Harnessing neuroplasticity for clinical applications

Neuroplasticity can be defined as the ability of the nervous system to respond to intrinsic or extrinsic stimuli by reorganizing its structure, function and connections. Major advances in the understanding of neuroplasticity have to date yielded few established interventions. To advance the translat...

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Published in	Brain (London, England : 1878) Vol. 134; no. Pt 6; pp. 1591 - 1609
Main Authors	Cramer, Steven C, Sur, Mriganka, Dobkin, Bruce H, O'Brien, Charles, Sanger, Terence D, Trojanowski, John Q, Rumsey, Judith M, Hicks, Ramona, Cameron, Judy, Chen, Daofen, Chen, Wen G, Cohen, Leonardo G, deCharms, Christopher, Duffy, Charles J, Eden, Guinevere F, Fetz, Eberhard E, Filart, Rosemarie, Freund, Michelle, Grant, Steven J, Haber, Suzanne, Kalivas, Peter W, Kolb, Bryan, Kramer, Arthur F, Lynch, Minda, Mayberg, Helen S, McQuillen, Patrick S, Nitkin, Ralph, Pascual-Leone, Alvaro, Reuter-Lorenz, Patricia, Schiff, Nicholas, Sharma, Anu, Shekim, Lana, Stryker, Michael, Sullivan, Edith V, Vinogradov, Sophia
Format	Journal Article
Language	English
Published	England Oxford University Press 01.06.2011
Subjects	Aging Animals Biomedical Research Brain Diseases - physiopathology Brain Diseases - therapy Cognition Disorders - etiology Humans Neuronal Plasticity - physiology Recovery of Function Review Stroke - pathology Stroke - physiopathology Stroke - therapy
Online Access	Get full text
ISSN	1460-2156 0006-8950 1460-2156
DOI	10.1093/brain/awr039

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Abstract	Neuroplasticity can be defined as the ability of the nervous system to respond to intrinsic or extrinsic stimuli by reorganizing its structure, function and connections. Major advances in the understanding of neuroplasticity have to date yielded few established interventions. To advance the translation of neuroplasticity research towards clinical applications, the National Institutes of Health Blueprint for Neuroscience Research sponsored a workshop in 2009. Basic and clinical researchers in disciplines from central nervous system injury/stroke, mental/addictive disorders, paediatric/developmental disorders and neurodegeneration/ageing identified cardinal examples of neuroplasticity, underlying mechanisms, therapeutic implications and common denominators. Promising therapies that may enhance training-induced cognitive and motor learning, such as brain stimulation and neuropharmacological interventions, were identified, along with questions of how best to use this body of information to reduce human disability. Improved understanding of adaptive mechanisms at every level, from molecules to synapses, to networks, to behaviour, can be gained from iterative collaborations between basic and clinical researchers. Lessons can be gleaned from studying fields related to plasticity, such as development, critical periods, learning and response to disease. Improved means of assessing neuroplasticity in humans, including biomarkers for predicting and monitoring treatment response, are needed. Neuroplasticity occurs with many variations, in many forms, and in many contexts. However, common themes in plasticity that emerge across diverse central nervous system conditions include experience dependence, time sensitivity and the importance of motivation and attention. Integration of information across disciplines should enhance opportunities for the translation of neuroplasticity and circuit retraining research into effective clinical therapies.
