Department of Rehabilitation Medicine, The Second Affiliated Hospital of Anhui Medical University and The Second Clinical Institute of Anhui Medical University, Hefei, China.
School of Physical Therapy and Graduate Institute of Rehabilitation Science, Chang Gung University, Taoyuan, Taiwan.
Brain Stimul. 2020 May-Jun;13(3):655-663. doi: 10.1016/j.brs.2020.02.002. Epub 2020 Feb 6.
Transcranial direct current stimulation (tDCS) has been proven to be able to modulate motor cortical plasticity might have potential as an alternative, adjunctive therapy for Parkinson's disease (PD). However, the efficacy of tDCS in PD is still uncertain. A disease animal model may be useful to clarify the existence of a treatment effect and to explore an effective therapeutic strategy using tDCS protocols.
The current study was designed to identify the comprehensive therapeutic effects of tDCS in 6-hydroxydopamine (6-OHDA)-lesioned PD rats.
Following early and long-term tDCS application (starting 24 h after PD lesion, 300 μA anodal tDCS, 20 min/day, 5 days/week) in awake PD animals for a total of 4 weeks, the effects of tDCS on motor and non-motor behaviors as well as dopaminergic neuron degeneration levels, were identified.
We found that the 4-week tDCS intervention significantly alleviated 6-OHDA-induced motor deficits in locomotor activity, akinesia, gait pattern and anxiety-like behavior, but not in apomorphine-induced rotations, recognition memory and depression-like behavior. Immunohistochemically, tyrosine hydroxylase (TH)-positive neurons in the substantia nigra were significantly preserved in the tDCS intervention group.
These results suggest that early and long-term tDCS could exert neuroprotective effects and reduce the aggravation of motor dysfunctions in a 6-OHDA-induced PD rat model. Furthermore, this preclinical model may enhance the promising possibility of the potential use of tDCS and serve as a translational platform to further identify the therapeutic mechanism of tDCS for PD or other neurological disorders.
经颅直流电刺激(tDCS)已被证明能够调节运动皮质可塑性,可能成为帕金森病(PD)的一种替代、辅助治疗方法。然而,tDCS 在 PD 中的疗效仍不确定。疾病动物模型可能有助于阐明治疗效果的存在,并探索使用 tDCS 方案的有效治疗策略。
本研究旨在确定经颅直流电刺激(tDCS)在 6-羟多巴胺(6-OHDA)诱导的 PD 大鼠中的综合治疗效果。
在清醒的 PD 动物中,在 PD 损伤后 24 小时开始进行早期和长期的 tDCS 应用(300 μA 阳极 tDCS,20 分钟/天,每周 5 天),共 4 周,然后确定 tDCS 对运动和非运动行为以及多巴胺能神经元变性水平的影响。
我们发现,4 周的 tDCS 干预显著减轻了 6-OHDA 诱导的运动缺陷,如运动活动、运动不能、步态模式和焦虑样行为,但对阿扑吗啡诱导的旋转、识别记忆和抑郁样行为没有影响。免疫组织化学显示,在 tDCS 干预组中,黑质中的酪氨酸羟化酶(TH)阳性神经元明显得到保留。
这些结果表明,早期和长期的 tDCS 可能发挥神经保护作用,并减轻 6-OHDA 诱导的 PD 大鼠模型中运动功能障碍的加重。此外,这种临床前模型可能增强了 tDCS 治疗 PD 或其他神经障碍的潜在用途的可能性,并作为一个转化平台,进一步确定 tDCS 的治疗机制。