文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

阿尔茨海默病中无创脑刺激这一新兴领域。

The emerging field of non-invasive brain stimulation in Alzheimer's disease.

作者信息

Koch Giacomo, Altomare Daniele, Benussi Alberto, Bréchet Lucie, Casula Elias P, Dodich Alessandra, Pievani Michela, Santarnecchi Emiliano, Frisoni Giovanni B

机构信息

Experimental Neuropsychophysiology Lab, Santa Lucia Foundation IRCCS, 00179 Rome, Italy.

Department of Neuroscience and Rehabilitation, University of Ferrara and Center for Translational Neurophysiology of Speech and Communication, Italian Institute of Technology (IIT), 44121 Ferrara, Italy.

出版信息

Brain. 2024 Dec 3;147(12):4003-4016. doi: 10.1093/brain/awae292.


DOI:10.1093/brain/awae292
PMID:39562009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11734340/
Abstract

Treating cognitive impairment is a holy grail of modern clinical neuroscience. In the past few years, non-invasive brain stimulation is increasingly emerging as a therapeutic approach to ameliorate performance in patients with cognitive impairment and as an augmentation approach in persons whose cognitive performance is within normal limits. In patients with Alzheimer's disease, better understanding of brain connectivity and function has allowed for the development of different non-invasive brain stimulation protocols. Recent studies have shown that transcranial stimulation methods enhancing brain plasticity with several modalities have beneficial effects on cognitive functions. Amelioration has been shown in preclinical studies on behaviour of transgenic mouse models for Alzheimer's pathology and in clinical studies with variable severity of cognitive impairment. While the field is still grappling with issues related to the standardization of target population, frequency, intensity, treatment duration and stimulated region, positive outcomes have been reported on cognitive functions and on markers of brain pathology. Here we review the most encouraging protocols based on repetitive transcranial magnetic stimulation, transcranial direct current stimulation, transcranial alternating current stimulation, visual-auditory stimulation, photobiomodulation and transcranial focused ultrasound, which have demonstrated efficacy to enhance cognitive functions or slow cognitive decline in patients with Alzheimer's disease. Beneficial non-invasive brain stimulation effects on cognitive functions are associated with the modulation of specific brain networks. The most promising results have been obtained targeting key hubs of higher-level cognitive networks, such as the frontal-parietal network and the default mode network. The personalization of stimulation parameters according to individual brain features sheds new light on optimizing non-invasive brain stimulation protocols for future applications.

摘要

治疗认知障碍是现代临床神经科学的圣杯。在过去几年中,非侵入性脑刺激越来越多地作为一种治疗方法出现,用于改善认知障碍患者的表现,并作为认知表现正常者的增强方法。在阿尔茨海默病患者中,对脑连接性和功能的更好理解推动了不同非侵入性脑刺激方案的发展。最近的研究表明,多种方式增强脑可塑性的经颅刺激方法对认知功能有有益影响。在阿尔茨海默病病理转基因小鼠模型的行为临床前研究以及认知障碍严重程度各异的临床研究中均显示出改善效果。尽管该领域仍在努力解决与目标人群、频率、强度、治疗持续时间和刺激区域标准化相关的问题,但在认知功能和脑病理学标志物方面已报告了积极成果。在此,我们回顾基于重复经颅磁刺激、经颅直流电刺激、经颅交流电刺激、视觉-听觉刺激、光生物调节和经颅聚焦超声的最令人鼓舞的方案,这些方案已证明在阿尔茨海默病患者中增强认知功能或减缓认知衰退的疗效。非侵入性脑刺激对认知功能的有益影响与特定脑网络的调制有关。针对高级认知网络的关键枢纽,如额顶叶网络和默认模式网络,已取得了最有前景的结果。根据个体脑特征对刺激参数进行个性化调整为优化未来应用的非侵入性脑刺激方案提供了新的思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/086c/11734340/c6e0e5760f1d/awae292f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/086c/11734340/c6e0e5760f1d/awae292f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/086c/11734340/c6e0e5760f1d/awae292f1.jpg

相似文献

[1]
The emerging field of non-invasive brain stimulation in Alzheimer's disease.

Brain. 2024-12-3

[2]
Targeting Neural Oscillations for Cognitive Enhancement in Alzheimer's Disease.

Medicina (Kaunas). 2025-3-20

[3]
Brain Stimulation in Alzheimer's Disease Trials.

J Alzheimers Dis. 2024

[4]
Transcranial Magnetic and Electrical Stimulation in Alzheimer's Disease and Mild Cognitive Impairment: A Review of Randomized Controlled Trials.

