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CORONAVIRUS COVID-19 Global Cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU) ...

martes, 26 de diciembre de 2017

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Memory-Guided Attention: Independent Contributions of the Hippocampus and Striatum


Summary

Memory can strongly influence how attention is deployed in future encounters. Though memory dependent on the medial temporal lobes has been shown to drive attention, how other memory systems could concurrently and comparably enhance attention is less clear. Here, we demonstrate that both reinforcement learning and context memory facilitate attention in a visual search task. Using functional magnetic resonance imaging, we dissociate the mechanisms by which these memories guide attention: trial by trial, the hippocampus (not the striatum) predicted attention benefits from context memory, while the striatum (not the hippocampus) predicted facilitation from rewarded stimulus-response associations. Responses in these regions were also distinctly correlated with individual differences in each type of memory-guided attention. This study provides novel evidence for the role of the striatum in guiding attention, dissociable from hippocampus-dependent context memory.

Introduction

Attention can be profoundly influenced by memory. Even something as simple as having previously viewed a picture or an array of shapes can inform where visual attention will be directed, enhancing perceptual sensitivity (Chun and Jiang, 1998, Patai et al., 2012, Summerfield et al., 2006). While the influence of memory on attention is a relatively recent topic (Hutchinson and Turk-Browne, 2012, Rosen et al., 2015), there is compelling evidence that hippocampal memory can guide attention. The hippocampal memory system rapidly encodes episodic memories, which are flexible and rich in contextual detail (Burgess et al., 2002). Long-term memory for complex scenes engages the hippocampus and facilitates attention and eye movements to targets, even in the absence of explicit recall (Hannula and Ranganath, 2009, Summerfield et al., 2006). The contextual cueing effect demonstrates that memory for a repeated spatial configuration guides attention and improves performance in visual search (Chun and Jiang, 1998). These memories depend on medial temporal lobe (MTL) structures and have frequently been shown to involve the hippocampus (Chun and Phelps, 1999, Giesbrecht et al., 2013, Greene et al., 2007, Preston and Gabrieli, 2008).

Although these studies have demonstrated the critical role of hippocampal memory in guiding attention, memory is not a unitary process (Squire, 1992). Different neural systems support encoding and retrieval of specific kinds of information (Henke, 2010). Thus, the ability of memory for diverse cues to guide attention may depend on distinct memory systems. Unlike hippocampal memory, the striatum slowly acquires rigid associations between stimuli and responses (Bayley et al., 2005, Graybiel, 1998, Yin and Knowlton, 2006). In healthy individuals, hippocampal and striatal systems can concurrently acquire information (Foerde and Shohamy, 2011), and lesion studies in rats (Packard and McGaugh, 1996) and human patients (Knowlton et al., 1996) have dissociated these systems. However, the influence of striatal memory on attention has not been studied.
We hypothesize that people can learn and use multiple informative cues to guide attention. Furthermore, we hypothesize that changing the type of cue can change the memory system that guides attention. We developed a way to directly compare how hippocampal and striatal memory influences attention. Contextual cueing demonstrates the impact of hippocampal memory on attention in visual search. During the search task, participants search for a target (a rotated “T”) and press a button once they find it, indicating the direction of the “T” (Figure 1). The influence of hippocampal memory is shown via repeated configurations of target and distractors; on these trials, memory for spatial context guides attention to the exact location of the target. This effect is implicit. Participants do not have explicit memory for the repeated context (Chun and Jiang, 1998, Chun and Jiang, 2003, Chun and Phelps, 1999).

Experiment Design and Behavior

(A) Trial sequence.
(B) Example search screen and correct response.
(C) Schematic of CC and SR associations.
(D) Behavioral results. Participants were significantly faster at finding the “T” in the presence of a CC or SR cue compared to no cue (replication, Figure S1). Left: learning throughout the experiment (one run = mean of four sequential blocks). Only responses for accurate, non-outlier trials are shown. Outliers were defined as RTs more than 3 SDs outside the mean for that trial type (1.5% of trials, no significant difference between trial types; Chun and Jiang, 2003). Right: performance during the second half of the experiment (gray background). Error bars, ±1 SE. ∗∗∗p < 0.001.


