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Learning words in space and time: probing the mechanisms behind the suspicious-coincidence effect. Psychol Sci 2011; 22:1049-57. [PMID: 21705517 DOI: 10.1177/0956797611413934] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
A major debate in the study of word learning centers on the extension of categories to new items. The rational approach assumes that learners make structured inferences about category membership, whereas the mechanistic approach emphasizes the attentional and memory processes that form the basis of generalization behaviors. Recent support for the rational view comes from observations of the suspicious-coincidence effect: People generalize category membership narrowly when presented with three subordinate-level exemplars that share the same label and generalize category membership broadly when presented with one exemplar. Across three experiments, we examined the mechanistic basis of this effect. Results showed that the presentation of multiple subordinate-level exemplars led to narrow generalization only when the exemplars were presented simultaneously, even when the number of exemplars was increased from three to six. These data demonstrate that the suspicious-coincidence effect is firmly grounded in the general cognitive processes of attention, memory, and visual comparison.
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To Model or Not to Model? A Dialogue on the Role of Computational Modeling in Developmental Science. CHILD DEVELOPMENT PERSPECTIVES 2011; 4:152-158. [PMID: 21625352 DOI: 10.1111/j.1750-8606.2010.00134.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
All sciences use models of some variety to understand complex phenomena. In developmental science, however, modeling is mostly limited to linear, algebraic descriptions of behavioral data. Some researchers have suggested that complex mathematical models of developmental phenomena are a viable (even necessary) tool that provide fertile ground for developing and testing theory as well as for generating new hypotheses and predictions. This paper explores the concerns, attitudes, and historical trends that underlie the tension between two cultures: one in which computational simulations of behavior are an important complement to observation and experimentation, and another which emphasizes evidence from behavioral experiments and linear models enhanced by verbal descriptions. This tension is explored as a dialogue between three characters: Ed (Experimental Developmentalist), Mira (Modeling Inclusive Research Advocate), and Phil (Philosopher of Science).
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Filling the Gap on Developmental Change: Tests of a Dynamic Field Theory of Spatial Cognition. JOURNAL OF COGNITION AND DEVELOPMENT 2010. [DOI: 10.1080/15248371003700007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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The role of experience in location estimation: Target distributions shift location memory biases. Cognition 2010; 115:147-53. [PMID: 20116784 DOI: 10.1016/j.cognition.2009.12.008] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2009] [Revised: 11/23/2009] [Accepted: 12/15/2009] [Indexed: 10/19/2022]
Abstract
Research based on the Category Adjustment model concluded that the spatial distribution of target locations does not influence location estimation responses [Huttenlocher, J., Hedges, L., Corrigan, B., & Crawford, L. E. (2004). Spatial categories and the estimation of location. Cognition, 93, 75-97]. This conflicts with earlier results showing that location estimation is biased relative to the spatial distribution of targets [Spencer, J. P., & Hund, A. M. (2002). Prototypes and particulars: Geometric and experience-dependent spatial categories. Journal of Experimental Psychology: General, 131, 16-37]. Here, we resolve this controversy by using a task based on Huttenlocher et al. (Experiment 4) with minor modifications to enhance our ability to detect experience-dependent effects. Results after the first block of trials replicate the pattern reported in Huttenlocher et al. After additional experience, however, participants showed biases that significantly shifted according to the target distributions. These results are consistent with the Dynamic Field Theory, an alternative theory of spatial cognition that integrates long-term memory traces across trials relative to the perceived structure of the task space.
