Visual Cortex Repetitive Transcranial Magnetic Stimulation (rTMS) Reversing Neurodevelopmental Impairments in Adolescents with Major Psychiatric Disorders (MPDs): A Cross-species Translational Study

Overview

Journal CNS Neurosci Ther

Specialties Neurology
Pharmacology

Date 2023 Sep 18

PMID 37721197

Authors

Juan Liu

Huiling Guo

Jingyu Yang

Yao Xiao

Aoling Cai

Tongtong Zhao

Fay Y Womer

Pengfei Zhao

Junjie Zheng

Xizhe Zhang

Jie Wang

Rongxin Zhu

Fei Wang

Affiliations

Soon will be listed here.

Abstract

Aims: Neurodevelopmental impairments are closely linked to the basis of adolescent major psychiatric disorders (MPDs). The visual cortex can regulate neuroplasticity throughout the brain during critical periods of neurodevelopment, which may provide a promising target for neuromodulation therapy. This cross-species translational study examined the effects of visual cortex repetitive transcranial magnetic stimulation (rTMS) on neurodevelopmental impairments in MPDs.

Methods: Visual cortex rTMS was performed in both adolescent methylazoxymethanol acetate (MAM) rats and patients with MPDs. Functional magnetic resonance imaging (fMRI) and brain tissue proteomic data in rats and fMRI and clinical symptom data in patients were analyzed.

Results: The regional homogeneity (ReHo) analysis of fMRI data revealed an increase in the frontal cortex and a decrease in the posterior cortex in the MAM rats, representing the abnormal neurodevelopmental pattern in MPDs. In regard to the effects of rTMS, similar neuroimaging changes, particularly reduced frontal ReHo, were found both in MAM rats and adolescent patients, suggesting that rTMS may reverse the abnormal neurodevelopmental pattern. Proteomic analysis revealed that rTMS modulated frontal synapse-associated proteins, which may be the underpinnings of rTMS efficacy. Furthermore, a positive relationship was observed between frontal ReHo and clinical symptoms after rTMS in patients.

Conclusion: Visual cortex rTMS was proven to be an effective treatment for adolescent MPDs, and the underlying neural and molecular mechanisms were uncovered. Our study provides translational evidence for therapeutics targeting the neurodevelopmental factor in MPDs.

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Visual cortex repetitive transcranial magnetic stimulation (rTMS) reversing neurodevelopmental impairments in adolescents with major psychiatric disorders (MPDs): A cross-species translational study.

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