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Background: Repetitive transcranial magnetic stimulation has been employed to treat drug dependence, reduce drug use and improve cognition. The aim of the study was to analyze the effectiveness of intermittent theta-burst stimulation (iTBS) on cognition in individuals with methamphetamine use disorder (MUD). Methods: This was a secondary analysis of 40 MUD subjects receiving left dorsolateral prefrontal cortex (L-DLPFC) iTBS or sham iTBS for 20 times over 10 days (twice-daily). Changes in working memory (WM) accuracy, reaction time, and sensitivity index were analyzed before and after active and sham rTMS treatment. Resting-state EEG was also acquired to identify potential biological changes that may relate to any cognitive improvement. Results: The results showed that iTBS increased WM accuracy and discrimination ability, and improved reaction time relative to sham iTBS. iTBS also reduced resting-state delta power over the left prefrontal region. This reduction in resting-state delta power correlated with the changes in WM. Conclusions: Prefrontal iTBS may enhance WM performance in MUD subjects. iTBS induced resting EEG changes raising the possibility that such findings may represent a biological target of iTBS treatment response. [ABSTRACT FROM AUTHOR]

Neural activity in the dorsolateral prefrontal cortex (DLPFC) has been suggested to integrate information from distinct sensory areas. However, how the DLPFC interacts with the bilateral primary somatosensory cortices (SIs) in tactile-visual cross-modal working memory has not yet been established. In the present study, we applied single-pulse transcranial magnetic stimulation (sp-TMS) over the contralateral DLPFC and bilateral SIs of human participants at various time points, while they performed a tactile-visual delayed matching-to-sample task with a 2-second delay. sp-TMS over the contralateral DLPFC or the contralateral SI at either an sensory encoding stage [i.e. 100 ms after the onset of a vibrotactile sample stimulus (200-ms duration)] or an early maintenance stage (i.e. 300 ms after the onset), significantly impaired the accuracy of task performance; sp-TMS over the contralateral DLPFC or the ipsilateral SI at a late maintenance stage (1600 ms and 1900 ms) also significantly disrupted the performance. Furthermore, at 300 ms after the onset of the vibrotactile sample stimulus, there was a significant correlation between the deteriorating effects of sp-TMS over the contralateral SI and the contralateral DLPFC. These results imply that the DLPFC and the bilateral SIs play causal roles at distinctive stages during cross-modal working memory, while the contralateral DLPFC communicates with the contralateral SI in the early delay, and cooperates with the ipsilateral SI in the late delay. [ABSTRACT FROM AUTHOR]

In the present study, causal roles of both the primary somatosensory cortex ( SI) and the posterior parietal cortex ( PPC) were investigated in a tactile unimodal working memory ( WM) task. Individual magnetic resonance imaging-based single-pulse transcranial magnetic stimulation (sp TMS) was applied, respectively, to the left SI (ipsilateral to tactile stimuli), right SI (contralateral to tactile stimuli) and right PPC (contralateral to tactile stimuli), while human participants were performing a tactile-tactile unimodal delayed matching-to-sample task. The time points of sp TMS were 300, 600 and 900 ms after the onset of the tactile sample stimulus (duration: 200 ms). Compared with ipsilateral SI, application of sp TMS over either contralateral SI or contralateral PPC at those time points significantly impaired the accuracy of task performance. Meanwhile, the deterioration in accuracy did not vary with the stimulating time points. Together, these results indicate that the tactile information is processed cooperatively by SI and PPC in the same hemisphere, starting from the early delay of the tactile unimodal WM task. This pattern of processing of tactile information is different from the pattern in tactile-visual cross-modal WM. In a tactile-visual cross-modal WM task, SI and PPC contribute to the processing sequentially, suggesting a process of sensory information transfer during the early delay between modalities. [ABSTRACT FROM AUTHOR]

The study aimed to evaluate the effects of noninvasive brain stimulation on cognitive function in healthy older adults and patients with Alzheimer's disease. A comprehensive literature search was performed on noninvasive stimulation studies published from January 1990 to November 2014 in Pubmed and Web of Science. Fourteen articles with a total of 331 participants were identified as studies with healthy older adults, and the mean effect size and 95% confidence interval were estimated. A significant effect size of 0.42 was found for the cognitive outcome. Further subgroup analyses demonstrated more prominent effects for studies delivering the stimulation before the execution of the task and studies applying multiple sessions of stimulation. To assess the effects of stimulation on Alzheimer's disease patients, 11 studies with a total of 200 patients were included in the analysis. A significant effect size of 1.35 was found for the cognitive outcomes. Subgroup analyses indicated more pronounced effects for studies applying the stimulation during the execution of the task compared with studies delivering the stimulation before the execution of the task. Noninvasive brain stimulation has a positive effect on cognitive function in physiological and pathological aging. [ABSTRACT FROM AUTHOR]

Attention can be deployed among external sensory stimuli or internal working memory (WM) representations, and recent primate studies have revealed that these external and internal selections share a common neural basis in the prefrontal cortex (PFC). However, it remains to be elucidated how PFC implements these selections, especially in humans. The present study aimed to further investigate whether PFC responded differentially to the peripheral and central retrospective cues (retro-cues) that induced attention selection among WM representations. To achieve this, we combined magnetoencephalography (MEG, Experiment 1) and transcranial magnetic stimulation (TMS, Experiment 2) with an orientation-recall paradigm. Experiment 1 found that a peripheral retro-cue with 100% reliability had a greater benefit on WM performance than a central retro-cue, while this advantage of peripheral over central cues vanished when the cue reliability dropped to 50% (non-informative). MEG source analysis indicated that the 100% peripheral retro-cue elicited earlier (∼125 ms) PFC responses than the central retro-cue (∼275 ms). Meanwhile, Granger causality analysis showed that PFC had earlier (0–200 ms) top-down signals projecting to the superior parietal lobule (SPL) and the lateral occipital cortex (LOC) after the onset of peripheral retro-cues, while these top-down signals appeared later (300–500 ms) after the onset of central retro-cues. Importantly, PFC activity within this period of 300–500 ms correlated with the peripheral advantage in behavior. Moreover, Experiment 2 applied TMS at different time points to test the causal influence of brain activity on behavior and found that stimulating PFC at 100 ms abolished the behavioral benefit of the peripheral retro-cue, as well as its advantage over the central retro-cue. Taken together, our results suggested that the advantage of peripheral over central retro-cues in the mnemonic domain is realized through faster top-down control from PFC, which challenged traditional opinions that the top-down control of attention on WM required at least 300 ms to appear. The present study highlighted that in addition to the causal role of PFC in attention selection of WM representations, timing was critical as well and faster was better. • Attention can be directed externally or internally, controlled by the prefrontal cortex (PFC). • Working memory (WM) representations and performance can be facilitated by retro-cues. • Peripheral retro-cue in WM (load 2) enhanced WM and activated PFC earlier than central retro-cue. • Early PFC activity causally influenced behavior, confirmed by TMS experiment. • Findings suggest separate processes for attention and WM, with PFC's vital involvement. [ABSTRACT FROM AUTHOR]