Multi-target Synergistic Enhanced Neural Circuit Modulation: Thinking and Innovation
Abstract
Motor function injuries mostly block or interfere with motor nerve conduction pathways. Theinnovative multi-target magnetic stimulation (MS) technology stimulates the cortex and nerve roots to activate the human central and peripheral nervous system, and has achieved preliminary results in scientificand clinical exploration. The mechanismsof these researches involve the activation of neurons, nerve conduction, the regulation of the microenvironment of the injured area, and gene regulation. However, how to make the multi-target MS technology achieve more accurate and effective nerve repair in rehabilitation is a bottleneck problem, which may need to break through neural circuit reconstruction and task-oriented training. This topic focuses on Nerve Regeneration Modulation and Rehabilitation, aiming to apply the concepts of nerve regeneration and neuromodulation totreatment of rehabilitation, and to supportfor exploring the neurobiological mechanism of rehabilitation. This review will explore the important role of multi-target synergistic enhanced neural circuit modulation technology in neural circuit reconstruction, and establish more accurate and effective multi-target innovative technologies and clinical pathways, so as to promote the basic and clinical research of neuromodulation.
Keywords: Transcranial magnetic stimulation, Neuromodulation, Neural circuit, Clinical trial, Synaptic plasticity
Full Text:
PDFReferences
ZHU H, XU G, FU L, et al. The effects of repetitive transcranial magnetic stimulation on the cognition and neuronal excitability of mice. Electromagn Biol Med,2020,39(1): 9–19.
LUO Y, YANG J, WANG H, et al. Cellular Mechanism underlying rTMS treatment for the neural plasticity of nervous system in drosophila brain. Int J Mol Sci, 2019, 20(18): 4625[2020-01-15]. https://doi.org/10.3390/ijms20184625.
GE R, DOWNAR J, BLUMBERGER D M, et al. Functional connectivity of the anterior cingulate cortex predicts treatment outcome for rTMS in treatment-resistant depression at 3-month follow-up. Brain Stimul,2020, 13(1): 206–214.
LAHOUTI B, LOCKYER E J, WISEMAN S, et al. Short-interval intracortical inhibition of the biceps brachii in chronic-resistance versus non-resistance-trained individuals. Exp Brain Res,2019,237(11): 3023–3032.
MOISSET X, LANTERI-MINET M, FONTAINE D. Neurostimulation methods in the treatment of chronic pain. J Neural Transm (Vienna), 2020,127(4): 673–686.
CHOU Y H, HICKEY P T, SUNDMAN M, et al. Effects of repetitive transcranial magnetic stimulation on motor symptoms in Parkinson disease: a systematic review and meta-analysis. JAMA Neurol,2015, 72(4): 432–440.
WALTHER S, KUNZ M, MULLER M, et al. Single session transcranial magnetic stimulation ameliorates hand gesture deficits in schizophrenia. Schizophr Bull,2020,46(2): 286–293.
LONG J, FEDERICO P, PEREZ M A. A novel cortical target to enhance hand motor output in humans with spinal cord injury. Brain,2017, 140(6): 1619–1632.
HARVEY R L, EDWARDS D, DUNNING K, et al. Randomized sham-controlled trial of navigated repetitive transcranial magnetic stimulation for motor recovery in stroke. Stroke,2018,49(9): 2138–2146.
DE PISAPIA N, BARCHIESI G, JOVICICH J, et al. The role of medial prefrontal cortex in processing emotional self-referential information: a combined TMS/fMRI study. Brain Imaging Behav,2019,13(3): 603–614. YANG C C, VOLLM B, KHALIFA N. The effects of rTMS on impulsivity in normal adults: a systematic review and meta-analysis. Neuropsychol Rev,2018,28(3): 377–392.
CASH R F, ISAYAMA R, GUNRAJ C A, et al. The influence of sensory afferent input on local motor cortical excitatory circuitry in humans. J Physiol,2015,593(7): 1667–1684.
毛也然, 靳仲夏, 许东升. 改良经颅磁刺激治疗脊髓损伤1例报告. 中国康复医学杂志,2019,34(12): 1479–1481.
MALLER J J, WELTON T, MIDDIONE M, et al. Revealing the hippocampal connectome through super-resolution 1150-direction diffusion MRI. Sci Rep, 2019, 9(1): 2418[2020-08-18]. https://www. nature.com/articles/s41598-018-37905-9. doi: 10.1038/s41598-018-37905-9. SIMONETTA-MOREAU M. Non-invasive brain stimulation (NIBS) and motor recovery after stroke. Ann Phys Rehabil Med,2014,57(8): 530–542.
