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重复经颅磁刺激对人类直肠功能和情绪的影响。

Modification of rectal function and emotion by repetitive transcranial magnetic stimulation in humans.

机构信息

Department of Behavioral Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo, Aoba, Sendai, 980-8575, Japan.

Department of Behavioral Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo, Aoba, Sendai, 980-8575, Japan.

出版信息

Neurosci Res. 2021 Jul;168:54-63. doi: 10.1016/j.neures.2021.05.013. Epub 2021 May 29.


DOI:10.1016/j.neures.2021.05.013
PMID:34062217
Abstract

Gut microbiota may affect function of the dorsolateral prefrontal cortex (DLPFC). However, there have been a few studies on modification of brain-gut interactions with repetitive transcranial magnetic stimulation (rTMS) to the DLPFC. We hypothesized that stimulation of the right or left DPFC by rTMS modifies the brain-gut interactions in humans. Subjects were 25 healthy males. Viscerosensory evoked potential (VEP) with sham (0 mA) or actual (30 mA) electrical stimulation (ES) of the rectum was taken after sham, low frequency rTMS at 0.1 Hz, and high frequency rTMS at 10 Hz to the right or left DLPFC. Rectal tone was measured with a rectal barostat. Visceral perception and emotion were analyzed using ordinates scale, rectal barostat, and viscerosensory evoked potential. Low frequency rTMS to the right DLPFC significantly reduced the visceral sensation and emotion composite score evoked by ES at 30 mA (p < 0.05). Plasma ACTH was significantly increased by high frequency rTMS to the right or left DLPFC (p < 0.05). Rectal fine contractions were significantly induced by low frequency rTMS to the right or left DLPFC and high frequency rTMS to the right DLPFC (p < 0.05). These results suggest that stimulation of the right or left DPFC by rTMS modifies the brain-gut interactions in humans.

摘要

肠道微生物群可能会影响背外侧前额叶皮层(DLPFC)的功能。然而,关于使用重复经颅磁刺激(rTMS)来改变大脑-肠道相互作用的研究很少。我们假设 rTMS 刺激右侧或左侧 DLPFC 会改变人类的大脑-肠道相互作用。研究对象为 25 名健康男性。在接受 sham(0 mA)或实际(30 mA)直肠电刺激(ES)后,对 sham、0.1 Hz 低频 rTMS 和 10 Hz 高频 rTMS 对右侧或左侧 DLPFC 进行了视肠感觉诱发电位(VEP)。使用直肠测压计测量直肠张力。使用坐标标度、直肠测压计和视肠感觉诱发电位分析内脏感觉和情绪。右侧 DLPFC 的低频 rTMS 可显著降低 30 mA ES 引起的内脏感觉和情绪综合评分(p < 0.05)。右侧或左侧 DLPFC 的高频 rTMS 可显著增加血浆 ACTH(p < 0.05)。右侧或左侧 DLPFC 的低频 rTMS 和右侧 DLPFC 的高频 rTMS 均可显著引起直肠精细收缩(p < 0.05)。这些结果表明,rTMS 刺激右侧或左侧 DPFC 会改变人类的大脑-肠道相互作用。

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[2]
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[3]
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[4]
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