Department of Psychology, Università degli Studi di Milano-Bicocca, Milano 20126, Italy.
NeuroMi, Milan Center for Neuroscience, Milano 20126, Italy.
Cereb Cortex. 2018 Apr 1;28(4):1132-1140. doi: 10.1093/cercor/bhx021.
Increasing evidence shows that anodal transcranial direct current stimulation (tDCS) enhances cognitive performance in healthy and clinical population. Such facilitation is supposed to be linked to plastic changes at relevant cortical sites. However, direct electrophysiological evidence for this causal relationship is still missing. Here, we show that cognitive enhancement occurring in healthy human subjects during anodal tDCS is affected by ongoing brain activity, increasing cortical excitability of task-related brain networks only, as directly measured by Transcranial Magnetic Stimulation combined with electroencephalography (TMS-EEG). Specifically, TMS-EEG recordings were performed before and after anodal tDCS coupled with a verbal fluency task. To control for effects of tDCS protocol and TMS target location, 3 conditions were assessed: anodal/sham tDCS with TMS over left premotor cortex, anodal tDCS with TMS over left posterior parietal cortex. Modulation of cortical excitability occurred only at left Brodmann's areas 6, 44, and 45, a key network for language production, after anodal tDCS and TMS over the premotor cortex, and was positively correlated to the degree of cognitive enhancement. Our results suggest that anodal tDCS specifically affects task-related functional networks active while delivering stimulation, and this boost of specific cortical circuits is correlated to the observed cognitive enhancement.
越来越多的证据表明,阳极经颅直流电刺激(tDCS)可增强健康人群和临床人群的认知表现。这种促进作用可能与相关皮质部位的可塑性变化有关。然而,这种因果关系的直接电生理证据仍然缺失。在这里,我们表明,在健康人体中进行阳极 tDCS 时发生的认知增强受到持续脑活动的影响,仅增加与任务相关的大脑网络的皮质兴奋性,这是通过经颅磁刺激与脑电图(TMS-EEG)直接测量得出的。具体来说,在阳极 tDCS 与言语流畅性任务相结合前后进行 TMS-EEG 记录。为了控制 tDCS 方案和 TMS 目标位置的影响,评估了 3 种条件:左侧运动前皮质的阳极/假 tDCS 与 TMS,左侧顶后皮质的阳极 tDCS 与 TMS。仅在阳极 tDCS 与 TMS 刺激运动前皮质后,在左布罗德曼区域 6、44 和 45 处发生皮质兴奋性的调制,这是语言产生的关键网络,并且与认知增强的程度呈正相关。我们的结果表明,阳极 tDCS 特别影响刺激时活跃的与任务相关的功能网络,并且这种特定皮质回路的增强与观察到的认知增强相关。