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迷走神经刺激治疗难治性抑郁症的研究进展
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Abstract:
迷走神经刺激技术经历了植入式迷走神经向经皮迷走神经刺激技术方向的发展。本文系统综述了近年来迷走神经刺激术在治疗抑郁症特别是在治疗难治性抑郁症方面的研究进展,分别从迷走神经刺激的发展,VNS治疗TRD的作用机制研究进展,VNS治疗TRD的有效性研究,VNS治疗TRD研究的不足和展望,从这个四个方面进行综述总结,希望为临床工作者使用VNS治疗技术,提供一定的参考,并为将来VNS的发展进行展望。笔者相信,随着研究的升入和检测技术的提高和相关学者的努力探索,相信未来i-VNS在治疗TRD方面将会取得更大突破,i-VNS这一疗法也可能会在临床上得到更多的应用。
The technique of vagus nerve stimulation has experienced the development from implantable va-gus nerve to percutaneous vagus nerve stimulation. In recent years were reviewed in this paper, system the vagus nerve stimulation in the treatment of depression, especially in the progress of treatment-resistant depression, respectively from the development of the vagus nerve stimulation; the mechanism of action of VNS therapy for TRD research progress TRD; the VNS therapy effective-ness for TRD research; the VNS therapy for TRD research of deficiencies and prospects. This paper summarizes the four aspects, hoping to provide some references for clinical workers to use VNS treatment technology, and prospect the development of VNS in the future. The author believes that with the advancement of research and the improvement of detection technology and the efforts of relevant scholars, i-VNS will make a greater breakthrough in the treatment of TRD in the future, and the treatment of i-VNS may be applied more in clinical practice.
[1] | Booij, L., Van der Does, A.J.W. and Riedel, W.J. (2003) Monoamine Depletion in Psychiatric and Healthy Populations: Review. Molecular Psychiatry, 8, 951-973. https://doi.org/10.1038/sj.mp.4001423 |
[2] | Cukor, D., Peterson, R.A., Cohen, S.D. and Kimmel, P.L. (2006) Depression in End-Stage Renal Disease Hemodialysis Patients. Nature Clinical Practice Nephrology, 2, 678-687. https://doi.org/10.1038/ncpneph0359 |
[3] | Cuijpers, P., de Wit, L. and Taylor, A. (2014) The Effects of Psychological Treatments for Adult Depression on Physical Activity: A Systematic Review. Men-tal Health and Physical Activity, 7, 6-8.
https://doi.org/10.1016/j.mhpa.2014.01.002 |
[4] | 饶冬萍, 唐牟尼, 徐贵云. 难治性抑郁症的研究进展[J]. 国际精神病学杂志, 2008, 35(1): 13-16. |
[5] | 宋璐. 经皮迷走神经刺激术的临床应用进展[J]. 疑难病杂志, 2013, 12(10): 809-811. |
[6] | Yuan, T.F., Li, A., Sun, X., Arias-Carrión, O. and Machado, S. (2016) Vagus Nerve Stimulation in Treating Depression: A Tale of Two Stories. Current Molecular Medicine, 16, 33-39.
https://doi.org/10.2174/1566524016666151222143609 |
[7] | Müller, K., Fabó, D., Entz, L., Kelemen, A., Halász, P., Rásonyi, G. and Er?ss, L. (2010) Outcome of Vagus Nerve Stimulation for Epilepsy in Budapest. Epilepsia, 51, 98-101. https://doi.org/10.1111/j.1528-1167.2010.02620.x |
[8] | Tsai, J.-D., Yang, R.-C., Chang, M.-Y., Fan, H.-C. and Hung, K.-L. (2020) Vagus Nerve Stimulation for Patients with Refractory Epilepsy: Demographic Features and Neuropsychological Outcomes of the VNS Taiwan Child Neurology Society Database. Epilepsy & Behavior, 111, Article ID: 107186.
https://doi.org/10.1016/j.yebeh.2020.107186 |
[9] | Pipan, E., Apostolou, A., Bograkou, M., Brooks, P., Vigren, P. and Gauffin, H. (2020) Vagal Nerve Stimulation in Epilepsy: Experiences of Participants with Cognitive Deficits. Neu-ropsychiatric Disease and Treatment, 16, 1181-1188.
https://doi.org/10.2147/NDT.S241716 |
[10] | Liu, H., Zhan, P., Meng, F. and Wang, W. (2020) Chronic Vagus Nerve Stimulation for Drug-Resistant Epilepsy May Influence Fasting Blood Glucose Concentration. BioMedical Engi-neering OnLine, 19, Article No. 40.
https://doi.org/10.1186/s12938-020-00784-1 |
[11] | Ben-Menachem, E. (2002) Vagus-Nerve Stimulation for the Treatment of Epilepsy. Lancet Neurology, 1, 477-482.