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Tests of the dynamic field theory and the spatial precision hypothesis: capturing a qualitative developmental transition in spatial working memory. J Exp Psychol Hum Percept Perform 2009; 35:1698-725. [PMID: 19968430 PMCID: PMC2792573 DOI: 10.1037/a0015794] [Citation(s) in RCA: 58] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This study tested a dynamic field theory (DFT) of spatial working memory and an associated spatial precision hypothesis (SPH). Between 3 and 6 years of age, there is a qualitative shift in how children use reference axes to remember locations: 3-year-olds' spatial recall responses are biased toward reference axes after short memory delays, whereas 6-year-olds' responses are biased away from reference axes. According to the DFT and the SPH, quantitative improvements over development in the precision of excitatory and inhibitory working memory processes lead to this qualitative shift. Simulations of the DFT in Experiment 1 predict that improvements in precision should cause the spatial range of targets attracted toward a reference axis to narrow gradually over development, with repulsion emerging and gradually increasing until responses to most targets show biases away from the axis. Results from Experiment 2 with 3- to 5-year-olds support these predictions. Simulations of the DFT in Experiment 3 quantitatively fit the empirical results and offer insights into the neural processes underlying this developmental change.
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Comment on "Infants' perseverative search errors are induced by pragmatic misinterpretation". Science 2009; 325:1624; author reply 1624. [PMID: 19779175 PMCID: PMC3062189 DOI: 10.1126/science.1172759] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
Topál et al. (Reports, 26 September 2008, p. 1831) proposed that infants' perseverative search errors can be explained by ostensive cues from the experimenter. We use the dynamic field theory to test the proposal that infants encode locations more weakly when social cues are present. Quantitative simulations show that this account explains infants' performance without recourse to the theory of natural pedagogy.
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Corresponding delay-dependent biases in spatial language and spatial memory. PSYCHOLOGICAL RESEARCH 2009; 74:337-51. [PMID: 19727805 DOI: 10.1007/s00426-009-0255-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2009] [Accepted: 08/10/2009] [Indexed: 11/28/2022]
Abstract
The present study addresses the relationship between linguistic and non-linguistic spatial representations. In three experiments we probe spatial language and spatial memory at the same time points in the task sequence. Experiments 1 and 2 show analogous delay-dependent biases in spatial language and spatial memory. Experiment 3 extends this correspondence, showing that additional perceptual structure along the vertical axis reduces delay-dependent effects in both tasks. These results indicate that linguistic and non-linguistic spatial systems depend on shared underlying representational processes. In addition, we also address how these delay-dependent biases can arise within a single theoretical framework without positing differing prototypes for linguistic and non-linguistic spatial systems.
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Seeing the world through a third eye: Developmental systems theory looks beyond the nativist-empiricist debate. CHILD DEVELOPMENT PERSPECTIVES 2009; 3:103-105. [PMID: 19784382 PMCID: PMC2750896 DOI: 10.1111/j.1750-8606.2009.00087.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
In response to the commentaries on our paper (Spencer et al., 2009) we summarize what a developmental systems perspective offers for a twenty-first century science of development by highlighting five insights from developmental systems theory. Where applicable, the discussion is grounded in a particular example-the emergence of ocular dominance columns in early development. Ocular dominance columns are a paragon of epigenesis and are inconsistent with the nativist view. We conclude with optimism that developmental science can move beyond the nativist-empiricist debate armed with both modern technological tools and strong theory to guide their use.
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Short arms and talking eggs: Why we should no longer abide the nativist-empiricist debate. CHILD DEVELOPMENT PERSPECTIVES 2009; 3:79-87. [PMID: 19784383 PMCID: PMC2750899 DOI: 10.1111/j.1750-8606.2009.00081.x] [Citation(s) in RCA: 82] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
The nativist-empiricist debate and the nativist commitment to the idea of core knowledge and endowments that exist without relevant postnatal experience continue to distract attention from the reality of developmental systems. The developmental systems approach embraces the concept of epigenesis, that is, the view that development emerges via cascades of interactions across multiple levels of causation, from genes to environments. This view is rooted in a broader interpretation of experience and an appreciation for the nonobvious nature of development. We illustrate this systems approach with examples from studies of imprinting, spatial cognition, and language development, revealing the inadequacies of the nativist-empiricist debate and the inconvenient truths of development. Developmental scientists should no longer abide the nativist-empiricist debate and nativists' ungrounded focus on origins. Rather, the future lies in grounding our science in contemporary theory and developmental process.
