Transcranial alternating current stimulation (tACS): from basic mechanisms towards first applications in psychiatry

Transcranial alternating current stimulation (tACS) is a unique form of non-invasive brain stimulation. Sinusoidal alternating electric currents are delivered to the scalp to affect mostly cortical neurons. tACS is supposed to modulate brain function and, in turn, cognitive processes by entraining b...

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Vydáno v:European archives of psychiatry and clinical neuroscience Ročník 271; číslo 1; s. 135 - 156
Hlavní autoři: Elyamany, Osama, Leicht, Gregor, Herrmann, Christoph S., Mulert, Christoph
Médium: Journal Article
Jazyk:angličtina
Vydáno: Berlin/Heidelberg Springer Berlin Heidelberg 01.02.2021
Springer Nature B.V
Témata:
Adverse events
Brain - cytology
Brain - physiology
Clinical trials
Cognitive ability
Electric currents
Humans
Invited Review
Medicine
Medicine & Public Health
Mental disorders
Nervous system
Neuronal Plasticity
Neurons - physiology
Neurosciences
Oscillations
Psychiatry
Psychiatry - methods
Scalp
Synaptic plasticity
Transcranial Direct Current Stimulation
Schizophrenia
Non-invasive brain stimulation (NIBS)
OCD
Depression
Transcranial alternating current stimulation (tACS)
Psychiatry
ISSN:0940-1334, 1433-8491, 1433-8491
On-line přístup:Získat plný text
Tagy: Přidat tag
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Abstract Transcranial alternating current stimulation (tACS) is a unique form of non-invasive brain stimulation. Sinusoidal alternating electric currents are delivered to the scalp to affect mostly cortical neurons. tACS is supposed to modulate brain function and, in turn, cognitive processes by entraining brain oscillations and inducing long-term synaptic plasticity. Therefore, tACS has been investigated in cognitive neuroscience, but only recently, it has been also introduced in psychiatric clinical trials. This review describes current concepts and first findings of applying tACS as a potential therapeutic tool in the field of psychiatry. The current understanding of its mechanisms of action is explained, bridging cellular neuronal activity and the brain network mechanism. Revisiting the relevance of altered brain oscillations found in six major psychiatric disorders, putative targets for the management of mental disorders using tACS are discussed. A systematic literature search on PubMed was conducted to report findings of the clinical studies applying tACS in patients with psychiatric conditions. In conclusion, the initial results may support the feasibility of tACS in clinical psychiatric populations without serious adverse events. Moreover, these results showed the ability of tACS to reset disturbed brain oscillations, and thus to improve behavioural outcomes. In addition to its potential therapeutic role, the reactivity of the brain circuits to tACS could serve as a possible tool to determine the diagnosis, classification or prognosis of psychiatric disorders. Future double-blind randomised controlled trials are necessary to answer currently unresolved questions. They may aim to detect response predictors and control for various confounding factors.
AbstractList Transcranial alternating current stimulation (tACS) is a unique form of non-invasive brain stimulation. Sinusoidal alternating electric currents are delivered to the scalp to affect mostly cortical neurons. tACS is supposed to modulate brain function and, in turn, cognitive processes by entraining brain oscillations and inducing long-term synaptic plasticity. Therefore, tACS has been investigated in cognitive neuroscience, but only recently, it has been also introduced in psychiatric clinical trials. This review describes current concepts and first findings of applying tACS as a potential therapeutic tool in the field of psychiatry. The current understanding of its mechanisms of action is explained, bridging cellular neuronal activity and the brain network mechanism. Revisiting the relevance of altered brain oscillations found in six major psychiatric disorders, putative targets for the management of mental disorders using tACS are discussed. A systematic literature search on PubMed was conducted to report findings of the clinical studies applying tACS in patients with psychiatric conditions. In conclusion, the initial results may support the feasibility of tACS in clinical psychiatric populations without serious adverse events. Moreover, these results showed the ability of tACS to reset disturbed brain oscillations, and thus to improve behavioural outcomes. In addition to its potential therapeutic role, the reactivity of the brain circuits to tACS could serve as a possible tool to determine the diagnosis, classification or prognosis of psychiatric disorders. Future double-blind randomised controlled trials are necessary to answer currently unresolved questions. They may aim to detect response predictors and control for various confounding factors.
