"Aldo Ravelli" Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences, University of Milan, Via Antonio di Rudinì 8, 20142 Milan, Italy.
Department of Electronics, Information and Bioengineering, Politecnico di Milano, Piazza Leonardo da Vinci, 32, 20133 Milan, Italy.
Int J Mol Sci. 2022 Nov 9;23(22):13775. doi: 10.3390/ijms232213775.
Non-Invasive Brain Stimulation (NIBS) techniques, such as transcranial Direct Current Stimulation (tDCS) and repetitive Magnetic Transcranial Stimulation (rTMS), are well-known non-pharmacological approaches to improve both motor and non-motor symptoms in patients with neurodegenerative disorders. Their use is of particular interest especially for the treatment of cognitive impairment in Alzheimer's Disease (AD), as well as axial disturbances in Parkinson's (PD), where conventional pharmacological therapies show very mild and short-lasting effects. However, their ability to interfere with disease progression over time is not well understood; recent evidence suggests that NIBS may have a neuroprotective effect, thus slowing disease progression and modulating the aggregation state of pathological proteins. In this narrative review, we gather current knowledge about neuroprotection and NIBS in neurodegenerative diseases (i.e., PD and AD), just mentioning the few results related to stroke. As further matter of debate, we discuss similarities and differences with Deep Brain Stimulation (DBS)-induced neuroprotective effects, and highlight possible future directions for ongoing clinical studies.
非侵入性脑刺激(NIBS)技术,如经颅直流电刺激(tDCS)和重复经颅磁刺激(rTMS),是改善神经退行性疾病患者运动和非运动症状的众所周知的非药物方法。这些技术的应用特别引起了人们的兴趣,特别是在治疗阿尔茨海默病(AD)的认知障碍以及帕金森病(PD)的轴性障碍方面,因为传统的药物治疗效果非常轻微且持续时间短。然而,它们随时间干扰疾病进展的能力尚不清楚;最近的证据表明,NIBS 可能具有神经保护作用,从而减缓疾病进展并调节病理性蛋白的聚集状态。在这篇叙述性综述中,我们汇集了关于神经退行性疾病(即 PD 和 AD)中神经保护和 NIBS 的现有知识,仅提到了一些与中风相关的结果。作为进一步的争议点,我们讨论了与深部脑刺激(DBS)诱导的神经保护作用的相似之处和不同之处,并强调了正在进行的临床研究的可能未来方向。