Assessing the impact of repetitive transcranial magnetic stimulation on effective connectivity in autism spectrum disorder: An initial exploration using TMS-EEG analysis
机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China 神经科系统神经内科首都医科大学宣武医院[2]Beijing Key Laboratory of Neuromodulation, Beijing, 100053, China
Initial indications propose that repetitive transcranial magnetic stimulation (rTMS) could mitigate clinical manifestations in patients with autism spectrum disorder (ASD). Nevertheless, the precise mechanisms responsible for these therapeutic and behavioral outcomes remain elusive. We examined alterations in effective connectivity induced by rTMS using concurrent transcranial magnetic stimulation and electroencephalography (TMS-EEG) in children with ASD. TMS-EEG data were acquired from 12 children diagnosed with ASD both before and following rTMS treatment. The rTMS intervention regimen included delivering 5-s trains at a frequency of 15 Hz, with 10-min intervals between trains, targeting the left parietal lobe. This was conducted on each consecutive weekday over 3 weeks, totaling 15 sessions. The dynamic EEG network analysis revealed that following the rTMS intervention, long-range feedback connections within the brains of ASD patients were strengthened (e.g., frontal to parietal regions, frontal to occipital regions, and frontal to posterior temporal regions), and short-range connections were weakened (e.g., between the bilateral occipital regions, and between the occipital and posterior temporal regions). In alignment with alterations in network connectivity, there was a corresponding amelioration in fundamental ASD symptoms, as assessed through clinical scales post-treatment. According to our findings, people with ASD may have increased long-range frontal-posterior feedback connection on application of rTMS to the parietal lobe.
基金:
National Natural Science Foundation of China [81801124, 82001388]; Beijing Hospitals Authority Youth Program [QML20230803]; National Key Research and Development Program of China [2021YFC2501404]
第一作者机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China [2]Beijing Key Laboratory of Neuromodulation, Beijing, 100053, China
通讯作者:
通讯机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China [2]Beijing Key Laboratory of Neuromodulation, Beijing, 100053, China
推荐引用方式(GB/T 7714):
Yang Yingxue,Song Penghui,Wang Yuping.Assessing the impact of repetitive transcranial magnetic stimulation on effective connectivity in autism spectrum disorder: An initial exploration using TMS-EEG analysis[J].HELIYON.2024,10(11):doi:10.1016/j.heliyon.2024.e31746.
APA:
Yang, Yingxue,Song, Penghui&Wang, Yuping.(2024).Assessing the impact of repetitive transcranial magnetic stimulation on effective connectivity in autism spectrum disorder: An initial exploration using TMS-EEG analysis.HELIYON,10,(11)
MLA:
Yang, Yingxue,et al."Assessing the impact of repetitive transcranial magnetic stimulation on effective connectivity in autism spectrum disorder: An initial exploration using TMS-EEG analysis".HELIYON 10..11(2024)