AbstractList	Neuroplasticity can be defined as the ability of the nervous system to respond to intrinsic or extrinsic stimuli by reorganizing its structure, function and connections. Major advances in the understanding of neuroplasticity have to date yielded few established interventions. To advance the translation of neuroplasticity research towards clinical applications, the National Institutes of Health Blueprint for Neuroscience Research sponsored a workshop in 2009. Basic and clinical researchers in disciplines from central nervous system injury/stroke, mental/addictive disorders, paediatric/developmental disorders and neurodegeneration/ageing identified cardinal examples of neuroplasticity, underlying mechanisms, therapeutic implications and common denominators. Promising therapies that may enhance training-induced cognitive and motor learning, such as brain stimulation and neuropharmacological interventions, were identified, along with questions of how best to use this body of information to reduce human disability. Improved understanding of adaptive mechanisms at every level, from molecules to synapses, to networks, to behaviour, can be gained from iterative collaborations between basic and clinical researchers. Lessons can be gleaned from studying fields related to plasticity, such as development, critical periods, learning and response to disease. Improved means of assessing neuroplasticity in humans, including biomarkers for predicting and monitoring treatment response, are needed. Neuroplasticity occurs with many variations, in many forms, and in many contexts. However, common themes in plasticity that emerge across diverse central nervous system conditions include experience dependence, time sensitivity and the importance of motivation and attention. Integration of information across disciplines should enhance opportunities for the translation of neuroplasticity and circuit retraining research into effective clinical therapies. Neuroplasticity can be defined as the ability of the nervous system to respond to intrinsic or extrinsic stimuli by reorganizing its structure, function and connections. Major advances in the understanding of neuroplasticity have to date yielded few established interventions. To advance the translation of neuroplasticity research towards clinical applications, the National Institutes of Health Blueprint for Neuroscience Research sponsored a workshop in 2009. Basic and clinical researchers in disciplines from central nervous system injury/stroke, mental/addictive disorders, paediatric/developmental disorders and neurodegeneration/ageing identified cardinal examples of neuroplasticity, underlying mechanisms, therapeutic implications and common denominators. Promising therapies that may enhance training-induced cognitive and motor learning, such as brain stimulation and neuropharmacological interventions, were identified, along with questions of how best to use this body of information to reduce human disability. Improved understanding of adaptive mechanisms at every level, from molecules to synapses, to networks, to behaviour, can be gained from iterative collaborations between basic and clinical researchers. Lessons can be gleaned from studying fields related to plasticity, such as development, critical periods, learning and response to disease. Improved means of assessing neuroplasticity in humans, including biomarkers for predicting and monitoring treatment response, are needed. Neuroplasticity occurs with many variations, in many forms, and in many contexts. However, common themes in plasticity that emerge across diverse central nervous system conditions include experience dependence, time sensitivity and the importance of motivation and attention. Integration of information across disciplines should enhance opportunities for the translation of neuroplasticity and circuit retraining research into effective clinical therapies.Neuroplasticity can be defined as the ability of the nervous system to respond to intrinsic or extrinsic stimuli by reorganizing its structure, function and connections. Major advances in the understanding of neuroplasticity have to date yielded few established interventions. To advance the translation of neuroplasticity research towards clinical applications, the National Institutes of Health Blueprint for Neuroscience Research sponsored a workshop in 2009. Basic and clinical researchers in disciplines from central nervous system injury/stroke, mental/addictive disorders, paediatric/developmental disorders and neurodegeneration/ageing identified cardinal examples of neuroplasticity, underlying mechanisms, therapeutic implications and common denominators. Promising therapies that may enhance training-induced cognitive and motor learning, such as brain stimulation and neuropharmacological interventions, were identified, along with questions of how best to use this body of information to reduce human disability. Improved understanding of adaptive mechanisms at every level, from molecules to synapses, to networks, to behaviour, can be gained from iterative collaborations between basic and clinical researchers. Lessons can be gleaned from studying fields related to plasticity, such as development, critical periods, learning and response to disease. Improved means of assessing neuroplasticity in humans, including biomarkers for predicting and monitoring treatment response, are needed. Neuroplasticity occurs with many variations, in many forms, and in many contexts. However, common themes in plasticity that emerge across diverse central nervous system conditions include experience dependence, time sensitivity and the importance of motivation and attention. Integration of information across disciplines should enhance opportunities for the translation of neuroplasticity and circuit retraining research into effective clinical therapies.
