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γ-经颅交流电刺激的临床前见解:神经退行性疾病临床转化的基础

Preclinical insights into gamma-tACS: foundations for clinical translation in neurodegenerative diseases.

作者信息

Sánchez-Garrido Campos Guillermo, Zafra Ángela M, Estévez-Rodríguez Marta, Cordones Isabel, Ruffini Giulio, Márquez-Ruiz Javier

机构信息

Department of Physiology, Anatomy and Cell Biology, Pablo de Olavide University, Seville, Spain.

Brain Modeling Department, Neuroelectrics Barcelona, Barcelona, Spain.

出版信息

Front Neurosci. 2025 Mar 12;19:1549230. doi: 10.3389/fnins.2025.1549230. eCollection 2025.

DOI:10.3389/fnins.2025.1549230
PMID:40143845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11936909/
Abstract

Gamma transcranial alternating current stimulation (gamma-tACS) represents a novel neuromodulation technique with promising therapeutic applications across neurodegenerative diseases. This mini-review consolidates recent preclinical and clinical findings, examining the mechanisms by which gamma-tACS influences neural oscillations, enhances synaptic plasticity, and modulates neuroimmune responses. Preclinical studies have demonstrated the capacity of gamma-tACS to synchronize neuronal firing, support long-term neuroplasticity, and reduce markers of neuroinflammation, suggesting its potential to counteract neurodegenerative processes. Early clinical studies indicate that gamma-tACS may improve cognitive functions and network connectivity, underscoring its ability to restore disrupted oscillatory patterns central to cognitive performance. Given the intricate and multifactorial nature of gamma oscillations, the development of tailored, optimized tACS protocols informed by extensive animal research is crucial. Overall, gamma-tACS presents a promising avenue for advancing treatments that support cognitive resilience in a range of neurodegenerative conditions.

摘要

γ经颅交流电刺激(γ-tACS)是一种新型神经调节技术,在治疗多种神经退行性疾病方面具有广阔的应用前景。本综述总结了近期的临床前和临床研究结果,探讨了γ-tACS影响神经振荡、增强突触可塑性和调节神经免疫反应的机制。临床前研究表明,γ-tACS能够同步神经元放电、支持长期神经可塑性并减少神经炎症标志物,提示其具有对抗神经退行性变过程的潜力。早期临床研究表明,γ-tACS可能改善认知功能和网络连接,突出了其恢复对认知表现至关重要的紊乱振荡模式的能力。鉴于γ振荡的复杂性和多因素性质,在广泛的动物研究基础上制定量身定制、优化的tACS方案至关重要。总体而言,γ-tACS为推进一系列神经退行性疾病中支持认知恢复力的治疗提供了一条有前景的途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/512f/11936909/b73a2d91929a/fnins-19-1549230-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/512f/11936909/b73a2d91929a/fnins-19-1549230-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/512f/11936909/b73a2d91929a/fnins-19-1549230-g001.jpg

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本文引用的文献

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Schizophrenia (Heidelb). 2024 Oct 26;10(1):97. doi: 10.1038/s41537-024-00518-5.
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Transcranial electric stimulation modulates firing rate at clinically relevant intensities.经颅电刺激以临床相关强度调节放电频率。
Brain Stimul. 2024 May-Jun;17(3):561-571. doi: 10.1016/j.brs.2024.04.007. Epub 2024 Apr 15.
3
intensity- and frequency-specific effects of transcranial alternating current stimulation are explained by network dynamics.
经颅交流电刺激的强度和频率特异性效应是由网络动态解释的。
J Neural Eng. 2024 Apr 3;21(2). doi: 10.1088/1741-2552/ad37d9.
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Home-based transcranial alternating current stimulation (tACS) in Alzheimer's disease: rationale and study design.基于家庭的经颅交流电刺激(tACS)治疗阿尔茨海默病:原理和研究设计。
Alzheimers Res Ther. 2023 Sep 15;15(1):155. doi: 10.1186/s13195-023-01297-4.
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Tele-supervised home-based transcranial alternating current stimulation (tACS) for Alzheimer's disease: a pilot study.远程监督的家庭式经颅交流电刺激(tACS)治疗阿尔茨海默病:一项试点研究。
Front Hum Neurosci. 2023 Jun 2;17:1168673. doi: 10.3389/fnhum.2023.1168673. eCollection 2023.
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Short-term plasticity of the motor cortex compensates for bradykinesia in Parkinson's disease.运动皮层的短期可塑性弥补了帕金森病的运动迟缓。
Neurobiol Dis. 2023 Jun 15;182:106137. doi: 10.1016/j.nbd.2023.106137. Epub 2023 Apr 27.
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