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Cortical Inhibition State-Dependent iTBS Induced Neural Plasticity
Xiaoying Diao1,2, Qian Lu1, Lei Qiao3
1Department of Rehabilitation Medicine, The Affiliated Jiangsu Shengze Hospital of Nanjing Medical University, Suzhou, China.
Frontiers in Neuroscience
|March 7, 2022
Summary
Lower baseline GABAergic activity, measured by SICI, predicts greater long-term potentiation-like plasticity after intermittent theta burst stimulation (iTBS). This finding helps personalize iTBS protocols for enhanced cortical excitability effects.
Area of Science:
- Neuroscience
- Neurophysiology
- Brain Stimulation
Background:
- Intermittent theta burst stimulation (iTBS) induces long-term potentiation (LTP)-like plasticity, but its effects vary individually.
- Local gamma-aminobutyric acid (GABA) levels and N-methyl-D-aspartate (NMDA) receptor activity are crucial for LTP-like plasticity.
Purpose of the Study:
- To investigate the correlation between pre-stimulation GABAergic or NMDA receptor activity and the cortical excitability changes induced by iTBS.
- To determine if baseline neurotransmitter activity predicts individual responses to iTBS.
Main Methods:
- Fifteen healthy volunteers underwent assessments of short-interval intracortical inhibition (SICI), long-interval intracortical inhibition (LICI), and intracortical facilitation (ICF) before iTBS.
- These measures indexed GABAA, GABAB, and glutamate receptor activity, respectively.
- Cortical excitability after iTBS was assessed by changes in motor-evoked potential (MEP) amplitude.
Main Results:
- A significant negative correlation was found between baseline SICI (GABAA receptor activity) and iTBS-induced LTP-like plasticity.
- SICI levels before stimulation predicted cortical excitability changes at 5, 10, and 15 minutes post-iTBS.
Conclusions:
- Baseline GABAA receptor-mediated activity, indexed by SICI, negatively correlates with iTBS-induced cortical excitability.
- SICI serves as a potential predictor of iTBS-induced LTP-like plasticity for up to 15 minutes post-stimulation.
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