Intrinsic Plasticity Mechanisms of Repetitive Transcranial Magnetic Stimulation

Emily S. King, Alexander D. Tang

Research output: Contribution to journalReview articlepeer-review

8 Citations (Scopus)


Repetitive transcranial magnetic stimulation (rTMS) has become an increasingly popular tool to modulate neural excitability and induce neural plasticity in clinical and preclinical models; however, the physiological mechanisms in which it exerts these effects remain largely unknown. To date, studies have primarily focused on characterizing rTMS-induced changes occurring at the synapse, with little attention given to changes in intrinsic membrane properties. However, accumulating evidence suggests that rTMS may induce its effects, in part, via intrinsic plasticity mechanisms, suggesting a new and potentially complementary understanding of how rTMS alters neural excitability and neural plasticity. In this review, we provide an overview of several intrinsic plasticity mechanisms before reviewing the evidence for rTMS-induced intrinsic plasticity. In addition, we discuss a select number of neurological conditions where rTMS-induced intrinsic plasticity has therapeutic potential before speculating on the temporal relationship between rTMS-induced intrinsic and synaptic plasticity.
Original languageEnglish
Pages (from-to)260-274
Number of pages15
JournalThe Neuroscientist
Issue number2
Early online date5 Sept 2022
Publication statusPublished - Apr 2024


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