Kim Jungyun, Park Heamen, Yu Seong-Lan, Jee Sungju, Cheon Keun-Ah, Song Dong Ho, Kim Seung Jun, Im Woo-Young, Kang Jaeku
Myunggok Medical Research Institute, College of Medicine, Konyang University, Daejeon 35365, Republic of Korea.
Department of Pharmacology, College of Medicine, Konyang University, Daejeon 35365, Republic of Korea.
Int J Dev Neurosci. 2016 Oct;53:83-89. doi: 10.1016/j.ijdevneu.2016.07.006. Epub 2016 Jul 25.
The current treatment of choice for attention deficit hyperactivity disorder (ADHD) is pharmacotherapy. A search for new treatment options is underway, however, as the wide application of drugs to the general population of patients with ADHD is limited by side effects and the variance of pharmacokinetic effects of the drugs in each patient. In the present study, we applied repetitive transcranial magnetic stimulation (rTMS), a non-invasive treatment used in a number of other psychiatric disorders, to spontaneously hypertensive rats (SHRs), an animal model of ADHD, in order to assess the efficacy of the treatment in modifying behavioural symptoms as well as levels of dopamine, noradrenaline, serotonin, and brain-derived neurotrophic factor (BDNF). A total of fifteen sessions of high-frequency rTMS treatment were administered. Behavioural symptoms were observed using open field, Y-maze, and elevated plus-maze tests. Upon completion of the experiments, rats were sacrificed, and the neurochemical changes in brain tissue were analysed using high performance liquid chromatography and Western blotting. The SHRs treated with rTMS tended to exhibit less locomotor activity in the open field test over the course of treatment, but there was no improvement in inattention as measured by the Y-maze test. Furthermore, BDNF concentration increased and noradrenaline concentration decreased in the prefrontal cortex of SHRs treated with rTMS. The results of the present preclinical study indicate that rTMS may constitute a new modality of treatment for patients with ADHD, through further evaluation of specific treatment parameters as well as safety and efficacy in humans are required.
注意缺陷多动障碍(ADHD)目前的首选治疗方法是药物治疗。然而,由于药物副作用以及药物在每位患者体内药代动力学效应的差异限制了药物在ADHD患者总体人群中的广泛应用,因此人们正在寻找新的治疗选择。在本研究中,我们将重复经颅磁刺激(rTMS)应用于ADHD动物模型自发性高血压大鼠(SHRs),rTMS是一种用于许多其他精神疾病的非侵入性治疗方法,目的是评估该治疗方法在改善行为症状以及多巴胺、去甲肾上腺素、血清素和脑源性神经营养因子(BDNF)水平方面的疗效。共进行了15次高频rTMS治疗。使用旷场试验、Y迷宫试验和高架十字迷宫试验观察行为症状。实验完成后,处死大鼠,使用高效液相色谱法和蛋白质印迹法分析脑组织中的神经化学变化。在治疗过程中,接受rTMS治疗的SHRs在旷场试验中往往表现出较少的运动活动,但通过Y迷宫试验测量的注意力不集中情况没有改善。此外,接受rTMS治疗的SHRs前额叶皮质中BDNF浓度升高,去甲肾上腺素浓度降低。本临床前研究结果表明,rTMS可能构成ADHD患者的一种新治疗方式,不过还需要进一步评估特定治疗参数以及在人体中的安全性和疗效。