While contextual cueing has been frequently replicated and provides an index of hippocampal memory guiding attention, other forms of predictive associations, potentially reliant on other memory systems, have been less studied. To address this, we modified the search task to include probabilistic stimulus-response (SR) associations known to rely on the striatum as mnemonic cues for attention. Specifically, on some trials, the target and distractors appeared in a different color. The predictive color probabilistically (80% validity) cued the target location (quadrant of the screen) and the button-press response (the direction of the “T”). Thus, the cue evoked a “chunked” response of orienting to the quadrant and preparing the button press. The striatum is critical to forming such SR associations, including the chunking of motor and cognitive actions following a cue (e.g., Graybiel, 1998). We randomly interleaved these cued trials, hereafter contextually cued (CC) and SR, with trials that had no mnemonic cue. The influence of both cues on attention was quantified as faster reaction time (RT) on cued compared to uncued trials.

El área del lenguaje en el cerebro es más amplia de lo que se creía

The language area of the brain: a functional reassessment.


Abstract

INTRODUCTION:


During the late 19th and early 20th century, a 'brain language area' was proposed corresponding to the peri-Sylvian region of the left hemisphere as concluded by clinical observations. This point of view has continued up today.

AIM:


Departing from contemporary neuroimaging studies, to re-analyze the location and extension the brain language area with regard to the different Brodmann areas.

MATERIALS AND METHODS:


Using the method known as metaanalytic connectivity modeling seven meta-analytic studies of fMRI activity during the performance of different language tasks are analyzed.

RESULTS:


It was observed that two major brain systems can be distinguished: lexical/semantic, related with the Wernicke's area, that includes a core Wernicke's area (recognition of words) and an extended Wernicke's area (word associations); and grammatical system (language production and grammar) corresponding to the Broca's complex in the frontal lobe, and extending subcortically It is proposed that the insula plays a coordinating role in interconnecting these two brain language systems.

CONCLUSIONS:


Contemporary neuroimaging studies suggest that the brain language are is notoriously more extended than it was assumed one century ago based on clinical observations. As it was assumed during the 19th century, the insula seemingly plays a critical role in language.

Nuevo método molecular para el diagnóstico precoz de la esclerosis múltiple

Protein-Based Classifier to Predict Conversion from Clinically Isolated Syndrome to Multiple Sclerosis

Abstract

Multiple sclerosis is an inflammatory, demyelinating, and neurodegenerative disease of the central nervous system. In most patients, the disease initiates with an episode of neurological disturbance referred to as clinically isolated syndrome, but not all patients with this syndrome develop multiple sclerosis over time, and currently, there is no clinical test that can conclusively establish whether a patient with a clinically isolated syndrome will eventually develop clinically defined multiple sclerosis. Here, we took advantage of the capabilities of targeted mass spectrometry to establish a diagnostic molecular classifier with high sensitivity and specificity able to differentiate between clinically isolated syndrome patients with a high and a low risk of developing multiple sclerosis. Based on the combination of abundances of proteins chitinase 3-like 1 and ala-β-his-dipeptidase in cerebrospinal fluid, we built a statistical model able to assign to each patient a precise probability of conversion to clinically defined multiple sclerosis. Our results are of special relevance for patients affected by multiple sclerosis as early treatment can prevent brain damage and slow down the disease progression.



La realidad virtual, una nueva herramienta para la evaluación de la memoria

Memory assessment by means of virtual reality: its present and future.

