PMID- 23469118 OWN - NLM STAT- MEDLINE DCOM- 20130829 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 2 DP - 2013 TI - Brain-derived neurotrophic factor--a major player in stimulation-induced homeostatic metaplasticity of human motor cortex? PG - e57957 LID - 10.1371/journal.pone.0057957 [doi] LID - e57957 AB - Repetitive transcranial magnetic stimulation (rTMS) of the human motor hand area (M1HAND) can induce lasting changes in corticospinal excitability as indexed by a change in amplitude of the motor-evoked potential. The plasticity-inducing effects of rTMS in M1HAND show substantial inter-individual variability which has been partially attributed to the val(66)met polymorphism in the brain-derived neurotrophic factor (BDNF) gene. Here we used theta burst stimulation (TBS) to examine whether the BDNF val(66)met genotype can be used to predict the expression of TBS-induced homeostatic metaplasticity in human M1HAND. TBS is a patterned rTMS protocol with intermittent TBS (iTBS) usually inducing a lasting increase and continuous TBS (cTBS) a lasting decrease in corticospinal excitability. In three separate sessions, healthy val(66)met (n = 12) and val(66)val (n = 17) carriers received neuronavigated cTBS followed by cTBS (n = 27), cTBS followed by iTBS (n = 29), and iTBS followed by iTBS (n = 28). Participants and examiner were blinded to the genotype at the time of examination. As expected, the first TBS intervention induced a decrease (cTBS) and increase (iTBS) in corticospinal excitability, respectively, at the same time priming the after effects caused by the second TBS intervention in a homeostatic fashion. Critically, val(66)met carriers and val(66)val carriers showed very similar response patterns to cTBS and iTBS regardless of the order of TBS interventions. Since none of the observed TBS effects was modulated by the BDNF val(66)met polymorphism, our results do not support the notion that the BDNF val(66)met genotype is a major player with regard to TBS-induced plasticity and metaplasticity in the human M1HAND. FAU - Mastroeni, Claudia AU - Mastroeni C AD - Department of Neurology, Christian-Albrechts-University, Kiel, Germany. FAU - Bergmann, Til Ole AU - Bergmann TO FAU - Rizzo, Vincenzo AU - Rizzo V FAU - Ritter, Christoph AU - Ritter C FAU - Klein, Christine AU - Klein C FAU - Pohlmann, Ines AU - Pohlmann I FAU - Brueggemann, Norbert AU - Brueggemann N FAU - Quartarone, Angelo AU - Quartarone A FAU - Siebner, Hartwig Roman AU - Siebner HR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130228 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Adult MH - Brain-Derived Neurotrophic Factor/genetics/*metabolism MH - Evoked Potentials, Motor MH - Genotype MH - *Homeostasis MH - Humans MH - Male MH - Motor Cortex/metabolism/*physiology MH - *Neuronal Plasticity MH - Time Factors MH - *Transcranial Magnetic Stimulation PMC - PMC3585283 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/03/08 06:00 MHDA- 2013/08/30 06:00 PMCR- 2013/02/28 CRDT- 2013/03/08 06:00 PHST- 2012/10/09 00:00 [received] PHST- 2013/01/29 00:00 [accepted] PHST- 2013/03/08 06:00 [entrez] PHST- 2013/03/08 06:00 [pubmed] PHST- 2013/08/30 06:00 [medline] PHST- 2013/02/28 00:00 [pmc-release] AID - PONE-D-12-31236 [pii] AID - 10.1371/journal.pone.0057957 [doi] PST - ppublish SO - PLoS One. 2013;8(2):e57957. doi: 10.1371/journal.pone.0057957. Epub 2013 Feb 28.