Discipline of Physiology, School of Medicine, The University of Adelaide, Adelaide, Australia.
Brain and Mental Health Laboratory, School of Psychological Sciences and Monash Biomedical Imaging, Monash Institute of Cognitive and Clinical Neuroscience, Monash University, Australia.
Brain Stimul. 2017 Jan-Feb;10(1):65-74. doi: 10.1016/j.brs.2016.08.004. Epub 2016 Aug 8.
BACKGROUND: Long-interval intracortical inhibition (LICI) is a transcranial magnetic stimulation (TMS) paradigm that uses paired magnetic stimuli separated by 100-200 ms to investigate the activity of cortical GABAergic interneurons. While commonly applied, the mechanisms contributing to LICI are not well understood, and growing evidence suggests that inhibition observed at different interstimulus intervals (ISI) may involve non-identical processes. OBJECTIVE: This study aims to utilise combined TMS-EEG to more thoroughly characterise LICI at different ISIs, as the TMS-evoked EEG potential (TEP) can provide more direct insight into the cortical response to stimulation that is not subject to variations in spinal cord excitability that can confound the motor evoked potential (MEP). METHODS: In 12 subjects (22.6 ± 0.9 years), LICI was applied using two ISIs of 100 ms (LICI) and 150 ms (LICI), while TEPs were recorded using simultaneous high-definition EEG. RESULTS: Analysis of EEG data within a region of interest (C3 electrode) showed that test alone stimulation produced three consistent TEP peaks (corresponding to P30, N100 and P180) that were all significantly inhibited following paired-pulse stimulation. However, for P30, inhibition varied between LICI conditions, with reduced amplitude following LICI (P = 0.03) but not LICI (P = 0.3). In contrast, the N100 and P180 were significantly reduced by LICI at both intervals (all P-values < 0.05). In addition, topographical analyses suggested that the global change in P30, N40 and P180 differed between LICI conditions. CONCLUSIONS: These findings suggest that LICI and LICI reflect complex measurements of cortical inhibition with differential contributions from comparable circuits.
背景:长间隔皮质内抑制(LICI)是一种经颅磁刺激(TMS)范式,它使用间隔 100-200ms 的成对磁刺激来研究皮质 GABA 能中间神经元的活动。虽然 LICI 应用广泛,但促进 LICI 的机制尚不清楚,越来越多的证据表明,在不同的刺激间隔(ISI)下观察到的抑制可能涉及不同的过程。 目的:本研究旨在利用 TMS-EEG 更全面地描述不同 ISI 下的 LICI,因为 TMS 诱发的脑电图(TEP)可以更直接地了解刺激对皮层的反应,而不受脊髓兴奋性变化的影响,这些变化可能会混淆运动诱发电位(MEP)。 方法:在 12 名受试者(22.6±0.9 岁)中,使用 100ms(LICI)和 150ms(LICI)两种 ISI 施加 LICI,同时使用高清晰度 EEG 记录 TEP。 结果:在感兴趣区域(C3 电极)内分析 EEG 数据显示,单独刺激会产生三个一致的 TEP 峰值(分别对应于 P30、N100 和 P180),这些峰值在双脉冲刺激后均受到显著抑制。然而,对于 P30,抑制在 LICI 条件之间存在差异,LICI 后振幅降低(P=0.03),但 LICI 后则没有(P=0.3)。相比之下,在两个间隔时,N100 和 P180 均显著受到 LICI 的抑制(所有 P 值均<0.05)。此外,拓扑分析表明,P30、N40 和 P180 的全局变化在 LICI 条件之间存在差异。 结论:这些发现表明,LICI 和 LICI 反映了皮质抑制的复杂测量,其来源于类似电路的不同贡献。
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