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60
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A layered neural architecture for the consolidation, maintenance, and updating of representations in visual working memory. Brain Res 2009; 1299:17-32. [PMID: 19607817 DOI: 10.1016/j.brainres.2009.07.008] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/08/2009] [Indexed: 11/16/2022]
Abstract
Many everyday tasks rely on our ability to hold information about a perceived stimulus in mind after that stimulus is no longer visible and to compare this information with incoming perceptual information. This ability has been shown to rely on a short-term form of visual memory that has come to be known as visual working memory. Research and theory at both the behavioral and neural levels has begun to provide important insights into the basic properties of the neuro-cognitive systems underlying specific aspects of this form of memory. However, to date, no neurally-plausible theory has been proposed that addresses both the storage of information in working memory and the comparison process in a single framework. The present paper presents a layered neural field architecture that addresses these limitations. In a series of simulations, we show how the model can be used to capture each of the components underlying performance in simple visual comparison tasks--from the encoding, consolidation, and maintenance of information in working memory, to comparison and updating in response to changed inputs. Importantly, the proposed model demonstrates how these elementary perceptual and cognitive functions emerge from the coordinated activity of an integrated, dynamic neural system.
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Abstract
Efficient visually guided behavior depends on the ability to form, retain, and compare visual representations for objects that may be separated in space and time. This ability relies on a short-term form of memory known as visual working memory. Although a considerable body of research has begun to shed light on the neurocognitive systems subserving this form of memory, few theories have addressed these processes in an integrated, neurally plausible framework. We describe a layered neural architecture that implements encoding and maintenance, and links these processes to a plausible comparison process. In addition, the model makes the novel prediction that change detection will be enhanced when metrically similar features are remembered. Results from experiments probing memory for color and for orientation were consistent with this novel prediction. These findings place strong constraints on models addressing the nature of visual working memory and its underlying mechanisms.
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62
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Aligning body and world: stable reference frames improve young children's search for hidden objects. J Exp Child Psychol 2009; 102:445-55. [PMID: 19167014 DOI: 10.1016/j.jecp.2008.11.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2008] [Revised: 11/20/2008] [Accepted: 11/21/2008] [Indexed: 11/28/2022]
Abstract
This study investigated how young children's increasingly flexible use of spatial reference frames enables accurate search for hidden objects by using a task that 3-year-olds have been shown to perform with great accuracy and 2-year-olds have been shown to perform inaccurately. Children watched as an object was rolled down a ramp, behind a panel of doors, and stopped at a barrier visible above the doors. In two experiments, we gave 2- and 2.5-year-olds a strong reference frame by increasing the relative salience and stability of the barrier. In Experiment 1, 2.5-year-olds performed at above-chance levels with the more salient barrier. In Experiment 2, we highlighted the stability of the barrier (or ramp) by maximizing the spatial extent of each reference frame across the first four training trials. Children who were given a stable barrier (and moving ramp) during these initial trials performed at above-chance levels and significantly better than children who were given a stable ramp (and moving barrier). This work highlights that factors central to spatial cognition and motor planning-aligning egocentric and object-centered reference frames-play a role in the ramp task during this transitional phase in development.
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63
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64
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Abstract
In the present report, we describe a new dynamic field theory that captures the dynamics of visuo-spatial cognition. This theory grew out of the dynamic systems approach to motor control and development, and is grounded in neural principles. The initial application of dynamic field theory to issues in visuo-spatial cognition extended concepts of the motor approach to decision making in a sensori-motor context, and, more recently, to the dynamics of spatial cognition. Here we extend these concepts still further to address topics in visual cognition, including visual working memory for non-spatial object properties, the processes that underlie change detection, and the 'binding problem' in vision. In each case, we demonstrate that the general principles of the dynamic field approach can unify findings in the literature and generate novel predictions. We contend that the application of these concepts to visual cognition avoids the pitfalls of reductionist approaches in cognitive science, and points toward a formal integration of brains, bodies, and behavior.
