Modulation of motor cortical excitability by continuous theta-burst stimulation in adults with autism spectrum disorder
•Continuous theta-burst stimulation (cTBS) aftereffects are different in a large sample of individuals with ASD compared to neurotypical controls.•T15 cTBS aftereffect allows to distinguish individuals with ASD diagnosis from neurotypical controls.•Diagnostic utility of cTBS aftereffects for ASD is...
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| Published in | Clinical neurophysiology Vol. 132; no. 7; pp. 1647 - 1662 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier B.V
01.07.2021
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| Abstract | •Continuous theta-burst stimulation (cTBS) aftereffects are different in a large sample of individuals with ASD compared to neurotypical controls.•T15 cTBS aftereffect allows to distinguish individuals with ASD diagnosis from neurotypical controls.•Diagnostic utility of cTBS aftereffects for ASD is modulated by BDNF and APOE SNPs.
To test whether change in motor evoked potential (ΔMEP) induced by continuous theta-burst stimulation (cTBS) of motor cortex (M1) distinguishes adults with autism spectrum disorder (ASD) from neurotypicals, and to explore the contribution of two common polymorphisms related to neuroplasticity.
44 adult neurotypical (NT) participants (age 21–65, 34 males) and 19 adults with ASD (age 21–58, 17 males) prospectively underwent M1 cTBS. Their data were combined with previously obtained results from 35 NT and 35 ASD adults.
ΔMEP at 15 minutes post-cTBS (T15) was a significant predictor of diagnosis (p = 0.04) in the present sample (n=63). T15 remained a significant predictor in a larger sample (n=91) and when partially imputed based on T10–T20 from a yet-greater sample (N=133). T15 also remained a significant predictor of diagnosis among brain-derived neurotrophic factor (BDNF) Met+ and apolipoprotein E (APOE) ε4− subjects (p’s < 0.05), but not among Met− or ε4+ subjects (p’s > 0.19).
ΔMEP at T15 post-cTBS is a significant biomarker for adults with ASD, and its utility is modulated by BDNF and APOE polymorphisms.
M1 cTBS response is a physiologic biomarker for adults with ASD in large samples, and controlling for BDNF and APOE polymorphisms can improve its diagnostic utility. |
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| AbstractList | To test whether change in motor evoked potential (ΔMEP) induced by continuous theta-burst stimulation (cTBS) of motor cortex (M1) distinguishes adults with autism spectrum disorder (ASD) from neurotypicals, and to explore the contribution of two common polymorphisms related to neuroplasticity.
44 adult neurotypical (NT) participants (age 21-65, 34 males) and 19 adults with ASD (age 21-58, 17 males) prospectively underwent M1 cTBS. Their data were combined with previously obtained results from 35 NT and 35 ASD adults.
ΔMEP at 15 minutes post-cTBS (T15) was a significant predictor of diagnosis (p = 0.04) in the present sample (n=63). T15 remained a significant predictor in a larger sample (n=91) and when partially imputed based on T10-T20 from a yet-greater sample (N=133). T15 also remained a significant predictor of diagnosis among brain-derived neurotrophic factor (BDNF) Met+ and apolipoprotein E (APOE) ε4- subjects (p's < 0.05), but not among Met- or ε4+ subjects (p's > 0.19).
ΔMEP at T15 post-cTBS is a significant biomarker for adults with ASD, and its utility is modulated by BDNF and APOE polymorphisms.
