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经颅直流电刺激外侧前额叶皮层对大脑左右半球前额叶-运动皮层之间抑制的极性特异性调节作用。

No Polarity-specific Modulation of Prefrontal-to-M1 Interhemispheric Inhibition by Transcranial Direct Current Stimulation Over the Lateral Prefrontal Cortex.

机构信息

Department of Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, MD, USA; School of Health Sciences, Fujita Health University, Aichi, Japan.

Department of Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, MD, USA; Faculty of Biomedical Engineering, Technion-Israel Institute of Technology, Haifa, Israel.

出版信息

Neuroscience. 2023 Mar 1;513:54-63. doi: 10.1016/j.neuroscience.2023.01.022. Epub 2023 Jan 26.

Abstract

The lateral prefrontal cortex (PFC) plays a variety of crucial roles in higher-order cognitive functions. Previous works have attempted to modulate lateral PFC function by applying non-invasive transcranial direct current stimulation (tDCS) and demonstrated positive effects on performance of tasks involving cognitive processes. The neurophysiological underpinning of the stimulation effects, however, remain poorly understood. Here, we explored the neurophysiological after-effects of tDCS over the lateral PFC by assessing changes in the magnitude of interhemispheric inhibition from the lateral PFC to the contralateral primary motor cortex (PFC-M1 IHI). Using a dual-site transcranial magnetic stimulation paradigm, we assessed PFC-M1 IHI before and after the application of tDCS over the right lateral PFC. We conducted a double-blinded, crossover, and counterbalanced design where 15 healthy volunteers participated in three sessions during which they received either anodal, cathodal, and sham tDCS. In order to determine whether PFC-M1 IHI could be modulated at all, we completed the same assessment on a separate group of 15 participants as they performed visuo-motor reaction tasks that likely engage the lateral PFC. The results showed that tDCS over the right lateral PFC did not modulate the magnitude of PFC-M1 IHI, whereas connectivity changed when Go/NoGo decisions were implemented in reactions during the motor tasks. Although PFC-M1 IHI is sensitive enough to be modulated by behavioral manipulations, tDCS over the lateral PFC does not have substantial modulatory effects on PFC to M1 functional connectivity, or at least not to the degree that can be detected with this measure.

摘要

外侧前额叶皮层(PFC)在高级认知功能中发挥着多种关键作用。先前的研究试图通过应用非侵入性经颅直流电刺激(tDCS)来调节外侧 PFC 的功能,并证明其对涉及认知过程的任务的表现有积极影响。然而,刺激效果的神经生理学基础仍知之甚少。在这里,我们通过评估外侧 PFC 对对侧初级运动皮层(PFC-M1 IHI)的抑制程度的变化来探索 tDCS 对外侧 PFC 的神经生理学后效。使用双位点经颅磁刺激范式,我们在 tDCS 应用于右侧外侧 PFC 之前和之后评估了 PFC-M1 IHI。我们进行了一项双盲、交叉和平衡设计,其中 15 名健康志愿者参加了三个疗程,他们在每个疗程中接受了阳极、阴极和假 tDCS。为了确定是否可以调节 PFC-M1 IHI,我们在另一组 15 名参与者中完成了相同的评估,他们执行了视觉运动反应任务,这些任务可能涉及外侧 PFC。结果表明,右侧外侧 PFC 的 tDCS 并没有调节 PFC-M1 IHI 的幅度,而当在运动任务中的反应中执行 Go/NoGo 决策时,连接性发生了变化。尽管 PFC-M1 IHI 对行为操作的调节足够敏感,但 tDCS 对外侧 PFC 对 M1 功能连接的调节作用不大,或者至少不能通过这种测量来检测到。

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