Alzheimer's disease (AD) is becoming a prevalent disease in the elderly population. Past decades have witnessed the development of drug therapies with varying targets. However, all drugs with a single molecular target fail to reverse or ameliorate AD progression, which ultimately results in cortical and subcortical network dysregulation. Deep brain stimulation (DBS) has been proven effective for the treatment of Parkinson's disease, essential tremor, and other neurological diseases. As such, DBS has also been gradually acknowledged as a potential therapy for AD. The current review focuses on DBS of the nucleus basalis of Meynert (NBM). As a critical component of the cerebral cholinergic system and the Papez circuit in the basal ganglia, the NBM plays an indispensable role in the subcortical regulation of memory, attention, and arousal state, which makes the NBM a promising target for modulation of neural network dysfunction and AD treatment. We summarized the intricate projection relations and functionality of the NBM, current approaches for stereotactic localization and evaluation of the NBM, and the therapeutic effects of NBM-DBS both in patients and animal models. Furthermore, the current shortcomings of NBM-DBS, such as variations in cortical blood flow, increased temperature in the target area, and stimulation-related neural damage, were presented.
基金:
National Natural Science Foundation of China [81974279]; China association against epilepsy fund for epilepsy research-UCB fund [2020020A]; Fundamental Research Funds for the Central Universities [2019kfyXKJC069]; Tongji Hospital; Huazhong University of Science and Technology
第一作者单位:[1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Neurosurg,Wuhan,Hubei,Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Chen Yu-si,Shu Kai,Kang Hui-cong.Deep Brain Stimulation in Alzheimer's Disease: Targeting the Nucleus Basalis of Meynert[J].JOURNAL OF ALZHEIMERS DISEASE.2021,80(1):53-70.doi:10.3233/JAD-201141.
APA:
Chen, Yu-si,Shu, Kai&Kang, Hui-cong.(2021).Deep Brain Stimulation in Alzheimer's Disease: Targeting the Nucleus Basalis of Meynert.JOURNAL OF ALZHEIMERS DISEASE,80,(1)
MLA:
Chen, Yu-si,et al."Deep Brain Stimulation in Alzheimer's Disease: Targeting the Nucleus Basalis of Meynert".JOURNAL OF ALZHEIMERS DISEASE 80..1(2021):53-70