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65
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Abstract
A central goal in cognitive and developmental science is to develop models of behavior that can generalize across both tasks and development while maintaining a commitment to detailed behavioral prediction. This paper presents tests of one such model, the Dynamic Field Theory (DFT). The DFT was originally proposed to capture delay-dependent biases in spatial recall and developmental changes in spatial recall performance. More recently, the theory was generalized to adults' performance in a second spatial working memory task, position discrimination. Here we use the theory to predict a specific, complex developmental pattern in position discrimination. Data with 3- to 6-year-old children and adults confirm these predictions, demonstrating that the DFT achieves generality across tasks and time scales, as well as the specificity necessary to generate novel, falsifiable predictions.
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66
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Generalizing the dynamic field theory of spatial cognition across real and developmental time scales. Brain Res 2008; 1202:68-86. [PMID: 17716632 PMCID: PMC2593104 DOI: 10.1016/j.brainres.2007.06.081] [Citation(s) in RCA: 70] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2007] [Accepted: 06/09/2007] [Indexed: 11/26/2022]
Abstract
Within cognitive neuroscience, computational models are designed to provide insights into the organization of behavior while adhering to neural principles. These models should provide sufficient specificity to generate novel predictions while maintaining the generality needed to capture behavior across tasks and/or time scales. This paper presents one such model, the dynamic field theory (DFT) of spatial cognition, showing new simulations that provide a demonstration proof that the theory generalizes across developmental changes in performance in four tasks-the Piagetian A-not-B task, a sandbox version of the A-not-B task, a canonical spatial recall task, and a position discrimination task. Model simulations demonstrate that the DFT can accomplish both specificity-generating novel, testable predictions-and generality-spanning multiple tasks across development with a relatively simple developmental hypothesis. Critically, the DFT achieves generality across tasks and time scales with no modification to its basic structure and with a strong commitment to neural principles. The only change necessary to capture development in the model was an increase in the precision of the tuning of receptive fields as well as an increase in the precision of local excitatory interactions among neurons in the model. These small quantitative changes were sufficient to move the model through a set of quantitative and qualitative behavioral changes that span the age range from 8 months to 6 years and into adulthood. We conclude by considering how the DFT is positioned in the literature, the challenges on the horizon for our framework, and how a dynamic field approach can yield new insights into development from a computational cognitive neuroscience perspective.
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67
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Carving up space at imaginary joints: can people mentally impose arbitrary spatial category boundaries? J Exp Psychol Hum Percept Perform 2007; 33:871-94. [PMID: 17683234 DOI: 10.1037/0096-1523.33.4.871] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Empirical attempts to understand connections between abstract cognition and sensori-motor processes have pointed toward an embodied view of cognition, where cognitive activity is strongly tied to sensori-motor activity. Here the authors test the ability of the cognitive system to impose structure on the world using a well-established phenomenon in spatial cognition--biases near spatial category boundaries. Results from 5 experiments suggest that participants were unable to mentally impose a spatial category boundary without perceptual support, even when explicitly instructed to do so. The authors conclude by considering the implications of these findings for abstraction within other domains of cognition.
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68
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Location memory biases reveal the challenges of coordinating visual and kinesthetic reference frames. Exp Brain Res 2007; 184:165-78. [PMID: 17703284 PMCID: PMC2630493 DOI: 10.1007/s00221-007-1089-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2007] [Accepted: 07/29/2007] [Indexed: 11/28/2022]
Abstract
Five experiments explored the influence of visual and kinesthetic/proprioceptive reference frames on location memory. Experiments 1 and 2 compared visual and kinesthetic reference frames in a memory task using visually-specified locations and a visually-guided response. When the environment was visible, results replicated previous findings of biases away from the midline symmetry axis of the task space, with stability for targets aligned with this axis. When the environment was not visible, results showed some evidence of bias away from a kinesthetically-specified midline (trunk anterior-posterior [a-p] axis), but there was little evidence of stability when targets were aligned with body midline. This lack of stability may reflect the challenges of coordinating visual and kinesthetic information in the absence of an environmental reference frame. Thus, Experiments 3-5 examined kinesthetic guidance of hand movement to kinesthetically-defined targets. Performance in these experiments was generally accurate with no evidence of consistent biases away from the trunk a-p axis. We discuss these results in the context of the challenges of coordinating reference frames within versus between multiple sensori-motor systems.
