Madeo Graziella, Bonci Antonello
Novella Fronda Foundation, Human Science and Brain Research Piazza Castello, 16-35141 Padua, Italy.
Intramural Research Program, National Institute on Drug Abuse, National Institutes of Health, Baltimore, Maryland 21224, USA.
Cold Spring Harb Symp Quant Biol. 2018;83:173-184. doi: 10.1101/sqb.2018.83.038158. Epub 2019 May 16.
The advent of the noninvasive brain stimulation (NIBS) technique has paved the way for neural circuit-based treatments for addiction. Recently, evidence from both preclinical and clinical studies has evaluated the use of transcranial magnetic stimulation (TMS) as a safe and cost-effective therapeutic tool for substance use disorders (SUDs). Indeed, repetitive TMS impacts on neural activity inducing short- and long-term effects involving neuroplasticity mechanisms locally within the target area of stimulation and the network level throughout the brain. Here, we provide an integrated view of evidence highlighting the mechanisms of TMS-induced effects on modulating the maladaptive brain circuitry of addiction. We then review the preclinical and clinical findings suggesting rTMS as an effective interventional tool for the treatment of SUDs.
无创脑刺激(NIBS)技术的出现为基于神经回路的成瘾治疗铺平了道路。最近,临床前和临床研究的证据都评估了经颅磁刺激(TMS)作为一种用于物质使用障碍(SUDs)的安全且具有成本效益的治疗工具。事实上,重复经颅磁刺激会影响神经活动,诱导涉及刺激目标区域内局部神经可塑性机制以及全脑网络水平的短期和长期效应。在此,我们提供了一个综合的证据观点,突出了经颅磁刺激诱导的效应在调节成瘾的适应不良脑回路方面的机制。然后,我们回顾了临床前和临床研究结果,这些结果表明重复经颅磁刺激是治疗物质使用障碍的一种有效干预工具。