# Effects of Continuous Theta Burst Stimulation on Behavior and NMDA Receptor Subunits in the Trimethyltin-Induced Alzheimer’s-like Disease Model

**Authors:** Marina Zaric Kontic, Milica Zeljkovic Jovanovic, Andjela Stekic, Jelena Stanojevic, Ivana Stevanovic, Dejan Stevic, Milica Ninkovic, Milorad Dragic

PMC · DOI: 10.3390/biomedicines14020391 · Biomedicines · 2026-02-08

## TL;DR

This study shows that continuous theta burst stimulation (cTBS) can improve behavior and reduce brain inflammation in a rat model of Alzheimer’s-like disease.

## Contribution

The study is the first to demonstrate cTBS's beneficial effects in a neurodegeneration model resembling Alzheimer’s disease.

## Key findings

- cTBS improved anxiety-like behavior, learning, and memory in TMT-treated rats.
- cTBS reduced microgliosis in the hippocampal CA1 region.
- cTBS decreased the NMDA receptor subunit NR2B, which was elevated by TMT.

## Abstract

Background: Trimethyltin (TMT)-induced neurodegeneration leads to molecular and behavioral changes resembling those of Alzheimer’s disease (AD), making it a relevant model for investigating potential therapeutic interventions. Continuous theta burst stimulation (cTBS) has shown promise in psychiatric and neurological disorders but remains largely unexplored in AD models. Methods: Adult male Wistar rats were divided into four experimental groups: intact, TMT (8 mg/kg, ip) and TMT treated with cTBS or a sham protocol for three weeks. The open field test and novel object recognition test were used to assess anxiety-like behavior, memory, and learning, respectively. The extent of microgliosis in the hippocampus was assessed by immunohistochemistry, while protein expression was estimated by Western blot. Results: cTBS improved TMT-mediated changes in anxiety-like behavior, learning, and memory and reduced microgliosis in the CA1 hippocampal region. Both TMT and cTBS affected NMDAR subunits, with the most significant finding being a cTBS-mediated decrease in NR2B, which was previously increased by TMT. Conclusions: These are the first data on the beneficial effects of cTBS on behavioral and molecular changes in a model of neurodegeneration that mimics some of the key aspects of AD pathology. Further research is needed to clarify the therapeutic potential of cTBS in AD treatment.

## Linked entities

- **Proteins:** Grin1 (glutamate receptor, ionotropic, NMDA1 (zeta 1)), GRIN2B (glutamate ionotropic receptor NMDA type subunit 2B)
- **Chemicals:** Trimethyltin (PubChem CID 12623), TMT (PubChem CID 423312)
- **Diseases:** Alzheimer’s disease (MONDO:0004975)

## Full-text entities

- **Genes:** Pik3cb (phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit beta) [NCBI Gene 85243], Akt1 (AKT serine/threonine kinase 1) [NCBI Gene 24185] {aka Akt}, Grin2b (glutamate ionotropic receptor NMDA type subunit 2B) [NCBI Gene 24410] {aka GluN2B}, Calb1 (calbindin 1) [NCBI Gene 83839] {aka CaBP28K}, Actb (actin, beta) [NCBI Gene 81822] {aka Actx}, GFAP (glial fibrillary acidic protein) [NCBI Gene 2670] {aka ALXDRD}, Fos (Fos proto-oncogene, AP-1 transcription factor subunit) [NCBI Gene 314322] {aka c-fos}, Mtor (mechanistic target of rapamycin kinase) [NCBI Gene 56718] {aka Frap1, RAFT1}, Ca3 (carbonic anhydrase 3) [NCBI Gene 54232] {aka Car3}, Slc17a7 (solute carrier family 17 member 7) [NCBI Gene 116638] {aka BNPI, Vglut1}, Grin2a (glutamate ionotropic receptor NMDA type subunit 2A) [NCBI Gene 24409] {aka GluN2A, NMDAR2A, NR2A}, Pvalb (parvalbumin) [NCBI Gene 25269] {aka PALB1, Pva}, AIF1 (allograft inflammatory factor 1) [NCBI Gene 199] {aka AIF-1, IBA1, IRT-1, IRT1}, MAPT (microtubule associated protein tau) [NCBI Gene 4137] {aka DDPAC, FTD1, FTDP-17, MAPTL, MSTD, MTBT1}
- **Diseases:** major (MESH:D004830), mitochondrial abnormalities (MESH:D028361), inflammatory (MESH:D007249), injury to (MESH:D014947), Neurodegeneration (MESH:D019636), gliosis (MESH:D005911), Anxiety (MESH:D001007), neuroinflammation (MESH:D000090862), psychiatric (MESH:D001523), AD (MESH:D000544), ischemic (MESH:D002545), learning and memory deficits (MESH:D007859), deterioration of neuronal function (MESH:D003291), drug-resistant epilepsy (MESH:D000069279), Glutamatergic dysfunction (MESH:D006331), stroke (MESH:D020521), aggression (MESH:D010554), degeneration of synapses and axons (MESH:D009410), depression (MESH:D003866), obsessive-compulsive disorder (MESH:D009771), anxiety disorder (MESH:D001008), cognitive and behavioral impairments (MESH:D003072), seizures (MESH:D012640), neurological disorders (MESH:D009461), hyperactivity (MESH:D006948), necrosis (MESH:D009336)
- **Chemicals:** phosphate (MESH:D010710), glycerol (MESH:D005990), H2O2 (MESH:D006861), TBS (-), saline (MESH:D012965), methanol (MESH:D000432), Memantine (MESH:D008559), TMT (MESH:C046488), xylene (MESH:D014992), bromophenol blue (MESH:D001978), sucrose (MESH:D013395), paraformaldehyde (MESH:C003043), ethanol (MESH:D000431), calcium (MESH:D002118), Tween 20 (MESH:D011136), PBS (MESH:D007854), glutamate (MESH:D018698), DAB (MESH:C000469), SDS (MESH:D012967), PVDF (MESH:C024865), alcohol (MESH:D000438)
- **Species:** Homo sapiens (human, species) [taxon 9606], Rattus norvegicus (brown rat, species) [taxon 10116], Mus musculus (house mouse, species) [taxon 10090]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12938219/full.md

## References

72 references — full list in the complete paper: https://tomesphere.com/paper/PMC12938219/full.md

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Source: https://tomesphere.com/paper/PMC12938219