Neurochemical mechanisms underlying serotonergic modulation of neuroplasticity in humans

Background: Studies in animals and humans have shown that cortical neuroplasticity can be modulated by increasing serotonin levels by administering selective serotonin reuptake inhibitors (SSRI). However, little is known about the mechanistic background, especially the contribution of intracortical...

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Main Authors: Lorena Melo, Marie C. Beaupain, Elham Ghanavati, Min-Fang Kuo, Michael A. Nitsche
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Brain Stimulation
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1935861X24000597
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author Lorena Melo
Marie C. Beaupain
Elham Ghanavati
Min-Fang Kuo
Michael A. Nitsche
author_facet Lorena Melo
Marie C. Beaupain
Elham Ghanavati
Min-Fang Kuo
Michael A. Nitsche
author_sort Lorena Melo
collection DOAJ
description Background: Studies in animals and humans have shown that cortical neuroplasticity can be modulated by increasing serotonin levels by administering selective serotonin reuptake inhibitors (SSRI). However, little is known about the mechanistic background, especially the contribution of intracortical inhibition and facilitation, which depend on gamma-aminobutyric acid (GABA) and glutamate. Objective: We aimed to explore the relevance of drivers of plasticity (glutamate- and GABA-dependent processes) for the effects of serotonin enhancement on tDCS-induced plasticity in healthy humans. Methods: A crossover, partially double-blinded, randomized, and sham-controlled study was conducted in 16 healthy right-handed individuals. In each of the 7 sessions, plasticity was induced via transcranial direct current stimulation (tDCS). Anodal, cathodal, and sham tDCS were applied to the left motor cortex under SSRI (20 mg/40 mg citalopram) or placebo. Short-interval cortical inhibition (SICI) and intracortical facilitation (ICF) were monitored by paired-pulse transcranial magnetic stimulation for 5–6 h after intervention. Results: Under placebo, anodal tDCS-induced LTP-like plasticity decreased SICI and increased ICF. In contrast, cathodal tDCS-elicited LTD-like plasticity induced the opposite effect. Under 20 mg and 40 mg citalopram, anodal tDCS did not affect SICI largely, while ICF was enhanced and prolonged. For cathodal tDCS, citalopram converted the increase of SICI and decrease of ICF into antagonistic effects, and this effect was dosage-dependent since it lasted longer under 40 mg when compared to 20 mg. Conclusion: We speculate that the main effects of acute serotonergic enhancement on tDCS-induced plasticity, the increase and prolongation of LTP-like plasticity effects, involves mainly the glutamatergic system.
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spelling doaj.art-f8c0deb9d54c4b598c5154eed838c5a72024-04-05T04:40:12ZengElsevierBrain Stimulation1935-861X2024-03-01172421430Neurochemical mechanisms underlying serotonergic modulation of neuroplasticity in humansLorena Melo0Marie C. Beaupain1Elham Ghanavati2Min-Fang Kuo3Michael A. Nitsche4Department of Psychology and Neurosciences, Leibniz Research Centre for Working Environment and Human Factors (IfADo), Dortmund, GermanyDepartment of Psychology and Neurosciences, Leibniz Research Centre for Working Environment and Human Factors (IfADo), Dortmund, Germany; Department of Psychology, Ruhr-University Bochum, GermanyDepartment of Psychology and Neurosciences, Leibniz Research Centre for Working Environment and Human Factors (IfADo), Dortmund, Germany; Department of Psychology, Ruhr-University Bochum, GermanyDepartment of Psychology and Neurosciences, Leibniz Research Centre for Working Environment and Human Factors (IfADo), Dortmund, Germany; Corresponding author. Dept. Psychology and Neurosciences, Leibniz Research Centre for Working Environment and Human Factors (IfADo), Ardeystraße 67, 44139 Dortmund, Germany.Department of Psychology and Neurosciences, Leibniz Research Centre for Working Environment and Human Factors (IfADo), Dortmund, Germany; Bielefeld University, University Hospital OWL, Protestant Hospital of Bethel Foundation, University Clinic of Psychiatry and Psychotherapy and University Clinic of Child and Adolescent Psychiatry and Psychotherapy, Germany; German Center for Mental Health (DZPG), Partner Site - Bochum/Marburg, GermanyBackground: Studies in animals and humans have shown that cortical neuroplasticity can be modulated by increasing serotonin levels by administering selective serotonin reuptake inhibitors (SSRI). However, little is known about the mechanistic background, especially the contribution of intracortical inhibition and facilitation, which depend on gamma-aminobutyric acid (GABA) and glutamate. Objective: We aimed to explore the relevance of drivers of plasticity (glutamate- and GABA-dependent processes) for the effects of serotonin enhancement on tDCS-induced plasticity in healthy humans. Methods: A crossover, partially double-blinded, randomized, and sham-controlled study was conducted in 16 healthy right-handed individuals. In each of the 7 sessions, plasticity was induced via transcranial direct current stimulation (tDCS). Anodal, cathodal, and sham tDCS were applied to the left motor cortex under SSRI (20 mg/40 mg citalopram) or placebo. Short-interval cortical inhibition (SICI) and intracortical facilitation (ICF) were monitored by paired-pulse transcranial magnetic stimulation for 5–6 h after intervention. Results: Under placebo, anodal tDCS-induced LTP-like plasticity decreased SICI and increased ICF. In contrast, cathodal tDCS-elicited LTD-like plasticity induced the opposite effect. Under 20 mg and 40 mg citalopram, anodal tDCS did not affect SICI largely, while ICF was enhanced and prolonged. For cathodal tDCS, citalopram converted the increase of SICI and decrease of ICF into antagonistic effects, and this effect was dosage-dependent since it lasted longer under 40 mg when compared to 20 mg. Conclusion: We speculate that the main effects of acute serotonergic enhancement on tDCS-induced plasticity, the increase and prolongation of LTP-like plasticity effects, involves mainly the glutamatergic system.http://www.sciencedirect.com/science/article/pii/S1935861X24000597SerotoninNeuroplasticityTranscranial direct current stimulationTranscranial magnetic stimulation
spellingShingle Lorena Melo
Marie C. Beaupain
Elham Ghanavati
Min-Fang Kuo
Michael A. Nitsche
Neurochemical mechanisms underlying serotonergic modulation of neuroplasticity in humans
Brain Stimulation
Serotonin
Neuroplasticity
Transcranial direct current stimulation
Transcranial magnetic stimulation
title Neurochemical mechanisms underlying serotonergic modulation of neuroplasticity in humans
title_full Neurochemical mechanisms underlying serotonergic modulation of neuroplasticity in humans
title_fullStr Neurochemical mechanisms underlying serotonergic modulation of neuroplasticity in humans
title_full_unstemmed Neurochemical mechanisms underlying serotonergic modulation of neuroplasticity in humans
title_short Neurochemical mechanisms underlying serotonergic modulation of neuroplasticity in humans
title_sort neurochemical mechanisms underlying serotonergic modulation of neuroplasticity in humans
topic Serotonin
Neuroplasticity
Transcranial direct current stimulation
Transcranial magnetic stimulation
url http://www.sciencedirect.com/science/article/pii/S1935861X24000597
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AT elhamghanavati neurochemicalmechanismsunderlyingserotonergicmodulationofneuroplasticityinhumans
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