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腹内侧前额叶皮质(vmPFC)作为经颅直流电刺激(tDCS)对药物成瘾进行背外侧前额叶调节的靶点。

Ventral medial prefrontal cortex (vmPFC) as a target of the dorsolateral prefrontal modulation by transcranial direct current stimulation (tDCS) in drug addiction.

作者信息

Nakamura-Palacios Ester Miyuki, Lopes Isabela Bittencourt Coutinho, Souza Rodolpho Albuquerque, Klauss Jaisa, Batista Edson Kruger, Conti Catarine Lima, Moscon Janine Andrade, de Souza Rodrigo Stênio Moll

机构信息

Laboratory of Cognitive Sciences and Neuropsychopharmacology, Programa de Pós-Graduação em Ciências Fisiológicas, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo, Av. Marechal Campos, 1468, Vitória-ES, 29.043-900, Brazil.

Department of Internal Medicine, Health Sciences Center, Federal University of Espírito Santo, Vitória-ES, Brazil.

出版信息

J Neural Transm (Vienna). 2016 Oct;123(10):1179-94. doi: 10.1007/s00702-016-1559-9. Epub 2016 Apr 30.


DOI:10.1007/s00702-016-1559-9
PMID:27138429
Abstract

Here, we report some electrophysiologic and imaging effects of the transcranial direct current stimulation (tDCS) over the dorsolateral prefrontal cortex (dlPFC) in drug addiction, notably in alcohol and crack-cocaine dependence. The low resolution electromagnetic tomography (LORETA) analysis obtained through event-related potentials (ERPs) under drug-related cues, more specifically in its P3 segment (300-500 ms) in both, alcoholics and crack-cocaine users, showed that the ventral medial prefrontal cortex (vmPFC) was the brain area with the largest change towards increasing activation under drug-related cues in those subjects that kept abstinence during and after the treatment with bilateral tDCS (2 mA, 35 cm(2), cathodal left and anodal right) over dlPFC, applied repetitively (five daily sessions). In an additional study in crack-cocaine, which showed craving decreases after repetitive bilateral tDCS, we examined data originating from diffusion tensor imaging (DTI), and we found increased DTI parameters in the left connection between vmPFC and nucleus accumbens (NAcc), such as the number of voxels, fractional anisotropy (FA) and apparent diffusion coefficient (ADC), in tDCS-treated crack-cocaine users when compared to the sham-tDCS group. This increasing of DTI parameters was significantly correlated with craving decreasing after the repetitive tDCS. The vmPFC relates to the control of drug seeking, possibly by extinguishing this behavior. In our studies, the bilateral dlPFC tDCS reduced relapses and craving to the drug use, and increased the vmPFC activation under drug cues, which may be of a great importance in the control of drug use in drug addiction.

摘要

在此,我们报告经颅直流电刺激(tDCS)作用于背外侧前额叶皮层(dlPFC)对药物成瘾,尤其是酒精和可卡因依赖所产生的一些电生理及影像学效应。通过事件相关电位(ERP)在药物相关线索下进行的低分辨率电磁断层扫描(LORETA)分析,更具体地说是在酒精成瘾者和可卡因使用者的P3段(300 - 500毫秒),结果显示,在对dlPFC进行重复(每日五次)双侧tDCS(2毫安,35平方厘米,阴极在左,阳极在右)治疗期间及之后保持戒酒的受试者中,腹内侧前额叶皮层(vmPFC)是在药物相关线索下激活增加变化最大的脑区。在另一项针对可卡因的研究中,该研究表明重复双侧tDCS后渴求感降低,我们检查了源自扩散张量成像(DTI)的数据,发现与假tDCS组相比,tDCS治疗的可卡因使用者中,vmPFC与伏隔核(NAcc)之间的左侧连接中,DTI参数增加,如体素数量、分数各向异性(FA)和表观扩散系数(ADC)。这种DTI参数的增加与重复tDCS后渴求感的降低显著相关。vmPFC可能通过消除药物寻求行为来控制对药物的渴求。在我们的研究中,双侧dlPFC tDCS减少了药物使用的复发和渴求,并增加了药物线索下vmPFC的激活,这在药物成瘾的药物使用控制中可能具有重要意义。

相似文献

[1]
Ventral medial prefrontal cortex (vmPFC) as a target of the dorsolateral prefrontal modulation by transcranial direct current stimulation (tDCS) in drug addiction.

J Neural Transm (Vienna). 2016-10

[2]
Cognitive related electrophysiological changes induced by non-invasive cortical electrical stimulation in crack-cocaine addiction.

Int J Neuropsychopharmacol. 2014-9

[3]
A Randomized Placebo-Controlled Trial of Targeted Prefrontal Cortex Modulation with Bilateral tDCS in Patients with Crack-Cocaine Dependence.

Int J Neuropsychopharmacol. 2015-6-10

[4]
Lack of Effects of Extended Sessions of Transcranial Direct Current Stimulation (tDCS) Over Dorsolateral Prefrontal Cortex on Craving and Relapses in Crack-Cocaine Users.

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[5]
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J Physiol Paris. 2013-12

[6]
Bilateral transcranial direct current stimulation over dorsolateral prefrontal cortex changes the drug-cued reactivity in the anterior cingulate cortex of crack-cocaine addicts.

Brain Stimul. 2013-10-12

[7]
Modulation of cortical responses by transcranial direct current stimulation of dorsolateral prefrontal cortex: A resting-state EEG and TMS-EEG study.

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[8]
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[9]
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[10]
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[7]
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[8]
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本文引用的文献

[1]
A Randomized Placebo-Controlled Trial of Targeted Prefrontal Cortex Modulation with Bilateral tDCS in Patients with Crack-Cocaine Dependence.

Int J Neuropsychopharmacol. 2015-6-10

[2]
Interactions between dorsolateral and ventromedial prefrontal cortex underlie context-dependent stimulus valuation in goal-directed choice.

J Neurosci. 2014-11-26

[3]
A randomized controlled trial of targeted prefrontal cortex modulation with tDCS in patients with alcohol dependence.

Int J Neuropsychopharmacol. 2014-11

[4]
Cognitive related electrophysiological changes induced by non-invasive cortical electrical stimulation in crack-cocaine addiction.

Int J Neuropsychopharmacol. 2014-9

[5]
Activity in dlPFC and its effective connectivity to vmPFC are associated with temporal discounting.

Front Neurosci. 2014-3-18

[6]
Frontal tDCS modulates orbitofrontal reality filtering.

Neuroscience. 2014-4-18

[7]
Gray matter volume in left rostral middle frontal and left cerebellar cortices predicts frontal executive performance in alcoholic subjects.

Alcohol Clin Exp Res. 2014-4

[8]
Bilateral transcranial direct current stimulation over dorsolateral prefrontal cortex changes the drug-cued reactivity in the anterior cingulate cortex of crack-cocaine addicts.

Brain Stimul. 2013-10-12

[9]
Modulation of cortical-subcortical networks in Parkinson's disease by applied field effects.

Front Hum Neurosci. 2013-9-13

[10]
Comparison of blinding effectiveness between sham tDCS and placebo sertraline in a 6-week major depression randomized clinical trial.

Clin Neurophysiol. 2013-8-30

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