Yulug Burak, Hanoglu Lütfü, Tavli Ahmet M, Yılmaz Nesrin H, Kılıc Ertugrul
Istanbul-Medipol University, Department of Neurology, Istanbul-Turkey.
Med Chem. 2016;12(6):500-5. doi: 10.2174/1573406411666151005110321.
There are rapidly replicating human data suggesting the therapeutic and neurorestorative role of repetitive transcranial magnetic stimulation (rTMS) in clinical depression. However there are only limited experimental studies in the literature and the neurobiological mechanisms of the technique are still unclear. Studies have suggested that modulating of either excitatory or inhibitory neural circuitry may be responsible for the mechanism of action of rTMS while it is still unclear whether rTMS exerts a neuroprotective effect. In the light of these findings, we aimed to review the neuroprotective effect of rTMS in animal models of depression. We have shown that rTMS may exert significant neuroprotective effect through acting on the oxidative injury, stress hormones, dopamine and serotonin levels, Brain Derived Neurotrophic Factor expression, neuroinflamation and hippocampal cell proliferation.
有快速更新的人类数据表明重复经颅磁刺激(rTMS)在临床抑郁症中具有治疗和神经修复作用。然而,文献中仅有有限的实验研究,该技术的神经生物学机制仍不清楚。研究表明,调节兴奋性或抑制性神经回路可能是rTMS作用机制的原因,而rTMS是否发挥神经保护作用仍不清楚。鉴于这些发现,我们旨在综述rTMS在抑郁症动物模型中的神经保护作用。我们已经表明,rTMS可能通过作用于氧化损伤、应激激素、多巴胺和血清素水平、脑源性神经营养因子表达、神经炎症和海马细胞增殖而发挥显著的神经保护作用。