Abnormal climbing fibre-Purkinje cell synaptic connections in the essential tremor cerebellum

Chi Ying Lin, Elan D. Louis, Phyllis L. Faust, Arnulf H. Koeppen, Jean Paul G. Vonsattel, Sheng Han Kuo

Research output: Contribution to journalArticle

49 Scopus citations

Abstract

Structural changes in Purkinje cells have been identified in the essential tremor cerebellum, although the mechanisms that underlie these changes remain poorly understood. Climbing fibres provide one of the major excitatory inputs to Purkinje cells, and climbing fibre-Purkinje cell connections are essential for normal cerebellar-mediated motor control. The distribution of climbing fibre-Purkinje cell synapses on Purkinje cell dendrites is dynamically regulated and may be altered in disease states. The aim of the present study was to examine the density and distribution of climbing fibre-Purkinje cell synapses using post-mortem cerebellar tissue of essential tremor cases and controls. Using vesicular glutamate transporter type 2 immunohistochemistry, we labelled climbing fibre-Purkinje cell synapses of 12 essential tremor cases and 13 age-matched controls from the New York Brain Bank. Normally, climbing fibres form synapses mainly on the thick, proximal Purkinje cell dendrites in the inner portion of the molecular layer, whereas parallel fibres form synapses on the thin, distal Purkinje cell spiny branchlets. We observed that, compared with controls, essential tremor cases had decreased climbing fibre-Purkinje cell synaptic density, more climbing fibres extending to the outer portion of the molecular layer, and more climbing fibre-Purkinje cell synapses on the thin Purkinje cell spiny branchlets. Interestingly, in essential tremor, the increased distribution of climbing fibre-Purkinje cell synapses on the thin Purkinje cell branchlets was inversely associated with clinical tremor severity, indicating a close relationship between the altered distribution of climbing fibre-Purkinje cell connections and tremor. These findings suggest that abnormal climbing fibre-Purkinje cell connections could be of importance in the pathogenesis of essential tremor.

Original languageEnglish (US)
Pages (from-to)3149-3159
Number of pages11
JournalBrain
Volume137
Issue number12
DOIs
StatePublished - Dec 1 2014
Externally publishedYes

Keywords

  • Climbing fibre
  • Essential tremor
  • Purkinje cell
  • Synapse
  • VGlut2

ASJC Scopus subject areas

  • Clinical Neurology

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    Lin, C. Y., Louis, E. D., Faust, P. L., Koeppen, A. H., Vonsattel, J. P. G., & Kuo, S. H. (2014). Abnormal climbing fibre-Purkinje cell synaptic connections in the essential tremor cerebellum. Brain, 137(12), 3149-3159. https://doi.org/10.1093/brain/awu281