Transcranial Photobiomodulation For The Management Of Depression: Current Perspectives

Paula Askalsky,1 Dan V Iosifescu1,2 1Department of Psychiatry, NYU Langone School of Medicine, New York, NY, USA; 2Clinical Research Division, Nathan Kline Institute for Psychiatric Research, Orangeburg, NY, USACorrespondence: Dan V IosifescuDepartment of Psychiatry, NYU School of Medicine, One Park...

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Autores principales: Askalsky P, Iosifescu DV
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:498f5347d9f5474c8589fc4b89d79bbb2021-12-02T03:19:30ZTranscranial Photobiomodulation For The Management Of Depression: Current Perspectives1178-2021https://doaj.org/article/498f5347d9f5474c8589fc4b89d79bbb2019-11-01T00:00:00Zhttps://www.dovepress.com/transcranial-photobiomodulation-for-the-management-of-depression-curre-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Paula Askalsky,1 Dan V Iosifescu1,2 1Department of Psychiatry, NYU Langone School of Medicine, New York, NY, USA; 2Clinical Research Division, Nathan Kline Institute for Psychiatric Research, Orangeburg, NY, USACorrespondence: Dan V IosifescuDepartment of Psychiatry, NYU School of Medicine, One Park Avenue, 8th Floor, New York, NY 10016, USATel +1 646-754-5156Email Dan.Iosifescu@nyumc.orgAbstract: Major depressive disorder (MDD) is a prevalent condition associated with high rates of disability, as well as suicidal ideation and behavior. Current treatments for MDD have significant limitations in efficacy and side effect burden. FDA-approved devices for MDD are burdensome (due to repeated in-office procedures) and are most suitable for severely ill subjects. There is a critical need for device-based treatments in MDD that are efficacious, well-tolerated, and easy to use. In this paper, we review a novel neuromodulation strategy, transcranial photobiomodulation (t-PBM) with near-infrared light (NIR). The scope of our review includes the known biological mechanisms of t-PBM, as well as its efficacy in animal models of depression and in patients with MDD. Theoretically, t-PBM penetrates into the cerebral cortex, stimulating the mitochondrial respiratory chain, and also significantly increases cerebral blood flow. Animal and human studies, using a variety of t-PBM settings and experimental models, suggest that t-PBM may have significant efficacy and good tolerability in MDD. In aggregate, these data support the need for large confirmatory studies for t-PBM as a novel, likely safe, and easy-to-administer antidepressant treatment.Keywords: low-level light therapy, photobiomodulation, near infrared radiation, major depressive disorder, depressionAskalsky PIosifescu DVDove Medical Pressarticlelow-level light therapyphotobiomodulationnear infrared radiationmajor depressive disorderdepressionNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 3255-3272 (2019)
institution DOAJ
collection DOAJ
language EN
topic low-level light therapy
photobiomodulation
near infrared radiation
major depressive disorder
depression
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle low-level light therapy
photobiomodulation
near infrared radiation
major depressive disorder
depression
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Askalsky P
Iosifescu DV
Transcranial Photobiomodulation For The Management Of Depression: Current Perspectives
description Paula Askalsky,1 Dan V Iosifescu1,2 1Department of Psychiatry, NYU Langone School of Medicine, New York, NY, USA; 2Clinical Research Division, Nathan Kline Institute for Psychiatric Research, Orangeburg, NY, USACorrespondence: Dan V IosifescuDepartment of Psychiatry, NYU School of Medicine, One Park Avenue, 8th Floor, New York, NY 10016, USATel +1 646-754-5156Email Dan.Iosifescu@nyumc.orgAbstract: Major depressive disorder (MDD) is a prevalent condition associated with high rates of disability, as well as suicidal ideation and behavior. Current treatments for MDD have significant limitations in efficacy and side effect burden. FDA-approved devices for MDD are burdensome (due to repeated in-office procedures) and are most suitable for severely ill subjects. There is a critical need for device-based treatments in MDD that are efficacious, well-tolerated, and easy to use. In this paper, we review a novel neuromodulation strategy, transcranial photobiomodulation (t-PBM) with near-infrared light (NIR). The scope of our review includes the known biological mechanisms of t-PBM, as well as its efficacy in animal models of depression and in patients with MDD. Theoretically, t-PBM penetrates into the cerebral cortex, stimulating the mitochondrial respiratory chain, and also significantly increases cerebral blood flow. Animal and human studies, using a variety of t-PBM settings and experimental models, suggest that t-PBM may have significant efficacy and good tolerability in MDD. In aggregate, these data support the need for large confirmatory studies for t-PBM as a novel, likely safe, and easy-to-administer antidepressant treatment.Keywords: low-level light therapy, photobiomodulation, near infrared radiation, major depressive disorder, depression
format article
author Askalsky P
Iosifescu DV
author_facet Askalsky P
Iosifescu DV
author_sort Askalsky P
title Transcranial Photobiomodulation For The Management Of Depression: Current Perspectives
title_short Transcranial Photobiomodulation For The Management Of Depression: Current Perspectives
title_full Transcranial Photobiomodulation For The Management Of Depression: Current Perspectives
title_fullStr Transcranial Photobiomodulation For The Management Of Depression: Current Perspectives
title_full_unstemmed Transcranial Photobiomodulation For The Management Of Depression: Current Perspectives
title_sort transcranial photobiomodulation for the management of depression: current perspectives
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/498f5347d9f5474c8589fc4b89d79bbb
work_keys_str_mv AT askalskyp transcranialphotobiomodulationforthemanagementofdepressioncurrentperspectives
AT iosifescudv transcranialphotobiomodulationforthemanagementofdepressioncurrentperspectives
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