Evidence map›Paper›PMID 26793103›Full record

ArticleFrontiers in aging neuroscience2015

Altered Cortical Synaptic Plasticity in Response to 5-Hz Repetitive Transcranial Magnetic Stimulation as a New Electrophysiological Finding in Amnestic Mild Cognitive Impairment Converting to Alzheimer's Disease: Results from a 4-year Prospective Cohort Study.

Alessandro Trebbastoni, Floriana Pichiorri, Fabrizia D'Antonio, Alessandra Campanelli, Emanuela Onesti, Marco Ceccanti, Carlo de Lena, Maurizio Inghilleri

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03406195 (Modulation of Episodic Memory Using Theta Burst Stimulation), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03406195 nawithdrawnnot on this mapstarted 2018, after this paper: background citation

Modulation of Episodic Memory Using Theta Burst Stimulation (TBS)

TypeinterventionalSponsorDuke UniversityRan2018 to 2019Enrolled0ConditionsAgingArmsTranscranial magnetic stimulation (TMS)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Alessandro TrebbastoniDepartment of Neurology and Psychiatry, Sapienza University of Rome , Rome , Italy.
Floriana PichiorriDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy; Neuroelectrical Imaging and Brain Computer Interface Laboratory, Fondazione Santa Lucia - Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy.
Fabrizia D'AntonioDepartment of Neurology and Psychiatry, Sapienza University of Rome , Rome , Italy.
Alessandra CampanelliDepartment of Neurology and Psychiatry, Sapienza University of Rome , Rome , Italy.
Emanuela OnestiDepartment of Neurology and Psychiatry, Sapienza University of Rome , Rome , Italy.
Marco CeccantiDepartment of Neurology and Psychiatry, Sapienza University of Rome , Rome , Italy.
Carlo de LenaDepartment of Neurology and Psychiatry, Sapienza University of Rome , Rome , Italy.
Maurizio InghilleriDepartment of Neurology and Psychiatry, Sapienza University of Rome , Rome , Italy.
Sapienza University of Rome · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo investigate cortical excitability and synaptic plasticity in amnestic mild cognitive impairment (aMCI) using 5 Hz repetitive transcranial magnetic stimulation (5 Hz-rTMS) and to assess whether specific TMS parameters predict conversion time to Alzheimer's disease (AD). MATERIALS AND

methodsForty aMCI patients (single- and multi-domain) and 20 healthy controls underwent, at baseline, a neuropsychological examination and 5 Hz-rTMS delivered in trains of 10 stimuli and 120% of resting motor threshold (rMT) intensity over the dominant motor area. The rMT and the ratio between amplitude of the 1st and the 10th motor-evoked potential elicited by the train (X/I-MEP ratio) were calculated as measures of cortical excitability and synaptic plasticity, respectively. Patients were followed up annually over a period of 48 months. Analysis of variance for repeated measures was used to compare TMS parameters in patients with those in controls. Spearman's correlation was performed by considering demographic variables, aMCI subtype, neuropsychological test scores, TMS parameters, and conversion time.

resultsThirty-five aMCI subjects completed the study; 60% of these converted to AD. The baseline rMT and X/I-MEP ratio were significantly lower in patients than in controls (p = 0.04 and p = 0.01). Spearman's analysis showed that conversion time correlated with the rMT (0.40) and X/I-MEP ratio (0.51). DISCUSSION: aMCI patients displayed cortical hyperexcitability and altered synaptic plasticity to 5 Hz-rTMS when compared with healthy subjects. The extent of these changes correlated with conversion time. These alterations, which have previously been observed in AD, are thus present in the early stages of disease and may be considered as potential neurophysiological markers of conversion from aMCI to AD.

Indexed as

Alzheimer’s diseasecortical excitabilitymild cognitive impairmentN-methyl-d-aspartate acid receptorsynaptic plasticitytranscranial magnetic stimulation

Identifiers

PMID26793103
PMCPMC4709411
OpenAlexW2256973634

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.