Evidence map›Paper›PMID 30150003›Full record

Trial reportBrain stimulation

BDNF genotype and tDCS interaction in aphasia treatment.

Julius Fridriksson, Jordan Elm, Brielle C Stark, Alexandra Basilakos, Chris Rorden, Souvik Sen, Mark S George, Michelle Gottfried, Leonardo Bonilha

3 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 47 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 4 pooled it
3.8field-weighted citation impact, top 6% 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.

NCT03843463 phase2recruitingnot on this map

Escitalopram and Language Intervention for Subacute Aphasia (ELISA)

TypeinterventionalSponsorJohns Hopkins UniversityRan2021 to 2027Enrolled88ConditionsAphasia, StrokeArmsEscitalopram 10mg, Placebo, Computer-delivered naming treatment
NCT05194566 narecruitingnot on this map

Neurostimulation for the Treatment of Post-Stroke Aphasia

TypeinterventionalSponsorQVITI S.A.Ran2023 to 2026Enrolled64ConditionsPost-stroke AphasiaArmstACS
NCT05845047 narecruitingnot on this map

PICTURE IT: Producing Increasingly Complex Themes Using Right-hemisphere Engagement (PICTURE) Implemented With Telemedicine

TypeinterventionalSponsorJohns Hopkins UniversityRan2023 to 2031Enrolled70ConditionsAphasia, StrokeArmsPICTURE-IT, CoDeLT
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 4 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Influences of genetic variants on stroke recovery: a meta-analysis of the 31,895 cases.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
    Pooled it
  5. Trial
  6. Diagnosing and managing post-stroke aphasia.Expert review of neurotherapeutics · 2021
    Trial
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Interventions for Neural Plasticity in Stroke Recovery.Archives of internal medicine research · 2025
    Article
  15. Review
  16. Review
  17. Insights gained over 60 years on factors shaping post-stroke aphasia recovery: A commentary on Vignolo (1964).Cortex; a journal devoted to the study of the nervous system and behavior · 2024
    Article
  18. Review
  19. Article
  20. Review
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

9 authors at 2 institutions in 1 country.

Julius FridrikssonDepartment of Communication Sciences & Disorders, University of South Carolina, USA. Electronic address: jfridrik@sc.edu.
Jordan ElmDepartment of Public Health Sciences, Medical University of South Carolina, USA.
Brielle C StarkDepartment of Communication Sciences & Disorders, University of South Carolina, USA.
Alexandra BasilakosDepartment of Communication Sciences & Disorders, University of South Carolina, USA.
Chris RordenDepartment of Psychology, University of South Carolina, USA.
Souvik SenDepartment of Neurology, University of South Carolina, USA.
Mark S GeorgeDepartment of Psychiatry, Medical University of South Carolina, USA; Department of Neurology, Medical University of South Carolina, USA; Ralph H. Johnson VA Medical Center, Charleston, USA.
Michelle GottfriedDepartment of Public Health Sciences, Medical University of South Carolina, USA.
Leonardo BonilhaDepartment of Neurology, Medical University of South Carolina, USA.
University of South Carolina · USMedical University of South Carolina · US

Funding

Telerehab for Aphasia (TERRA)P50DC014664 · NIDCD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI FRIDRIKSSON, JULIUS · 2016 to 2025
$25.0M
Treating Depression and Enhancing Locomotor Recovery Post-strokeP20GM109040 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAUTZ, STEVEN A. · 2014 to 2024
$23.5M
Trans-cranial Direct Current Stimulation to Treat Aphasia: Phase II TrialU01DC011739 · NIDCD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI FRIDRIKSSON, JULIUS · 2012 to 2016
$4.4M
Interdisciplinary Research Training in Otolaryngology and Communication SciencesT32DC014435 · NIDCD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DUBNO, JUDY R · 2015 to 2024
$2.9M
NIDCD NIH HHS P50 DC014664NIDCD NIH HHS T32 DC014435NIDCD NIH HHS U01 DC011739NIGMS NIH HHS P20 GM109040
6 · The paper itself

Abstract

backgroundSeveral studies, including a randomized controlled trial by our group, support applying anodal tDCS (A-tDCS) to the left hemisphere during behavioral aphasia treatment to improve outcomes. A clear mechanism explaining A-tDCS's efficacy has not been established, but modulation of neuroplasticity may be involved. OBJECTIVE/HYPOTHESIS: The brain-derived neurotrophic factor (BDNF) gene influences neuroplasticity and may modulate the effects of tDCS. Utilizing data from our recently completed trial, we conducted a planned test of whether aphasia treatment outcome is influenced by interaction between A-tDCS and a single-nucleotide polymorphism of the BDNF gene, rs6265.

methodsSeventy-four individuals with chronic stroke-induced aphasia completed 15 language therapy sessions and were randomized to receive 1 mA A-tDCS or sham tDCS (S-tDCS) to the intact left temporoparietal region for the first 20 min of each session. BDNF genotype was available for 67 participants: 37 participants had the typical val/val genotype. The remaining 30 participants had atypical BDNF genotype (Met allele carriers). The primary outcome factor was improvement in object naming at 1 week after treatment completion. Maintenance of treatment effects was evaluated at 4 and 24 weeks.

resultsAn interaction was revealed between tDCS condition and genotype for treatment-related naming improvement (F = 4.97, p = 0.03). Participants with val/val genotype who received A-tDCS showed greater response to aphasia treatment than val/val participants who received S-tDCS, as well as the Met allele carriers, regardless of tDCS condition.

conclusionIndividuals with the val/val BDNF genotype are more likely to benefit from A-tDCS during aphasia treatment.

Indexed as

GenotypeAdultAphasiaBrain-Derived Neurotrophic FactorFemaleHumansLanguage TherapyMaleMiddle AgedPhotic StimulationPolymorphism, Single NucleotidePsychomotor PerformanceStrokeTranscranial Direct Current StimulationTreatment OutcomeBDNF protein, humanBrain-Derived Neurotrophic FactorAphasiaAphasia treatmentElectrical brain stimulationRehabilitationStroketDCS

Identifiers

PMID30150003
PMCPMC6293970
OpenAlexW2886469328

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.