Experts review progress in using photobiomodulation therapy to treat diverse brain disorders

By Emily Henderson, B.Sc. |Newsmedical.com | October 14, 2021

Photobiomodulation (PBM) offers exciting opportunities for improving the life of patients with a diverse range of brain disorders. In this special collection of articles in the Journal of Alzheimer’s Disease experts review progress using PBM therapy to treat dementia, Alzheimer’s disease, Parkinson’s disease, and other disorders and suggest larger clinical trials should be conducted as soon as possible.

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Transcranial photobiomodulation with 1064-nm laser modulates brain electroencephalogram rhythms

Abstract

Noninvasive transcranial photobiomodulation (tPBM) with a 1064-nm laser has been reported to improve human performance on cognitive tasks as well as locally upregulate cerebral oxygen metabolism and hemodynamics. However, it is unknown whether 1064-nm tPBM also modulates electrophysiology, and specifically neural oscillations, in the human brain. The hypothesis guiding our study is that applying 1064-nm tPBM of the right prefrontal cortex enhances neurophysiological rhythms at specific frequency bands in the human brain under resting conditions. To test this hypothesis, we recorded the 64-channel scalp electroencephalogram (EEG) before, during, and after the application of 11 min of 4-cm-diameter tPBM (CW 1064-nm laser with 162  mW  /  cm2 and 107  J  /  cm2) to the right forehead of human subjects (n  =  20) using a within-subject, sham-controlled design. Time-resolved scalp topographies of EEG power at five frequency bands were computed to examine the tPBM-induced EEG power changes across the scalp. The results show time-dependent, significant increases of EEG spectral powers at the alpha (8 to 13 Hz) and beta (13 to 30 Hz) bands at broad scalp regions, exhibiting a front-to-back pattern. The findings provide the first sham-controlled topographic mapping that tPBM increases the strength of electrophysiological oscillations (alpha and beta bands) while also shedding light on the mechanisms of tPBM in the human brain.

Neurophotonics, Vol. 6, Issue 2,

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Effects of Home Photobiomodulation Treatments on Cognitive & Behavioral Function, Cerebral Perfusion and Resting-State Functional Connectivity in Patients with Dementia

This study sought to replicate and build upon a previously published cases series report describing improved cognitive function in five patients with mild to moderate dementia after 12 weeks of transcranial and intranasal near-infrared (NIR) PBM therapy.

In collaboration with the University of California San Francisco using the Neuro Gamma device on neural connectivity and cerebral blood flow.

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Pulsed Near Infrared Transcranial and Intranasal Photobiomodulation Significantly Modulates Neural Oscillations

Transcranial PBM (tPBM), targeting delivery of light energy to the brain, is associated with increased cerebral blood flow, oxygen availability and consumption, adenoside triphophosphate (ATP) production, and improved mitochondrial activity4. More recently, tPBM has demonstrated its value as a treatment for neurological5–10 and neurodegenerative conditions, including Alzheimer’s disease11,12. Thus, tPBM is a form of non-invasive brain stimulation (NIBS). However, compared to the more established forms of NIBS, such as transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS), the concept of the brain being responsive to light stimulation is unfamiliar to many. In recent years, research on the potential efficacy of tPBM has gained momentum13. Research on the effect of PBM on brain cell recovery has shown that, under laboratory conditions, damaged neurons can regrow their neurites with direct exposure to visible red low level lasers14. In an animal study, PBM has been found capable of promoting neurogenesis after ischemic stroke through the proliferation and differentiation of internal neuroprogenitor cells.

Nature

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