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69
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Abstract
This article reports a calibration procedure that enables researchers to track movements of the eye while allowing relatively unrestricted head and/or body movement. The eye-head calibration algorithm calculates fixation point based on eye-position data acquired by a head-mounted eyetracker and corresponding head-position data acquired by a 3-D motion-tracking system. In a single experiment, we show that this procedure provides robust eye-position estimates while allowing free head movement. Although several companies offer ready-made systems for this purpose, there is no literature available that makes it possible for researchers to explore the details of the calibration procedures used by these systems. By making such details available, we hope to facilitate the development of cost-effective, nonproprietary eyetracking solutions.
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70
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Planning "discrete" movements using a continuous system: insights from a dynamic field theory of movement preparation. Motor Control 2007; 11:166-208. [PMID: 17575340 DOI: 10.1123/mcj.11.2.166] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The timed-initiation paradigm developed by Ghez and colleagues (1997) has revealed two modes of motor planning: continuous and discrete. Continuous responding occurs when targets are separated by less than 60 degrees of spatial angle, and discrete responding occurs when targets are separated by greater than 60 degrees . Although these two modes are thought to reflect the operation of separable strategic planning systems, a new theory of movement preparation, the Dynamic Field Theory, suggests that two modes emerge flexibly from the same system. Experiment 1 replicated continuous and discrete performance using a task modified to allow for a critical test of the single system view. In Experiment 2, participants were allowed to correct their movements following movement initiation (the standard task does not allow corrections). Results showed continuous planning performance at large and small target separations. These results are consistent with the proposal that the two modes reflect the time-dependent "preshaping" of a single planning system.
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71
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Reference-related inhibition produces enhanced position discrimination and fast repulsion near axes of symmetry. ACTA ACUST UNITED AC 2006; 68:1027-46. [PMID: 17153196 DOI: 10.3758/bf03193363] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Models proposed to account for reference frame effects in spatial cognition often account for performance in some tasks well, but fail to generalize to other tasks. Here, we demonstrate that a new process account of spatial working memory--the dynamic field theory (DFT)--can bridge the gap between perceptual and memory processes in position discrimination and spatial recall, highlighting that the processes underlying spatial recall also operate in position discrimination. In six experiments, we tested two novel predictions of the DFT: first, that discrimination is enhanced near symmetry axes, especially when the perceptual salience of the axis is increased; and second, that performance far from a reference axis depends on the direction in which the second stimulus is presented. The DFT also predicts the magnitude of this direction-dependent modulation. These effects arise from reference-related inhibition in the theory. We discuss how the processes captured by the DFT relate to existing psychophysical models and operate across a diverse array of spatial tasks.
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Abstract
This paper is in memory of Esther Thelen, who passed away while President of the Society for Research in Child Development. A survey of Esther Thelen's career reveals a trajectory from early work on simple movements like stepping, to the study of goal-directed reaching, to work on the embodiment of cognition, and, ultimately, to a grand theory of development--dynamic systems theory. Four central concepts emerged during her career: (1) a new emphasis on time; (2) the proposal that behavior is softly assembled from the interaction of multiple subsystems; (3) the embodiment of perception, action, and cognition; and (4) a new respect for individuality. Esther Thelen communicated these ideas to scientists and practitioners alike, so the ultimate benefactors of her work were children.
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73
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Toward a formal theory of flexible spatial behavior: Geometric category biases generalize across pointing and verbal response types. ACTA ACUST UNITED AC 2006; 32:473-90. [PMID: 16634683 DOI: 10.1037/0096-1523.32.2.473] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Three experiments tested whether geometric biases--biases away from perceived reference axes--reported in spatial recall tasks with pointing responses generalized to a recognition task that required a verbal response. Seven-year-olds and adults remembered the location of a dot within a rectangle and then either reproduced its location or verbally selected a matching choice dot from a set of colored options. Results demonstrated that geometric biases generalized to verbal responses; however, the spatial span of the choice set influenced performance as well. These data suggest that the same spatial memory process gives rise to both response types in this task. Simulations of a dynamic field model buttress this claim. More generally, these results challenge accounts that posit separate spatial systems for motor and verbal responses.
