Khodaie Babak, Saba Valiallah
Department of Radiology, Faculty of Paramedicine, AJA University of Medical Sciences, Tehran, Iran.
Shefa Neuroscience Research Center, Khatam-Alanbia Hospital, Tehran, Iran.
Basic Clin Neurosci. 2018 Mar-Apr;9(2):87-100. doi: 10.29252/NIRP.BCN.9.2.87.
Cortical Spreading Depression (CSD) is a propagating wave of neural and glial cell depolarization with important role in several clinical disorders. Repetitive Transcranial Magnetic Stimulation (rTMS) is a potential tool with preventive treatment effects in psychiatric and neuronal disorders. In this paper, we study the effects of rTMS on CSD by using behavioral and histological approaches in hippocampus and cortical regions.
Twenty-four rats were divided into four groups. A group of control rats were kept in their home cage during the experiment. The CSD group received four CSD inductions during 4 weeks with 1 week intervals. The CSD-rTMS group were treated with rTMS stimulation (figure-eight coils, 20 Hz, 10 min/d) for 4 weeks. The fourth group, i.e. rTMS group received rTMS stimulation similar to the CSD-rTMS group without CSD induction.
Long-term rTMS application in treated groups significantly reduced production of dark neurons, increased the mean volume of normal neurons, and decreased the number of apoptotic neurons in cortical regions compared to the control group. The protective effects of long-term treatment by rTMS in the hippocampal regions were also studied. It was effective in some regions; however, rTMS effects on hippocampal regions were lower than cortical ones.
Based on the study results, rTMS has significant preventive and protective effects in CSD-induced damages in cortical and hippocampal regions of the rat's brain.
皮层扩散性抑制(CSD)是一种神经和胶质细胞去极化的传播波,在多种临床疾病中起重要作用。重复经颅磁刺激(rTMS)是一种在精神疾病和神经疾病中具有预防治疗作用的潜在工具。在本文中,我们通过行为学和组织学方法研究了rTMS对海马体和皮层区域CSD的影响。
将24只大鼠分为四组。一组对照大鼠在实验期间饲养在其笼舍中。CSD组在4周内每隔1周接受4次CSD诱导。CSD-rTMS组接受rTMS刺激(8字形线圈,20Hz,10分钟/天),持续4周。第四组,即rTMS组接受与CSD-rTMS组相似的rTMS刺激,但不进行CSD诱导。
与对照组相比,治疗组长期应用rTMS可显著减少皮层区域暗神经元的产生,增加正常神经元的平均体积,并减少凋亡神经元的数量。还研究了rTMS长期治疗对海马体区域的保护作用。在某些区域是有效的;然而,rTMS对海马体区域的影响低于皮层区域。
基于研究结果,rTMS对大鼠大脑皮层和海马体区域CSD诱导的损伤具有显著的预防和保护作用。