Purkinje cell misfiring generates high-amplitude action tremors that are corrected by cerebellar deep brain stimulation

  1. Amanda M Brown
  2. Joshua J White
  3. Meike E van der Heijden
  4. Joy Zhou
  5. Tao Lin
  6. Roy V Sillitoe  Is a corresponding author
  1. Department of Pathology and Immunology, Baylor College of Medicine, United States
  2. Department of Neuroscience, Baylor College of Medicine, United States
  3. Jan and Dan Duncan Neurological Research Institute of Texas Children's Hospital, United States
  4. Development, Disease Models & Therapeutics Graduate Program, Baylor College of Medicine, United States
5 figures, 4 videos, 5 tables and 1 additional file

Figures

Figure 1 with 3 supplements
Purkinje cell neurotransmission is necessary for producing baseline physiological tremor and pathological tremor.

(a) Representation of a sagittal section of a mouse cerebellum indicating its spatial relationship to other landmarks of the central nervous system. Green region = Purkinje cell dendrites and …

Figure 1—figure supplement 1
Baseline tremor power of both genotypes and power of tremor in recordings of Pcp2Cre;Slc32a1flox/flox mice after harmaline administration are an order of magnitude smaller than that of Slc32a1flox/flox mice after harmaline administration.

(a) Solid line = mean. Shaded region = standard error of the mean (SEM). Legend on right. This is a magnified view of the data in Figure 1g.

Figure 1—figure supplement 1—source data 1

Precision measures, exact p-values, and replicate data relevant to Figure 1.

https://cdn.elifesciences.org/articles/51928/elife-51928-fig1-figsupp1-data1-v1.docx
Figure 1—figure supplement 2
No difference in tremor was found between males and females.

(a–b) Comparison of male and female animals for all tremor conditions tested in Figure 1h–i. Green = male, magenta = female. No significant difference was found between sexes in any condition. Slc32a…

Figure 1—figure supplement 3
Mice lacking Purkinje cell GABA neurotransmission have reduced c-Fos expression in response to harmaline administration in the cerebellar nuclei, despite similar levels of activation in the inferior olive.

(a) Quantification of detected c-Fos puncta density in the cerebellar nuclei after harmaline administration. Fastigial: Slc32a1flox/flox n = 16, mean = 0.0003656; Pcp2Cre;Slc32a1flox/flox n = 14, …

Purkinje cell firing patterns are significantly altered after harmaline administration.

(a) Representation of craniotomy site using skull landmarks. Craniotomy (green circle) for awake head-fixed neural recordings was made −6.4 mm from Bregma (blue arrow) and 1.3 mm lateral from …

A burst pattern of cerebellar nuclei activity is associated with the tremor phenotype.

(a) Representation of an extracellular recording of the cerebellar nuclei. (b–e) Example raw traces from recordings of cerebellar nuclei cells. Scale = 250 ms. (b) Cerebellar nuclei cell from a …

Figure 4 with 3 supplements
The burst pattern of cerebellar nuclei activity is sufficient to produce tremor at multiple frequencies.

(a) Representation of an optical fiber in the cerebellar nuclei. (b) Representation of EMG and optical fiber implant strategy. EMG electrodes are implanted into the gastrocnemius muscle (pink) of …

Figure 4—figure supplement 1
Expression of channelrhodopsin is limited to Purkinje cells when reporter expression is driven with a Pcp2Cre allele.

(a) Photomicrograph of a sagittal section of the cerebellum and brainstem from a Pcp2Cre;ROSA26loxP-STOP-loxP-ChR2-EYFP mouse after immunostaining with GFP to enhance the detection of EYFP …

Figure 4—figure supplement 2
Targeting of optic fibers for optogenetic stimulation of Purkinje cell terminals in the cerebellar nuclei.

(a) Dissection of cerebellum within skull. Arrows indicate location of optical fibers penetrating the tissue. Dotted circles indicate the location of the dentate (DN), interposed (IN), and fastigial …

Figure 4—figure supplement 3
Tremor severity increases as optogenetic stimulation light power increases.

