Moving Forward: Advances in the Treatment of Movement Disorders with Deep Brain Stimulation

The modern era of stereotactic and functional neurosurgery has ushered in state of the art technologies for the treatment of movement disorders, particularly Parkinson’s disease (PD), tremor, and dystonia. After years of experience with various surgical therapies, the eventual shortcomings of both medical and surgical treatments, and several serendipitous discoveries, deep brain stimulation (DBS) has risen to the forefront as a highly effective, safe, and reversible treatment for these conditions. Idiopathic advanced PD can be treated with thalamic, globus pallidus internus (GPi), or subthalamic nucleus (STN) DBS. Thalamic DBS primarily relieves tremor while GPi and STN DBS alleviate a wide range of Parkinsonian symptoms. Thalamic DBS is also used in the treatment of other types of tremor, particularly essential tremor, with excellent results. Both primary and various types of secondary dystonia can be treated very effectively with GPi DBS. The variety of anatomical targets for these movement disorders is indicative of the network-level dysfunction mediating these movement disturbances. Despite an increasing understanding of the clinical benefits of DBS, little is known about how DBS can create such wide sweeping neuromodulatory effects. The key to improving this therapeutic modality and discovering new ways to treat these and other neurologic conditions lies in better understanding the intricacies of DBS. Here we review the history and pertinent clinical data for DBS treatment of PD, tremor, and dystonia. While multiple regions of the brain have been targeted for DBS in the treatment of these movement disorders, this review article focuses on those that are most commonly used in current clinical practice. Our search criteria for PubMed included combinations of the following terms: DBS, neuromodulation, movement disorders, PD, tremor, dystonia, and history. Dates were not restricted

A study and photodocumentation of the lens-cornea fitting relationship of the Silsight lens

The objective of this research project was to study and photodocument the fitting of the Silsight contact lens. Criteria for the photodocumentation were to be supplied by the sponsoring company, Dow Corning Ophthalmics. It was also our intent to investigate corneal changes which may have been incurred by the contact lens user study. At the time this project was begun, the Silsight contact lens was FDA approved and available to the general public

Induction of insulin-like growth factor 2 expression in a mesenchymal cell line co-cultured with an ameloblast cell line

Various growth factors have been implicated in the regulation of cell proliferation and differentiation during tooth development. It has been unclear if insulin-like growth factors (IGFs) participate in the epithelium–mesenchyme interactions of tooth development. We previously produced three-dimensional sandwich co-culture systems (SW) containing a collagen membrane that induce the differentiation of epithelial cells. In the present study, we used the SW system to analyze the expression of IGFs and IGFRs. We demonstrate that IGF2 expression in mesenchymal cells was increased by SW. IGF1R transduces a signal; however, IGF2R does not transduce a signal. Recombinant IGF2 induces IGF1R and IGF2R expression in epithelial cells. IGF1R expression is increased by SW; however, IGF2R expression did not increase by SW. Thus, IGF2 signaling works effectively in SW. These results suggest that IGF signaling acts through the collagen membrane on the interaction between the epithelium and mesenchyme. In SW, other cytokines may be suppressed to induce IGF2R induction. Our results suggest that IGF2 may play a role in tooth differentiation

The Nature of the faint far-infrared extragalactic source population: Optical/NIR and radio follow-up observations of ISOPHOT deep-field sources using Keck, Subaru, and VLA telescopes

We report on optical and near-infrared (NIR) follow-up spectroscopy of faint far-infrared (FIR) sources found in our deep FIR survey by Kawara et al.Comment: 2 pages, 1 figure. To appear in the proceedings of "AGN Surveys" (IAU Colloquium 184

One-Loop Renormalization of a Self-Interacting Scalar Field in Nonsimply Connected Spacetimes

Using the effective potential, we study the one-loop renormalization of a massive self-interacting scalar field at finite temperature in flat manifolds with one or more compactified spatial dimensions. We prove that, owing to the compactification and finite temperature, the renormalized physical parameters of the theory (mass and coupling constant) acquire thermal and topological contributions. In the case of one compactified spatial dimension at finite temperature, we find that the corrections to the mass are positive, but those to the coupling constant are negative. We discuss the possibility of triviality, i.e. that the renormalized coupling constant goes to zero at some temperature or at some radius of the compactified spatial dimension.Comment: 16 pages, plain LATE

