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经颅直流电刺激重塑人类大脑网络。

Theta-burst direct electrical stimulation remodels human brain networks.

机构信息

Department of Neurosurgery, Stanford University, Palo Alto, CA, USA.

Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

出版信息

Nat Commun. 2024 Aug 14;15(1):6982. doi: 10.1038/s41467-024-51443-1.


DOI:10.1038/s41467-024-51443-1
PMID:39143083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11324911/
Abstract

Theta-burst stimulation (TBS), a patterned brain stimulation technique that mimics rhythmic bursts of 3-8 Hz endogenous brain rhythms, has emerged as a promising therapeutic approach for treating a wide range of brain disorders, though the neural mechanism of TBS action remains poorly understood. We investigated the neural effects of TBS using intracranial EEG (iEEG) in 10 pre-surgical epilepsy participants undergoing intracranial monitoring. Here we show that individual bursts of direct electrical TBS at 29 frontal and temporal sites evoked strong neural responses spanning broad cortical regions. These responses exhibited dynamic local field potential voltage changes over the course of stimulation presentations, including either increasing or decreasing responses, suggestive of short-term plasticity. Stronger stimulation augmented the mean TBS response amplitude and spread with more recording sites demonstrating short-term plasticity. TBS responses were stimulation site-specific with stronger TBS responses observed in regions with strong baseline stimulation effective (cortico-cortical evoked potentials) and functional (low frequency phase locking) connectivity. Further, we could use these measures to predict stable and varying (e.g. short-term plasticity) TBS response locations. Future work may integrate pre-treatment connectivity alongside other biophysical factors to personalize stimulation parameters, thereby optimizing induction of neuroplasticity within disease-relevant brain networks.

摘要

theta 爆发刺激(TBS)是一种模仿 3-8Hz 内源性脑节律的节律性爆发的模式化脑刺激技术,已成为治疗广泛的脑疾病的有前途的治疗方法,尽管 TBS 作用的神经机制仍知之甚少。我们使用 10 名接受颅内监测的术前癫痫参与者的颅内脑电图(iEEG)研究了 TBS 的神经效应。在这里,我们显示 29 个额颞部位的直接电 TBS 单个爆发引发了跨越广泛皮质区域的强烈神经反应。这些反应在刺激呈现过程中表现出动态的局部场电位电压变化,包括增加或减少反应,提示短期可塑性。更强的刺激增强了平均 TBS 反应幅度和传播,更多的记录部位表现出短期可塑性。TBS 反应具有刺激部位特异性,在基线刺激有效(皮质-皮质诱发电位)和功能(低频相位锁定)连通性强的区域观察到更强的 TBS 反应。此外,我们可以使用这些措施来预测稳定和变化(例如短期可塑性)的 TBS 反应位置。未来的工作可能会整合治疗前的连通性以及其他生物物理因素,以个性化刺激参数,从而在与疾病相关的大脑网络中优化诱导神经可塑性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/5608264fafc6/41467_2024_51443_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/e12d49a82feb/41467_2024_51443_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/eb947c39cdc3/41467_2024_51443_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/badccbed25db/41467_2024_51443_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/53636b575592/41467_2024_51443_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/b62dc51fb0b2/41467_2024_51443_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/b162c61ed479/41467_2024_51443_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/d96047fe7d27/41467_2024_51443_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/5608264fafc6/41467_2024_51443_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/e12d49a82feb/41467_2024_51443_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/eb947c39cdc3/41467_2024_51443_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/badccbed25db/41467_2024_51443_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/53636b575592/41467_2024_51443_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/b62dc51fb0b2/41467_2024_51443_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/b162c61ed479/41467_2024_51443_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/d96047fe7d27/41467_2024_51443_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b34/11324911/5608264fafc6/41467_2024_51443_Fig8_HTML.jpg

相似文献

[1]
Theta-burst direct electrical stimulation remodels human brain networks.

Nat Commun. 2024-8-14

[2]
Inducing neuroplasticity through intracranial θ-burst stimulation in the human sensorimotor cortex.

J Neurophysiol. 2021-11-1

[3]
Theta-burst stimulation entrains frequency-specific oscillatory responses.

Brain Stimul. 2021

[4]
Intracortical Dynamics Underlying Repetitive Stimulation Predicts Changes in Network Connectivity.

J Neurosci. 2019-6-10

[5]
Demonstration of short-term plasticity in the dorsolateral prefrontal cortex with theta burst stimulation: A TMS-EEG study.

Clin Neurophysiol. 2017-7

[6]
The effects of individualised intermittent theta burst stimulation in the prefrontal cortex: A TMS-EEG study.

Hum Brain Mapp. 2018-9-25

[7]
Induction and Quantification of Excitability Changes in Human Cortical Networks.

J Neurosci. 2018-5-21

[8]
Effect of theta burst stimulation over the human sensorimotor cortex on motor and somatosensory evoked potentials.

Clin Neurophysiol. 2007-5

[9]
Direct-current-dependent shift of theta-burst-induced plasticity in the human motor cortex.

Exp Brain Res. 2011-12-6

[10]
Dose-dependent effects of theta burst rTMS on cortical excitability and resting-state connectivity of the human motor system.

J Neurosci. 2014-5-14

引用本文的文献

[1]
Spatiotemporal properties of cortical excitatory and inhibitory neuron activation by sustained and bursting electrical microstimulation.

iScience. 2025-5-20

[2]
Electroconvulsive therapy generates a postictal wave of spreading depolarization in mice and humans.

Nat Commun. 2025-5-18

[3]
Differential glutamatergic and GABAergic responses drive divergent prefrontal cortex neural outcomes to low and high frequency stimulation.

bioRxiv. 2025-3-3

[4]
Human single-neuron activity is modulated by intracranial theta burst stimulation of the basolateral amygdala.

bioRxiv. 2025-2-15

[5]
Electroconvulsive therapy generates a postictal wave of spreading depolarization in mice and humans.

bioRxiv. 2025-2-21

本文引用的文献

[1]
Mapping cortical excitability in the human dorsolateral prefrontal cortex.

Clin Neurophysiol. 2024-8

[2]
Reliability of the TMS-evoked potential in dorsolateral prefrontal cortex.

Cereb Cortex. 2024-4-1

[3]
Neural effects of TMS trains on the human prefrontal cortex.

Sci Rep. 2023-12-20

[4]
Noninvasive theta-burst stimulation of the human striatum enhances striatal activity and motor skill learning.

Nat Neurosci. 2023-11

[5]
Cingulate dynamics track depression recovery with deep brain stimulation.

Nature. 2023-10

[6]
The VLPFC-Engaged Voluntary Emotion Regulation: Combined TMS-fMRI Evidence for the Neural Circuit of Cognitive Reappraisal.

J Neurosci. 2023-8-23

[7]
Modular pipeline for reconstruction and localization of implanted intracranial ECoG and sEEG electrodes.

PLoS One. 2023

[8]
A systematic review of the neurobiological effects of theta-burst stimulation (TBS) as measured using functional magnetic resonance imaging (fMRI).

Brain Struct Funct. 2023-5

[9]
Reliability and Validity of Transcranial Magnetic Stimulation-Electroencephalography Biomarkers.

Biol Psychiatry Cogn Neurosci Neuroimaging. 2023-8

[10]
Data Archive for the BRAIN Initiative (DABI).

Sci Data. 2023-2-9

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