





|

In
the
Basso Laboratory our research interest focuses on understanding the
neurophysiological underpinnings of movement disorders. In
particular, we are interested in understanding the role of a set of
forebrain structures called the basal ganglia (BG) in the generation of
volitional movements and how the functioning of these structures goes awry
in movement disordered states such as Parkinson’s disease,
Huntington’s disease and dystonia. An overlying principle that
guides the research performed in the laboratory is that the disorders of
volitional movement involving the BG are not motor per se, but rather
reflect faulty perceptual or higher cognitive processes that are required
for the generation of volitional movement. For example,
Parkinsonian (PD) patients frequently exhibit paradoxical movement. If a
late-stage Parkinsonian patient is asked to walk voluntarily, they have
difficulty. This is a hallmark of the disease called akinesia
(meaning "lack of movement"). However, if horizontal lines are drawn on the floor and
the same patient is asked to step over the lines, gait can be initiated
normally. This phenomenon implies that there is something about generating
the movement internally that is faulty, since the movement guided by the
presence of the visual stimuli (the horizontal bars) appears normal.
A similar phenomenon can be revealed in eye movements. We can ask a PD
patient to fixate their eyes on a visual target and in the periphery we present another visual target. We can then ask the patient to look at
this target. If we measure the eye movements, we find that in early
stages of the disease process, the eye movements look normal. The same
patient can then fixate while we flash a target in the periphery and
remove it. We then ask the patient to look at the location where the
target was and we find that the eye movements are not normal. They are
slow and inaccurate. Thus, the problem is not one of seeing, nor is
it one of moving, but rather it is a problem of reconstructing the target
from memory. It is these kinds of higher perceptual/cognitive
processes and their role in producing some of the more enigmatic symptoms
seen in BG disordered states that we are trying to understand.
Our approach to these problems is based on three facts. First,
saccades, those rapid eye movements serving to realign the direction of
gaze, are a simple motor behavior requiring coordination of only six
extraocular muscles in each eye. Second, much is known about the brainstem
circuits involved in saccade initiation, making this system an
elegant model to study processes that precede movement initiation.
Third, volitional saccades align the center of gaze to objects of interest and therefore are
closely linked to the visual system and perceptual processing. In addition
to studies with humans, we are very fortunate to
have an animal model, the Rhesus monkey, in which to study these
processes.
Dr. Basso and the members of her lab believe in the importance of maintaining
a link between clinicians who diagnose, treat and perhaps cure people with
debilitating diseases of the brain and basic science developing non-human
primate models of brain diseased states with which to create better
diagnostic tests, better treatments and perhaps develop cures. Our goal is
to keep the laboratory firmly focused on issues that are of both
scientific and clinical importance.
|