(a) Average tremor power for each of the LED light powers tested (solid lines) surrounded by the standard error of the mean (shaded regions). Stimulation always occurred at 10 Hz. (b) Average power …

Figure 5 with 1 supplement
Closed-loop DBS targeted to the interposed nucleus reduces tremor severity.

(a) Picture of the custom-built tremor monitor. (b) Representation of the closed-loop design. Left: a mouse exhibiting tremor behavior shakes the tremor monitor chamber with an attached …

Figure 5—figure supplement 1
DBS electrodes targeted to the cerebellar interposed nucleus.

(a–b) Sample photomicrographs of Nissl stained neural tissue after removal of the DBS electrodes in two different mice. Arrows indicate the void where DBS electrodes penetrated the tissue. Dotted …

Videos

Video 1
Pcp2Cre;Slc32a1flox/flox mice exhibit ataxia and disequilibrium, but not pathological tremor.
Video 2
Harmaline induces a severe tremor in Slc32a1flox/flox mice but not in Pcp2Cre;Slc32a1flox/flox mice.
Video 3
Optogenetic stimulation of Purkinje cell terminals in the interposed nuclei of Pcp2Cre;ROSA26loxP-STOP-loxP-ChR2-EYFP mice using a 10 Hz sinusoidal stimulus induces a robust tremor.
Video 4
Closed-loop DBS of the interposed nucleus reduces harmaline-induced tremor.

