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研究正中神经刺激后神经代谢物的变化。

Investigating Neurometabolite Changes in Response to Median Nerve Stimulation.

作者信息

Houlgreave Mairi S, Dyke Katherine, Berrington Adam, Jackson Stephen R

机构信息

School of Psychology, University of Nottingham University Park, Nottingham, UK.

Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham University Park, Nottingham, UK.

出版信息

Brain Behav. 2025 Jan;15(1):e70250. doi: 10.1002/brb3.70250.

DOI:10.1002/brb3.70250
PMID:39779218
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11710890/
Abstract

BACKGROUND

Rhythmic median nerve stimulation (MNS) at 10 Hz has been shown to cause a substantial reduction in tic frequency in individuals with Tourette syndrome. The mechanism of action is currently unknown but is hypothesized to involve entrainment of oscillations within the sensorimotor cortex.

OBJECTIVE

We used functional magnetic resonance spectroscopy (fMRS) to explore the dynamic effects of MNS on neurometabolite concentrations.

METHODS

Here, we investigated the effects of rhythmic and arrhythmic 10 Hz MNS on glutamate (Glu) and GABA concentrations in the contralateral sensorimotor cortex in 15 healthy controls, using a blocked fMRS design. We used a Mescher-Garwood-semi-localized by adiabatic selective refocusing (MEGA-sLASER) sequence at 7 T.

RESULTS

Our results show no difference in the difference-from-baseline measures between the two stimulation conditions. Looking at the effect of MNS over both conditions there is a trend for an initial increase in Glu/tCr (total creatine) followed by a decrease over time, whereas GABA/tCr decreased during each stimulation block.

CONCLUSIONS

These results suggest that despite entrainment of oscillations during rhythmic MNS, there are no significant differences in the tonic neuromodulatory effects of rhythmic and arrhythmic stimulation. The reduction in Glu over the course of stimulation may reflect a decrease in the glutamatergic firing due to adaptation. This may make it less likely that an involuntary movement is generated during continuous stimulation.

摘要

背景

已证明以10赫兹频率有节奏地刺激正中神经(MNS)可使患有图雷特综合征的个体的抽搐频率大幅降低。目前尚不清楚其作用机制,但据推测可能涉及感觉运动皮层内振荡的同步化。

目的

我们使用功能磁共振波谱(fMRS)来探究MNS对神经代谢物浓度的动态影响。

方法

在此,我们采用阻断式fMRS设计,研究了有节奏和无节奏的10赫兹MNS对15名健康对照者对侧感觉运动皮层中谷氨酸(Glu)和γ-氨基丁酸(GABA)浓度的影响。我们在7T磁场下使用了绝热选择性重聚焦半定位的Mescher-Garwood序列(MEGA-sLASER)。

结果

我们的结果表明,两种刺激条件下与基线相比的测量差异并无不同。综合两种条件下观察MNS的影响,Glu/总肌酸(tCr)有先升高后随时间下降的趋势,而在每个刺激时段内GABA/tCr均下降。

结论

这些结果表明,尽管有节奏的MNS期间存在振荡同步化,但有节奏和无节奏刺激的强直性神经调节作用并无显著差异。刺激过程中Glu的减少可能反映了由于适应性导致的谷氨酸能神经元放电减少。这可能使得在持续刺激期间产生非自主运动的可能性降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/11710890/35d28f7ad49a/BRB3-15-e70250-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/11710890/9a7f3484a84d/BRB3-15-e70250-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/11710890/81c1d8b04ebe/BRB3-15-e70250-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/11710890/cda7186f94c3/BRB3-15-e70250-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/11710890/2f21662a8593/BRB3-15-e70250-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/11710890/35d28f7ad49a/BRB3-15-e70250-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/11710890/9a7f3484a84d/BRB3-15-e70250-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/11710890/81c1d8b04ebe/BRB3-15-e70250-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/11710890/cda7186f94c3/BRB3-15-e70250-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/11710890/2f21662a8593/BRB3-15-e70250-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/11710890/35d28f7ad49a/BRB3-15-e70250-g004.jpg

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本文引用的文献

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Universal dynamic fitting of magnetic resonance spectroscopy.磁共振波谱的通用动态拟合。
Magn Reson Med. 2024 Jun;91(6):2229-2246. doi: 10.1002/mrm.30001. Epub 2024 Jan 24.
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A double-blind, sham-controlled, trial of home-administered rhythmic 10-Hz median nerve stimulation for the reduction of tics, and suppression of the urge-to-tic, in individuals with Tourette syndrome and chronic tic disorder.一项针对个体患有妥瑞氏症和慢性抽动障碍,通过家庭自主实施的节律性 10Hz 正中神经刺激,以减少抽动和抑制抽动冲动的双盲、假刺激对照试验。
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Median Nerve Stimulation for Treatment of Tics: A 4-Week Open Trial with Ecological Momentary Assessment.
正中神经刺激治疗抽动症:一项为期4周的采用生态瞬时评估的开放性试验。
J Clin Med. 2023 Mar 28;12(7):2545. doi: 10.3390/jcm12072545.
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Median Nerve Stimulation for Treatment of Tics: Randomized, Controlled, Crossover Trial.正中神经刺激治疗抽动症:随机对照交叉试验
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The future is 2D: spectral-temporal fitting of dynamic MRS data provides exponential gains in precision over conventional approaches.未来是二维的:动态 MRS 数据的光谱-时间拟合比传统方法提供了指数级的精度增益。
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