Hesselberg Marie Louise, Wegener Gregers, Buchholtz Poul Erik
Translational Neuropsyciatry Unit, Department of Clinical Medicine, Aarhus University, Denmark.
Translational Neuropsyciatry Unit, Department of Clinical Medicine, Aarhus University, Denmark; Centre for Pharmaceutical Excellence, School of Pharmacy, North West University, Potchefstroom, South Africa.
Behav Brain Res. 2016 Nov 1;314:45-51. doi: 10.1016/j.bbr.2016.07.037. Epub 2016 Jul 27.
Repetitive Magnetic Stimulation (rTMS) has appeared to be a potential non-invasive antidepressant method, which implies non-convulsive focal stimulation of the brain through a time varying magnetic field. The antidepressant potential of rTMS has been supported by animal studies showing a number of interesting similarities between magnetic stimulation and electroconvulsive stimulation (ECS). Despite these positive results, this method still contains many unknown issues. Importantly, there are fundamental uncertainties concerning the optimal combination of stimulus parameters (frequency, intensity, duration, and number of pulses) to obtain an antidepressant effect. Therefore, the present study aimed to qualify the choice of rTMS stimulus frequency in a well-validated genetic animal model of depression, the FSL/FRL rats. We compared the antidepressant effect of low frequency, high frequency rTMS and ECS to sham treatment in FRL and FSL rats using 6 parallel groups. We used the Forced Swim Test and the Open Field Test to screen the depression-like state in rats. We found that both the high frequency and the low frequency rTMS resulted in a significant antidepressant effect. However, this effect was inferior to the effect of ECS. The low frequency and high frequency groups, which received the same total impulse load and stimulus intensity, did not differ with respect to antidepressant efficacy in this study. In conclusion, this study provides robust evidence that both rTMS interventions are efficacious, although not as efficient as ECS.
重复经颅磁刺激(rTMS)似乎是一种潜在的非侵入性抗抑郁方法,它通过随时间变化的磁场对大脑进行非惊厥性局部刺激。动物研究支持了rTMS的抗抑郁潜力,这些研究表明磁刺激与电惊厥刺激(ECS)之间存在许多有趣的相似之处。尽管有这些积极结果,但该方法仍存在许多未知问题。重要的是,关于获得抗抑郁效果的刺激参数(频率、强度、持续时间和脉冲数)的最佳组合存在基本的不确定性。因此,本研究旨在在经过充分验证的抑郁症基因动物模型FSL/FRL大鼠中确定rTMS刺激频率的选择。我们使用6个平行组比较了低频、高频rTMS和ECS对FRL和FSL大鼠假手术治疗的抗抑郁效果。我们使用强迫游泳试验和旷场试验来筛查大鼠的抑郁样状态。我们发现高频和低频rTMS均产生了显著的抗抑郁效果。然而,这种效果不如ECS的效果。在本研究中,接受相同总脉冲负荷和刺激强度的低频和高频组在抗抑郁疗效方面没有差异。总之,本研究提供了有力证据,表明两种rTMS干预都是有效的,尽管不如ECS有效。
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