M1 cTBS response is a physiologic biomarker for adults with ASD in large samples, and controlling for BDNF and APOE polymorphisms can improve its diagnostic utility. To test whether change in motor evoked potential (ΔMEP) induced by continuous theta-burst stimulation (cTBS) of motor cortex (M1) distinguishes adults with autism spectrum disorder (ASD) from neurotypicals, and to explore the contribution of two common polymorphisms related to neuroplasticity.OBJECTIVETo test whether change in motor evoked potential (ΔMEP) induced by continuous theta-burst stimulation (cTBS) of motor cortex (M1) distinguishes adults with autism spectrum disorder (ASD) from neurotypicals, and to explore the contribution of two common polymorphisms related to neuroplasticity.44 adult neurotypical (NT) participants (age 21-65, 34 males) and 19 adults with ASD (age 21-58, 17 males) prospectively underwent M1 cTBS. Their data were combined with previously obtained results from 35 NT and 35 ASD adults.METHODS44 adult neurotypical (NT) participants (age 21-65, 34 males) and 19 adults with ASD (age 21-58, 17 males) prospectively underwent M1 cTBS. Their data were combined with previously obtained results from 35 NT and 35 ASD adults.ΔMEP at 15 minutes post-cTBS (T15) was a significant predictor of diagnosis (p = 0.04) in the present sample (n=63). T15 remained a significant predictor in a larger sample (n=91) and when partially imputed based on T10-T20 from a yet-greater sample (N=133). T15 also remained a significant predictor of diagnosis among brain-derived neurotrophic factor (BDNF) Met+ and apolipoprotein E (APOE) ε4- subjects (p's < 0.05), but not among Met- or ε4+ subjects (p's > 0.19).RESULTSΔMEP at 15 minutes post-cTBS (T15) was a significant predictor of diagnosis (p = 0.04) in the present sample (n=63). T15 remained a significant predictor in a larger sample (n=91) and when partially imputed based on T10-T20 from a yet-greater sample (N=133). T15 also remained a significant predictor of diagnosis among brain-derived neurotrophic factor (BDNF) Met+ and apolipoprotein E (APOE) ε4- subjects (p's < 0.05), but not among Met- or ε4+ subjects (p's > 0.19).ΔMEP at T15 post-cTBS is a significant biomarker for adults with ASD, and its utility is modulated by BDNF and APOE polymorphisms.CONCLUSIONSΔMEP at T15 post-cTBS is a significant biomarker for adults with ASD, and its utility is modulated by BDNF and APOE polymorphisms.M1 cTBS response is a physiologic biomarker for adults with ASD in large samples, and controlling for BDNF and APOE polymorphisms can improve its diagnostic utility.SIGNIFICANCEM1 cTBS response is a physiologic biomarker for adults with ASD in large samples, and controlling for BDNF and APOE polymorphisms can improve its diagnostic utility. Highlights•Continuous theta-burst stimulation (cTBS) aftereffects are different in a large sample of individuals with ASD compared to neurotypical controls. •T15 cTBS aftereffect allows to distinguish individuals with ASD diagnosis from neurotypical controls. •Diagnostic utility of cTBS aftereffects for ASD is modulated by BDNF and APOE SNPs. •Continuous theta-burst stimulation (cTBS) aftereffects are different in a large sample of individuals with ASD compared to neurotypical controls.•T15 cTBS aftereffect allows to distinguish individuals with ASD diagnosis from neurotypical controls.•Diagnostic utility of cTBS aftereffects for ASD is modulated by BDNF and APOE SNPs. To test whether change in motor evoked potential (ΔMEP) induced by continuous theta-burst stimulation (cTBS) of motor cortex (M1) distinguishes adults with autism spectrum disorder (ASD) from neurotypicals, and to explore the contribution of two common polymorphisms related to neuroplasticity. 44 adult neurotypical (NT) participants (age 21–65, 34 males) and 19 adults with ASD (age 21–58, 17 males) prospectively underwent M1 cTBS. Their data were combined with previously obtained results from 35 NT and 35 ASD adults. ΔMEP at 15 minutes post-cTBS (T15) was a significant predictor of diagnosis (p = 0.04) in the present sample (n=63). T15 remained a significant predictor in a larger sample (n=91) and when partially imputed based on T10–T20 from a yet-greater sample (N=133). T15 also remained a significant predictor of diagnosis among brain-derived neurotrophic factor (BDNF) Met+ and apolipoprotein E (APOE) ε4− subjects (p’s < 0.05), but not among Met− or ε4+ subjects (p’s > 0.19). ΔMEP at T15 post-cTBS is a significant biomarker for adults with ASD, and its utility is modulated by BDNF and APOE polymorphisms. M1 cTBS response is a physiologic biomarker for adults with ASD in large samples, and controlling for BDNF and APOE polymorphisms can improve its diagnostic utility. |