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74
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Transgenic mice over-expressing human beta-amyloid have functional nicotinic alpha 7 receptors. Neuroscience 2005; 137:795-805. [PMID: 16303255 DOI: 10.1016/j.neuroscience.2005.10.007] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2005] [Revised: 09/29/2005] [Accepted: 10/07/2005] [Indexed: 11/22/2022]
Abstract
A potentially major factor in the development of Alzheimer's disease is the enhanced production of soluble beta-amyloid peptide fragments amyloid beta peptide(1-40) and amyloid beta peptide(1-42). These amyloid peptides are generated by cleavage of the amyloid-precursor protein and aggregate spontaneously to form amyloid plaques, which are a classical pathological hallmark in Alzheimer's disease. Although the precise mechanisms are unknown, it is widely believed that amyloid peptides initiate the degenerative process, resulting in subsequent cognitive decline. One interaction of amyloid beta peptide that may contribute to an impairment of cognition is its high affinity binding to the alpha 7 nicotinic receptor; a receptor shown to be important for cognition in a number of studies. There is some controversy, however, whether amyloid beta peptide inhibits or activates this receptor. We have cloned and stably expressed the human alpha 7 receptor and investigated its interaction with amyloid beta peptide using patch clamp electrophysiology. Human alpha 7 was activated in a concentration-dependent fashion by nicotine, acetylcholine and choline and potently inhibited by methyllycaconitine citrate. The responses were inwardly rectifying and exhibited rapid activation, desensitization and deactivation. Amyloid beta peptide(1-42) antagonized human alpha7 responses in a partially reversible fashion; no agonist effects of amyloid beta peptide(1-42) were detected. A similar inhibition of mouse alpha 7 was also observed. In addition, we have assessed the function of native alpha 7 receptors in hippocampal slices prepared from transgenic mice that over-express human amyloid. Despite this clear inhibition of recombinant receptors, hippocampal GABAergic interneurones in slices from beta-amyloid over-expressing mice still possess alpha 7 receptor-mediated currents.
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Modulation of hippocampal excitability by 5-HT4 receptor agonists persists in a transgenic model of Alzheimer's disease. Neuroscience 2005; 129:49-54. [PMID: 15489027 DOI: 10.1016/j.neuroscience.2004.06.070] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/22/2004] [Indexed: 10/26/2022]
Abstract
5-HT(4) receptors are widely distributed in both peripheral and central nervous systems where they couple, via a G-protein, to the activation of adenylate cyclase. In the brain, the highest 5-HT(4) receptor densities are found in the limbic system, including the hippocampus and frontal cortex. It has been suggested that activation of these receptors may be of therapeutic benefit in diseases that produce cognitive deficits such as Alzheimer's disease (AD). Previous electrophysiological studies have shown that the 5-HT(4) agonist, Zacopride, can increase population spike amplitude recorded in region CA1 of rat hippocampal slices in a cyclic AMP (cAMP)/cAMP-dependent protein kinase A-dependent manner. We report here that the 5-HT(4) agonist, Prucalopride, and the 5-HT(4) partial agonist, SL65.0155, produce a similar effect in rat hippocampal slices and that the specific 5-HT(4) antagonist, GR113808, blocks these effects. To investigate the potential use of 5-HT(4) agonists in the treatment of AD, Prucalopride was applied to hippocampal slices from a transgenic mouse line that overexpresses the Abeta peptide. Despite the deficit in synaptic transmission present in these mice, the percentage increase of the CA1 population spike induced by Prucalopride was the same as that observed in wild-type mice. These data support 5-HT(4) receptors as a target for cognitive enhancement and suggest that a partial agonist would be sufficient to produce benefits, while reducing potential peripheral side effects. In addition, we show that 5-HT(4) receptors remain functional in the presence of excess Abeta peptide and may therefore be a useful target in AD.
