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BRAIN SYNCHRONIZATION AT GAMMA FREQUENCY INCREASES EPISODIC MEMORY AND RESTORES CHOLINERGIC DYSFUNCTION IN ALZHEIMER’S DISEASE
Abstract
Aims
To assess whether exposure to non-invasive brain stimulation with transcranial alternating current stimulation at gamma-frequency (γ-tACS) applied over the precuneus can improve memory and modulate cholinergic transmission by entraining cerebral rhythms in mild cognitive impairment due to Alzheimer’s disease (MCI-AD).
Methods
In this randomized, double-blind, sham controlled, crossover study, participants were assigned to a 60 min treatment with precuneus γ-tACS or sham tACS. Each subject underwent a clinical and neurophysiological evaluation including assessment of episodic memory and cholinergic transmission pre- and post- γ-tACS or sham stimulation. In a subset of patients, EEG analysis and individualized modelling of electric field distribution were carried out.
Results
Sixty MCI-AD participants completed the study. We observed a significant improvement at the Rey auditory verbal learning (RAVL) test immediate (p<0.001) and delayed recall scores (p<0.001) after γ-tACS but not after sham tACS. Face-name associations scores improved during γ-tACS (p<0.001) but not after sham tACS. Short latency afferent inhibition, an indirect measure of cholinergic transmission, increased only after γ-tACS (p<0.001). Clinical improvement correlated with the increase in gamma frequencies in posterior regions and with the amount of predicted electric field distribution in the precuneus.
Conclusions
Precuneus γ-tACS showed a significant improvement of memory performances, along with restoration of intracortical connectivity measures of cholinergic transmission, compared to sham tACS. Response to γ-tACS was dependent on genetic factors and on the amount of predicted stimulation in the precuneus.