Brain network modulation in Alzheimer's and frontotemporal dementia with transcranial electrical stimulation

Lorenzo Pini, Francesca Benedetta Pizzini, Ilaria Boscolo-Galazzo, Clarissa Ferrari, Samantha Galluzzi, Maria Cotelli, Elena Gobbi, Annamaria Cattaneo, Maria Sofia Cotelli, Cristina Geroldi, Orazio Zanetti, Maurizio Corbetta, Martijn Van Den Heuvel, Giovanni Battista Frisoni, Rosa Manenti, Michela Pievani

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

Abstract

The default mode (DMN) and the salience (SN) networks show functional hypo-connectivity in Alzheimer's disease (AD) and the behavioral variant of frontotemporal dementia (bvFTD), respectively, along with patterns of hyper-connectivity. We tested the clinical and neurobiological effects of noninvasive stimulation over these networks in 45 patients (AD and bvFTD) who received either anodal (target network: DMN in AD, SN in bvFTD) or cathodal stimulation (target network: SN in AD, DMN in bvFTD). We evaluated changes in clinical, cognitive, functional and structural connectivity, and perfusion measures. In both patient groups, cathodal stimulation was followed by behavioral improvement, whereas anodal stimulation led to cognitive improvement. Neither functional connectivity nor perfusion showed significant effects. A significant interaction between DMN and SN functional connectivity changes and stimulation protocol was reported in AD. These results suggest a protocol-dependent response, whereby the protocols studied show divergent effects on cognitive and clinical measures, along with a divergent modulatory pattern of connectivity in AD.
Lingua originaleEnglish
pagine (da-a)24-34
Numero di pagine11
RivistaNeurobiology of Aging
Volume111
DOI
Stato di pubblicazionePubblicato - 2022
Pubblicato esternamente

Keywords

  • Aged
  • Aged, 80 and over
  • Alzheimer Disease
  • Alzheimer's disease
  • Behavior
  • Brain
  • Cognition
  • Default mode network
  • Executive Function
  • Female
  • Frontotemporal Dementia
  • Frontotemporal dementia
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Nerve Net
  • Network stimulation
  • Salience network
  • Transcranial Direct Current Stimulation

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