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Abstract
A dominant account of perseverative errors in early development contends that such errors reflect a failure to inhibit a prepotent response. This study investigated whether perseveration might also arise from a failure to inhibit a prepotent representation. Children watched as a toy was hidden at an A location, waited during a delay, and then watched the experimenter find the toy. After six observation-only A trials, the toy was hidden at a B location, and children were allowed to search for the toy. Two- and 4-year-olds' responses on the B trials were significantly biased toward A even though they had never overtly responded to this location. Thus, perseverative biases in early development can arise as a result of prepotent representations, demonstrating that the prepotent-response account is incomplete. We discuss three alternative interpretations of these results, including the possibility that representational and response-based biases reflect the operation of a single, integrated behavioral system.
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77
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Testing the dynamic field theory: working memory for locations becomes more spatially precise over development. Child Dev 2004; 74:1393-417. [PMID: 14552405 DOI: 10.1111/1467-8624.00614] [Citation(s) in RCA: 136] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The dynamic field theory predicts that biases toward remembered locations depend on the separation between targets, and the spatial precision of interactions in working memory that become enhanced over development. This was tested by varying the separation between A and B locations in a sandbox. Children searched for an object 6 times at an A location, followed by 3 trials at a B location. Two- and 4-year-olds', but not 6-year-olds', responses were biased toward A when A and B were 9-in. and 6-in. apart. When A and B were separated by 2 in., however, 4- and 6-year-olds' responses were biased toward A. Thus, the separation at which responses were biased toward A decreased across age groups, supporting the predictions of the theory.
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Abstract
This study investigated whether children's spatial recall performance shows three separable characteristics: (1) biases away from symmetry axes (geometric effects); (2) systematic drift over delays; and (3) biases toward the exemplar distribution experienced in the task (experience-dependent effects). In Experiment 1, the location of one target within each geometric category was varied. Children's responses showed biases away from a midline axis that increased over delays. In Experiment 2, multiple targets were placed within each category at the same locations used in Experiment 1. After removing geometric effects, 6-year-olds'--but not 11-year-olds'--responses were biased toward the average remembered location over learning. In Experiment 3, children responded to one target more frequently than the others. Both 6- and 11-year-olds showed biases toward the most frequent target over learning. These results provide a bridge between the performance of younger children and adults, demonstrating continuity in the processes that underlie spatial memory abilities across development.
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81
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Developmental Changes in the Relative Weighting of Geometric and Experience-Dependent Location Cues. JOURNAL OF COGNITION AND DEVELOPMENT 2003. [DOI: 10.1080/15248372.2003.9669681] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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82
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Abstract
People use geometric cues to form spatial categories. This study investigated whether people also use the spatial distribution of exemplars. Adults pointed to remembered locations on a tabletop. In Experiment 1, a target was placed in each geometric category, and the location of targets was varied. Adults' responses were biased away from a midline category boundary toward geometric prototypes located at the centers of left and right categories. Experiment 2 showed that prototype effects were not influenced by cross-category interactions. In Experiment 3, subsets of targets were positioned at different locations within each category. When prototype effects were removed, there was a bias toward the center of the exemplar distribution, suggesting that common categorization processes operate across spatial and object domains.
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83
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Generalizing the dynamic field theory of the A-not-B error beyond infancy: three-year-olds' delay- and experience-dependent location memory biases. Child Dev 2002; 73:377-404. [PMID: 11949898 DOI: 10.1111/1467-8624.00413] [Citation(s) in RCA: 66] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Thelen and colleagues recently proposed a dynamic field theory (DFT) to capture the general processes that give rise to infants' performance in the Piagetian A-not-B task. According to this theory, the same general processes should operate in noncanonical A-not-B-type tasks with children older than 12 months. Three predictions of the DFT were tested by examining 3-year-olds' location memory errors in a task with a homogeneous task space. Children pointed to remembered locations after delays of 0 s to 10 s. The spatial layout of the possible targets and the frequency with which children moved to each target was varied. As predicted by the DFT, children's responses showed a continuous spatial drift during delays toward a longer term memory of previously moved-to locations. Furthermore, these delay-dependent effects were reduced when children moved to an "A" location on successive trials, and were magnified on the first trial to a nearby "B" location. Thus, the DFT generalized to capture the performance of 3-year-old children in a new task. In contrast to predictions of the DFT, however, 3-year-olds' responses were also biased toward the midline of the task space-an effect predicted by the category adjustment (CA) model. These data suggest that young children's spatial memory responses are affected by delay- and experience-dependent processes as well as the geometric structure of the task space. Consequently, two current models of spatial memory-the DFT and the CA model-provide incomplete accounts of children's location memory abilities.
