物质使用障碍中的皮质可塑性差异。

Cortical plasticity differences in substance use disorders.

作者信息

Liu Qing-Ming, Lucas Molly, Badami Faizan, Wu Wei, Etkin Amit, Yuan Ti-Fei

机构信息

Shanghai Key Laboratory of Psychotic Disorders, Brain Health Institute, National Center for Mental Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China.

Center for Brain, Mind and Education, Shaoxing University, Shaoxing 312000, China.

出版信息

Fundam Res. 2023 Mar 7;4(6):1351-1356. doi: 10.1016/j.fmre.2023.02.015. eCollection 2024 Nov.

Abstract

Among substances, opiates and psychostimulants are responsible for the most significant public health problems, yet few studies have characterized their similarities or differences in the cortical plasticity of individuals with these substance related problems. This investigation utilized concurrent transcranial magnetic stimulation and electroencephalography (TMS-EEG) to examine cortical plasticity characteristics of individuals with heroin and methamphetamine related substance use disorder (SUD) relative to healthy controls. TMS-EEG data were collected from healthy control subjects ( = 35), subjects with heroin ( = 72) and methamphetamine ( = 69) use disorder. The data were analyzed using our fully-automated artifact rejection algorithm (ARTIST). Analyses were performed separately for F3, F4 and P3 stimulation sites. Linear mixed effects models were used to examine Group (heroin, methamphetamine, healthy control) x Time (pre, post single-session rTMS) interactions. To evaluate plasticity differences across groups, we observed the changes in single pulse TMS before and after single-session of rTMS. There was no change in alpha power after stimulation of the F3 or F4 sites across groups. The alpha power of the control group was significantly decreased when stimulating the P3 site, while there was no significant change in alpha power for either drug group during the same time window. The beta power of the healthy control group increased significantly when the F3 site was stimulated. In contrast, there was no significant change in either the methamphetamine or heroin group. Following a single-session of rTMS intervention, there was a significant difference in alpha-band power between the healthy control group and the two drug groups. Taking together, the study findings identified differential plasticity effects in the two types of SUD population, and highlighted the network effects of rTMS. The findings point to an exciting future path for using rTMS to test new plasticity-based interventions for treating drug addiction.

摘要

在各类物质中,阿片类药物和精神兴奋剂引发了最为严重的公共卫生问题,但针对患有这些物质相关问题的个体,在皮质可塑性方面的异同进行研究的却很少。本研究采用同步经颅磁刺激和脑电图(TMS-EEG)技术,以探究与海洛因和甲基苯丙胺相关的物质使用障碍(SUD)个体相对于健康对照者的皮质可塑性特征。TMS-EEG数据收集自健康对照受试者(n = 35)、患有海洛因(n = 72)和甲基苯丙胺(n = 69)使用障碍的受试者。数据采用我们的全自动伪迹剔除算法(ARTIST)进行分析。分别对F3、F4和P3刺激位点进行分析。使用线性混合效应模型来检验组(海洛因、甲基苯丙胺、健康对照)×时间(单次rTMS治疗前、后)的交互作用。为评估各组间的可塑性差异,我们观察了单次rTMS治疗前后单脉冲TMS的变化。各组在刺激F3或F4位点后,α波功率均无变化。刺激P3位点时,对照组的α波功率显著降低,而在同一时间窗内,两个药物组的α波功率均无显著变化。刺激F3位点时,健康对照组的β波功率显著增加。相比之下,甲基苯丙胺组和海洛因组均无显著变化。在单次rTMS干预后,健康对照组与两个药物组之间在α波段功率上存在显著差异。综合来看,研究结果确定了两种类型的SUD人群中存在不同的可塑性效应,并突出了rTMS的网络效应。这些发现为利用rTMS测试基于可塑性的新型药物成瘾治疗干预措施指明了一条令人兴奋的未来道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/103f/11670691/d7fdbaeb636c/ga1.jpg

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