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    经颅时间干涉刺激在药物成瘾治疗中的研究进展

    Research progress on transcranial temporal interference stimulation in the treatment of drug addiction

    • 摘要: 经颅时间干涉刺激(tTIS)是在传统经颅电刺激基础上发展而来的一种新型无创脑神经调控技术。该技术于2017年首次发表在《Cell》期刊,其原理是主要采用2种输出频率相近的高频正弦交流波,形成随时间变化的低频调制电场,从而实现对深部脑区的调控作用。近年来,该技术逐渐应用于神经系统疾病动物模型及人群进行有效性、深部靶向性、调控精确性等方面研究,但具体作用机制及长期疗效等仍处于探索阶段。药物成瘾是一种慢性复发性脑疾病,其复杂的机制涉及中脑边缘系统及相关脑区,提示调控成瘾脑区对疾病的干预治疗至关重要。鉴于tTIS技术无创性及深部调控的特点,其在药物成瘾治疗领域展现出巨大的应用潜力。本文基于现有的基础与临床研究,首先概述tTIS的原理、特点、潜在的生物学机制,最后归纳总结其调控关键成瘾脑区的作用及具体机制。

       

      Abstract: Transcranial temporal interference stimulation (tTIS) is a novel noninvasive brain neuromodulation technique developed on the basis of traditional transcranial electrical stimulation. The method was first published in Cell in 2017. Its principle involves the use of two high-frequency sinusoidal alternating currents with slightly different frequencies to generate a time-varying low-frequency modulated electric field, thereby enabling modulation of deep brain regions. In recent years, tTIS has been increasingly applied to studies involving animal models and human subjects with neurological disorders, focusing on its effectiveness, deep targeting capability, and precision of regulation. However, the detailed mechanisms of action and long-term efficacy remain under investigation. Drug addiction is a chronic, relapsing brain disorder with complex mechanisms involving the mesolimbic system and related brain regions, highlighting the importance of neuromodulation in addiction-related areas for therapeutic intervention. Given the noninvasive nature and deep-brain modulation capabilities of tTIS, this technique shows great potential in the treatment of drug addiction. This review summarizes current basic and clinical research on tTIS, outlines its principles, characteristics, and potential biological mechanisms, and further discusses its regulatory effects and mechanisms on key addiction-related brain regions.

       

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