文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

原发性进行性失语症中经颅直流电刺激增强语言治疗后的选择性功能网络变化

Selective Functional Network Changes Following tDCS-Augmented Language Treatment in Primary Progressive Aphasia.

作者信息

Tao Yuan, Ficek Bronte, Wang Zeyi, Rapp Brenda, Tsapkini Kyrana

机构信息

Department of Cognitive Science, Johns Hopkins University, Baltimore, MD, United States.

Department of Neurology, Johns Hopkins School of Medicine, Baltimore, MD, United States.

出版信息

Front Aging Neurosci. 2021 Jul 12;13:681043. doi: 10.3389/fnagi.2021.681043. eCollection 2021.


DOI:10.3389/fnagi.2021.681043
PMID:34322010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8311858/
Abstract

OBJECTIVE: Transcranial direct current stimulation (tDCS) has shown promising results when used as an adjunct to behavioral training in neurodegenerative diseases. However, the underlying neural mechanisms are not understood and neuroimaging evidence from pre/post treatment has been sparse. In this study, we examined tDCS-induced neural changes in a language intervention study for primary progressive aphasia (PPA), a neurodegenerative syndrome with language impairment as the primary clinical presentation. Anodal tDCS was applied to the left inferior frontal gyrus (LIFG). To evaluate the hypothesis that tDCS promotes system segregation, analysis focused on understanding tDCS-induced changes in the brain-wide functional network connectivity of the targeted LIFG. METHODS: Resting-state fMRI data were obtained from 32 participants with PPA before and after receiving a written naming therapy, accompanied either by tDCS or sham stimulation. We focused on evaluating changes in the global connectivity of the stimulated LIFG-triangularis (LIFG-tri) region given its important role in lexical processing. Global connectivity was indexed by the graph-theoretic measure (PC) which quantifies a region's level of system segregation. The values before and after treatment were compared for each condition (tDCS or Sham) as well as with age-matched healthy controls ( = 19). RESULTS: Higher global connectivity of the LIFG-tri before treatment was associated with greater dementia severity. After treatment, the tDCS group showed a significant decrease in global connectivity whereas the Sham group's did not change, suggesting specific neural effects induced by tDCS. Further examination revealed that the decrease was driven by reduced connectivity between the LIFG-tri and regions outside the perisylvian language area, consistent with the hypothesis that tDCS enhances the segregation of the language system and improves processing efficiency. Additionally, we found that these effects were specific to the LIFG-tri and not observed in other control regions. CONCLUSION: TDCS-augmented language therapy in PPA increased the functional segregation of the language system, a normalization of the hyper-connectivity observed before treatment. These findings add to our understanding of the nature of tDCS-induced neural changes in disease treatment and have applications for validating treatment efficacy and designing future tDCS and other non-invasive brain stimulation (NIBS) treatments.

摘要

目的:经颅直流电刺激(tDCS)作为神经退行性疾病行为训练的辅助手段已显示出有前景的结果。然而,其潜在的神经机制尚不清楚,治疗前后的神经影像学证据也很稀少。在本研究中,我们在一项针对原发性进行性失语(PPA)的语言干预研究中检查了tDCS诱导的神经变化,PPA是一种以语言障碍为主要临床表现的神经退行性综合征。阳极tDCS应用于左侧额下回(LIFG)。为了评估tDCS促进系统分离的假设,分析重点在于了解tDCS诱导的目标LIFG全脑功能网络连通性的变化。 方法:静息态功能磁共振成像(fMRI)数据来自32名接受书面命名治疗的PPA患者,治疗过程中伴有tDCS或假刺激。鉴于其在词汇处理中的重要作用,我们重点评估受刺激的LIFG - 三角部(LIFG - tri)区域的全局连通性变化。全局连通性通过量化区域系统分离水平的图论测量指标(PC)来索引。比较每种情况(tDCS或假刺激)治疗前后的值以及与年龄匹配的健康对照(n = 19)。 结果:治疗前LIFG - tri的较高全局连通性与更严重的痴呆症相关。治疗后,tDCS组的全局连通性显著降低,而假刺激组则没有变化,表明tDCS诱导了特定的神经效应。进一步检查发现,这种降低是由LIFG - tri与颞周语言区域外区域之间连通性的降低所驱动的,这与tDCS增强语言系统分离并提高处理效率的假设一致。此外,我们发现这些效应是LIFG - tri特有的,在其他对照区域未观察到。 结论:PPA中tDCS增强的语言治疗增加了语言系统的功能分离,即治疗前观察到的超连通性的正常化。这些发现增进了我们对tDCS在疾病治疗中诱导神经变化本质的理解,并可用于验证治疗效果以及设计未来的tDCS和其他非侵入性脑刺激(NIBS)治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/6184f0eafc2d/fnagi-13-681043-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/9b25001a3779/fnagi-13-681043-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/e5cfc9877bda/fnagi-13-681043-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/a34f53007b59/fnagi-13-681043-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/1bb35525f5c1/fnagi-13-681043-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/9e99cbf496ef/fnagi-13-681043-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/e1577123c8ca/fnagi-13-681043-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/6184f0eafc2d/fnagi-13-681043-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/9b25001a3779/fnagi-13-681043-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/e5cfc9877bda/fnagi-13-681043-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/a34f53007b59/fnagi-13-681043-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/1bb35525f5c1/fnagi-13-681043-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/9e99cbf496ef/fnagi-13-681043-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/e1577123c8ca/fnagi-13-681043-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9f/8311858/6184f0eafc2d/fnagi-13-681043-g007.jpg

相似文献

[1]
Selective Functional Network Changes Following tDCS-Augmented Language Treatment in Primary Progressive Aphasia.