A deep 6.7um survey in the SSA13 field with ISO

We present results of a deep mid-infrared survey in the SSA13 field with the Infrared Space Observatory (ISO). In order to probe the near-infrared light at high redshifts, we surveyed the field with the broad band LW2 (5-8.5um) filter of the mid-infrared camera ISOCAM. Adopting a highly redundant imaging strategy for the 23 hour observation and carefully treating gradual changes in the detector responsivity caused by a very high rate of cosmic ray impacts, we succeeded in reaching an 80% completeness limit of 16uJy in the central 7 arcmin2 region. Utilizing the signal-to-noise ratio map, we detected 65 sources down to 6uJy in the 16 arcmin2 field. Integral galaxy number counts at 6.7um are then derived, reaching 1.3e4/deg2 at the faint limit with a slope of -1.6 between 13uJy and 130uJy. Integrating individual sources in this flux range, the resolved fraction of the extragalactic background light at 6.7um is estimated to be 0.56nW/m2/sr. These results, which reach a flux limit three times fainter than those in the Hubble Deep Fields, are in fairly good agreement with a model prediction by Franceschini et al. (1997). Finally, we discuss the relation of distant massive E/S0 galaxies to the faint 6.7um galaxy population.Comment: 17 pages, 12 figures (3 JPEG files), A&A (accepted), an original resolution file is at http://www.ioa.s.u-tokyo.ac.jp/~ysato/pub/1/sato.ps.gz, v2: several typos correcte

Interleukin-6 Contributes to Inflammation and Remodeling in a Model of Adenosine Mediated Lung Injury

Chronic lung diseases are the third leading cause of death in the United States due in part to an incomplete understanding of pathways that govern the progressive tissue remodeling that occurs in these disorders. Adenosine is elevated in the lungs of animal models and humans with chronic lung disease where it promotes air-space destruction and fibrosis. Adenosine signaling increases the production of the pro-fibrotic cytokine interleukin-6 (IL-6). Based on these observations, we hypothesized that IL-6 signaling contributes to tissue destruction and remodeling in a model of chronic lung disease where adenosine levels are elevated.We tested this hypothesis by neutralizing or genetically removing IL-6 in adenosine deaminase (ADA)-deficient mice that develop adenosine dependent pulmonary inflammation and remodeling. Results demonstrated that both pharmacologic blockade and genetic removal of IL-6 attenuated pulmonary inflammation, remodeling and fibrosis in this model. The pursuit of mechanisms involved revealed adenosine and IL-6 dependent activation of STAT-3 in airway epithelial cells.These findings demonstrate that adenosine enhances IL-6 signaling pathways to promote aspects of chronic lung disease. This suggests that blocking IL-6 signaling during chronic stages of disease may provide benefit in halting remodeling processes such as fibrosis and air-space destruction

The 2001 Superoutburst of WZ Sagittae

We report the results of a worldwide campaign to observe WZ Sagittae during its 2001 superoutburst. After a 23-year slumber at V=15.5, the star rose within 2 days to a peak brightness of 8.2, and showed a main eruption lasting 25 days. The return to quiescence was punctuated by 12 small eruptions, of ~1 mag amplitude and 2 day recurrence time; these "echo outbursts" are of uncertain origin, but somewhat resemble the normal outbursts of dwarf novae. After 52 days, the star began a slow decline to quiescence. Periodic waves in the light curve closely followed the pattern seen in the 1978 superoutburst: a strong orbital signal dominated the first 12 days, followed by a powerful /common superhump/ at 0.05721(5) d, 0.92(8)% longer than P_orb. The latter endured for at least 90 days, although probably mutating into a "late" superhump with a slightly longer mean period [0.05736(5) d]. The superhump appeared to follow familiar rules for such phenomena in dwarf novae, with components given by linear combinations of two basic frequencies: the orbital frequency omega_o and an unseen low frequency Omega, believed to represent the accretion disk's apsidal precession. Long time series reveal an intricate fine structure, with ~20 incommensurate frequencies. Essentially all components occurred at a frequency n(omega_o)-m(Omega), with m=1, ..., n. But during its first week, the common superhump showed primary components at n (omega_o)-Omega, for n=1, 2, 3, 4, 5, 6, 7, 8, 9 (i.e., m=1 consistently); a month later, the dominant power shifted to components with m=n-1. This may arise from a shift in the disk's spiral-arm pattern, likely to be the underlying cause of superhumps. The great majority of frequency components ... . (etc., abstract continues)Comment: PDF, 54 pages, 4 tables, 21 figures, 1 appendix; accepted, in press, to appear July 2002, PASP; more info at http://cba.phys.columbia.edu