Transcranial alternating current stimulation (tACS) is a unique form of non-invasive brain stimulation. Sinusoidal alternating electric currents are delivered to the scalp to affect mostly cortical neurons. tACS is supposed to modulate brain function and, in turn, cognitive processes by entraining brain oscillations and inducing long-term synaptic plasticity. Therefore, tACS has been investigated in cognitive neuroscience, but only recently, it has been also introduced in psychiatric clinical trials. This review describes current concepts and first findings of applying tACS as a potential therapeutic tool in the field of psychiatry. The current understanding of its mechanisms of action is explained, bridging cellular neuronal activity and the brain network mechanism. Revisiting the relevance of altered brain oscillations found in six major psychiatric disorders, putative targets for the management of mental disorders using tACS are discussed. A systematic literature search on PubMed was conducted to report findings of the clinical studies applying tACS in patients with psychiatric conditions. In conclusion, the initial results may support the feasibility of tACS in clinical psychiatric populations without serious adverse events. Moreover, these results showed the ability of tACS to reset disturbed brain oscillations, and thus to improve behavioural outcomes. In addition to its potential therapeutic role, the reactivity of the brain circuits to tACS could serve as a possible tool to determine the diagnosis, classification or prognosis of psychiatric disorders. Future double-blind randomised controlled trials are necessary to answer currently unresolved questions. They may aim to detect response predictors and control for various confounding factors.Transcranial alternating current stimulation (tACS) is a unique form of non-invasive brain stimulation. Sinusoidal alternating electric currents are delivered to the scalp to affect mostly cortical neurons. tACS is supposed to modulate brain function and, in turn, cognitive processes by entraining brain oscillations and inducing long-term synaptic plasticity. Therefore, tACS has been investigated in cognitive neuroscience, but only recently, it has been also introduced in psychiatric clinical trials. This review describes current concepts and first findings of applying tACS as a potential therapeutic tool in the field of psychiatry. The current understanding of its mechanisms of action is explained, bridging cellular neuronal activity and the brain network mechanism. Revisiting the relevance of altered brain oscillations found in six major psychiatric disorders, putative targets for the management of mental disorders using tACS are discussed. A systematic literature search on PubMed was conducted to report findings of the clinical studies applying tACS in patients with psychiatric conditions. In conclusion, the initial results may support the feasibility of tACS in clinical psychiatric populations without serious adverse events. Moreover, these results showed the ability of tACS to reset disturbed brain oscillations, and thus to improve behavioural outcomes. In addition to its potential therapeutic role, the reactivity of the brain circuits to tACS could serve as a possible tool to determine the diagnosis, classification or prognosis of psychiatric disorders. Future double-blind randomised controlled trials are necessary to answer currently unresolved questions. They may aim to detect response predictors and control for various confounding factors.
Author Herrmann, Christoph S.
Mulert, Christoph
Leicht, Gregor
Elyamany, Osama
Author_xml – sequence: 1
  givenname: Osama
  orcidid: 0000-0002-1598-4829
  surname: Elyamany
  fullname: Elyamany, Osama
  organization: Centre of Psychiatry, Justus-Liebig University, Centre for Mind, Brain and Behaviour (CMBB), University of Marburg and Justus-Liebig University Giessen
– sequence: 2
  givenname: Gregor
  orcidid: 0000-0002-5104-9336
  surname: Leicht
  fullname: Leicht, Gregor
  organization: Department of Psychiatry and Psychotherapy, University Medical Centre Hamburg-Eppendorf
– sequence: 3
  givenname: Christoph S.
  orcidid: 0000-0003-0323-2272
  surname: Herrmann
  fullname: Herrmann, Christoph S.
  organization: Experimental Psychology Lab, Centre for Excellence “Hearing4all,” European Medical School, University of Oldenburg, Research Centre Neurosensory Science, University of Oldenburg
– sequence: 4
  givenname: Christoph
  orcidid: 0000-0001-8214-5868
  surname: Mulert
  fullname: Mulert, Christoph
  email: Christoph.Mulert@psychiat.med.uni-giessen.de
  organization: Centre of Psychiatry, Justus-Liebig University, Centre for Mind, Brain and Behaviour (CMBB), University of Marburg and Justus-Liebig University Giessen
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33211157$$D View this record in MEDLINE/PubMed
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Issue 1
Keywords Schizophrenia
Non-invasive brain stimulation (NIBS)
OCD
Depression
Transcranial alternating current stimulation (tACS)
Psychiatry
Language English
License Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
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PublicationTitle European archives of psychiatry and clinical neuroscience
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Snippet Transcranial alternating current stimulation (tACS) is a unique form of non-invasive brain stimulation. Sinusoidal alternating electric currents are delivered...
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StartPage 135
SubjectTerms Adverse events
Brain - cytology
Brain - physiology
Clinical trials
Cognitive ability
Electric currents
Humans
Invited Review
Medicine
Medicine & Public Health
Mental disorders
Nervous system
Neuronal Plasticity
Neurons - physiology
Neurosciences
Oscillations
Psychiatry
Psychiatry - methods
Scalp
Synaptic plasticity
Transcranial Direct Current Stimulation
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Title Transcranial alternating current stimulation (tACS): from basic mechanisms towards first applications in psychiatry
URI https://link.springer.com/article/10.1007/s00406-020-01209-9
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