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, Australia.
Cortex. 2019 Apr;113:37-57. doi: 10.1016/j.cortex.2018.11.022. Epub 2018 Dec 7.
Transcranial direct current stimulation (tDCS) provides a means of non-invasively inducing plasticity-related changes in neural circuits in vivo and is experiencing increasing use as a potential tool for modulating brain function. There is growing evidence that tDCS-related outcomes are likely to be influenced by an individual's brain state at the time of stimulation, i.e., effects show a degree of 'state-dependency'. However, few studies have examined the behavioural and physiological impact of state-dependency within cognitively salient brain regions. Here, we applied High-Definition tDCS (HD-tDCS) over the left dorsolateral prefrontal cortex (DLPFC) in 20 healthy participants, whilst they either remained at rest, or performed a cognitive task engaging working memory (WM). In a third condition sham stimulation was administered during task performance. Neurophysiological changes were probed using TMS-evoked potentials (TEPs), event-related potentials (ERPs) recorded during n-back WM tasks, and via resting-state EEG (RS-EEG). From a physiological perspective, our results indicate a degree of neuromodulation following HD-tDCS, regardless of task engagement, as evidenced by changes in TEP amplitudes following both active stimulation conditions. Changes in ERP (P3) amplitudes were also observed for the 2-Back task following stimulation delivered during task performance only. However, no changes were seen on RS-EEG for any condition, nor were any group-level effects of either stimulation condition observed on n-back performance. As such, these findings paint a complex picture of neural and behavioural responses to prefrontal stimulation in healthy subjects and provide only limited support for state-dependent effects of HD-tDCS over the DLPFC overall.
经颅直流电刺激(tDCS)提供了一种非侵入性的方法,可在体内诱导神经回路的可塑性相关变化,并且作为一种调节大脑功能的潜在工具,其应用越来越广泛。越来越多的证据表明,tDCS 相关的结果可能受到刺激时个体大脑状态的影响,即效应表现出一定程度的“状态依赖性”。然而,很少有研究检查认知相关脑区中状态依赖性的行为和生理影响。在这里,我们在 20 名健康参与者的左背外侧前额叶皮层(DLPFC)上施加了高清晰度 tDCS(HD-tDCS),同时他们保持休息或执行参与工作记忆(WM)的认知任务。在第三种情况下,在执行任务期间进行假刺激。使用 TMS 诱发的电位(TEP)、n-back WM 任务期间记录的事件相关电位(ERP)以及静息状态 EEG(RS-EEG)来探测神经生理变化。从生理角度来看,我们的结果表明,无论任务参与情况如何,HD-tDCS 后都会产生一定程度的神经调节,这一点可以通过两种主动刺激条件下 TEP 幅度的变化来证明。仅在执行任务期间进行刺激后,2-Back 任务的 ERP(P3)幅度也发生了变化。然而,在任何条件下,在 RS-EEG 上都没有观察到变化,也没有观察到任何刺激条件对 n-back 表现的组间影响。因此,这些发现描绘了健康受试者前额叶刺激的神经和行为反应的复杂图景,并且仅对 DLPFC 上的 HD-tDCS 的状态依赖性效应提供了有限的支持。
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