Department of Neurology and Stroke, Hertie Institute for Clinical Brain Research, Eberhard-Karls-University Tübingen Tübingen, Germany.
Institute of Clinical Neuroanatomy, Neuroscience Center, Goethe-University Frankfurt Frankfurt am Main, Germany.
Front Mol Neurosci. 2013 Dec 17;6:50. doi: 10.3389/fnmol.2013.00050. eCollection 2013.
Despite numerous clinical studies, which have investigated the therapeutic potential of repetitive transcranial magnetic stimulation (rTMS) in various brain diseases, our knowledge of the cellular and molecular mechanisms underlying rTMS-based therapies remains limited. Thus, a deeper understanding of rTMS-induced neural plasticity is required to optimize current treatment protocols. Studies in small animals or appropriate in vitro preparations (including models of brain diseases) provide highly useful experimental approaches in this context. State-of-the-art electrophysiological and live-cell imaging techniques that are well established in basic neuroscience can help answering some of the major questions in the field, such as (i) which neural structures are activated during TMS, (ii) how does rTMS induce Hebbian plasticity, and (iii) are other forms of plasticity (e.g., metaplasticity, structural plasticity) induced by rTMS? We argue that data gained from these studies will support the development of more effective and specific applications of rTMS in clinical practice.
尽管有许多临床研究调查了重复经颅磁刺激(rTMS)在各种脑部疾病中的治疗潜力,但我们对 rTMS 治疗相关的细胞和分子机制的了解仍然有限。因此,需要更深入地了解 rTMS 诱导的神经可塑性,以优化当前的治疗方案。在小动物或适当的体外制剂(包括脑部疾病模型)中进行的研究为此提供了非常有用的实验方法。在基础神经科学中已经成熟的最先进的电生理学和活细胞成像技术可以帮助回答该领域的一些重大问题,例如:(i)TMS 期间激活了哪些神经结构;(ii)rTMS 如何诱导赫布可塑性;(iii)rTMS 是否诱导其他形式的可塑性(例如,易化可塑性、结构可塑性)?我们认为,从这些研究中获得的数据将支持 rTMS 在临床实践中更有效和更具体的应用的发展。
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