首页|40 Hz节律刺激对阿尔茨海默病和认知功能的影响

40 Hz节律刺激对阿尔茨海默病和认知功能的影响

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阿尔茨海默病(Alzheimer's disease,AD)等神经退行性疾病对人类健康造成了严重威胁,目前仍缺乏有效的治疗方法。近期,通过改进脑电异常的伽马节律网络来干预AD,为改善其疾病症状带来了新的希望。本文综述了近年来关于40 Hz节律刺激对AD病理和认知功能影响的研究进展。研究表明,40 Hz节律刺激能够显著改善AD小鼠模型的病理特征和人类AD患者的认知能力。此外,40 Hz节律刺激对健康人的认知功能有一定的提升作用。本文讨论了40 Hz节律刺激的神经同步原理和作用机制,并评估了其作为一种非侵入式治疗手段的安全性。最后,分析了当前研究的局限性,并展望了未来的研究方向。总之,尽管40 Hz节律刺激对健康人的认知影响有限,但显示出作为AD治疗手段的潜力,未来需要进一步研究以确认其在临床应用中的有效性和作用机制。
Effects of 40 Hz Rhythmic Stimulation on Alzheimer's Disease and Cognitive Function
Alzheimer's disease(AD),characterized by cognitive decline and neurodegeneration,currently relies on pharmacological treatments that are limited in efficacy and often accompanied by side effects.As the number of AD patients increases,so does the economic burden on both the global healthcare system and families of patients,further worsening the quality of life for patients in their later years.Therefore,it is crucial to find new and more effective therapeutic approaches.This necessity has sparked a growing interest in non-invasive therapies,such as 40 Hz rhythmic stimulation,which aims to modulate brain activity to potentially reverse pathological changes and alleviate symptoms.This review provides an overview of the effects of 40 Hz stimulation on AD pathology and symptoms,its impact on cognitive functions in healthy individuals,the underlying mechanisms of action,and strategies to enhance the treatment's compliance and effectiveness.Research has demonstrated that 40 Hz rhythmic stimulation,particularly through auditory and visual modalities,can influence core AD pathologies.In mouse models of AD,this stimulation has been shown to reduce amyloid-beta protein(Aβ)plaques and phosphorylated tau protein levels,hallmarks of AD pathology.These effects are thought to stem from enhanced waste clearance mechanisms,facilitated by the stimulation of the glymphatic system and the activation of microglia.Clinical applications in AD patients have shown promising results,with improvements noted in cognitive functions and behavioral symptoms.These findings suggest that 40 Hz rhythmic stimulation could offer a non-pharmacological option to mitigate the pathological progression and symptomatic expression of AD.In healthy individuals,the cognitive outcomes of 40 Hz stimulation appear more variable.Some studies indicate potential enhancements in memory and attention,proposing that 40 Hz stimulation may bolster cognitive resilience and processing efficiency in a non-diseased brain.However,these effects are not consistently replicated across studies,indicating that individual differences and specific stimulation parameters may significantly influence outcomes.The beneficial effects of 40 Hz rhythmic stimulation are believed to be primarily due to neural entrainment,where neural circuits synchronize their activity to the external frequency.This entrainment may restore the balance between excitatory and inhibitory neural activity,which is often disrupted in AD mice and AD patients.By reinforcing natural brain rhythms,40 Hz stimulation may enhance neural connectivity and function,facilitating cognitive and memory processes that are deteriorated in AD.Neural entrainment at 40 Hz has been demonstrated to aid in restoring neural network function,enhancing the glymphatic system,improving cerebral blood flow,and providing neuroprotection.These mechanisms are thought to work synergistically to regulate brain activity,potentially leading to a reduction in lesions and an improvement in cognitive performance.To optimize the therapeutic benefits of 40 Hz stimulation,several factors need to be considered.Treatment protocols should be tailored to individual needs,accounting for variability in disease progression and personal health status.Enhancing patient compliance involves simplifying treatment regimens and using portable,user-friendly devices that can be easily incorporated into daily routines.Ongoing research should focus on refining stimulation parameters and delivery methods to maximize efficacy and minimize potential side effects.In conclusion,while 40 Hz rhythmic stimulation represents a promising avenue for treating AD and enhancing cognitive functions,further research is required to fully elucidate its mechanisms,refine its application,and ensure its practicality and efficacy in broad clinical and everyday settings.

Alzheimer's disease40 Hz rhythmic stimulationnon-invasive treatmentneural entrainmentneural mechanismcognitive function

赵娜、何生、施立楠

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中国科学院生物物理研究所脑与认知科学国家重点实验室,北京 100101

中国科学院大学生命科学学院,北京 100049

阿尔茨海默病 40 Hz节律刺激 非入侵式治疗 神经振荡-外界节律同步化现象 神经机制 认知功能

2024

生物化学与生物物理进展
中国科学院生物物理研究所,中国生物物理学会

生物化学与生物物理进展

CSTPCD北大核心
影响因子:0.476
ISSN:1000-3282
年,卷(期):2024.51(10)