Non-Invasive Brain Stimulation (NIBS) techniques, such as transcranial Direct Current Stimulation (tDCS) and repetitive Magnetic Transcranial Stimulation (rTMS), are well-known non-pharmacological approaches to improve both motor and non-motor symptoms in patients with neurodegenerative disorders. Their use is of particular interest especially for the treatment of cognitive impairment in Alzheimer's Disease (AD), as well as axial disturbances in Parkinson's (PD), where conventional pharmacological therapies show very mild and short-lasting effects. However, their ability to interfere with disease progression over time is not well understood; recent evidence suggests that NIBS may have a neuroprotective effect, thus slowing disease progression and modulating the aggregation state of pathological proteins. In this narrative review, we gather current knowledge about neuroprotection and NIBS in neurodegenerative diseases (i.e., PD and AD), just mentioning the few results related to stroke. As further matter of debate, we discuss similarities and differences with Deep Brain Stimulation (DBS)-induced neuroprotective effects, and highlight possible future directions for ongoing clinical studies.

Guidetti, M., Bertini, A., Pirone, F., Sala, G., Signorelli, P., Ferrarese, C., et al. (2022). Neuroprotection and Non-Invasive Brain Stimulation: Facts or Fiction?. INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 23(22) [10.3390/ijms232213775].

Neuroprotection and Non-Invasive Brain Stimulation: Facts or Fiction?

Sala G.;Ferrarese C.;
2022

Abstract

Non-Invasive Brain Stimulation (NIBS) techniques, such as transcranial Direct Current Stimulation (tDCS) and repetitive Magnetic Transcranial Stimulation (rTMS), are well-known non-pharmacological approaches to improve both motor and non-motor symptoms in patients with neurodegenerative disorders. Their use is of particular interest especially for the treatment of cognitive impairment in Alzheimer's Disease (AD), as well as axial disturbances in Parkinson's (PD), where conventional pharmacological therapies show very mild and short-lasting effects. However, their ability to interfere with disease progression over time is not well understood; recent evidence suggests that NIBS may have a neuroprotective effect, thus slowing disease progression and modulating the aggregation state of pathological proteins. In this narrative review, we gather current knowledge about neuroprotection and NIBS in neurodegenerative diseases (i.e., PD and AD), just mentioning the few results related to stroke. As further matter of debate, we discuss similarities and differences with Deep Brain Stimulation (DBS)-induced neuroprotective effects, and highlight possible future directions for ongoing clinical studies.
Articolo in rivista - Review Essay
Alzheimer’s Disease; Parkinson’s Disease; deep brain stimulation; neurodegenerative disorders; neuroprotection; non-invasive brain stimulation; pathological proteins; rTMS; tDCS;
English
9-nov-2022
2022
23
22
13775
open
Guidetti, M., Bertini, A., Pirone, F., Sala, G., Signorelli, P., Ferrarese, C., et al. (2022). Neuroprotection and Non-Invasive Brain Stimulation: Facts or Fiction?. INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 23(22) [10.3390/ijms232213775].
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