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经颅交流电刺激改善阿尔茨海默病患者的自传体记忆

Improving autobiographical memory in Alzheimer's disease by transcranial alternating current stimulation.

作者信息

Bréchet Lucie, Michel Christoph M, Schacter Daniel L, Pascual-Leone Alvaro

机构信息

Hinda and Arthur Marcus Institute for Aging Research and Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Boston, Massachusetts, USA.

Department of Neurology, Harvard Medical School, Boston, Massachusetts, USA.

出版信息

Curr Opin Behav Sci. 2021 Aug;40:64-71. doi: 10.1016/j.cobeha.2021.01.003. Epub 2021 Feb 14.

Abstract

We review the latest evidence from animal models, studies in humans using electrophysiology, experimental memory paradigms, and non-invasive brain stimulation (NIBS), in the form of transcranial alternating current stimulation (tACS), suggesting that the altered activity in networks that contribute to the autobiographical memory (ABM) deficits may be modifiable. ABM involves a specific brain network of interacting regions that store and retrieve life experiences. Deficits in ABM are early symptoms in patients with Alzheimer's disease (AD), and serve as relevant predictors of disease progression. The possibility to modify the neural substrates of ABM opens exciting avenues for the development of therapeutic approaches. Beyond a summary of the causal role of brain oscillations in ABM, we propose a new approach of modulating brain oscillations using personalized tACS with the possibility of reducing ABM deficits. We suggest that human experimental studies using cognitive tasks, EEG, and tACS can have future translational clinical implications.

摘要

我们回顾了来自动物模型、使用电生理学、实验性记忆范式以及非侵入性脑刺激(NIBS)(以经颅交流电刺激(tACS)形式)的人体研究的最新证据,这些证据表明,导致自传体记忆(ABM)缺陷的神经网络活动改变可能是可调节的。ABM涉及一个由相互作用区域组成的特定脑网络,该网络存储和检索生活经历。ABM缺陷是阿尔茨海默病(AD)患者的早期症状,并作为疾病进展的相关预测指标。调节ABM神经基础的可能性为治疗方法的开发开辟了令人兴奋的途径。除了总结脑振荡在ABM中的因果作用外,我们还提出了一种使用个性化tACS调节脑振荡的新方法,该方法有可能减少ABM缺陷。我们认为,使用认知任务、脑电图(EEG)和tACS的人体实验研究可能具有未来的转化临床意义。

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