Abstract

The human memory is a complex cognitive system whose close relationship with executive functions implies that, in many occasions, a mnemonic deficit comprises difficulties to operate with correctly stored contents. Traditional memory tests, more focused in the information storage than in its processing, may be poorly sensitive both to subjects' daily life functioning and to changes originated by rehabilitation programs. In memory assessment, there is plenty evidence with regards to the need of improving it by means of tests which offer a higher ecological validity, with information that may be presented in various sensorial modalities and produced in a simultaneous way. Virtual reality reproduces three-dimensional environments with which the patient interacts in a dynamic way, with a sense of immersion in the environment similar to the presence and exposure to a real environment, and in which presentation of such stimuli, distractors and other variables may be systematically controlled. The current review aims to go deeply into the trajectory of neuropsychological assessment of memory based in virtual reality environments, making a tour through existing tests designed for assessing learning, prospective, episodic and spatial memory, as well as the most recent attempts to perform a comprehensive evaluation of all memory components.

Vinculan el neurotransmisor cerebral GABA con el autismo

Reduced GABAergic Action in the Autistic Brain


Summary

An imbalance between excitatory/inhibitory neurotransmission has been posited as a central characteristic of the neurobiology of autism [1], inspired in part by the striking prevalence of seizures among individuals with the disorder [2]. Evidence supporting this hypothesis has specifically implicated the signaling pathway of the inhibitory neurotransmitter, γ-aminobutyric acid (GABA), in this putative imbalance: GABA receptor genes have been associated with autism in linkage and copy number variation studies [3, 4, 5, 6, 7], fewer GABA receptor subunits have been observed in the post-mortem tissue of autistic individuals [8, 9], and GABAergic signaling is disrupted across heterogeneous mouse models of autism [10]. Yet, empirical evidence supporting this hypothesis in humans is lacking, leaving a gulf between animal and human studies of the condition. Here, we present a direct link between GABA signaling and autistic perceptual symptomatology. We first demonstrate a robust, replicated autistic deficit in binocular rivalry [11], a basic visual function that is thought to rely on the balance of excitation/inhibition in visual cortex [12, 13, 14, 15]. Then, using magnetic resonance spectroscopy, we demonstrate a tight linkage between binocular rivalry dynamics in typical participants and both GABA and glutamate levels in the visual cortex. Finally, we show that the link between GABA and binocular rivalry dynamics is completely and specifically absent in autism. These results suggest a disruption in inhibitory signaling in the autistic brain and forge a translational path between animal and human models of the condition.

Results and Discussion

During binocular rivalry, two images, one presented to each eye, vie for perceptual dominance as neuronal populations that are selective for each eye’s input suppress each other in alternation [16, 17]. The strength of perceptual suppression during rivalry is thought to depend on the balance of inhibitory and excitatory cortical dynamics [12, 13, 14, 15] and may serve as a non-invasive perceptual marker of the putative perturbation in inhibitory signaling thought to characterize the autistic brain.

We therefore measured the dynamics of binocular rivalry in individuals with and without a diagnosis of autism (41 individuals, 20 with autism). As predicted, individuals with autism demonstrated a slower rate of binocular rivalry (switches per trial: controls = 8.68, autism = 4.19; F(1,37) = 16.52, ηp2 = 0.311, p = 0.001; Figure 1A), which was marked by reduced periods of perceptual suppression (proportion of each trial spent viewing a dominant percept, (dominant percept durations)/(dominant + mixed percept durations): controls = 0.69; autism = 0.55; F(1,36) = 7.27, ηp2 = 0.172, p = 0.011; Figure 1B). The strength of perceptual suppression inversely predicted clinical measures of autistic symptomatology (Autism Diagnostic Observation Schedule [ADOS]: Rs = −0.39, p = 0.027; Figure 1) and showed high test-retest reliability in a control experiment (R = 0.94, p < 0.001; see Supplemental Experimental Procedures and also [18]). These results replicate our previous findings in an independent sample of autistic individuals [11] and confirm rivalry disruptions as a robust behavioral marker of autism.

Atypical Dynamics of Binocular Rivalry in Autism

(A) Schematic of perceptual experience during binocular rivalry. Two images, one presented to each of an individual’s eyes, oscillate back and forth in perceptual awareness as each is suppressed in turn. Throughout a run, participants were instructed to continuously report their perceived image (red, green, mixed) through button press (right, left, up).