Clin Pharmacol Ther. 2019-8-18

[5]
Therapeutic potential and mechanisms of repetitive transcranial magnetic stimulation in Alzheimer's disease: a literature review.

Eur J Med Res. 2025-4-4

[6]
Neuromodulation in the Treatment of Alzheimer's Disease: Current and Emerging Approaches.

J Alzheimers Dis. 2020

[7]
Functional network connectivity patterns predicting the efficacy of repetitive transcranial magnetic stimulation in the spectrum of Alzheimer's disease.

Eur Radiol Exp. 2023-10-24

[8]
The cognitive effect of non-invasive brain stimulation combined with cognitive training in Alzheimer's disease and mild cognitive impairment: a systematic review and meta-analysis.

Alzheimers Res Ther. 2024-6-27

[9]
A Critical Review of Noninvasive Brain Stimulation Technologies in Alzheimer's Dementia and Primary Progressive Aphasia.

J Alzheimers Dis. 2024

[10]
Is non-invasive brain stimulation effective for cognitive enhancement in Alzheimer's disease? An updated meta-analysis.

Clin Neurophysiol. 2022-12

引用本文的文献

[1]
Efficacy of Transcranial Magnetic Stimulation and Transcranial Direct-Current Stimulation in Primary Progressive Aphasia Treatment: A Review.

Brain Sci. 2025-8-5

[2]
γ neuromodulations: unraveling biomarkers for neurological and psychiatric disorders.

Mil Med Res. 2025-6-27

[3]
Commentary: Treating Diseases from Alzheimer's to Parkinson's Using Transcranial Pulse Stimulation: Mechanistic Insights, Recent Evidence, and Ethical Considerations.

NeuroSci. 2025-6-17

[4]
The neurobiological foundation of effective repetitive transcranial magnetic brain stimulation in Alzheimer's disease.

Alzheimers Dement. 2025-6

[5]
Network-targeted transcranial magnetic stimulation (TMS) for mild cognitive impairment (MCI).

Neuroimage Clin. 2025-6-6

[6]
Low intensity gamma-frequency TMS safely modulates gamma oscillations in probable mild Alzheimer's dementia: a randomized 2 × 2 crossover pilot study.

Front Neurol. 2025-5-15

[7]
Brain photobiomodulation: a potential treatment in Alzheimer's and Parkinson's diseases.

J Prev Alzheimers Dis. 2025-8

[8]
Effects of 52 weeks of precuneus rTMS in Alzheimer's disease patients: a randomized trial.

Alzheimers Res Ther. 2025-4-2

[9]
Topic Issue: "Translational Advances in Neurodegenerative Dementias".

Neurol Int. 2025-2-19

本文引用的文献

[1]
Non-invasive stimulation of the human striatum disrupts reinforcement learning of motor skills.

Nat Hum Behav. 2024-8

[2]
Plasma biomarkers increase diagnostic confidence in patients with Alzheimer's disease or frontotemporal lobar degeneration.

Alzheimers Res Ther. 2024-5-11

[3]
A phase I trial of accelerated intermittent theta burst rTMS for amnestic MCI.

J Neurol Neurosurg Psychiatry. 2024-10-16

[4]
Effectiveness of Personalized Hippocampal Network-Targeted Stimulation in Alzheimer Disease: A Randomized Clinical Trial.

JAMA Netw Open. 2024-5-1

[5]
Effects of accelerated intermittent theta-burst stimulation in modulating brain of Alzheimer's disease.

Cereb Cortex. 2024-3-1

[6]
Efficacy and safety of repetitive Transcranial Magnetic Stimulation and transcranial Direct Current Stimulation in memory deficits in patients with Alzheimer's disease: Meta-analysis and systematic review.

Int J Clin Health Psychol. 2024

[7]
Low-frequency rTMS modulated the excitability and high-frequency firing in hippocampal neurons of the Alzheimer's disease mouse model.

Brain Res. 2024-5-15

[8]
Repetitive transcranial magnetic stimulation as a treatment for Alzheimer's disease: A randomized placebo-controlled double-blind clinical trial.

Neurotherapeutics. 2024-4

[9]
Efficacy and safety of neuromodulation for apathy in patients with Alzheimer's disease: A systematic review and meta-analysis of randomized controlled trials.

J Psychiatr Res. 2024-3

[10]
Cognitive training and brain stimulation in patients with cognitive impairment: a randomized controlled trial.

Alzheimers Res Ther. 2024-1-11

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索