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转化神经调节:在大鼠中模拟人类经颅磁刺激方案。

Translational neuromodulation: approximating human transcranial magnetic stimulation protocols in rats.

机构信息

Department of Neurology, Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.

出版信息

Neuromodulation. 2012 Jul;15(4):296-305. doi: 10.1111/j.1525-1403.2012.00482.x. Epub 2012 Jul 10.

Abstract

OBJECTIVE

Transcranial magnetic stimulation (TMS) is a well-established clinical protocol with numerous potential therapeutic and diagnostic applications. Yet, much work remains in the elucidation of TMS mechanisms, optimization of protocols, and in development of novel therapeutic applications. As with many technologies, the key to these issues lies in the proper experimentation and translation of TMS methods to animal models, among which rat models have proven popular. A significant increase in the number of rat TMS publications has necessitated analysis of their relevance to human work. We therefore review the essential principles for the approximation of human TMS protocols in rats as well as specific methods that addressed these issues in published studies.

MATERIALS AND METHODS

We performed an English language literature search combined with our own experience and data. We address issues that we see as important in the translation of human TMS methods to rat models and provide a summary of key accomplishments in these areas.

RESULTS

An extensive literature review illustrated the growth of rodent TMS studies in recent years. Current advances in the translation of single, paired-pulse, and repetitive stimulation paradigms to rodent models are presented. The importance of TMS in the generation of data for preclinical trials is also highlighted.

CONCLUSIONS

Rat TMS has several limitations when considering parallels between animal and human stimulation. However, it has proven to be a useful tool in the field of translational brain stimulation and will likely continue to aid in the design and implementation of stimulation protocols for therapeutic and diagnostic applications.

摘要

目的

经颅磁刺激(TMS)是一种成熟的临床方案,具有许多潜在的治疗和诊断应用。然而,在阐明 TMS 机制、优化方案以及开发新的治疗应用方面仍有许多工作要做。与许多技术一样,解决这些问题的关键在于正确地在动物模型中进行 TMS 方法的实验和转化,其中大鼠模型已被证明很受欢迎。大鼠 TMS 出版物数量的显著增加使得对其与人类工作的相关性进行分析变得必要。因此,我们回顾了在大鼠中近似人类 TMS 方案的基本原理以及在已发表研究中解决这些问题的具体方法。

材料和方法

我们进行了英语文献检索,并结合我们自己的经验和数据。我们讨论了我们认为在将人类 TMS 方法转化为大鼠模型时很重要的问题,并提供了这些领域的关键成果的总结。

结果

广泛的文献综述说明了近年来啮齿动物 TMS 研究的增长。目前,在将单脉冲、双脉冲和重复刺激范式转化为啮齿动物模型方面的进展进行了介绍。TMS 在为临床前试验生成数据方面的重要性也得到了强调。

结论

当考虑动物和人类刺激之间的平行关系时,大鼠 TMS 存在一些局限性。然而,它已被证明是转化脑刺激领域的有用工具,并且可能会继续帮助设计和实施治疗和诊断应用的刺激方案。

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