无创深部脑刺激在帕金森病治疗中的应用
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作者单位:

1)上海体育大学运动健身科技省部共建教育部重点实验室,上海 200438;2)上海体育大学运动健康学院,上海 200438

作者简介:

吕娇娇 Tel:18516565889 E-mail:Ljj27@163.comLü Jiao-Jiao. Tel: 86-18516565889 E-mail:Ljj27@163.com

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基金项目:

国家自然科学基金(11932013)和上海体育大学研究生自主科研创新计划(YJSCX-2024-028)资助项目。


Application of Non-invasive Deep Brain Stimulation in Parkinson’s Disease Treatment
Author:
Affiliation:

1)Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai 200438, China;2)School of Exercise and Health, Shanghai University of Sport, Shanghai 200438, China

Fund Project:

This work was supported by grants from The National Natural Science Foundation of China (11932013) and Research and Innovation Fund for Graduate Students, Shanghai University of Sport (YJSCX-2024-028).

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    摘要:

    帕金森病 (Parkinson’s disease, PD) 是一种常见的神经退行性疾病, 严重危害患者的独立性和生活质量, 给社会带来沉重负担。近年来,无创深部脑刺激技术为PD患者提供了新的治疗选择,主要包括相位干涉电场刺激、低强度经颅聚焦超声、经颅磁声刺激、非侵入性光遗传学调控、非侵入性磁电刺激等。这些技术通过非侵入性方式精准调控大脑深部区域的神经活动,展现出改善PD患者运动症状的潜力。尽管已有一些初步研究显示其疗效,但在刺激参数优化、个性化治疗方案的制定以及长期疗效评估方面仍面临挑战。未来的研究应着重于大规模临床试验的验证、设备的优化及技术的个性化应用,以推动这些技术的临床转化,为PD患者提供更安全、高效和个性化的治疗方案,从而显著提升患者的生活质量。

    Abstract:

    Parkinson’s disease (PD) is a common neurodegenerative disorder that significantly impacts patients’ independence and quality of life, imposing a substantial burden on both individuals and society. Although dopaminergic replacement therapies provide temporary relief from various symptoms, their long-term use often leads to motor complications, limiting overall effectiveness. In recent years, non-invasive deep brain stimulation (DBS) techniques have emerged as promising therapeutic alternatives for PD, offering a means to modulate deep brain regions with high precision without invasive procedures. These techniques include temporal interference stimulation (TIs), low-intensity transcranial focused ultrasound stimulation (LITFUS), transcranial magneto-acoustic stimulation (TMAS), non-invasive optogenetic modulation, and non-invasive magnetoelectric stimulation. They have demonstrated significant potential in alleviating various PD symptoms by modulating neural activity within specific deep brain structures affected by the disease. Among these approaches, TIs and LITFUS have received considerable attention. TIs generate low-frequency interference by applying two slightly different high-frequency electric fields, targeting specific brain areas to alleviate symptoms such as tremors and bradykinesia. LITFUS, on the other hand, uses low-intensity focused ultrasound to non-invasively stimulate deep brain structures, showing promise in improving both motor function and cognition in PD patients. The other three techniques, while still in early research stages, also hold significant promise for deep brain modulation and broader clinical applications, potentially complementing existing treatment strategies. Despite these promising findings, significant challenges remain in translating these techniques into clinical practice. The heterogeneous nature of PD, characterized by variable disease progression and individualized treatment responses, necessitates flexible protocols tailored to each patient’s unique needs. Additionally, a comprehensive understanding of the mechanisms underlying these treatments is crucial for refining protocols and maximizing their therapeutic potential. Personalized medicine approaches, such as the integration of neuroimaging and biomarkers, will be pivotal in customizing stimulation parameters to optimize efficacy. Furthermore, while early-stage clinical trials have reported improvements in certain symptoms, long-term efficacy and safety data are limited. To validate these techniques, large-scale, multi-center, randomized controlled trials are essential. Parallel advancements in device design, including the development of portable and cost-effective systems, will improve patient access and adherence to treatment protocols. Combining non-invasive DBS with other interventions, such as pharmacological treatments and physical therapy, could also provide a more comprehensive and synergistic approach to managing PD. In conclusion, non-invasive deep brain stimulation techniques represent a promising frontier in the treatment of Parkinson’s disease. While they have demonstrated considerable potential in improving symptoms and restoring neural function, further research is needed to refine protocols, validate long-term outcomes, and optimize clinical applications. With ongoing technological and scientific advancements, these methods could offer PD patients safer, more effective, and personalized treatment options, ultimately improving their quality of life and reducing the societal burden of the disease.

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张玉凤,王玮,陆子骏,吕娇娇,刘宇.无创深部脑刺激在帕金森病治疗中的应用[J].生物化学与生物物理进展,,():

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历史
  • 收稿日期:2024-10-21
  • 最后修改日期:2025-03-19
  • 接受日期:2025-01-21
  • 在线发布日期: 2025-01-21
  • 出版日期: