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Development of transcranial direct current stimulation (tDCS) therapy for dementia, fatigue, and depression in multiple sclerosis

Research Project

Project/Area Number 21K11165
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 59010:Rehabilitation science-related
Research InstitutionUniversity of Toyama

Principal Investigator

Nakatsuji Yuji  富山大学, 学術研究部医学系, 教授 (20332744)

Co-Investigator(Kenkyū-buntansha) 小西 宏史  富山大学, 附属病院, 診療助手 (30816012)
服部 憲明  富山大学, 学術研究部医学系, 教授 (70513141)
山本 真守  富山大学, 学術研究部医学系, 病院助教 (80816025)
石黒 幸治  富山大学, 附属病院, 療法士長 (90811258)
Project Period (FY) 2021-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2023: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2022: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2021: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords多発性硬化症 / NMOSD / tDCS / 非侵襲的脳刺激療法 / 認知症 / 易疲労性 / 抑うつ / 疼痛 / 視神経脊髄炎 / 痛み / 直流電気刺激 / 疲労 / うつ / tDCS療法
Outline of Research at the Start

経頭蓋直流電気刺激療法( tDCS)の認知障害や疲労に対する効果が報告され、MS患者においても有効性が期待される。本研究では、我が国におけるMSおよびNMOSDの認知障害・易疲労性・抑うつに対するtDCS療法の有効性を検証し、本療法のより効果的なプログラム作成と新規治療法として確立するための基盤を作成する。

Outline of Final Research Achievements

We evaluated the effects of noninvasive brain stimulation therapy (tDCS) on cognitive dysfunction, fatigue, and depression in multiple sclerosis (MS) and neuromyelitis optica spectrum disorders (NMOSD). The subjects were patients who attended or were hospitalized at our department and gave consent to participate in this clinical study. Two weeks of tDCS therapy and usual rehabilitation were administered. Stimulation was performed in a completely double-blind crossover study between real and sham stimulation, with pre- and post-stimulation assessments of higher cognitive function (BRB-N), depression (BDI-II), fatigue (FSS), pain (VAS), and fMRI. Four MS and 1 NMOSD patients completed the study, but there were still patients who had not completed it. We are planning to key open and analyze the data after all patients have been completed.

Academic Significance and Societal Importance of the Research Achievements

MS、NMOSDに対して近年多種類の疾患修飾薬(DMD)が使用可能となり、運動機能障害から見た予後は格段に改善した。しかしこれらのDMDでは効果の期待できない認知機能障害・易疲労性・抑うつ・痛みが主因と考えられる失業やQOLの低下が、社会的に問題となっている。MS、NMOSD患者におけるtDCS療法の臨床研究は、国内ではいまだ報告が無く、その有効性を検証することは患者にとって福音となることはもちろんであるが、社会的にも失業による経済的損失を抑止できることが期待される。さらに本研究成果は高次脳機能改善療法としてのみならず、他の神経疾患への応用研究を加速させると期待される。

Report

(4 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • Research Products

    (40 results)

All 2024 2023 2022 2021 2020

All Journal Article (15 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 15 results,  Open Access: 14 results) Presentation (18 results) Book (7 results)

  • [Journal Article] Liver Cancer with Overlapping Myasthenia Gravis, Myocarditis, Seronegative Autoimmune Autonomic Ganglionopathy, and Myositis Symptoms Induced by Atezolizumab2024

    • Author(s)
      Shibuya Ryoko、Baba Kousuke、Furuta Risako、Maesaka Hiroki、Hirosawa Hiroaki、Bando Tadashi、Oshima Akira、Onoda Hiroshi、Nukui Takamasa、Dougu Nobuhiro、Joho Shuji、Nakatsuji Yuji
    • Journal Title

      Internal Medicine

      Volume: 63 Issue: 15 Pages: 2193-2198

    • DOI

      10.2169/internalmedicine.1801-23

    • ISSN
      0918-2918, 1349-7235
    • Year and Date
      2024-08-01
    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Lung Cancer Wherein Durvalumab Induced Both Anti-CRMP-5 Antibody-related Paraneoplastic Neurological Syndromes and Neurological Adverse Events2024

    • Author(s)
      Seki Tomokazu、Baba Kousuke、Hayashi Tomohiro、Furuta Risako、Hirosawa Hiroaki、Mitsui Taichi、Maesaka Hiroki、Takasawa Syuhei、Miwa Toshiro、Tanaka Keiko、Nakatsuji Yuji
    • Journal Title

      Internal Medicine

      Volume: 63 Issue: 7 Pages: 1009-1014

    • DOI

      10.2169/internalmedicine.1771-23

    • ISSN
      0918-2918, 1349-7235
    • Year and Date
      2024-04-01
    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Paraneoplastic cerebellar degeneration after improvement of Lambert-Eaton myasthenic syndrome2024

    • Author(s)
      Hirosawa H, Maesaka H, Matsuda N, Nukui T, Nakane S, Nakatsuji Y.
    • Journal Title

      Neurology and Clinical Neuroscience

      Volume: 12 Pages: 118-120

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Autoantibodies against gAChR in humans and mouse models of autoimmune autonomic ganglionopathy.2024

    • Author(s)
      Nakane S, Yamakawa M, Nakatsuji Y.
    • Journal Title

      Clinical & Experimental Neuroimmunology

      Volume: 15 Pages: 16-23

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Autoimmune Autonomic Neuropathy: From Pathogenesis to Diagnosis2024

    • Author(s)
      Nakane Shunya、Koike Haruki、Hayashi Tomohiro、Nakatsuji Yuji
    • Journal Title

      International Journal of Molecular Sciences

      Volume: 25 Issue: 4 Pages: 2296-2296

    • DOI

      10.3390/ijms25042296

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Elevated Serum Xanthine Oxidase and Its Correlation with Antioxidant Status in Patients with Parkinson’s Disease2024

    • Author(s)
      Haryuni Ratna Dini、Nukui Takamasa、Piao Jin-Lan、Shirakura Takashi、Matsui Chieko、Sugimoto Tomoyuki、Baba Kousuke、Nakane Shunya、Nakatsuji Yuji
    • Journal Title

      Biomolecules

      Volume: 14 Issue: 4 Pages: 490-490

    • DOI

      10.3390/biom14040490

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Granuloma, vasculitis, and demyelination in sarcoid neuropathy2023

    • Author(s)
      Mouri Naohiro、Koike Haruki、Fukami Yuki、Takahashi Mie、Yagi Satoru、Furukawa Soma、Suzuki Masashi、Kishimoto Yoshiyuki、Murate Kenichiro、Nukui Takamasa、Yoshida Tamaki、Kudo Yosuke、Tada Mikiko、Higashiyama Yuichi、Watanabe Hirohisa、Nakatsuji Yuji、Tanaka Fumiaki、Katsuno Masahisa
    • Journal Title

      European Journal of Neurology

      Volume: 31 Issue: 1

    • DOI

      10.1111/ene.16091

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Neural Mechanisms of Neuro-Rehabilitation Using Transcranial Direct Current Stimulation (tDCS) over the Front-Polar Area2023

    • Author(s)
      Ishikuro Koji、Hattori Noriaki、Otomune Hironori、Furuya Kohta、Nakada Takeshi、Miyahara Kenichiro、Shibata Takashi、Noguchi Kyo、Kuroda Satoshi、Nakatsuji Yuji、Nishijo Hisao
    • Journal Title

      Brain Sciences

      Volume: 13 Issue: 11 Pages: 1604-1604

    • DOI

      10.3390/brainsci13111604

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Identification of double-stranded DNA in the cerebrospinal fluid of patients with acute neuromyelitis optica spectrum disorder2023

    • Author(s)
      Yamamoto Mamoru、Okuno Tatsusada、Piao Jin-Lan、Shimizu Mikito、Miyamoto Katsuichi、Nukui Takamasa、Kinoshita Makoto、Koda Toru、Dini Haryuni Ratna、Mochizuki Hideki、Sugimoto Tomoyuki、Nakatsuji Yuji
    • Journal Title

      Journal of Clinical Neuroscience

      Volume: 107 Pages: 129-132

    • DOI

      10.1016/j.jocn.2022.12.005

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Adult-Onset Leigh Syndrome Due to an m.13513G>A Mutation2022

    • Author(s)
      Hirosawa Hiroaki、Nukui Takamasa、Noguchi Kyo、Nakatsuji Yuji
    • Journal Title

      Internal Medicine

      Volume: 61 Issue: 10 Pages: 1627-1628

    • DOI

      10.2169/internalmedicine.8445-21

    • NAID

      130008105847

    • ISSN
      0918-2918, 1349-7235
    • Year and Date
      2022-05-15
    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] HLA genotype-clinical phenotype correlations in multiple sclerosis and neuromyelitis optica spectrum disorders based on Japan MS/NMOSD Biobank data2021

    • Author(s)
      Watanabe M. Nakamura Y. Sato S. Niino M. Fukaura H. Tanaka M. Ochi H. et al
    • Journal Title

      Scientific Reports

      Volume: 11 Issue: 1 Pages: 607-607

    • DOI

      10.1038/s41598-020-79833-7

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Serum neurofilament light chain in chronic inflammatory demyelinating polyneuropathy2021

    • Author(s)
      Hayashi Tomohiro、Nukui Takamasa、Piao Jin‐Lan、Sugimoto Tomoyuki、Anada Ryoko、Matsuda Noriyuki、Yamamoto Mamoru、Konishi Hirofumi、Dougu Nobuhiro、Nakatsuji Yuji
    • Journal Title

      Brain and Behavior

      Volume: - Issue: 5

    • DOI

      10.1002/brb3.2084

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Increased cerebrospinal fluid adenosine 5'-triphosphate in patients with amyotrophic lateral sclerosis2021

    • Author(s)
      Nukui Takamasa、Matsui Atsushi、Niimi Hideki、Sugimoto Tomoyuki、Hayashi Tomohiro、Dougu Nobuhiro、Konishi Hirofumi、Yamamoto Mamoru、Anada Ryoko、Matsuda Noriyuki、Kitajima Isao、Nakatsuji Yuji
    • Journal Title

      BMC Neurology

      Volume: 21 Issue: 1 Pages: 1-8

    • DOI

      10.1186/s12883-021-02288-4

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A Parkinson’s disease patient displaying increased neuromelanin-sensitive areas in the substantia nigra after rehabilitation with tDCS: a case report.2021

    • Author(s)
      Ishikuro K, Hattori N, Imanishi R, Furuya K, Nakata T, Dougu N, Yamamoto M, Konishi H, Nukui T, Hayashi T, Anada R, Matsuda N, Hirosawa H, Tanaka R, Shibata T, Mori K, Noguchi K, Kuroda S, Nakatsuji Y, Nishijo H.
    • Journal Title

      Neurocase

      Volume: 27 Issue: 5 Pages: 407-414

    • DOI

      10.1080/13554794.2021.1975768

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Astrocyte metabolism in multiple sclerosis investigated by 1-C-11 acetate PET2020

    • Author(s)
      Kato, H. Okuno, T. Isohashi, K. Koda, T. Shimizu, M. Mochizuki, H. Nakatsuji, Y. Hatazawa, J.
    • Journal Title

      J Cereb Blood Flow Metab

      Volume: 41 Issue: 2 Pages: 369-379

    • DOI

      10.1177/0271678x20911469

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 多発性硬化症治療における免疫セマホリンSema4AとDMD反応性の関連の検討2023

    • Author(s)
      甲田亨、奥野龍禎、木下允、望月秀樹、宮本勝一、新野正明、清水優子、山本真、熊ノ郷淳、中辻裕司.
    • Organizer
      第64回日本神経学会学術大会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 多発性硬化症患者における認知機能障害、疲労、抑うつと脳萎縮の関連について.2023

    • Author(s)
      渋谷涼子、山本真守、小西宏史、石黒幸治、温井孝昌、服部憲明、中辻裕司.
    • Organizer
      第64回日本神経学会学術大会
    • Related Report
      2023 Annual Research Report
  • [Presentation] パーキンソン病、多系統萎縮症、進行性核上性麻痺の早期鑑別診断における核医学的検討2023

    • Author(s)
      松田憲幸, 道具伸浩, 温井孝昌, 林智宏, 山本真守, 渋谷涼子, 田中遼, 廣澤宏明,三井太一, 古田理佐子, 前坂弘輝, 馬場孝輔, 中辻裕司.
    • Organizer
      第64回日本神経学会学術大会
    • Related Report
      2023 Annual Research Report
  • [Presentation] てんかん患者でビタミンB12低値を認めた症例の検討.2023

