Efficacy and Interindividual Variability in Motor-Cortex Plasticity following Anodal tDCS and Paired-Associative Stimulation

Interindividual response variability to various motor-cortex stimulation protocols has been recently reported. Comparative data of stimulation protocols with different modes of action is lacking. We aimed to compare the efficacy and response variability of two LTP-inducing stimulation protocols in the human motor cortex: anodal transcranial direct current stimulation (a-tDCS) and paired-associative stimulation (PAS25). In two experiments 30 subjects received 1mA a-tDCS and PAS25. Data analysis focused on motor-cortex excitability change and response defined as increase in MEP applying different cut-offs. Furthermore, the predictive pattern of baseline characteristics was explored. Both protocols induced a significant increase in motor-cortical excitability. In the PAS25 experiments the likelihood to develop a MEP response was higher compared to a-tDCS, whereas for intracortical facilitation (ICF) the likelihood for a response was higher in the a-tDCS experiments. Baseline ICF (12 ms) correlated positively with an increase in MEPs only following a-tDCS and responders had significantly higher ICF baseline values. Contrary to recent studies, we showed significant group-level efficacy following both stimulation protocols confirming older studies. However, we also observed a remarkable amount of nonresponders. Our findings highlight the need to define sufficient physiological read-outs for a given plasticity protocol and to develop predictive markers for targeted stimulation.

A Time-Dependent Excitability change in the soma of an identified Insect Motoneurone

Long-term, current-clamp recordings were made from the cell body of the fast coxal depressor motoneurone (Df) of the third thoracic ganglion of the cockroach Periplaneta americana. In freshly dissected preparations the response to shortduration, suprathreshold, depolarising current pulses was a graded series of damped membrane oscillations similar to those reported previously in this neurone. The response to current injection changed, however, with increasing time after setting up the preparation: cells developed the ability to exhibit all-ornone action potentials. Their amplitude, however, was usually insufficient to overshoot 0 m V. Our observations suggest that the enhancement in excitability is dependent on time following dissection rather than on time following impalement. Recordings taken from neurone somata mechanically divided from their processes indicated that the time-dependent changes in excitability were not attributable to changes in synaptic input to the neurone and, moreover, that the cell body was involved in action potential genesis. The action potentials were resistant to treatment with the sodium channel blocker tetrodotoxin (up to 10−5 mol l−1), but were reversibly abolished when preparations were bathed in saline containing cadmium ions (1 mmol l−1) or manganese ions (20 or 40 mmol l−1) and, therefore, the inward current underlying these events was largely, if not entirely, carried by calcium ions. These time-dependent action potentials can co-exist with plateau potentials. In neurones giving both plateau potentials and time-dependent action potentials, plateau potentials can drive action potentials in bursts.