Department of Neurology, Second Medical Center, National Clinical Research Center for Geriatric Disease, Chinese PLA General Hospital, Beijing, China.
Department of Rehabilitation, Cangzhou Central Hospital, Cangzhoug, Hebei Province, China.
J Alzheimers Dis. 2022;90(2):655-666. doi: 10.3233/JAD-220539.
BACKGROUND: Early intervention of amnestic mild cognitive impairment (aMCI) may be the most promising way for delaying or even preventing the progression to Alzheimer's disease. Transcranial direct current stimulation (tDCS) is a noninvasive brain stimulation technique that has been recognized as a promising approach for the treatment of aMCI. OBJECTIVE: In this paper, we aimed to investigate the modulating mechanism of tDCS on the core neurocognitive networks of brain. METHODS: We used repeated anodal high-definition transcranial direct current stimulation (HD-tDCS) over the left dorsolateral prefrontal cortex and assessed the effect on cognition and dynamic functional brain network in aMCI patients. We used a novel method called temporal variability to depict the characteristics of the dynamic brain functional networks. RESULTS: We found that true anodal stimulation significantly improved cognitive performance as measured by the Montreal Cognitive Assessment after simulation. Meanwhile, the Mini-Mental State Examination scores showed a clear upward trend. More importantly, we found significantly altered temporal variability of dynamic functional connectivity of regions belonging to the default mode network, central executive network, and the salience network after true anodal stimulation, indicating anodal HD-tDCS may enhance brain function by modulating the temporal variability of the brain regions. CONCLUSION: These results imply that ten days of anodal repeated HD-tDCS over the LDLPFC exerts beneficial effects on the temporal variability of the functional architecture of the brain, which may be a potential neural mechanism by which HD-tDCS enhances brain functions. Repeated HD-tDCS may have clinical uses for the intervention of brain function decline in aMCI patients.
背景:遗忘型轻度认知障碍(aMCI)的早期干预可能是延缓甚至预防阿尔茨海默病进展的最有希望的方法。经颅直流电刺激(tDCS)是一种非侵入性的脑刺激技术,已被认为是治疗 aMCI 的一种很有前途的方法。
目的:本文旨在探讨 tDCS 对大脑核心神经认知网络的调节机制。
方法:我们使用左背外侧前额叶重复阳极高定义经颅直流电刺激(HD-tDCS),并评估其对 aMCI 患者认知和动态功能脑网络的影响。我们使用一种称为时间变异性的新方法来描绘动态脑功能网络的特征。
结果:我们发现,模拟后,真正的阳极刺激显著改善了蒙特利尔认知评估的认知表现。同时,简易精神状态检查评分呈明显上升趋势。更重要的是,我们发现真正的阳极刺激后,属于默认模式网络、中央执行网络和突显网络的区域的动态功能连接的时间变异性发生了显著改变,表明阳极 HD-tDCS 可能通过调节大脑区域的时间变异性来增强大脑功能。
结论:这些结果表明,十天的左背外侧前额叶阳极重复 HD-tDCS 对大脑功能结构的时间变异性有有益的影响,这可能是 HD-tDCS 增强大脑功能的潜在神经机制。重复的 HD-tDCS 可能在干预 aMCI 患者的大脑功能下降方面具有临床应用价值。
Prog Neuropsychopharmacol Biol Psychiatry. 2017-7-3
J Neurosci Rural Pract. 2024