    • Author(s)
      道具伸浩,温井孝昌,山本真守,林智宏,渋谷涼子,松田憲幸,田中遼,廣澤宏昭,古田理佐子,前坂弘輝,三井太一,高澤秀平, 馬場孝輔,中辻裕司.
    • Organizer
      第64回日本神経学会学術大会
    • Related Report
      2023 Annual Research Report
  • [Presentation] Increased serum xanthine oxidase activity in patients with Parkinson’s disease2023

    • Author(s)
      Takamasa Nukui, Ratna Dini Haryuni, Takashi Shirakura, Nobuhiro Dougu, Tomohiro Hayashi, Mamoru Yamamoto, Ryoko Shibuya, Noriyuki Matsuda, Ryo Tanaka, Hiroaki Hirosawa, Risako Furuta, Hiroki Maesaka, Taichi Mitsui, Syuhei Takazawa, Kousuke Baba, Yuji Nakatsuji.
    • Organizer
      第64回日本神経学会学術大会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 重症NMOSD患者における髄液dsDNAの検討.2023

    • Author(s)
      山本真守、奥野龍禎、Ratna Dini Haryuni、朴今蘭、清水幹人、温井孝昌、甲田亨、木下允、宮本勝一、林智宏、道具伸浩、中根俊成、中辻裕司.
    • Organizer
      第35回日本神経免疫学会学術集会
    • Related Report
      2023 Annual Research Report
  • [Presentation] CIDPに対する IVIg 維持療法 11例の臨床的特徴と長期経過.2023

    • Author(s)
      林智宏、温井孝昌、高澤秀平、前坂弘輝、三井太一、古田理佐子、廣澤宏昭、田中遼、松田憲幸、渋谷涼子、山本真守、道具伸浩、中根俊成、中辻裕司.
    • Organizer
      第35回日本神経免疫学会学術集会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 慢性炎症性脱髄性多発神経炎患者における移動能力とリハビリテーション治療の経時的変化2023

    • Author(s)
      浅野晴香、乙宗宏範、林智宏、中辻裕司、服部憲明
    • Organizer
      第60回日本リハビリテーション医学会学術集会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 多発性硬化症治療におけるDMD反応性と免疫セマホリンSema4Aの関連の検討2022

    • Author(s)
      甲田亨, 奥野龍禎, 木下允, 望月秀樹, 宮本勝一, 新野正明, 清水優子, 山本真守,熊ノ郷淳, 中辻裕司.
    • Organizer
      第63回日本神経学会学術大会
    • Related Report
      2022 Research-status Report
  • [Presentation] Increased cerebrospinal fluid adenosine 5'-triphosphate in patients with Guillain-Barre syndrome.2022

    • Author(s)
      温井孝昌, 仁井見英樹, Haryuni Ratna Dini, 道具伸浩, 小西宏史, 林智宏, 山本真守,渋谷涼子, 松田憲幸, 廣澤宏昭, 古田理佐子, 前坂弘輝, 三井太一, 北島勲, 馬場孝輔, 中辻裕司.
    • Organizer
      第63回日本神経学会学術大会
    • Related Report
      2022 Research-status Report
  • [Presentation] フィンゴリモド関連進行性多巣性白質脳症の自験例および国内症例の検討2022

    • Author(s)
      前坂弘輝、小西宏史、廣澤宏昭、温井孝昌、道具伸浩、馬場孝輔、中道一生、三浦義治、中辻裕司.
    • Organizer
      第63回日本神経学会学術大会
    • Related Report
      2022 Research-status Report
  • [Presentation] 多発性硬化症のDMD反応性と免疫セマホリンSema4Aの関連の検討2022

    • Author(s)
      甲田 亨、奥野龍禎、木下允、望月秀樹、宮本勝一、新野正明、清水優子、山本真守、熊ノ郷淳、中辻裕司.
    • Organizer
      第34回日本神経免疫学会学術集会
    • Related Report
      2022 Research-status Report
  • [Presentation] NMOSDにおける11C-酢酸PETを用いたアストロサイトイメージング2022

