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聚焦左前额叶皮质:左额下回或左背外侧前额叶皮质经颅直流电刺激的阴极不能证明反应抑制。

Spotlight on the Left Frontal Cortex: No Evidence for Response Inhibition from Cathodal High-Definition transcranial Direct Current Stimulation over Left Inferior Frontal Gyrus or Left Dorsolateral Prefrontal Cortex.

机构信息

University of Tübingen, Germany.

University of Marburg, Germany.

出版信息

J Cogn Neurosci. 2022 May 2;34(6):1090-1102. doi: 10.1162/jocn_a_01849.

Abstract

Inhibitory control functions draw on a fronto-basal network with central cortical hubs at the right inferior frontal gyrus (IFG) and the pre-SMA. However, few neuropsychological studies investigated the role of brain regions in the left frontal cortex and some previous evidence from bilateral studies remained inconclusive. This study presents a systematic investigation with high-definition transcranial direct current stimulation (HD tDCS) in a focal 4 × 1 configuration, which was used to target the left IFG or the left dorsolateral prefrontal cortex (DLPFC) with 1-mA active or sham cathodal HD tDCS. Healthy participants were randomized into three groups. We analyzed performance in an adaptive stop-signal task to quantify inhibitory control before (baseline), during cathodal HD tDCS (on-line), and after cathodal HD tDCS (off-line) to either left IFG, left DLPFC, or sham. Results from 67 participants and Bayesian analyses indicated moderate evidence against an effect of cathodal tDCS (left DLPFC and left IFG compared with sham) regardless of timing, that is, on-line or off-line cathodal HD tDCS. The study results are examined in view of previous neuropsychological and neurostimulation studies with bilateral and unilateral cathodal tDCS in healthy and patient samples. Theoretically, our results are compatible with a right-lateralization of response inhibition functions and suggest a negligible role of the left frontal hemisphere in healthy participants, but more stimulation parameters can be still explored in the left hemisphere. In line with previous studies, right inferior frontal gyrus seems a more promising target to investigate or alleviate response inhibition with tDCS.

摘要

抑制控制功能依赖于额-基底神经回路,其中中央皮质中枢位于右侧下额回(IFG)和前扣带回(SMA)。然而,很少有神经心理学研究调查左额叶脑区的作用,一些先前的双侧研究证据仍不确定。本研究通过高清晰度经颅直流电刺激(HD tDCS)进行了系统研究,采用 4×1 配置靶向左 IFG 或左背外侧前额叶皮层(DLPFC),刺激电流强度为 1 mA 的活性或假阴极 HD tDCS。健康参与者被随机分为三组。我们分析了自适应停止信号任务中的表现,以量化抑制控制,分别在刺激前(基线)、阴极 HD tDCS 期间(在线)和阴极 HD tDCS 后(离线)对左 IFG、左 DLPFC 或假阴极进行分析。来自 67 名参与者的结果和贝叶斯分析表明,无论时间(在线或离线阴极 HD tDCS)如何,阴极 tDCS(左 DLPFC 和左 IFG 与假阴极相比)的效果都有中等证据反对。从双侧和单侧阴极 tDCS 的神经心理学和神经刺激研究以及健康和患者样本的角度检查了研究结果。从理论上讲,我们的结果与反应抑制功能的右侧偏侧化一致,并表明健康参与者左额叶半球的作用微不足道,但仍可以在左半球探索更多的刺激参数。与先前的研究一致,右下额回似乎是一个更有前途的目标,可以用 tDCS 来研究或缓解反应抑制。

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