Neuroprotection and Non-Invasive Brain Stimulation: Facts or Fiction?

Int J Mol Sci. 2022 Nov 9;23(22):13775. doi: 10.3390/ijms232213775.

Abstract

Non-Invasive Brain Stimulation (NIBS) techniques, such as transcranial Direct Current Stimulation (tDCS) and repetitive Magnetic Transcranial Stimulation (rTMS), are well-known non-pharmacological approaches to improve both motor and non-motor symptoms in patients with neurodegenerative disorders. Their use is of particular interest especially for the treatment of cognitive impairment in Alzheimer's Disease (AD), as well as axial disturbances in Parkinson's (PD), where conventional pharmacological therapies show very mild and short-lasting effects. However, their ability to interfere with disease progression over time is not well understood; recent evidence suggests that NIBS may have a neuroprotective effect, thus slowing disease progression and modulating the aggregation state of pathological proteins. In this narrative review, we gather current knowledge about neuroprotection and NIBS in neurodegenerative diseases (i.e., PD and AD), just mentioning the few results related to stroke. As further matter of debate, we discuss similarities and differences with Deep Brain Stimulation (DBS)-induced neuroprotective effects, and highlight possible future directions for ongoing clinical studies.

Keywords: Alzheimer’s Disease; Parkinson’s Disease; deep brain stimulation; neurodegenerative disorders; neuroprotection; non-invasive brain stimulation; pathological proteins; rTMS; tDCS.

Publication types

  • Review

MeSH terms

  • Alzheimer Disease* / therapy
  • Brain
  • Disease Progression
  • Humans
  • Neuroprotection
  • Transcranial Direct Current Stimulation* / methods
  • Transcranial Magnetic Stimulation / methods

Grants and funding

This research received no external funding.