2016
DOI: 10.1371/journal.pone.0152241
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Role of Brain-Derived Neurotrophic Factor in Beneficial Effects of Repetitive Transcranial Magnetic Stimulation for Upper Limb Hemiparesis after Stroke

Abstract: BackgroundRepetitive transcranial magnetic stimulation (rTMS) can improve upper limb hemiparesis after stroke but the mechanism underlying its efficacy remains elusive. rTMS seems to alter brain-derived neurotrophic factor (BDNF) and such effect is influenced by BDNF gene polymorphism.ObjectivesTo investigate the molecular effects of rTMS on serum levels of BDNF, its precursor proBDNF and matrix metalloproteinase-9 (MMP-9) in poststroke patients with upper limb hemiparesis.MethodsPoststroke patients with upper… Show more

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Cited by 59 publications
(40 citation statements)
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“…It has been found that rTMS treatment improves symptoms of refractory depression, especially for agitation, by increasing the plasma level of BDNF (Yukimasa et al, 2006). Low-frequency rTMS also accelerates the motor function recovery in the affected limb after stroke by influencing BDNF gene polymorphism (Niimi et al, 2016). Here, we found that the level of BDNF was significantly upregulated in NSPCs after magnetic stimulation, indicating that rTMS promoted BDNF expression and secretion.…”
Section: Discussionsupporting
confidence: 49%
“…It has been found that rTMS treatment improves symptoms of refractory depression, especially for agitation, by increasing the plasma level of BDNF (Yukimasa et al, 2006). Low-frequency rTMS also accelerates the motor function recovery in the affected limb after stroke by influencing BDNF gene polymorphism (Niimi et al, 2016). Here, we found that the level of BDNF was significantly upregulated in NSPCs after magnetic stimulation, indicating that rTMS promoted BDNF expression and secretion.…”
Section: Discussionsupporting
confidence: 49%
“…Although the transport of BDNF produced in the CNS occurs through the blood-brain barrier (BBB) via saturable systems, this data suggests that the fluctuations of this neurotrophin in the blood reflect changes in the nervous system (Poduslo and Curran, 1996 ; Asmundson et al, 1999 ). Furthermore, there are a significant number of studies demonstrating that occur variations in the serum levels of BDNF after interventions with effect in the CNS (Okamoto et al, 2008 ; Solati et al, 2015 ; Jeong et al, 2016 ; Kawazu et al, 2016 ; Niimi et al, 2016 ; Wens et al, 2016 ). These approaches therapeutics include antidepressant drugs (Brunoni et al, 2008 ), electroconvulsive therapy (ECT; Brunoni et al, 2014 ), TMS (Dall’Agnol et al, 2014 ) and tDCS (Brietzke et al, 2015 ).…”
Section: Discussionmentioning
confidence: 99%
“…Though proBDNF has been shown to have opposite effects of BDNF in learning and memory, and despite the plethora of information tying BDNF to motor function, many articles investigating motor function and BDNF ignore proBDNF. However those that include plasma measurements of proBDNF have found that the serum levels are negatively correlated with motor function (for instance, in recovery after stroke (64). There has been evidence of BDNF being produced in smooth and skeletal muscle (65, 66), but no studies have specifically examined the effects of proBDNF on muscle.…”
Section: Discussionmentioning
confidence: 99%