基于心率变异性引导的阿尔茨海默病磁刺激干预技术研究
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1)河北工业大学生命科学与健康工程学院,天津 300072;2)智能配用电装备与系统全国重点实验室(河北工业大学),天津 300130;3.4)河北工业大学电气工程学院,天津 300072;4.3)首都医科大学基础医学院,北京 100069

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国家自然科学基金(52277230),国家重点研发计划(2022YFC2402203)和河北省省级科技计划(24464401D)资助项目。


Research on Magnetic Stimulation Intervention Technology for Alzheimer’s Disease Guided by Heart Rate Variability
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Affiliation:

1)School of Life Science and Health Engineering, Hebei University of Technology, Tianjin 300072, China;2)State Key Laboratory of Intelligent Power Distribution Equipment and System, Hebei University of Technology, Tianjin 300130, China;3.4)School of Electrical Engineering, Hebei University of Technology, Tianjin 300072, China;4.3)School of Basic Medical Sciences, Capital Medical University, Beijing 100069, China

Fund Project:

This work was supported by grants from The National Natural Science Foundation of China (52277230), National Key R&D Program of China (2022YFC2402203), and S&T Program of Hebei (24464401D).

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    摘要:

    目的 无创磁刺激技术已广泛应用于阿尔茨海默病 (Alzheimer’s disease, AD) 的治疗,但缺乏便捷及时的疗效评估与反馈方法,难以有效指导磁刺激方案的调整。本研究旨在探究心率变异性(heart rate variability,HRV)诊断AD并引导AD磁刺激干预技术的可能性。方法 本研究采用频率40 Hz、磁感应强度10 mT的脉冲磁场对AD模型小鼠进行为期18 d的全身暴露实验,检测暴露前后的行为学和心脑电信号,并采集每天暴露后的即时心电信号。结果 利用单因素方差分析与皮尔逊相关系数分析发现:HRV部分指标可以和行为学及脑电(electroencephalogram,EEG)一样精确识别AD模型小鼠 (P<0.05)并显著区分病症程度(P<0.05),其中rMSSD、pNN6、LF/HF、SD1/SD2及排列熵展现出了与行为学及脑电良好的相关性及统计学意义(r>0.3,P<0.05);磁场暴露前后这些HRV指标同行为学及脑电均得到显著调节(P<0.05),且在连续的心电变化中更精确地观察到刺激效果的变化趋势。结论 HRV能精确反映病理生理变化和病症程度,快速评估磁刺激效果,具有用于引导曝磁模式的潜力,为研究脑疾病的个性化电磁神经调控技术提供了新思路。

    Abstract:

    Objective Non-invasive magnetic stimulation technology has been widely used in the treatment of Alzheimer’s disease (AD), but there is a lack of convenient and timely methods for evaluating and providing feedback on the effectiveness of the stimulation, which can be used to guide the adjustment of the stimulation protocol. This study aims to explore the possibility of heart rate variability (HRV) in diagnosing AD and guiding AD magnetic stimulation intervention techniques.Methods In this study, we used a 40 Hz, 10 mT pulsed magnetic field to expose AD mouse models to whole-body exposure for 18 d, and detected the behavioral and electroencephalographic signals before and after exposure, as well as the instant electrocardiographic signals after exposure every day.Results Using one-way ANOVA and Pearson correlation coefficient analysis, we found that some HRV indicators could identify AD mouse models as accurately as behavioral and electroencephalogram(EEG) changes (P<0.05) and significantly distinguish the severity of the disease (P<0.05), including rMSSD, pNN6, LF/HF, SD1/SD2, and entropy arrangement. These HRV indicators showed good correlation and statistical significance with behavioral and EEG changes (r>0.3, P<0.05); HRV indicators were significantly modulated by the magnetic field exposure before and after the exposure, both of which were observed in the continuous changes of electrocardiogram (ECG) (P<0.05), and the trend of the stimulation effect was more accurately observed in the continuous changes of ECG.Conclusion HRV can accurately reflect the pathophysiological changes and disease degree, quickly evaluate the effect of magnetic stimulation, and has the potential to guide the pattern of magnetic exposure, providing a new idea for the study of personalized electromagnetic neuroregulation technology for brain diseases.

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陈淑婷,耿读艳,范淳萌,郑卫然,徐桂芝.基于心率变异性引导的阿尔茨海默病磁刺激干预技术研究[J].生物化学与生物物理进展,2025,52(5):1264-1278

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  • 收稿日期:2024-11-08
  • 最后修改日期:2025-04-14
  • 接受日期:2025-02-20
  • 在线发布日期: 2025-02-24
  • 出版日期: 2025-05-28
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