Barbati Saviana Antonella, Podda Maria Vittoria, Grassi Claudio
Department of Neuroscience, Università Cattolica del Sacro Cuore, Rome, Italy.
Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Front Cell Neurosci. 2022 Jul 21;16:945777. doi: 10.3389/fncel.2022.945777. eCollection 2022.
Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique (NIBS) that has been proven to promote beneficial effects in a range of neurological and psychiatric disorders. Unfortunately, although has been widely investigated, the mechanism comprehension around tDCS effects presents still some gaps. Therefore, scientists are still trying to uncover the cellular and molecular mechanisms behind its positive effects to permit a more suitable application. Experimental models have provided converging evidence that tDCS elicits improvements in learning and memory by modulating both excitability and synaptic plasticity in neurons. Recently, among tDCS neurobiological effects, neural synchronization and dendritic structural changes have been reported in physiological and pathological conditions, suggesting possible effects at the neuronal circuit level. In this review, we bring in to focus the emerging effects of tDCS on the structural plasticity changes and neuronal rewiring, with the intent to match these two aspects with the underpinning molecular mechanisms identified so far, providing a new perspective to work on to unveil novel tDCS therapeutic use to treat brain dysfunctions.
经颅直流电刺激(tDCS)是一种非侵入性脑刺激技术(NIBS),已被证明能对一系列神经和精神疾病产生有益影响。遗憾的是,尽管tDCS已得到广泛研究,但围绕其作用机制的理解仍存在一些空白。因此,科学家们仍在努力揭示其积极作用背后的细胞和分子机制,以便更合理地应用该技术。实验模型已提供了趋同的证据,表明tDCS通过调节神经元的兴奋性和突触可塑性来改善学习和记忆。最近,在tDCS的神经生物学效应中,已报道了在生理和病理条件下的神经同步和树突结构变化,这表明其可能在神经元回路水平产生作用。在这篇综述中,我们重点关注tDCS对结构可塑性变化和神经元重新布线的新出现的影响,旨在将这两个方面与目前已确定的潜在分子机制相匹配,为揭示tDCS治疗脑功能障碍的新治疗用途提供一个新的研究视角。