https://doi.org/10.1016/S1474-4422(02)00220-X |
[12] | Handforth, A., DeGiorgio, C.M., Schachter, S.C., Uthman, B.M., Naritoku, D.K., Tecoma, E.S., et al. (1998) Vagus Nerve Stimulation Therapy for Partial Onset Seizures: A Ran-domized Active Control Trial. Neurology, 51, 48-55.
https://doi.org/10.1212/WNL.51.1.48 |
[13] | Ventureyra, E.C. (2008) Transcutaneous Vagus Nerve Stimulation for Partial Onset Seizure Therapy: A New Concept. Child’s Nervous System, 16, 101-102. https://doi.org/10.1007/s003810050021 |
[14] | Marangell, L.B., Rush, A.J., George, M.S., Sackeim, H.A., Johnson, C.R., Husain, M.M., et al. (2002) Vagus Nerve Stimulation (VNS) for Major Depressive Episodes: One Year Outcomes. Biological Psychiatry, 51, 280-287.
https://doi.org/10.1016/S0006-3223(01)01343-9 |
[15] | Sackeim, H.A., Rush, A.J., George, M.S., Marangell, L.B., Husain, M.M., et al. (2001) Vagus nerve Stimulation (VNSTM) for Treatment-Resistant Depression: Efficacy, Side Ef-fects, and Predictors of Outcome. Neuropsychopharmacology, 25, 713-728. https://doi.org/10.1016/S0893-133X(01)00271-8 |
[16] | 李小娇, 方继良. 迷走神经刺激术治疗难治性抑郁症脑影像研究进展[J]. 中国神经精神疾病杂志, 2018, 44(4): 242-245. |
[17] | Liu, J., Fang, J., Wang, Z., Rong, P., Hong, Y., Fan, Y., et al. (2016) Transcutaneous Vagus Nerve Stimulation Modulates Amygdala Functional Connectivity in Pa-tients with Depression. Journal of Affective Disorders, 205, 319-326.
https://doi.org/10.1016/j.jad.2016.08.003 |
[18] | 方继良. 电针耳迷走神经治疗抑郁症临床观察及其机理的fMRI脑功能成像研究[D]: [博士学位论文]. 北京: 中国中医科学院, 2013. |
[19] | 方继良, 洪洋, 范洋洋, 刘军, 马云遥, 徐春华, 等. 经皮电针刺激正常人耳甲迷走神经的功能MRI脑效应研究[J]. 磁共振成像, 2014, 5(6): 416-422. |
[20] | Kraus, T., Kiess, O., Hsl, K., Terekhin, P., Kornhuber, J. and Forster, C. (2013) CNS BOLD fMRI Ef-fects of Sham-Controlled Transcutaneous Electrical Nerve Stimulation in the Left Outer Auditory Canal—A Pilot Study. Brain Stimulation, 6, 798-804. https://doi.org/10.1016/j.brs.2013.01.011 |
[21] | Kraus, T., H?sl, K., Kiess, O., Schanze, A., Kornhuber, J. and Forster, C. (2007) BOLD fMRI Deactivation of Limbic and Temporal Brain Structures and Mood Enhancing Effect by Transcutaneous Vagus Nerve Stimulation. Journal of Neural Transmission, 114, 1485-1493. https://doi.org/10.1007/s00702-007-0755-z |
[22] | Dietrich, S., Smith, J., Scherzinger, C., Hof-mann-Preiss, K., Freitag, T., Eisenkolb, A. and Ringler, R. (2008) A Novel Transcutaneous Vagus Nerve Stimulation Leads to Brainstem and Cerebral Activations Measured by Functional MRI. Biomedizinische Technik, 53, 104-111. https://doi.org/10.1515/BMT.2008.022 |
[23] | Liu, R.-P., Fang, J.-L., Rong, P.-J., Zhao, Y., Meng, H., Ben, H., et al. (2013) Effects of Electroacupuncture at Auricular Concha Region on the Depressive Status of Unpredictable Chronic Mild Stress Rat Models. Evidence-Based Complementary and Alternative Medicine, 2013, Article ID: 789674. https://doi.org/10.1155/2013/789674 |
[24] | Fang, J., Rong, P., Hong, Y., Fan, Y., Liu, J., Wang, H., et al. (2016) Transcutaneous Vagus Nerve Stimulation Modulates Default Mode Network in Major Depressive Disorder. Biological Psychiatry, 79, 266-273.
