Monash Alfred Psychiatry Research Centre, The Alfred and Monash University, Central Clinical School, Victoria, Australia.
Brain and Mental Health Laboratory, School of Psychological Sciences and Monash Biomedical Imaging, Monash Institute of Cognitive and Clinical Neuroscience, Monash University, Melbourne, Australia.
Brain Stimul. 2018 Sep-Oct;11(5):1033-1043. doi: 10.1016/j.brs.2018.06.005. Epub 2018 Jun 18.
BACKGROUND: Previous research has typically focussed on the neuromodulatory effects of direct currents applied over single regions of the cortex. However, complex processes such as working memory (WM) strongly rely on activations across a wider neural network and therefore might benefit from stimulation administered over multiple cortical targets. OBJECTIVE: We examined the neurobiological and cognitive effects of High-Definition transcranial direct current stimulation (HD-tDCS) montages that either targeted the dorsolateral prefrontal cortex (DLPFC) alone, or simultaneously stimulated the DLPFC and parietal cortex (DLPFC + PC). METHODS: In a within-subjects design, 16 healthy participants completed three experimental sessions in which they received HD-tDCS over either the DLPFC, the DLPFC + PC or sham stimulation. Changes in cortical reactivity were examined using transcranial magnetic stimulation combined with electroencephalography (TMS-EEG), while oscillatory power was measured via EEG recorded during n-back tasks. WM performance was also examined across several separate tasks. RESULTS: Stimulation using both the DLPFC or DLPFC + PC montages modulated cortical reactivity, as indexed by potentiation of the P60 TMS-evoked potential. However, only the dual-site DLPFC + PC stimulation produced a reduction in the amplitude of the N100 component, relative to baseline. Increases in theta and gamma power were also observed following this montage, when compared to baseline, but were not present following HD-tDCS over the DLPFC alone. Despite these neurophysiological changes, WM performance was not significantly modulated by HD-tDCS, regardless of stimulation montage. CONCLUSION: These results provide important initial insight into the behavioural and biological effects of stimulation over key cortical regions linked to WM and attest to the sensitivity of TMS-EEG and EEG in detecting subtle neurophysiological changes induced by HD-tDCS.
背景:之前的研究通常集中在对皮质单个区域施加直流电的神经调节作用上。然而,工作记忆(WM)等复杂过程强烈依赖于更广泛的神经网络的激活,因此可能受益于施加于多个皮质目标的刺激。 目的:我们研究了针对背外侧前额叶皮质(DLPFC)的高清晰度经颅直流电刺激(HD-tDCS)模式,或同时刺激 DLPFC 和顶叶皮质(DLPFC+PC)的神经生物学和认知效果。 方法:在一项自身对照设计中,16 名健康参与者完成了三个实验,他们在这些实验中分别接受了 DLPFC、DLPFC+PC 或假刺激的 HD-tDCS。使用经颅磁刺激结合脑电图(TMS-EEG)检查皮质反应性的变化,而通过 n 回任务期间记录的脑电图测量振荡功率。还通过几个单独的任务检查 WM 性能。 结果:使用 DLPFC 或 DLPFC+PC 两种模式的刺激都调节了皮质反应性,表现为 P60 TMS 诱发电位的增强。然而,只有双部位 DLPFC+PC 刺激相对于基线降低了 N100 成分的振幅。与基线相比,还观察到双部位 DLPFC+PC 刺激后θ和γ功率增加,但在 DLPFC 单独接受 HD-tDCS 后则没有。尽管存在这些神经生理变化,但无论刺激模式如何,WM 性能都没有被 HD-tDCS 显著调节。 结论:这些结果为与 WM 相关的关键皮质区域刺激的行为和生物学效应提供了重要的初步见解,并证明了 TMS-EEG 和 EEG 在检测 HD-tDCS 引起的微妙神经生理变化方面的敏感性。
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