Новые горизонты неинвазивной стимуляции мозга в клинической медицине

A. G. Poydasheva1, I. S. Bakulin1, N. A. Suponeva1, E. A. Troshina2, M. M. Tanashyan1, I. I. Dedov2, M. A. Piradov1
1ФГБНУ "Научный центр неврологии", Москва, Россия; 2ФГБУ «Национальный медицинский исследовательский центр эндокринологии» Минздрава России, Москва, Россия

Аннотация


Неинвазивная стимуляция мозга относится к наиболее значимым нейротехнологиям, появившимся в XXI столетии и имеющим общемедицинское значение. К этой группе методов относятся ритмическая транскраниальная магнитная стимуляция (рТМС) и транскраниальная электрическая стимуляция (ТЭС). Спектр заболеваний и состояний, при которых возможно эффективное применение данных технологий, постоянно расширяется, включая ряд наиболее распространенных патологий современного общества, таких как ожирение, депрессия и др. Недостаточная эффективность модификации образа жизни, а также большой спектр побочных эффектов фармакологических препаратов и высокие хирургические риски оперативного лечения определяют необходимость в поиске новых более безопасных методов коррекции пищевого поведения и терапии ожирения, принявшего характер пандемии. Целый ряд данных свидетельствует о роли изменения лобно-стриарных взаимодействий в патогенезе нарушений пищевого поведения. Учитывая существующие концепции развития пищевой зависимости, основным подходом к применению ТМС и ТЭС является стимуляция активности областей, участвующих в когнитивном контроле, таких как дорсолатеральная префронтальная кора. В обзоре рассмотрены основные результаты проведенных на сегодня исследований рТМС и ТЭС у пациентов с нарушениями пищевого поведения, а также вопросы безопасности применения эьтих методикв рутинной клинической практике.

Литература

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Ключевые слова

неинвазивная стимуляция мозга; транскраниальная электрическая стимуляция; ритмическая транскраниальная магнитная стимуляция; нарушения пищевого поведения

Полный текст:

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Литература

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Barth K.S., Rydin-Gray S., Kose S. et al. Food cravings and the effects of left prefrontal repetitive transcranial magnetic stimulation using an improved sham condition. Front Psychiatry 2011; 2: 9. DOI: 10.3389/fpsyt.2011.00009. PMID:21556279.

Batterink L., Yokum S., Stice E. Body mass correlates inversely with inhibitory control in response to food among adolescent girls: An fMRI study. NeuroImage 2010; 52(4): 1696-703. DOI:10.1016/j.neuroimage.2010.05.059. PMID: 20510377.

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Berridge K.C. “Liking” and “wanting” food rewards: Brain substrates and roles in eating disorders. Physiol Behav 2009; 97(5): 537–550. DOI: 10.1016/j.physbeh.2009.02.044. PMID: 19336238.

Berthoud H.R. Brain, appetite and obesity. Physiol Behav 2005; 85(1): 1–2. PMID: 15924902 DOI: 10.1016/j.physbeh.2005.04.006

Bikson M., Inoue M., Akiyama H. et al. Effects of uniform extracellular DC electric fields on excitability in rat hippocampal slices in vitro. J Physiol 2004;557(1): 175–190. DOI: 10.1113/jphysiol.2003.055772. PMID: 14978199.

Bikson M., Grossman P., Thomas C. et al. Safety of transcranial direct current stimulation: Evidence dased update 2016. Brain Stimulation 2016; 10(5): 983–985. DOI: 10.1016/j.brs.2016.06.004. PMID: 28751225.

Bliss T.V., Cooke S.F. Long-term potentiation and long-term depression: a clinical perspective. Clinics (Sao Paulo, Brazil) 2011; 66(Suppl 1): 3–17. DOI: 10.1590/s1807-59322011001300002. PMID: 21779718.

Carnell S., Gibson C., Benson L. et al. Neuroimaging and obesity: Current knowledge and future directions. Obesity Reviews 2012; 13(1): 43–56. DOI: 10.1111/j.1467-789X.2011.00927.x. PMID: 21902800

Chan C.Y., Hounsgaard J., Nicholson C. Effects of electric fields on transmembrane potential and excitability of turtle cerebellar Purkinje cells in vitro. J Physiol 1988; 402: 751–71. PMID: 3236254.

Chervyakov A.V., Chernyavsky A.Y., Sinitsyn D.O., Piradov M.A. Possible Mechanisms Underlying the Therapeutic Effects of Transcranial Magnetic Stimulation. Front Hum Neurosci 2015; 9: 303. DOI: 10.3389/fnhum.2015.00303. PMID: 26136672.

Demos K.E., Heatherton T.F., Kelley W.M. Individual Differences in Nucleus Accumbens Activity to Food and Sexual Images Predict Weight Gain and Sexual Behavior. J Neurosci 2012; 32(16): 5549–5552. DOI: 10.1523/JNEUROSCI. 5958-11.2012. PMID: 22514316.

Devlin M.J. Is there a place for obesity in DSM-V? Int J Eating Disord 2007; 40 (Suppl): S83–S88. DOI: 10.1002/eat.20430. PMID: 17683083.

Di Lazzaro V., Ziemann U., Lemon R.N. State of the art: Physiology of transcranial

motor cortex stimulation. Brain Stimulation 2008; 1(4): 345–362. DOI: 10.1016/j.brs.2008.07.004. PMID: 20633393.

