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阿尔茨海默病的神经振荡与脑刺激。

Neural oscillations and brain stimulation in Alzheimer's disease.

机构信息

Department of Neuroscience, Canadian Centre for Behavioural Neuroscience, University of Lethbridge, Lethbridge, AB, T1K 3M4, Canada.

Department of Neuroscience, Canadian Centre for Behavioural Neuroscience, University of Lethbridge, Lethbridge, AB, T1K 3M4, Canada.

出版信息

Prog Neurobiol. 2020 Nov;194:101878. doi: 10.1016/j.pneurobio.2020.101878. Epub 2020 Jun 29.

Abstract

Aging is associated with alterations in cognitive processing and brain neurophysiology. Whereas the primary symptom of amnestic mild cognitive impairment (aMCI) is memory problems greater than normal for age and education, patients with Alzheimer's disease (AD) show impairments in other cognitive domains in addition to memory dysfunction. Resting-state electroencephalography (rsEEG) studies in physiological aging indicate a global increase in low-frequency oscillations' power and the reduction and slowing of alpha activity. The enhancement of slow and the reduction of fast oscillations, and the disruption of brain functional connectivity, however, are characterized as major rsEEG changes in AD. Recent rodent studies also support human evidence of age- and AD-related changes in resting-state brain oscillations, and the neuroprotective effect of brain stimulation techniques through gamma-band stimulations. Cumulatively, current evidence moves toward optimizing rsEEG features as reliable predictors of people with aMCI at risk for conversion to AD and mapping neural alterations subsequent to brain stimulation therapies. The present paper reviews the latest evidence of changes in rsEEG oscillations in physiological aging, aMCI, and AD, as well as findings of various brain stimulation therapies from both human and non-human studies.

摘要

衰老与认知加工和大脑神经生理学的改变有关。虽然遗忘型轻度认知障碍(aMCI)的主要症状是记忆力比正常年龄和教育程度差,但阿尔茨海默病(AD)患者除了记忆功能障碍外,还表现出其他认知领域的损伤。生理衰老的静息态脑电图(rsEEG)研究表明,低频振荡的功率普遍增加,α活动减少和减慢。然而,AD 的主要 rsEEG 变化特征是慢波增强和快波减少,以及脑功能连接中断。最近的啮齿动物研究也支持人类关于静息态脑振荡与年龄和 AD 相关变化的证据,以及通过伽马带刺激的脑刺激技术的神经保护作用。总之,目前的证据表明,静息态脑电图特征可作为预测 aMCI 患者向 AD 转化风险的可靠指标,并可对脑刺激治疗后的神经改变进行定位。本文综述了生理衰老、aMCI 和 AD 中 rsEEG 振荡变化的最新证据,以及来自人类和非人类研究的各种脑刺激治疗的发现。

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