| Author | Block, Gabrielle Oberman, Lindsay M. Ryan, Mary A. Kayarian, Fae B. Rotenberg, Alexander Pascual-Leone, Alvaro Jannati, Ali |
| AuthorAffiliation | 2 Neuromodulation Program and Division of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children’s Hospital, Boston, MA, USA 5 Hinda and Arthur Marcus Institute for Aging Research and Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Boston, MA, USA 1 Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA, USA 3 Department of Neurology, Harvard Medical School, Boston, MA, USA 4 F.M. Kirby Neurobiology Center, Department of Neurology, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA 6 Guttman Brain Health Institute, Institut Guttman de Neurorehabilitació, Universitat Autónoma de Barcelona, Badalona, Barcelona, Spain |
| AuthorAffiliation_xml | – name: 6 Guttman Brain Health Institute, Institut Guttman de Neurorehabilitació, Universitat Autónoma de Barcelona, Badalona, Barcelona, Spain – name: 4 F.M. Kirby Neurobiology Center, Department of Neurology, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA – name: 5 Hinda and Arthur Marcus Institute for Aging Research and Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Boston, MA, USA – name: 2 Neuromodulation Program and Division of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children’s Hospital, Boston, MA, USA – name: 1 Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA, USA – name: 3 Department of Neurology, Harvard Medical School, Boston, MA, USA |
| Author_xml | – sequence: 1 givenname: Ali surname: Jannati fullname: Jannati, Ali email: ali.jannati@childrens.harvard.ed organization: Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA, USA – sequence: 2 givenname: Mary A. surname: Ryan fullname: Ryan, Mary A. organization: Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA, USA – sequence: 3 givenname: Gabrielle surname: Block fullname: Block, Gabrielle organization: Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA, USA – sequence: 4 givenname: Fae B. surname: Kayarian fullname: Kayarian, Fae B. organization: Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA, USA – sequence: 5 givenname: Lindsay M. surname: Oberman fullname: Oberman, Lindsay M. organization: Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA, USA – sequence: 6 givenname: Alexander surname: Rotenberg fullname: Rotenberg, Alexander organization: Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA, USA – sequence: 7 givenname: Alvaro surname: Pascual-Leone fullname: Pascual-Leone, Alvaro email: apleone@hsl.harvard.edu organization: Department of Neurology, Harvard Medical School, Boston, MA, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34030059$$D View this record in MEDLINE/PubMed |
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| Keywords | Biomarker Transcranial magnetic stimulation APOE BDNF Continuous theta-burst stimulation Autism spectrum disorder |
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| Snippet | •Continuous theta-burst stimulation (cTBS) aftereffects are different in a large sample of individuals with ASD compared to neurotypical controls.•T15 cTBS... Highlights•Continuous theta-burst stimulation (cTBS) aftereffects are different in a large sample of individuals with ASD compared to neurotypical controls.... To test whether change in motor evoked potential (ΔMEP) induced by continuous theta-burst stimulation (cTBS) of motor cortex (M1) distinguishes adults with... |
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| SubjectTerms | Adult Aged APOE Autism spectrum disorder Autism Spectrum Disorder - diagnosis Autism Spectrum Disorder - genetics Autism Spectrum Disorder - physiopathology BDNF Biomarker Continuous theta-burst stimulation Cortical Excitability - physiology Evoked Potentials, Motor - physiology Female Humans Male Middle Aged Motor Cortex - physiopathology Neurology Polymorphism, Single Nucleotide - genetics Prospective Studies Theta Rhythm - physiology Transcranial magnetic stimulation Young Adult |
| Title | Modulation of motor cortical excitability by continuous theta-burst stimulation in adults with autism spectrum disorder |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S1388245721005022 https://www.clinicalkey.es/playcontent/1-s2.0-S1388245721005022 https://dx.doi.org/10.1016/j.clinph.2021.03.021 https://www.ncbi.nlm.nih.gov/pubmed/34030059 https://www.proquest.com/docview/2532245515 https://pubmed.ncbi.nlm.nih.gov/PMC8197744 |
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