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A little goes a long way: Neurobiological effects of low intensity rTMS and implications for mechanisms of rTMS.

作者信息

Moretti Jessica, Rodger Jennifer

机构信息

School of Biological Sciences, The University of Western Australia, Perth, WA, Australia.

Perron Institute for Neurological and Translational Science, Perth, WA, Australia.

出版信息

Curr Res Neurobiol. 2022 Feb 23;3:100033. doi: 10.1016/j.crneur.2022.100033. eCollection 2022.


DOI:10.1016/j.crneur.2022.100033
PMID:36685761
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9846462/
Abstract

Repetitive transcranial magnetic stimulation (rTMS) is a widespread technique in neuroscience and medicine, however its mechanisms are not well known. In this review, we consider intensity as a key therapeutic parameter of rTMS, and review the studies that have examined the biological effects of rTMS using magnetic fields that are orders of magnitude lower that those currently used in the clinic. We discuss how extensive characterisation of "low intensity" rTMS has set the stage for translation of new rTMS parameters from a mechanistic evidence base, with potential for innovative and effective therapeutic applications. Low-intensity rTMS demonstrates neurobiological effects across healthy and disease models, which include depression, injury and regeneration, abnormal circuit organisation, tinnitus etc. Various short and long-term changes to metabolism, neurotransmitter release, functional connectivity, genetic changes, cell survival and behaviour have been investigated and we summarise these key changes and the possible mechanisms behind them. Mechanisms at genetic, molecular, cellular and system levels have been identified with evidence that low-intensity rTMS and potentially rTMS in general acts through several key pathways to induce changes in the brain with modulation of internal calcium signalling identified as a major mechanism. We discuss the role that preclinical models can play to inform current clinical research as well as uncover new pathways for investigation.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea8/9846462/b489a5e5b14d/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea8/9846462/b489a5e5b14d/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea8/9846462/b489a5e5b14d/ga1.jpg

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[1]
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[8]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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Cell Mol Life Sci. 2024-8-12

[9]
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[10]
Technical Report: Efficacy and Safety of Low-Intensity Transcranial Magnetic Stimulation in the Remission of Depressive Symptoms in Patients With Treatment-Resistant Depression in Mexico.

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本文引用的文献

[1]
White Matter Changes Following Chronic Restraint Stress and Neuromodulation: A Diffusion Magnetic Resonance Imaging Study in Young Male Rats.

Biol Psychiatry Glob Open Sci. 2021-9-6

[2]
Sham-derived effects and the minimal reliability of theta burst stimulation.

Sci Rep. 2021-10-27

[3]
Subthreshold repetitive transcranial magnetic stimulation drives structural synaptic plasticity in the young and aged motor cortex.

Brain Stimul. 2021

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Excitatory Repetitive Transcranial Magnetic Stimulation Over Prefrontal Cortex in a Guinea Pig Model Ameliorates Tinnitus.

Front Neurosci. 2021-7-22

[5]
Moving back in the brain to drive the field forward: Targeting neurostimulation to different brain regions in animal models of depression and neurodegeneration.

J Neurosci Methods. 2021-8-1

[6]
Identification of Clinical Features and Biomarkers that may inform a Personalized Approach to rTMS for Depression.

Pers Med Psychiatry. 2019

[7]
Periaxonal and nodal plasticities modulate action potential conduction in the adult mouse brain.

Cell Rep. 2021-1-19

[8]
Low intensity repetitive magnetic stimulation reduces expression of genes related to inflammation and calcium signalling in cultured mouse cortical astrocytes.

Brain Stimul. 2021

[9]
Concurrent LI-rTMS induces changes in c-Fos expression but not behavior during a progressive ratio task with adult ephrin-A2A5 mice.

Behav Brain Res. 2021-2-26

[10]
The circadian gene Cryptochrome 2 influences stress-induced brain activity and depressive-like behavior in mice.

Genes Brain Behav. 2021-4

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