Repetitive Transcranial Magnetic Stimulation Decreases Serum Amyloid-Beta and Increases Ectodomain of p75 Neurotrophin Receptor in Patients With Alzheimer’s Disease

SOURCE: Journal of Integrative Neuroscience. 21(5):140, 2022 Jul 29.

AUTHORS: Tao Y; Lei B; Zhu Y; Fang X; Liao L; Chen D; Gao C

BACKGROUND: This study investigated the impact of repetitive transcranial magnetic stimulation (rTMS) on serum levels of Amyloid-beta (Abeta) as well as the ectodomain of p75 neurotrophin receptor (p75ECD) in patients with Alzheimer’s disease (AD).

METHODS: A total of 46 patients diagnosed with AD between June 1, 2020 and December 31, 2021 were randomized to undergo either 20 Hz rTMS treatment of the left dorsolateral prefrontal cortex (DLPFC+) or sham procedure. Cognitive function and activity of daily living were evaluated. Neuropsychological tests and blood samples were gathered at baseline and at 2, 3, 4, and 6 weeks after rTMS therapy.

RESULTS: There were no evident differences between rTMS group and sham group in serum Abeta40, Abeta42, total Abeta, ApoE, and p75ECD standards at baseline (p > 0.05). Serum levels of Abeta40, Abeta42, as well as total Abeta, were significantly lower in the rTMS group at 3, 4 and 6 weeks relative to the sham group (p < 0.05). Serum p75ECD levels in the rTMS group were significantly higher than those of the sham group at 3, 4 and 6 weeks (p < 0.05). Levels of serum Abeta40 (r: -0.78, -0.83, -0.68, respectively), Abeta42 (r: -0.76, -0.76, -0.61, respectively) and total Abeta (r: -0.74, -0.81, -0.66, respectively) were negatively correlated with MoCA, MMSE and MBI scores, while serum p75ECD levels (r: 0.84, 0.90, 0.72, respectively) were positively correlated (p < 0.01). The level of serum Abeta40 (r = 0.77), Abeta42 (r = 0.69) as well as total Abeta (r = 0.73) were positively correlated with ADAS-cog score, while p75ECD levels (r = -0.86) were negatively correlated (p < 0.01).

CONCLUSIONS: The results of this study suggest that r+TMS may decrease serum Abeta levels and increase serum p75ECD levels in patients with AD, offering insight into a potential underpinning mechanism of rTMS.