https://doi.org/10.1016/j.biopsych.2015.03.025 |
[25] | 俞裕天, 荣培晶, 朱兵. 经皮耳迷走神经刺激治疗脑病的现状与展望[J]. 世界科学技术-中医药现代化, 2017, 19(3): 462-466. |
[26] | 俞裕天, 杨艺, 王路斌, 方继良, 陈媛媛, 何江弘, 荣培晶. Transcutaneous Auricular Vagus Nerve Stimulation in Disorders of Consciousness Monitored by fMRI: The First Case Report[C]//中国中西医结合学会, 医学影像专业委员会. 第十五次全国学术大会暨上海市中西医结合学会医学影像专业委员会, 2017年学术年会暨医学影像新技术的临床应用国家级继续教育学习班, 2017. |
[27] | Li, S., Zhai, X., Rong, P., McCabe, M.F., Zhao, J., Ben, H., et al. (2014) Transcutaneous Auricular Vagus Nerve Stimulation Triggers Melatonin Secretion and Is Antidepressive in Zucker Diabetic Fatty Rats. PLoS ONE, 9, e111100.
https://doi.org/10.1371/journal.pone.0111100 |
[28] | 冯周琴, 徐军, 党雷, 马建军, 苗雪梅, 史锡文, 刘芳. 刺激迷走神经治疗癫痫的实验研究与临床观察[J]. 河南医学研究, 1995, 4(1): 3-6. |
[29] | Rong, P.J., Fang, J.L., Wang, L.P., Meng, H., Liu, J., Ma, Y.-G., et al. (2012) Transeutaneous Vagus Nerve Stimulation for the Treatment of Depres-sion: A Study Protocol for a Double Blinded Randomized Clinical Trail. BMC Complementary Medicine and Therapies, 14, Article No. 255. https://doi.org/10.1186/1472-6882-12-255 |
[30] | 陈丽梅, 李小娇, 许可, 高德强, 韩铭, 方继良. 耳电针刺激迷走神经治疗难治性抑郁症的静息态fMRI和MRS初步研究[J]. 中国中西医结合影像学杂志, 2019, 17(3): 221-223. |
[31] | Li, X.-J., Wang, L., Wang, H.-X., Zhang, L., Zhang, G.-L., Rong, P.-J. and Fang, J.-L. (2019) The Effect of Transcutaneous Auricular Vagus Nerve Stimulation on Treatment-Resistant Depression Monitored by Resting-State fMRI and MRS: The First Case Report. Brain Stimulation, 12, 377-379. https://doi.org/10.1016/j.brs.2018.11.013 |
[32] | Hein, E., Nowak, M., Kiess, O., Biermann, T., Bayerlein, K., Kornhuber, J., et al. (2013) Auricular Transcutaneous Electrical Nerve Stimulation in Depressed Patients: A Randomized Controlled Pilot Study. Journal of Neural Transmission, 120, 821-827. https://doi.org/10.1007/s00702-012-0908-6 |
[33] | Bretherton, B., Atkinson, L., Murray, A., Clancy, J., Deuchars, S. and Deuchars, J. (2019) Effects of Transcutaneous Vagus Nerve Stimulation in Individuals Aged 55 Years or Above: Potential Benefits of Daily Stimulation. Aging, 11, 4836-4857. https://doi.org/10.18632/aging.102074 |
[34] | Hansen, N. (2018) Memory Reinforcement and Attenuation by Activating the Human Locus Coeruleus via Transcutaneous Vagus Nerve Stimulation. Frontiers in Neuroscience, 12, Article No. 955.
https://doi.org/10.3389/fnins.2018.00955 |
[35] | Rush, A.J., George, M.S., Sackeim, H.A., Marangell, L.B., Husain, M.M., Giller, C., et al. (2000) Vagus Nerve Stimulation for Treatment Resistant Depressions: A Multicenter Study. Bio-logical Psychiatry, 47, Article No. 276.
https://doi.org/10.1016/S0006-3223(99)00304-2 |
[36] | Rong, P., Liu, J., Wang, L., Liu, R., Fang, J., Zhao, J., et al. (2016) Effect of Transcutaneous Auricular Vagus Nerve Stimulation on Major Depressive Disorder: A Nonrandomized Controlled Pilot Study. Journal of Affective Disorders, 195, 172-179. https://doi.org/10.1016/j.jad.2016.02.031 |
[37] | 陈琦, 汤宜朗. 迷走神经刺激法治疗难治性抑郁症的研究进展[J]. 中国神经精神疾病杂志, 2001, 27(5): 395-396. |
[38] | Porto, J.A., Bick, J., Perdue, K.L., Richards, J.E., Nunes, M.L. and Nelson, C.A. (2020) The Influence of Maternal Anxiety and Depression Symptoms on fNIRS Brain Responses to Emotional Faces in 5- and 7-Month-Old In-fants. Infant Behavior and Development, 59, Article ID: 101447. https://doi.org/10.1016/j.infbeh.2020.101447 |
[39] | Zhu, Y., Jayagopal, J.K., Mehta, R.K., Erraguntla, M., Nuamah, J., McDonald, A.D., Taylor H. and Chang, S.H. (2020) Classifying Major Depressive Disorder Using fNIRS During Motor Rehabilitation. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 28, 961-969. https://doi.org/10.1109/TNSRE.2020.2972270 |