M1 excitability is modulated by dopaminergic projections from the VTA and by the net effect of the direct and indirect pathways of the cortico-basal ganglia-thalamic circuitry.10,11 In PD, dysfunctional dopaminergic signaling leads to an imbalance in the direct and indirect pathways which would result in exacerbated inhibitory input to M1 which is thought to be responsible for motor deficits.15–17 However, multiple animal model and clinical studies report conflicting results, showing increased,5,18,19,25,26,35–38 decreased,29,39–44 or unchanged27,28,34,38 activation of M1. Here, we propose that such inconsistencies may result from studying M1 excitability at different levels of dopaminergic loss. An initial analysis of M1 activity shows subtle trends towards M1 overexcitation following 6-OHDA lesion and levodopa treatment (Fig. 5). However, when we consider the level of midbrain dopaminergic depletion achieved with 6-OHDA lesion, we identify distinct patterns of M1 activation. Specifically, rats with less than 70% of dopaminergic depletion (low lesion level, Fig. 6a-c) showed decreased frequency and increased magnitude of calcium events with no significant effects in response to levodopa treatment. In contrast, rats with more than 30% of dopaminergic depletion (high lesion level, Fig. 6g-i) showed reduced frequency and significant increase in the magnitude of calcium events during levodopa treatment, with no significant changes during 6-OHDA-lesioned state. Additionally, rats with mild (30–69%) dopaminergic depletion (Fig. 6d-f) did not show changes in M1 activity. Importantly, it is worth noting that linear regression analysis reveals that the frequency of calcium events in the M1 tends to decrease while calcium influx magnitude tends to increase as the dopaminergic lesion level increases when rats are treated with levodopa but remain unaffected during the 6-OHDA lesion state, i.e., in the absence of treatment (Fig. 7).
D1R and D2R may have similar effects in M1 depending on the cortical layers and neuronal types in which they are expressed, as well as the anatomical origin of dopaminergic depletion.7,9,45 However, their overall signaling effect through cortico-basal ganglia-thalamic circuitry may have opposing effects. In our study, the meso-cortical dopaminergic pathway and cortico-basal ganglia-thalamic circuitry were not severely damaged in rats with low dopaminergic depletion, but the latter might still have minor dysfunction given that direct 6-OHDA administration into the MFB would affect dopaminergic projections primarily in the nigrostriatal pathway.46,47 Thus, subtle imbalances in the indirect pathway could result in increased M1 inhibition or no significant changes since dopaminergic meso-cortical projections might sustain M1 activity.48,49 If dopaminergic transmission is supplemented with levodopa, significant changes would not be observed likely because dopaminergic signaling would not be sufficiently imbalanced by the lesion. On the other hand, in high dopaminergic lesion, severe damage to the cortico-basal ganglia-thalamic circuitry would result in decreased M1 activity15–17,50 while severe damage to the meso-cortical pathway would result in increased M1 activity.48,49 Thus, the net effect would be no noticeable changes in M1 activity. However, levodopa treatment would restore deficient dopaminergic transmission and allow for recovery of M1 activity. Interestingly, studies assessing M1 activity changes induced by deep brain stimulation (DBS) of the subthalamic nucleus (STN) report decrease and regularization in M1 firing rate with stimulation,51 likely due to increased cortical GABAergic interneuron excitability52–54. The efficacy of both levodopa and STN DBS to alleviate parkinsonian symptoms in experimental animals and PD patients while modulating M1 activity reiterates the essential role of M1 in PD pathogenesis and supports the multi-circuitry regulation of M1 activity. Future experiments evaluating changes in M1 activity in response to STN DBS are necessary to further elucidate potential mechanisms of M1 activity modulation.
Impaired motor performance and/or bradykinesia were observed in high lesion level rats. However, mild lesion level rats did not show fine motor impairment in the SPRT. This reinforces the notion that motor deficits in PD are observed when more than 70% of nigral dopaminergic neurons are lost and a fine balance of the direct and indirect cortico-basal ganglia-thalamic pathways is no longer achieved.55 In contrast to Metz et al. (2001), who did not detect motor improvement with chronic levodopa treatment,56 we report a significant improvement in the performance of SPRT in the levodopa-treated state compared to the lesioned state with reduced number of attempts to successfully grasp and eat a pellet. Additionally, the attempt duration to reach a pellet increased after levodopa treatment, particularly when the pellet was present in the receptacle. In agreement with our findings pertaining grasping duration, Hyland and colleagues (2019) showed no changes in the terminal part of the reaches possibly because this is the deceleration part of the movement when velocities in lesioned rats and controls may converge.34,57 This suggests that levodopa-treated animals developed a motor control strategy focused on goal achievement with fine tuning of proximal and distal movements to accurately reach and grasp the pellet.
Limitations of our study include the fact that not every rat included in the calcium imaging analysis was included in the behavioral analysis. Therefore, we were unable to correlate M1 calcium activity with specific limb movements and draw spatiotemporal maps to evaluate neuronal ensembles encoding for specific movements. Such information would further elucidate the role of dopamine in M1 neuronal modulation to execute specific fine movements. Furthermore, it must be acknowledged that calcium imaging measures neuronal activity through the influx of calcium into neurons,58 which does not fully correspond to action potentials. Additionally, fluorescent calcium imaging relies on signal emitted by active cells. It is possible that neurons become quiescent in the 6-OHDA lesioned state and that calcium imaging picks up the signals only from neurons that remain active. This would result in the study of active neurons only, neglecting the population of inactive neurons, which may not be representative of the entire M1 neuronal population. Future studies seeking to correlate neuronal calcium signaling and action potentials would enhance the accuracy and significance of calcium imaging analysis.
In summary, our study demonstrates the feasibility of long-term (over three months) monitoring of M1 neuronal activity via calcium signaling and simultaneous motor behavior in awake, freely behaving hemi-parkinsonian rats and contributes to clarify the effects of disrupted midbrain dopaminergic transmission in M1. Furthermore, we demonstrate that while motor behavior is affected by severe changes in dopaminergic transmission, calcium activity in M1 is more susceptible to changes in response to quick fluctuations in dopaminergic transmission, rather than to a stabilized level of dopaminergic transmission with a higher or lower amplitude.