(B) Slower rate of binocular rivalry alternations in autism. Individuals with autism demonstrated fewer perceptual switches between the inputs to their left and right eyes, compared with control participants (ηp2 = 0.311, p = 0.001).

(C) Reduced proportion of perceptual suppression in autism. Individuals with autism demonstrated a reduced strength of perceptual suppression, periods of time during which one image is fully suppressed from visual awareness (ηp2 = 0.172, p = 0.01).

(D) The strength perceptual suppression during binocular rivalry inversely predicted autistic symptom severity, measured using the ADOS, a clinical measure of autistic symptomatology.

In all plots, error bars represent 1 SEM. ∗∗p ≤ 0.01, ∗∗∗p ≤ 0.001 difference between the two groups. See also Table S1.

To test whether altered binocular rivalry dynamics in autism are linked to the reduced action of inhibitory (γ-aminobutyric acid [GABA]) or excitatory (glutamate [Glx]) neurotransmitters in the brain, we measured the concentration of these neurotransmitters in visual cortex using magnetic resonance spectroscopy (MRS). Spectra were acquired from an occipital voxel (2.5 × 2.5 × 3 cm), centered bilaterally on the calcarine sulcus (Figure 2A).

Reduced GABAergic, but Conserved Glutamatergic, Action in the Autistic Visual Cortex

(A) Magnetic resonance spectra were acquired from individuals with and without autism: one example control (left) and autistic (right) participant shown here, with the acquisition region (visual cortex) shown in color (80% probability of VOI placement). Spectra included the neurotransmitters predicted to govern binocular rivalry dynamics from computational models, GABA and glutamate, as well as control metabolites TNAA, TCho, TCr, and Ins.

(B) GABA strongly predicted the strength of perceptual suppression during rivalry in control individuals (Rs = 0.062, p = 0.002, top left), but this relationship was absent in autism (Rs = 0.02, p = 0.473, top right). However, glutamate strongly predicted binocular rivalry dynamics in both controls (rho = 0.40, p = 0.031, bottom left) and autism (Rs = 0.60, p = 0.004, bottom right).

(C) GABA was the only molecule to show a significantly stronger effect on rivalry dynamics in controls, as compared to autism, demonstrating a selective disruption in GABAergic action in the autistic brain (ηp2 = 0.167, p = 0.013). In all plots, medicated individuals are labeled with unfilled circles.
Error bars represent 1 SEM. See also Figures S1 and S2 and Table S2.

GABA and glutamate are predicted to contribute to different aspects of binocular rivalry dynamics: mutual inhibition between (GABA) and recurrent excitation within (glutamate) populations of neurons coding for the two oscillating percepts [14]. Specifically, in classic models of binocular rivalry, a period of perceptual suppression is maintained through excitation within the neuronal population selective for the dominant image, as well as cross-inhibition of the neuronal population selective for the non-dominant image [12, 19, 20]. Critically, reducing either mutual inhibition or recurrent excitation is predicted to reduce the strength of perceptual suppression during rivalry in one implementation of this model [14], mirroring the dynamics we observed in autism. We therefore considered each neurotransmitter separately to test whether inhibitory or excitatory signaling was selectively disrupted in the autistic brain.

Given prior evidence from genetic, animal, and post-mortem studies, we hypothesized that inhibitory signaling may be affected in the autistic brain. This disruption could take the form of reduced levels of GABA or glutamate. However, reports of perturbations of key components of the GABA signaling pathway, such as receptors [3, 4, 5, 6, 7, 8, 9] and inhibitory neuronal density [10], suggest that GABA levels themselves may not be altered in autism but instead may be less predictive of rivalry dynamics.

As predicted by models of binocular rivalry, GABA concentrations in visual cortex strongly predicted rivalry dynamics in controls, where more GABA corresponded to longer periods of perceptual suppression (Rs = 0.62, p = 0.002; Figure 2B). However, this relationship was strikingly absent in individuals with autism (Rs = 0.02, p = 0.473; Figure 2B).
The difference between the two correlations was significant (ηp2 = 0.167, p = 0.013; Figure 2C), indicating a reduced impact of GABA on perceptual suppression in the autistic brain.