Author	Dobkin, Bruce H Haber, Suzanne Vinogradov, Sophia Lynch, Minda Kalivas, Peter W Cohen, Leonardo G O'Brien, Charles Schiff, Nicholas Shekim, Lana McQuillen, Patrick S Stryker, Michael Freund, Michelle Cameron, Judy Rumsey, Judith M Trojanowski, John Q Chen, Wen G Reuter-Lorenz, Patricia Eden, Guinevere F Sharma, Anu Mayberg, Helen S Sanger, Terence D deCharms, Christopher Duffy, Charles J Kolb, Bryan Nitkin, Ralph Hicks, Ramona Chen, Daofen Kramer, Arthur F Filart, Rosemarie Sullivan, Edith V Pascual-Leone, Alvaro Fetz, Eberhard E Cramer, Steven C Grant, Steven J Sur, Mriganka
AuthorAffiliation	10 Omneuron, Inc., Menlo Park, CA 94025, USA 21 National Institute of Child Health and Human Development, Bethesda, MD, 20892, USA 15 National Institute on Drug Abuse, Rockville, MD 20852, USA 9 National Institute on Ageing, Bethesda, MD 20892-0001, USA 2 Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA 02139, USA 12 Department of Pediatrics, Georgetown University, Washington DC 20057, USA 23 Departments of Psychology and Neuroscience, University of Michigan, Dearborn, MI 48128, USA 11 Departments of Neurogeriatrics and Pharmacology & Physiology, University of Rochester, Rochester, NY 14627, USA 22 Berenson-Allen Centre for Non-invasive Brain Stimulation, Beth Israel Deaconess Medical and Harvard Medical School 5 Biomedical Engineering, Neurology and Biokinesiology, University of Southern California, Los Angeles, CA 90089, USA 3 Department of Neurology, University of California Los Angeles, CA 90095, USA 4 Departments of Psychiatry and Pathology & L
AuthorAffiliation_xml	– name: 17 Department of Neuroscience, University of Lethbridge, Lethbridge, AB T1K 3M4, Canada – name: 2 Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA 02139, USA – name: 22 Berenson-Allen Centre for Non-invasive Brain Stimulation, Beth Israel Deaconess Medical and Harvard Medical School – name: 11 Departments of Neurogeriatrics and Pharmacology & Physiology, University of Rochester, Rochester, NY 14627, USA – name: 19 Departments of Psychiatry and Behavioral Sciences and Neurology, Emory University, Atlanta, GA 30322, USA – name: 20 Departments of Pediatrics, Physiology, and Psychiatry, University of California San Francisco, San Francisco, CA 94102, USA – name: 7 National Institute of Neurological Disorders and Stroke, Bethesda, MD 20824, USA – name: 8 Departments of Physiology and Pharmacology, Oregon Health and Sciences University, Portland, OR, 97239, USA – name: 24 Department of Neurology, Weill Cornell Medical College, Cornell University, New York 10065, USA – name: 1 Departments of Neurology and Anatomy & Neurobiology, University of California, Irvine, CA 92967, USA – name: 23 Departments of Psychology and Neuroscience, University of Michigan, Dearborn, MI 48128, USA – name: 6 National Institute of Mental Health, Rockville, MD 20852, USA – name: 25 Department of Speech, Language and Hearing Sciences, University of Colorado, Boulder, Colorado 80305, USA – name: 26 National Institute on Deafness and Other Communication Disorders, Bethesda, MD, 20892, USA – name: 15 National Institute on Drug Abuse, Rockville, MD 20852, USA – name: 13 Department of Physiology and Biophysics, University of Washington, Seattle, WA, 98195, USA – name: 5 Biomedical Engineering, Neurology and Biokinesiology, University of Southern California, Los Angeles, CA 90089, USA – name: 14 National Centre for Research Resources, Bethesda, MD, 20892, USA – name: 4 Departments of Psychiatry and Pathology & Laboratory Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA – name: 12 Department of Pediatrics, Georgetown University, Washington DC 20057, USA – name: 18 Department of Psychology, University of Illinois, Urbana-Champaign, IL, 61801, USA – name: 10 Omneuron, Inc., Menlo Park, CA 94025, USA – name: 3 Department of Neurology, University of California Los Angeles, CA 90095, USA – name: 27 Department of Psychiatry and Behavioral Sciences, Stanford University, Menlo Park, CA, USA – name: 9 National Institute on Ageing, Bethesda, MD 20892-0001, USA – name: 16 Department of Neurosciences, Medical University of South Carolina, Charleston, South Carolina 29425, USA – name: 21 National Institute of Child Health and Human Development, Bethesda, MD, 20892, USA
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Snippet	Neuroplasticity can be defined as the ability of the nervous system to respond to intrinsic or extrinsic stimuli by reorganizing its structure, function and...
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SubjectTerms	Aging Animals Biomedical Research Brain Diseases - physiopathology Brain Diseases - therapy Cognition Disorders - etiology Humans Neuronal Plasticity - physiology Recovery of Function Review Stroke - pathology Stroke - physiopathology Stroke - therapy
Title	Harnessing neuroplasticity for clinical applications
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