LIAO W W, CHIANG W C, LIN K C, et al. Timing-dependent effects of transcranial direct current stimulation with mirror therapy on daily function and motor control in chronic stroke: a randomized controlled pilot study. J Neuroeng Rehabil, 2020, 17(1): 101[2020-08-18]. https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-020-00722-1. doi: 10.1186/s12984-020-00722-1.
KLOMJAI W, KATZ R, LACKMY-VALLEE A. Basic principles of transcranial magnetic stimulation (TMS) and repetitive TMS (rTMS). Ann Phys Rehabil Med,2015,58(4): 208–213.
PRIORI A, CIOCCA M, PARAZZINI M, et al. Transcranial cerebellar direct current stimulation and transcutaneous spinal cord direct current stimulation as innovative tools for neuroscientists. J Physiol,2014, 592(16): 3345–3369.
YAMAGUCHI T, BECK M M, THERKILDSEN E R, et al. Transcutaneous spinal direct current stimulation increases corticospinal transmission and enhances voluntary motor output in humans. Physiol Rep, 2020, 8(16): e14531[2020-08-18]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7435034/. doi: 10.14814/phy2.14531.
DU X, ROWLAND L M, SUMMERFELT A, et al. TMS evoked N100 reflects local GABA and glutamate balance. Brain Stimul,2018,11(5): 1071–1079.
ZMEYKINA E, MITTNER M, PAULUS W, et al. Weak rTMS-induced electric fields produce neural entrainment in humans. Sci Rep, 2020, 10(1): 11994[2020-08-18]. https://www.nature.com/articles/s41598-020-68687-8. doi: 10.1038/s41598-020-68687-8.
ANGELI C A, EDGERTON V R, GERASIMENKO Y P, et al. Altering spinal cord excitability enables voluntary movements after chronic complete paralysis in humans. Brain,2014,137(Pt 5): 1394–1409.
YANG Z, ZHANG A, DUAN H, et al. NT3-chitosan elicits robust endogenous neurogenesis to enable functional recovery after spinal cord injury. Proc Natl Acad Sci U S A,2015,112(43): 13354–13359.
DUAN H, GE W, ZHANG A, et al. Transcriptome analyses reveal molecular mechanisms underlying functional recovery after spinal cord injury. Proc Natl Acad Sci U S A,2015,112(43): 13360–13365.
RAMADAN W S, ABDEL-HAMID G A, AL-KARIM S, et al. Neuroectodermal stem cells: a remyelinating potential in acute compressed spinal cord injury in rat model. J Biosci,2018,43(5): 897–909.
DOULAMES V M, PLANT G W. Induced pluripotent stem cell therapies for cervical spinal cord injury. Int J Mol Sci, 2016, 17(4): 530[2020-01-15]. https://doi.org/10.3390/ijms17040530.
STAUDT M D, HERRING E Z, GAO K, et al. Evolution in the treatment of psychiatric disorders: from psychosurgery to psychopharmacology to neuromodulation. Front Neurosci, 2019, 13: 108[2020-01-15]. https://doi.org/10.3389/fnins.2019.00108.
BLACKMORE J, SHRIVASTAVA S, SALLET J, et al. Ultrasound neuromodulation: a review of results, mechanisms and safety. Ultrasound Med Biol,2019,45(7): 1509–1536.
CONCERTO C, LANZA G, CANTONE M, et al. Repetitive transcranial magnetic stimulation in patients with drug-resistant major depression: a six-month clinical follow-up study. Int J Psychiatry Clin Pract,2015, 19(4): 252–258.
LANZA G, CANTONE M, ARICO D, et al. Clinical and electrophysiological impact of repetitive low-frequency transcranial magnetic stimulation on the sensory-motor network in patients with restless legs syndrome. Ther Adv Neurol Disord, 2018, 11: 1756286 418759973[2020-01-15]. https://doi.org/10.1177/1756286418 759973.
WESSEL M J, HUMMEL F C. Non-invasive cerebellar stimulation: a promising approach for stroke recovery? Cerebellum,2018,17(3): 359–371.
GAO B, ZHOU S, SUN C, et al. Brain endothelial cell-derived exosomes induce neuroplasticity in rats with ischemia/reperfusion injury. ACS Chem Neurosci,2020,11(15): 2201–2213.
GAO B Y, XU D S, LIU P L, et al. Modified constraint-induced movement therapy alters synaptic plasticity of rat contralateral hippocampus following middle cerebral artery occlusion. Neural Regen Res,2020,15(6): 1045–1057.
GAO B Y, SUN C C, XIA G H, et al. Paired associated magnetic stimulation promotes neural repair in the rat middle cerebral artery occlusion model of stroke. Neural Regen Res,2020,15(11): 2047–2056.
Refbacks
- There are currently no refbacks.