Importantly, this finding was specific to GABA: glutamate strongly predicted the dynamics of binocular rivalry in autism (Rs = 0.60, p = 0.004; Figure 2B), to the same degree as that found in controls (Rs = 0.40, p = 0.031 in controls; p = 0.71 for the difference of this effect between autism and controls; Figure 2C). The absence of a group difference in the concentrations of GABA and Glx (both p > 0.32; Figure S1; Table S2) indicate that GABA levels themselves are not altered in the autistic visual cortex [21], despite a specific reduction in the effect of GABA on autistic visual behavior. These findings suggest that alterations in the GABAergic signaling pathway may characterize autistic neurobiology. Consistent with prior evidence from animal and post-mortem studies, such dysfunction may arise from perturbations in key components of the GABAergic pathway beyond GABA levels, such as receptors [3, 4, 5, 6, 7, 8, 9] and inhibitory neuronal density [10].

These results demonstrate reduced GABAergic, but conserved glutamatergic, action in the autistic visual system. No other metabolite measured predicted rivalry dynamics in either group (all p > 0.11 for TNAA, TCho, TCr, and Ins), and GABA was the only metabolite to show a markedly reduced impact on the dynamics of binocular rivalry in autism (all other effects between autism and controls: p > 0.29; Figure 2C). Furthermore, this relationship was specific to GABA measured in the visual cortex: binocular rivalry dynamics were not related to any metabolites measured in a control region of interest, the motor cortex, in either group (all Rs < 0.17, all p > 0.25).

The specificity of this effect to GABA and not glutamate argues against the possibility that these findings are driven by differences in the spectral quality between the two groups. Further, spectral fit errors (an indication of data quality) and frequency drift (an indication of subject motion) were within the expected ranges and matched between groups (all p > 0.46; Figure S1; Table S2). Repeatability control experiments indicated that our metabolite measurements were highly reliable (coefficient of variation [CVs] < 8%) with a high reproducibility relative to the effect range of our study (SDs < 13% of the group range for each metabolite) (see Supplemental Experimental Procedures). These results confirm previous reports of high test-retest reliability of in vivo MRS measurements [22] and add to a growing literature of replicated relationships between GABA concentration and psychophysical performance, including sensory sensitivity thresholds [23, 24], motor response inhibition [25], and binocular rivalry dynamics [15, 26].

Atypical sensory perception has been noted since the earliest reports of autism [27], although little is known about the neural underpinnings of these symptoms. Interestingly, recent reports of reduced spatial suppression [28], decreased global motion perception [29, 30], larger population receptive fields [31], and more variable evoked responses [32, 33] in autism mirror the perceptual consequences of reduced GABAergic inhibition in animal studies [34, 35]. Computational accounts suggest that reducing inhibition may account for a wide range of autistic perceptual symptoms [36]. One such account predicted reduced perceptual suppression during rivalry in autism but found only a trend toward the finding ([37], but see [38]). Further work is needed to test whether this litany of visual disruptions indeed results from reduced GABAergic signaling in the autistic brain, as we demonstrate here for one robust autistic visual symptom.

Our findings provide evidence for an empirical link between a specific neurotransmitter measured in the brains of individuals with autism and an autistic behavioral symptom. Although perceptual in nature, this symptom strongly predicts higher-order clinical measures of autistic symptomatology and may be well poised to serve as a behavioral marker of a perturbation in GABAergic signaling in the autistic brain. Together with the pivotal roles of GABA in canonical cortical computations [39] and neurodevelopment [40], these findings point to the GABAergic signaling pathway as a prime suspect in the neurobiology of this pervasive developmental disorder [41]. Future work should replicate these findings and investigate GABAergic signaling in autism at multiple developmental time points to establish whether GABAergic perturbations predict, or arise in response to, the developmental onset of autistic symptomatology.