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伽马神经调节改善遗忘型轻度认知障碍的情景记忆及其相关网络:一项初步研究。

Gamma neuromodulation improves episodic memory and its associated network in amnestic mild cognitive impairment: a pilot study.

机构信息

Department of Neurology, University of California-San Francisco, San Francisco, CA; Neuroscape, University of California-San Francisco, San Francisco, CA.

Department of Neurology, University of California-San Francisco, San Francisco, CA; Neuroscape, University of California-San Francisco, San Francisco, CA.

出版信息

Neurobiol Aging. 2023 Sep;129:72-88. doi: 10.1016/j.neurobiolaging.2023.04.005. Epub 2023 Apr 20.

Abstract

Amnestic mild cognitive impairment (aMCI) is a predementia stage of Alzheimer's disease associated with dysfunctional episodic memory and limited treatment options. We aimed to characterize feasibility, clinical, and biomarker effects of noninvasive neurostimulation for aMCI. 13 individuals with aMCI received eight 60-minute sessions of 40-Hz (gamma) transcranial alternating current stimulation (tACS) targeting regions related to episodic memory processing. Feasibility, episodic memory, and plasma Alzheimer's disease biomarkers were assessed. Neuroplastic changes were characterized by resting-state functional connectivity (RSFC) and neuronal excitatory/inhibitory balance. Gamma tACS was feasible and aMCI participants demonstrated improvement in multiple metrics of episodic memory, but no changes in biomarkers. Improvements in episodic memory were most pronounced in participants who had the highest modeled tACS-induced electric fields and exhibited the greatest changes in RSFC. Increased RSFC was also associated with greater hippocampal excitability and higher baseline white matter integrity. This study highlights initial feasibility and the potential of gamma tACS to rescue episodic memory in an aMCI population by modulating connectivity and excitability within an episodic memory network.

摘要

遗忘型轻度认知障碍 (aMCI) 是阿尔茨海默病的一种痴呆前阶段,与情景记忆功能障碍和有限的治疗选择有关。我们旨在描述非侵入性神经刺激对 aMCI 的可行性、临床和生物标志物影响。13 名 aMCI 患者接受了 8 次 60 分钟的 40-Hz(伽马)经颅交流电刺激(tACS)治疗,目标是与情景记忆处理相关的区域。评估了可行性、情景记忆和血浆阿尔茨海默病生物标志物。通过静息态功能连接 (RSFC) 和神经元兴奋/抑制平衡来描述神经可塑性变化。伽马 tACS 是可行的,aMCI 参与者在情景记忆的多个指标上都有改善,但生物标志物没有变化。在具有最高模拟 tACS 诱导电场和表现出最大 RSFC 变化的参与者中,情景记忆的改善最为明显。RSFC 的增加也与海马兴奋性的增加和基线白质完整性的提高有关。这项研究强调了伽马 tACS 的初步可行性及其通过调节情景记忆网络内的连接和兴奋性来挽救 aMCI 人群情景记忆的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a39e/10583532/08c231026f07/nihms-1934076-f0001.jpg

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