in response to a dysfunction and compensatory up-regulation of GABA receptors in the dentate nucleus of cerebellum. The emerging tremor-related activity then projects to thalamus and reaches the corticothalamic motor loop. Consistent with clinical observations, the study shows that the tremor frequency decreases as the up-regulation becomes stronger and increases as high-frequency stimulation is delivered to the thalamus. Our results provide an explanation of how local synaptic abnormalities would lead to widespread tremor-related neural activity in ET and suggest that compensatory processes in degenerative diseases may underlie brain dysfunction.