Tables

Table 1
Precision measures, exact p-values, and replicate data relevant to Figure 1.
FigureComparator 1Comparator 2Mean 1Mean 2SE of diff.N 1N 2SummaryAdjusted
P Value
Figure 1hSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
0.002181 V20.02005 V20.0051321616*0.0190
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline0.002181 V20.001438 V20.00037861612ns0.2982
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.002181 V20.002787 V20.00070721613ns0.9420
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline0.02005 V20.001438 V20.0051331612*0.0142
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
0.02005 V20.002787 V20.0051681613*0.0252
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.001438 V20.002787 V20.00071511213ns0.3550
Figure 1iSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
0.001032 V20.001767 V20.00034031616ns0.2224
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline0.001032 V20.0005844 V20.00015521612*0.0454
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.001032 V20.0008114 V20.00021041613ns0.8693
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline0.001767 V20.0005844 V20.00034031612*0.0155
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
0.001767 V20.0008114 V20.00036881613ns0.0897
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.0005844 V20.0008114 V20.00021041213ns0.8543
Table 2
Precision measures, exact p-values, and replicate data relevant to Figure 2.
FigureComparator 1Comparator 2Mean 1Mean 2SE of diff.N 1N 2SummaryAdjusted
P Value
Figure 2hSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
77.63 Hz49.18 Hz7.4971814**0.0020
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline77.63 Hz55.97 Hz7.3551815*0.0238
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
77.63 Hz26.65 Hz7.8401812****<0.0001
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline49.18 Hz55.97 Hz7.8181415ns0.8208
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
49.18 Hz26.65 Hz8.2761412*0.0419
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
55.97 Hz26.65 Hz8.1481512**0.0037
Figure 2iSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
0.49021.3720.20171814***0.0003
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline0.49021.1520.19791815**0.0079
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.49021.9530.21091812****<0.0001
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline1.3721.1520.21031415ns0.7229
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
1.3721.9530.22271412ns0.0552
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
1.1521.9530.21921512**0.0032
Figure 2jSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
0.44430.66830.053141814***0.0005
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline0.44430.53550.052141815ns0.3088
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.44430.83960.055581812****<0.0001
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline0.66830.53550.055421415ns0.0897
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
0.66830.83960.058671412*0.0253
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.53550.83960.057761512****<0.0001
Figure 2kSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
1.289 Hz2.876 Hz0.36411814***0.0003
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline1.289 Hz1.458 Hz0.35721815ns0.9649
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
1.289 Hz5.338 Hz0.38071812****<0.0001
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline2.876 Hz1.458 Hz0.37971415**0.0025
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
2.876 Hz5.338 Hz0.40191412****<0.0001
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
1.458 Hz5.338 Hz0.39571512****<0.0001
Figure 2lSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
0.73960.57530.077631814ns0.1609
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline0.73960.86310.076171815ns0.3751
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.73960.43350.081191812**0.0022
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline0.57530.86310.080961415**0.0043
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
0.57530.43350.085711412ns0.3572
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.86310.43350.084381512****<0.0001
Figure 2mSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
0.88760.53990.059371814****<0.0001
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline0.88760.90820.058241815ns0.9848
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.88760.32240.062091812****<0.0001
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline0.53990.90820.061911415****<0.0001
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
0.53990.32240.065541412**0.0085
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.90820.32240.064531512****<0.0001
Figure 2nSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
0.008528 s0.04651 s0.0097661814**0.0015
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline0.008528 s0.02349 s0.0095811815ns0.4089
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.008528 s0.09622 s0.010211812****<0.0001
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline0.04651 s0.02349 s0.010181415ns0.1202
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
0.04651 s0.09622 s0.010781412***0.0001
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.02349 s0.09622 s0.010611512****<0.0001
Figure 2oSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
0.01806 s0.01806 s0.0065511814ns>0.9999
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline0.01806 s0.03709 s0.0064271815*0.0228
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.01806 s0.02643 s0.0068511812ns0.6161
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline0.01806 s0.03709 s0.0068311415*0.0358
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
0.01806 s0.02643 s0.0072321412ns0.6560
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.03709 s0.02643 s0.0071201512ns0.4462
Figure 2pSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
59.7817.7111.711817**0.0035
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline59.7853.8311.541818ns0.9551
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
59.788.42112.101815***0.0004
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline17.7153.8311.711718*0.0155
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
17.718.42112.261715ns0.8730
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
53.838.42112.101815**0.0021
Table 3
Precision measures, exact p-values, and replicate data relevant to Figure 3.
FigureComparator 1Comparator 2Mean 1Mean 2SE of diff.N 1N 2SummaryAdjusted
P Value
Figure 3fSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
66.48 Hz74.56 Hz10.441914ns0.8660
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline66.48 Hz79.81 Hz9.7531918ns0.5246
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
66.48 Hz82.22 Hz11.231911ns0.5035
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline74.56 Hz79.81 Hz10.571418ns0.9593
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
74.56 Hz82.22 Hz11.951411ns0.9180
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
79.81 Hz82.22 Hz11.351811ns0.9966
Figure 3gSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
0.45110.86540.086211914****<0.0001
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline0.45110.34280.080501918ns0.5379
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.45110.36950.092731911ns0.8150
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline0.86540.34280.087221418****<0.0001
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
0.86540.36950.098611411****<0.0001
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.34280.36950.093671811ns0.9918
Figure 3hSlc32a1flox/flox baselineSlc32a1flox/flox
+ harmaline
0.41410.52620.042661914ns0.0520
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox baseline0.41410.23100.039841918***0.0001
Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.41410.27430.045891911*0.0179
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox baseline0.52620.23100.043161418****<0.0001
Slc32a1flox/flox
+ harmaline
Pcp2Cre;Slc32a1flox/flox
+ harmaline
0.52620.27430.048801411****<0.0001
Pcp2Cre;Slc32a1flox/flox baselinePcp2Cre;Slc32a1flox/flox
+ harmaline
0.23100.27430.046361811ns0.7864
Table 4
Precision measures, exact p-values, and replicate data relevant to Figure 4.
FigureComparator 1Comparator 2Mean 1Mean 2SE of diff.N 1N 2SummaryAdjusted
P Value
Figure 4npreduring0.18251.0000.0523877****<0.0001
prepost0.18250.17020.0633777ns0.9796
duringpost1.0000.17020.0822477***0.0001
Table 5
Precision measures, exact p-values, and replicate data relevant to Figure 5.
FigureComparator 1Comparator 2Mean 1Mean 2SE of diff.N 1N 2SummaryAdjusted
P Value
Figure 5ibaselineharmaline0.092081.0000.0383188****<0.0001
baselineclosed-loop DBS
+ harmaline
0.092080.21290.0793088ns0.3375
harmalineclosed-loop DBS
+ harmaline
1.0000.21290.0619188****<0.0001

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