Modification of rectal function and emotion by repetitive transcranial magnetic stimulation in humans

Yuuichi Aizawa1, Joe Morishita1, Michiko Kano1

  • 1Department of Behavioral Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo, Aoba, Sendai, 980-8575, Japan.

Insights

Repetitive transcranial magnetic stimulation (rTMS) to the dorsolateral prefrontal cortex (DLPFC) alters brain-gut interactions. Low-frequency rTMS to the right DLPFC reduced visceral sensation, while high-frequency rTMS increased ACTH levels and induced rectal contractions.

Area of Science:

  • Neuroscience
  • Gastroenterology
  • Psychiatry

Background:

  • The gut microbiota influences dorsolateral prefrontal cortex (DLPFC) function.
  • Limited research exists on modifying brain-gut interactions using repetitive transcranial magnetic stimulation (rTMS) targeting the DLPFC.

Purpose of the Study:

  • To investigate if rTMS applied to the right or left DLPFC can modify brain-gut interactions in humans.
  • To explore the effects of different rTMS frequencies and stimulation sites on visceral perception, emotion, and physiological responses.

Main Methods:

  • 25 healthy males underwent sham or active (30 mA) rectal electrical stimulation (ES).
  • Viscerosensory evoked potentials (VEP), rectal tone (barostat), and visceral perception/emotion scores were measured.
  • Participants received sham, low-frequency (0.1 Hz), or high-frequency (10 Hz) rTMS to the right or left DLPFC prior to ES.

Main Results:

  • Low-frequency rTMS to the right DLPFC significantly decreased visceral sensation and emotion scores (p < 0.05).
  • High-frequency rTMS to either DLPFC significantly increased plasma ACTH levels (p < 0.05).
  • Both low- and high-frequency rTMS (to specific DLPFC sites) induced significant rectal fine contractions (p < 0.05).

Conclusions:

  • rTMS applied to the DLPFC modulates brain-gut interactions.
  • Specific rTMS protocols targeting the DLPFC can influence visceral perception, emotional responses, and gut motility.