    • Author(s)
      甲田 亨、奥野龍禎、加藤弘樹、木下允、白石直之、杉山靖子、木原圭吾、望月秀樹、中辻裕司
    • Organizer
      第34回日本神経免疫学会学術集会
    • Related Report
      2022 Research-status Report
  • [Presentation] 多発性硬化症治療における免疫セマホリンSema4AとDMD反応性の相関の検討2021

    • Author(s)
      甲田亨、奥野龍禎、木下允、望月秀樹、山本真守, 宮本勝一、新野正明、清水優子、熊ノ郷淳、折笠秀樹、杉本知之、中辻裕司.
    • Organizer
      第62回日本神経学会学術大会
    • Related Report
      2021 Research-status Report
  • [Presentation] Cerebrospinal fluid dsDNA as a biomarker in NMOSD2021

    • Author(s)
      Mamoru Yamamoto, Tatsusada Okuno, Jin-Lan Piao1, Mikito Shimizu, Takamasa Nukui, Tohru kohda, Makoto Kinoshita, Miyamoto Katsuichi, Tomohiro Hayashi, Hirofumi Konishi, Nobuhiro Dougu, Ratna Dini Haryuni, Yuji Nakatsuji.
    • Organizer
      第62回日本神経学会学術大会
    • Related Report
      2021 Research-status Report
  • [Presentation] 初発時よりリハビリテーション治療を行った視神経脊髄炎の一例2021

    • Author(s)
      服部憲明,今西理恵子、中田結子,石黒幸治、林 智宏,中辻裕司.
    • Organizer
      第58回日本リハビリテーション医学会学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] パーキンソン病に対する経頭蓋直流電気刺激の有効性のニューロメラニンMRIによる検証2021

    • Author(s)
      石黒幸治、山本真守、中辻裕司、服部憲明.
    • Organizer
      第58回日本リハビリテーション医学会学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] COVID-19感染後にGFAPアストロサイトパチー様の造影効果を呈した急性散在性脳脊髄炎(ADEM)の一例2021

    • Author(s)
      田中遼、温井孝昌、山本真守、森誠、林茂、廣澤宏昭、道具伸浩、中辻裕司.
    • Organizer
      第33回日本神経免疫学会学術集会
    • Related Report
      2021 Research-status Report
  • [Book] 神経筋疾患の免疫グロブリン大量静注 (IVIg) 療法、今日の治療指針 20242024

    • Author(s)
      中辻裕司
    • Total Pages
      1
    • Publisher
      医学書院
    • Related Report
      2023 Annual Research Report
  • [Book] Annual Review 神経2024

    • Author(s)
      中根俊成、廣澤宏昭、中辻裕司
    • Total Pages
      12
    • Publisher
      中外医学社
    • Related Report
      2023 Annual Research Report
  • [Book] MSの病型と経過2022

    • Author(s)
      廣澤宏昭、中辻裕司
    • Total Pages
      5
    • Publisher
      日本臨床社
    • Related Report
      2022 Research-status Report
  • [Book] 神経筋疾患の血液浄化療法 今日の治療指針2021

    • Author(s)
      中辻裕司
    • Total Pages
      2
    • Publisher
      医学書院
    • Related Report
      2021 Research-status Report
  • [Book] 血液浄化療法の使い方 BRAIN and NERVE2021

    • Author(s)
      中辻裕司
    • Total Pages
      6
    • Publisher
      医学書院
    • Related Report
      2021 Research-status Report
  • [Book] 非典型例の診断と治療はどう進めるか 多発性硬化症と視神経脊髄炎update Ⅲ脱髄性疾患の治療update2021

    • Author(s)
      木下允、木原 圭梧、杉山 靖子、奥野龍禎、中辻裕司.
    • Total Pages
      7
    • Publisher
      日本臨床社
    • Related Report
      2021 Research-status Report
  • [Book] 抗IL-6受容体抗体 トシリズマブ. 神経疾患とモノクローナル抗体 CLINICAL NEUROSCIENCE2021

    • Author(s)
      渋谷涼子、中辻裕司.
    • Total Pages
      5
    • Publisher
      中外医学社
    • Related Report
      2021 Research-status Report

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Published: 2021-04-28   Modified: 2025-01-30  

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