Front Aging Neurosci. 2021-7-12

[2]
The effect of tDCS on functional connectivity in primary progressive aphasia.

Neuroimage Clin. 2018-5-21

[3]
"The effect of tDCS on functional connectivity in primary progressive aphasia" NeuroImage: Clinical, volume 19 (2018), pages 703-715.

Neuroimage Clin. 2019

[4]
Transcranial Direct Current Stimulation Paired With Verb Network Strengthening Treatment Improves Verb Naming in Primary Progressive Aphasia: A Case Series.

Am J Speech Lang Pathol. 2022-7-12

[5]
Through Thick and Thin: Baseline Cortical Volume and Thickness Predict Performance and Response to Transcranial Direct Current Stimulation in Primary Progressive Aphasia.

Front Hum Neurosci. 2022-7-7

[6]
Sex differences in effects of tDCS and language treatments on brain functional connectivity in primary progressive aphasia.

Neuroimage Clin. 2023

[7]
Transcranial direct current stimulation (tDCS) facilitates verb learning by altering effective connectivity in the healthy brain.

Neuroimage. 2018-7-17

[8]
Testing the therapeutic effects of transcranial direct current stimulation (tDCS) in semantic dementia: a double blind, sham controlled, randomized clinical trial.

Trials. 2019-11-20

[9]
Written Verb Naming Improves After tDCS Over the Left IFG in Primary Progressive Aphasia.

Front Psychol. 2019-6-12

[10]
Multifocal Transcranial Direct Current Stimulation in Primary Progressive Aphasia Does Not Provide a Clinical Benefit Over Speech Therapy.

J Alzheimers Dis. 2023

引用本文的文献

[1]
A multi-modal approach for the treatment of non-fluent/agrammatic variant of Primary Progressive Aphasia.

Brain Commun. 2025-9-3

[2]
Efficacy of Transcranial Magnetic Stimulation and Transcranial Direct-Current Stimulation in Primary Progressive Aphasia Treatment: A Review.

Brain Sci. 2025-8-5

[3]
Multiplex connectomics reveal altered networks in frontotemporal dementia: A multisite study.

Netw Neurosci. 2025-4-30

[4]
Feasibility of home-based transcranial direct current stimulation combined with personalized word retrieval for improving naming in primary progressive aphasia.

Front Neurol. 2025-2-11

[5]
The use of low-density EEG for the classification of PPA and MCI.

Front Hum Neurosci. 2025-2-7

[6]
Noninvasive Brain Stimulation in Primary Progressive Aphasia with and Without Concomitant Speech and Language Therapy: Systematic Review and Meta-analysis.

Neuropsychol Rev. 2025-2-1

[7]
Advancing Neuropsychological Rehabilitation in Primary Progressive Aphasia Based on Principles of Cognitive Neuroscience: A Scoping Review and Systematic Analysis of the Data.

Brain Sci. 2024-12-8

[8]
Augmenting Verb-Naming Therapy With Neuromodulation Decelerates Language Loss in Primary Progressive Aphasia.

Am J Speech Lang Pathol. 2025-1-7

[9]
Neurobiological Effects of Transcranial Direct Current Stimulation over the Inferior Frontal Gyrus: A Systematic Review on Cognitive Enhancement in Healthy and Neurological Adults.

Biomedicines. 2024-5-22

[10]
Non-pharmacological interventions for improving language and communication in people with primary progressive aphasia.

Cochrane Database Syst Rev. 2024-5-29

本文引用的文献

[1]
A Tool for Automatic Scoring of Spelling Performance.

J Speech Lang Hear Res. 2020-12-14

[2]
Different patterns of functional network reorganization across the variants of primary progressive aphasia: a graph-theoretic analysis.

Neurobiol Aging. 2020-12

[3]
Impact of brain atrophy on tDCS and HD-tDCS current flow: a modeling study in three variants of primary progressive aphasia.

Neurol Sci. 2020-7

[4]
Effectiveness of language training and non-invasive brain stimulation on oral and written naming performance in Primary Progressive Aphasia: A meta-analysis and systematic review.

Neurosci Biobehav Rev. 2019-12-4

[5]
Brain volumes as predictors of tDCS effects in primary progressive aphasia.

Brain Lang. 2019-11-5

[6]
The use of spelling for variant classification in primary progressive aphasia: Theoretical and practical implications.

Neuropsychologia. 2019-8-8

[7]
Reductions in GABA following a tDCS-language intervention for primary progressive aphasia.

Neurobiol Aging. 2019-3-27

[8]
High-level Integrative Networks: A Resting-state fMRI Investigation of Reading and Spelling.

J Cogn Neurosci. 2019-4-2

[9]
Non-Invasive Brain Stimulation in Dementia: A Complex Network Story.

Neurodegener Dis. 2019-1-29

[10]
Electrical brain stimulation in different variants of primary progressive aphasia: A randomized clinical trial.

Alzheimers Dement (N Y). 2018-9-5

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索