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Targeted Brain Interventions Show Promise for OCD Treatment
Researchers are making strides in understanding the neural mechanisms underlying obsessive-Compulsive Disorder (OCD), paving the way for more precise and effective treatments. Recent advancements include the potential for “on-demand” deep brain stimulation and targeted cell manipulation in animal models.
Current research suggests that interventions can be tailored to respond directly to obsessive thoughts or compulsive behaviors. Deep brain stimulation (DBS), a neurosurgical procedure involving the implantation of electrodes in specific brain regions, could be refined to activate only when neural activity indicative of an obsession or compulsion is detected. This contrasts with current DBS protocols which often deliver continuous stimulation.
Further, studies conducted at the Netherlands Institute for Neuroscience (NIN) in Amsterdam, led by Dr. Annemieke van Dusschoten, are focusing on a specific type of brain cell believed to contribute to compulsive behaviors. The team hypothesizes that a particular inhibitory neuron circuit is malfunctioning in individuals with OCD. Using optogenetics – a technique that allows scientists to control neurons with light – researchers are able to activate this cell type in rats. Initial results indicate that activating this cell effectively suppresses compulsive behaviors.
The NIN team is specifically targeting neurons within the orbitofrontal cortex, a brain region known to play a role in decision-making and impulse control. They have genetically modified rats to express light-sensitive proteins in these neurons, allowing for precise control via laser light.If the findings translate to humans, this approach could lead to a new generation of OCD treatments that directly address the underlying neural dysfunction.
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