Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Department of Neurology, NeuroCure Clinical Research Center, Charitéplatz 1, 10117, Berlin, Germany; Department of Neurology, University of Greifswald, 17475 Greifswald, Germany.
Max-Planck-Institute for Human Cognitive and Brain Sciences, Department of Neurology, 04303 Leipzig, Germany; Center for Cognitive Neuroscience Berlin (CCNB), Department of Education and Psychology, Freie Universität Berlin, Germany.
Neuroimage. 2018 Aug 1;176:71-82. doi: 10.1016/j.neuroimage.2018.04.038. Epub 2018 Apr 18.
Functional magnetic resonance imaging (fMRI) studies have suggested that advanced age may mediate the effects of transcranial direct current stimulation (tDCS) on brain function. However, studies directly comparing neural tDCS effects between young and older adults are scarce and limited to task-related imaging paradigms. Resting-state (rs-) fMRI, that is independent of age-related differences in performance, is well suited to investigate age-associated differential neural tDCS effects. Three "online" tDCS conditions (anodal, cathodal, sham) were compared in a cross-over, within-subject design, in 30 young and 30 older adults. Active stimulation targeted the left sensorimotor network (active electrode over left sensorimotor cortex with right supraorbital reference electrode). A graph-based rs-fMRI data analysis approach (eigenvector centrality mapping) and complementary seed-based analyses characterized neural tDCS effects. An interaction between anodal tDCS and age group was observed. Specifically, centrality in bilateral paracentral and posterior regions (precuneus, superior parietal cortex) was increased in young, but decreased in older adults. Seed-based analyses revealed that these opposing patterns of tDCS-induced centrality modulation originated from differential effects of tDCS on functional coupling of the stimulated left paracentral lobule. Cathodal tDCS did not show significant effects. Our study provides first evidence for differential tDCS effects on neural network organization in young and older adults. Anodal stimulation mainly affected coupling of sensorimotor with ventromedial prefrontal areas in young and decoupling with posteromedial areas in older adults.
功能磁共振成像(fMRI)研究表明,高龄可能会影响经颅直流电刺激(tDCS)对大脑功能的影响。然而,直接比较年轻和老年成年人之间神经 tDCS 效果的研究很少,且仅限于与任务相关的成像范式。静息态(rs)-fMRI 不依赖于与年龄相关的表现差异,非常适合研究与年龄相关的神经 tDCS 效果差异。在 30 名年轻和 30 名老年成年人的交叉、自身对照设计中,比较了三种“在线”tDCS 条件(阳极、阴极、假刺激)。主动刺激针对左侧感觉运动网络(左感觉运动皮层上的阳极电极,右眶上参考电极)。基于图的 rs-fMRI 数据分析方法(特征向量中心性映射)和补充的种子点分析方法描述了神经 tDCS 效果。观察到阳极 tDCS 和年龄组之间存在交互作用。具体来说,双侧旁中央和后区(楔前叶、上顶叶皮层)的中心性在年轻人中增加,但在老年人中减少。种子点分析表明,这些相反的 tDCS 诱导的中心性调制模式源自 tDCS 对刺激的左侧旁中央小叶功能耦合的差异影响。阴极 tDCS 没有显示出显著的效果。我们的研究首次提供了证据,证明 tDCS 对年轻和老年成年人神经网络组织的影响存在差异。阳极刺激主要影响年轻人大脑感觉运动区与腹内侧前额叶区域的耦合,而在老年成年人中则影响与后内侧区域的解耦。
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