Duffau H. Brain plasticity: From pathophysiological mechanisms to therapeutic applications. J Clin Neurosci 2006; 13(9): 885–897. PMID: 17049865. DOI: 10.1016/j.jocn.2005.11.045.

Fregni F., Nitsche M.A., Loo C.K. et al. Regulatory considerations for the clinical and research use of transcranial direct current stimulation (tDCS): Review and recommendations from an expert panel. Clin Res Regulatory Affairs 2015; 32(1): 22–35. DOI: 10.3109/10601333.2015.980944. PMID: 25983531.

Fregni F., Orsati F., Pedrosa W. et al. Transcranial direct current stimulation of the prefrontal cortex modulates the desire for specific foods. Appetite 2008; 51(1): 34–41. DOI: 10.1016/j.appet.2007.09.016. PMID: 18243412.

Gearhardt A.N., Grilo C.M., Dileone R.J. et al. Can food be addictive? Public health and policy implications. Addiction 2011; 106(7): 1208–1212. DOI:10.1111/j.1360-0443.2010.03301.x. PMID: 21635588.

Gluck M.E., Alonso-Alonso M., Piaggi P. et al. Neuromodulation targeted to the prefrontal cortex induces changes in energy intake and weight loss in obesity. In Obesity 2015; 23(11): 2149–2156. DOI: 10.1002/oby.21313. PMID: 26530931.

Goldman R.L., Borckardt J.J., Frohman H.A. et al. Prefrontal cortex transcranial direct current stimulation (tDCS) temporarily reduces food cravings and increases the self-reported ability to resist food in adults with frequent food craving. Appetite 2011; 56(3): 741–746. DOI:10.1016/j.appet.2011.02.013. PMID: 21352881.

Goldman R.L., Canterberry M., Borckardt J.J. et al. Executive control circuitry differentiates degree of success in weight loss following gastric-bypass surgery. Obesity 2013; 21(11): 2189–2196. DOI: 10.1002/oby.20575. PMID: 24136926.

Hall P.A., Vincent C.M., Burhan A.M. Non-invasive brain stimulation for food cravings, consumption, and disorders of eating: A review of methods, findings and controversies. Appetite 2018; 124: 78–88. DOI: 10.1016/j.appet.2017.03.006. PMID: 28288802.

Hoogendam J.M., Ramakers G.M.J., Di Lazzaro V. Physiology of repetitive transcranial magnetic stimulation of the human brain. Brain Stimulation 2010; 3(2): 95–118. DOI: 10.1016/j.brs.2009.10.005. PMID: 20633438.

Ifland J.R., Preuss H.G., Marcus M.T. et al. Refined food addiction: A classic substance use disorder. Medical Hypotheses 2009; 72(5): 518–526. DOI: 10.1016/j.mehy.2008.11.035. PMID: 19223127.

Jauch-Chara K., Kistenmacher A., Herzog N. et al. Repetitive electric brain stimulation reduces food intake in humans. Am J Clin Nutrition 2014; 100(4): 1003–1009. DOI: 10.3945/ajcn.113.075481. PMID: 25099550.

Kekic M., McClelland J., Campbell I. et al. The effects of prefrontal cortex transcranial direct current stimulation (tDCS) on food craving and temporal discounting in women with frequent food cravings. Appetite 2014; 78: 55–62. DOI: 10.1016/j.appet.2014.03.010. PMID: 24656950.

Kim S.H., Chung J., Kim T.H. et al. The effects of repetitive transcranial magnetic stimulation on eating behaviors and body weight in obesity: A randomized controlled study. Brain Stimulation 2018; 11(3): 528–535. DOI: 10.1016/j.brs.2017.11.020. PMID: 29326022.

Kuwabara S., Cappelen-Smith C., Lin C.S. et al. Effects of voluntary activity on the excitability of motor axons in the peroneal nerve. Muscle Nerve 2002; 25(2): 176–184. DOI: 10.1002/mus.10030. PMID: 11870683.

Lapenta O.M., Sierve K.D., de Macedo E.C. et al. Transcranial direct current stimulation modulates ERP-indexed inhibitory control and reduces food consumption. Appetite 2014; 83: 42–48. DOI: 10.1016/j.appet.2014.08.005. PMID: 25128836.

Ljubisavljevic M., Maxood K., Bjekic J. et al. Long-term effects of repeated prefrontal cortex transcranial direct current stimulation (tDCS) on food craving in normal and overweight young adults. Brain Stimulation 2016; 9(6): 826–833. DOI: 10.1016/j.brs.2016.07.002. PMID: 27498606.

Lowe C.J., Vincent C., Hall P.A. Effects of noninvasive brain stimulation on food cravings and consumption: A meta-analytic review. Psychosom Med 2017; 79(1): 2–13. DOI: 10.1097/PSY.0000000000000368. PMID: 27428861.

Martel P., Fantino M. Influence of the amount of food ingested on mesolimbic dopaminergic system activity: A microdialysis study. Pharmacol Biochem Behavior 1996; 55(2): 297–302. DOI: 10.1016/S0091-3057(96)00087-1. PMID:8951968.

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DOI: http://dx.doi.org/10.25692/ACEN.2018.5.3