Brain‐wide activation involved in 15 mA transcranial alternating current stimulation in patients with first‐episode major depressive disorder

作者：Jie Wang, Wenfeng Zhao, Huang Yen Wang, Huang Yen Wang, Haixia Leng, Qing Xue, Mao Yu Peng, Baoquan Min, Xiukun Jin, Liucen Tan, Keming Gao, Hongxing Wang, Hongxing Wang · 发表于：General Psychiatry · 年份：2024 · DOI：10.1136/gpsych-2023-101338 · 被引用次数：11 · 研究领域：Transcranial Magnetic Stimulation Studies、Electromagnetic Fields and Biological Effects、Neuroethics, Human Enhancement, Biomedical Innovations

Background: Although 15 mA transcranial alternating current stimulation (tACS) has a therapeutic effect on depression, the activations of brain structures in humans accounting for this tACS configuration remain largely unknown. Aims: To investigate which intracranial brain structures are engaged in the tACS at 77.5 Hz and 15 mA, delivered via the forehead and the mastoid electrodes in the human brain. Methods: Actual human head models were built using the magnetic resonance imagings of eight outpatient volunteers with drug-naïve, first-episode major depressive disorder and then used to perform the electric field distributions with SimNIBS software. Results: The electric field distributions of the sagittal, coronal and axial planes showed that the bilateral frontal lobes, bilateral temporal lobes, hippocampus, cingulate, hypothalamus, thalamus, amygdala, cerebellum and brainstem were visibly stimulated by the 15 mA tACS procedure. Conclusions: Brain-wide activation, including the cortex, subcortical structures, cerebellum and brainstem, is involved in the 15 mA tACS intervention for first-episode major depressive disorder. Our results indicate that the simultaneous involvement of multiple brain regions is a possible mechanism for its effectiveness in reducing depressive symptoms.