Dai Zhong-Peng, Wen Qiang, Wu Ping, Zhang Yan-Ni, Fang Cai-Lian, Dai Meng-Yuan, Zhou Hong-Liang, Wang Huan, Tang Hao, Zhang Si-Qi, Li Xiao-Kun, Ji Jian-Song, Chu Liu-Xi, Wang Zhou-Guang
Affiliated Cixi Hospital, Wenzhou Medical University, Ningbo, 315300, Zhejiang, China.
State Key Laboratory of Brain and Cognitive Sciences, Laboratory of Neuropsychology & Human Neuroscience, the University of Hong Kong, Hong Kong, 999077, China.
Mil Med Res. 2025 Jun 27;12(1):32. doi: 10.1186/s40779-025-00619-x.
γ neuromodulation has emerged as a promising strategy for addressing neurological and psychiatric disorders, particularly in regulating executive and cognitive functions. This review explores the latest neuromodulation techniques, focusing on the critical role of γ oscillations in various brain disorders. Direct γ neuromodulation induces γ-frequency oscillations to synchronize disrupted brain networks, while indirect methods influence γ oscillations by modulating cortical excitability. We investigate how monitoring dynamic features of γ oscillations allows for detailed evaluations of neuromodulation effectiveness. By targeting γ oscillatory patterns and restoring healthy cross-frequency coupling, interventions may alleviate cognitive and behavioral symptoms linked to disrupted communication. This review examines clinical applications of γ neuromodulations, including enhancing cognitive function through 40 Hz multisensory stimulation in Alzheimer's disease, improving motor function in Parkinson's disease, controlling seizures in epilepsy, and modulating emotional dysfunctions in depression. Additionally, these neuromodulation strategies aim to regulate excitatory-inhibitory imbalances and restore γ synchrony across neurological and psychiatric disorders. The review highlights the potential of γ oscillations as biomarkers to boost restorative results in clinical applications of neuromodulation. Future studies might focus on integrating multimodal personalized protocols, artificial intelligence (AI) driven frameworks for neural decoding, and global multicenter collaborations to standardize and scale precision treatments across diverse disorders.
γ神经调节已成为一种有前景的治疗神经和精神疾病的策略,尤其是在调节执行和认知功能方面。本综述探讨了最新的神经调节技术,重点关注γ振荡在各种脑部疾病中的关键作用。直接γ神经调节诱导γ频率振荡以同步受损的脑网络,而间接方法则通过调节皮层兴奋性来影响γ振荡。我们研究了监测γ振荡的动态特征如何能够详细评估神经调节的有效性。通过针对γ振荡模式并恢复健康的跨频率耦合,干预措施可能减轻与通信中断相关的认知和行为症状。本综述研究了γ神经调节的临床应用,包括通过对阿尔茨海默病进行40赫兹多感官刺激来增强认知功能、改善帕金森病的运动功能、控制癫痫发作以及调节抑郁症中的情绪功能障碍。此外,这些神经调节策略旨在调节兴奋性-抑制性失衡,并在神经和精神疾病中恢复γ同步性。该综述强调了γ振荡作为生物标志物在神经调节临床应用中提高恢复效果的潜力。未来的研究可能集中在整合多模式个性化方案、人工智能驱动的神经解码框架以及全球多中心合作,以标准化和扩大针对各种疾病的精准治疗。