“…Reasons for how rTMS induces therapeutic effects in various neurological disorders remain unclear; however, a number of preclinical studies have identified mechanisms that could underlie the long-term effects. These mechanisms include alterations to neuron excitability (Sun et al, 2011;Hoppenrath et al, 2016;Tang et al, 2016) and Hebbiantype strengthening of synapses (Vlachos et al, 2012;Lenz et al, 2015), as well as alterations to gene expression (Ikeda et al, 2005;Grehl et al, 2015), trophic factors necessary for neuroplasticity (Gersner et al, 2011;Rodger et al, 2012;Makowiecki et al, 2014), activity within brain regions beyond the induced electrical field (Aydin-Abidin et al, 2008;Seewoo et al, 2018Seewoo et al, , 2019, and even changes to non-neuronal cells, which may contribute to plastic events (Clarke et al, 2017a,b;Cullen et al, 2019).…”