单位:[1]Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China外科学系神经外科华中科技大学同济医学院附属同济医院[2]Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China神经内科神经科华中科技大学同济医学院附属同济医院[3]National Engineering Research Center for E-Learning, Central China Normal University, Wuhan, Hubei Province, China
Alzheimer's disease (AD) is one of the most common progressive neurodegenerative diseases associated with the degradation of memory and cognitive ability. Current pharmacotherapies show little therapeutic effect in AD treatment and still cannot prevent the pathological progression of AD. Deep brain stimulation (DBS) has shown to enhance memory in morbid obese, epilepsy and traumatic brain injury patients, and cognition in Parkinson's disease (PD) patients deteriorates during DBS off. Some relevant animal studies and clinical trials have been carried out to discuss the DBS treatment for AD. Reviewing the fornix trials, no unified conclusion has been reached about the clinical benefits of DBS in AD, and the dementia ratings scale has not been effectively improved in the long term. However, some patients have presented promising results, such as improved glucose metabolism, increased connectivity in cognition-related brain regions and even elevated cognitive function rating scale scores. The fornix plays an important regulatory role in memory, attention, and emotion through its complex fibre projection to cognition-related structures, making it a promising target for DBS for AD treatment. Moreover, the current stereotaxic technique and various evaluation methods have provided references for the operator to select accurate stimulation points. Related adverse events and relatively higher costs in DBS have been emphasized. In this article, we summarize and update the research progression on fornix DBS in AD and seek to provide a reliable reference for subsequent experimental studies on DBS treatment of AD.
基金:
China association against epilepsy fund [2020020A]; Fundamental Research Funds for the Central Universitie [2019kfyXKJC069]; Grants for returned overseas doctors of Tongji Hospital [4]; Health Commission of Hubei Province [WJ2021M131]; Horizontal subject of Tongji Hospital [2021049]; Innovation Found of Huazhong University of Science and Technology [5003540088]; National Key Project of Common and Frequently Occurring Diseases [2022YFC2503800]; National Natural Science Foundation of China [81974279]; Natural Science Foundation of Hubei Province [2022CFB279]; Science and Technology Program of Hubei Province [2020CFB657]; Wuhan Science and Technology Project [2021022002023426- 3]
语种:
外文
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中科院(CAS)分区:
出版当年[2022]版:
大类|3 区医学
小类|3 区医学:研究与实验3 区医学:内科
最新[2025]版:
大类|3 区医学
小类|2 区医学:内科3 区医学:研究与实验
JCR分区:
出版当年[2021]版:
Q1MEDICINE, GENERAL & INTERNALQ2MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q1MEDICINE, GENERAL & INTERNALQ2MEDICINE, RESEARCH & EXPERIMENTAL
第一作者单位:[1]Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China
共同第一作者:
通讯作者:
通讯机构:[2]Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China[*1]No. 1095 Jiefang Blvd., Wuhan, Hubei Province, China
推荐引用方式(GB/T 7714):
Liu Zhikun,Shu Kai,Geng Yumei,et al.Deep brain stimulation of fornix in Alzheimer's disease: From basic research to clinical practice[J].EUROPEAN JOURNAL OF CLINICAL INVESTIGATION.2023,53(8):doi:10.1111/eci.13995.
APA:
Liu, Zhikun,Shu, Kai,Geng, Yumei,Cai, Chang&Kang, Huicong.(2023).Deep brain stimulation of fornix in Alzheimer's disease: From basic research to clinical practice.EUROPEAN JOURNAL OF CLINICAL INVESTIGATION,53,(8)
MLA:
Liu, Zhikun,et al."Deep brain stimulation of fornix in Alzheimer's disease: From basic research to clinical practice".EUROPEAN JOURNAL OF CLINICAL INVESTIGATION 53..8(2023)