# Behavioral Optimization of Deep Brain Stimulation Therapy for Parkinson's disease

> **NIH NIH P50** · UNIVERSITY OF MINNESOTA · 2020 · $298,737

## Abstract

Abstract:
The overall goal of project 3 of the University of Minnesota (UMN) Udall Center is to investigate why deep brain
stimulation (DBS) therapy for Parkinson's disease (PD) works better in some individuals than in others and to
develop methods to decrease the variability of DBS therapy for individual motor signs of PD. To deliver DBS
therapy at a level consistent with the best responders, it is critical to investigate the (1) emergence of DBS-
induced side effects that impede the delivery of more effective stimulation parameters, (2) logistical challenges
in optimizing stimulation settings for each parkinsonian motor sign on an individual basis, and (3) multi-scale
neurophysiological differences across the basal ganglia, thalamus, and brainstem that underlie the individual
variability to DBS therapy. This project will leverage the well-characterized non-human primate model of PD
(systemic MPTP) implanted with two scaled-down versions of the human DBS lead (subthalamic nucleus, STN
and globus pallidus, GP). The approach involves a novel combination of high-field imaging (7T/10.5T, Imaging
Core), computational neuron modeling of DBS, development of optimization algorithms based on quantitative
behavioral assessments, multi-parameter regression analysis techniques (Biostatistics Core), and multi-scale
electrophysiological analysis of DBS therapy that spans single-cell, ensemble, and whole-brain levels. Aim 1
will investigate the ability for narrow DBS pulse widths to extend the therapeutic parameter space window
between alleviating parkinsonian motor signs and evoking motor side-effects. This aim will further enhance our
understanding of the functional relationships between DBS parameter settings and their resultant therapeutic
effect sizes and wash-in/wash-out time constants on a subject-specific, pathway-specific basis. Aim 2 will
develop a novel real-time, behavior-based optimization algorithm for automatic and efficient selection of DBS
parameters that minimize the expression of individual parkinsonian motor signs including rigidity, bradykinesia,
akinesia, and gait/posture. Aim 3 will identify the subject-specific electrophysiological features that most closely
correlate with the temporal and steady-state behavioral responses to DBS found in the first two aims. The
simultaneous recordings will include local field potentials in the STN and GP as well as unit-spike recordings in
three nuclei innervated by pallidofugal projection neurons (i.e. motor thalamus, centromedian-parafascicular
complex of thalamus, and pedunculopontine nucleus). At the conclusion of the experiments, whole-brain
transcription factor analysis for two metabolic markers (c-fos and egr-1) will be conducted through histological
techniques to provide single-cell resolution for the neural pathways modulated by behaviorally-optimized DBS
therapy. Together, these aims will provide critical new insight into the pathophysiological basis for the
expression of each parkinsonian mo...

## Key facts

- **NIH application ID:** 9971614
- **Project number:** 5P50NS098573-05
- **Recipient organization:** UNIVERSITY OF MINNESOTA
- **Principal Investigator:** Matthew Douglas Johnson
- **Activity code:** P50 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $298,737
- **Award type:** 5
- **Project period:** — → —

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9971614

## Citation

> US National Institutes of Health, RePORTER application 9971614, Behavioral Optimization of Deep Brain Stimulation Therapy for Parkinson's disease (5P50NS098573-05). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9971614. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*
