University of Brescia
Department of Clinical and Experimental Sciences
Alberto Benussi has acquired specialized skills in the field of neurodegenerative diseases, with particular interest in Alzheimer's disease, for sporadic and genetic forms of frontotemporal dementia, for atypical parkinsonisms and for rare diseases, such as Niemann-Pick type disease C and different forms of hereditary and sporadic ataxias. In this context he implemented and developed several neurophysiological protocols of transcranial magnetic stimulation (TMS), identifying some biomarkers of cortical connectivity both for the differential diagnosis of different neurodegenerative pathologies, and as preclinical disease biomarkers. The applications of these methods have been learned at Italian and foreign centres of excellence.

Presenter of 1 Presentation

BRAIN SYNCHRONIZATION AT GAMMA FREQUENCY INCREASES EPISODIC MEMORY AND RESTORES CHOLINERGIC DYSFUNCTION IN ALZHEIMER’S DISEASE

Session Type
SYMPOSIUM
Date
Thu, 17.03.2022
Session Time
09:10 AM - 11:10 AM
Room
ONSITE: 114
Lecture Time
10:25 AM - 10:40 AM

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.

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