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84
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Abstract
People use geometric cues to form spatial categories. This study investigated whether people also use the spatial distribution of exemplars. Adults pointed to remembered locations on a tabletop. In Experiment 1, a target was placed in each geometric category, and the location of targets was varied. Adults' responses were biased away from a midline category boundary toward geometric prototypes located at the centers of left and right categories. Experiment 2 showed that prototype effects were not influenced by cross-category interactions. In Experiment 3, subsets of targets were positioned at different locations within each category. When prototype effects were removed, there was a bias toward the center of the exemplar distribution, suggesting that common categorization processes operate across spatial and object domains.
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85
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86
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Bioavailability of flavan-3-ols and procyanidins: gastrointestinal tract influences and their relevance to bioactive forms in vivo. Antioxid Redox Signal 2001; 3:1023-39. [PMID: 11813978 DOI: 10.1089/152308601317203558] [Citation(s) in RCA: 125] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
There is considerable interest in the bioavailability of flavan-3-ols such as tea catechins and cocoa-derived procyanidin components of the diet and their bioactivity in vivo. Their hydrogen-donating abilities and their propensity for nitration make these compounds powerful scavengers of reactive oxygen and nitrogen species. In addition, recent evidence has suggested that these compounds may interact with redox-sensitive cell signaling pathways. However, their bioactivity in vivo will be dependent on the absorption and metabolism of these compounds after ingestion and the reducing properties of resulting metabolites. Many cell, animal, and human studies have shown that flavanol monomers, such as epicatechin, are extensively metabolised to O-methylated forms and/or conjugated to glucuronides and sulphates during absorption into the circulation. The cleavage of higher procyanidin oligomers to mixtures of monomer and dimer in the stomach may act to enhance the potential for their absorption in the small intestine as higher oligomers have very limited absorption. Studies suggest that the major bioactive forms of flavanol monomers and procyanidins in vivo are likely to be metabolites and/or conjugates of epicatechin. One such metabolite, 3'-O-methylepicatechin, has been shown to exert protective effects against oxidative stress-induced cell death. Future studies will continue to concentrate on the exact mechanism of action of the bioactive forms of flavan-3-ols in vivo.
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87
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Contrasting influences of glucuronidation and O-methylation of epicatechin on hydrogen peroxide-induced cell death in neurons and fibroblasts. Free Radic Biol Med 2001; 31:1139-46. [PMID: 11677047 DOI: 10.1016/s0891-5849(01)00704-3] [Citation(s) in RCA: 103] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The purpose of this study was to examine the comparative mechanisms by which the dietary form of the flavonoid epicatechin and its predominant in vivo metabolite, epicatechin glucuronide, influence oxidative stress-induced cell death in fibroblasts and neurons. The results demonstrate the contrasting influences of in vivo glucuronidation and methylation on the bioactivity of epicatechin.
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88
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Flavonoids protect neurons from oxidized low-density-lipoprotein-induced apoptosis involving c-Jun N-terminal kinase (JNK), c-Jun and caspase-3. Biochem J 2001; 358:547-57. [PMID: 11535118 PMCID: PMC1222091 DOI: 10.1042/0264-6021:3580547] [Citation(s) in RCA: 143] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Oxidative stress has been associated with neuronal loss in neurodegenerative diseases and during age-associated cognitive decline. Flavonoids have been proposed to play a useful role in protecting the central nervous system against oxidative and excitotoxic stress, although the mechanism of action is unknown. Using oxidized low-density lipoprotein (oxLDL) as the oxidative insult we investigated the mechanism of neurotoxicity and attempted to identify possible sites of action of two of the most potent protective flavonoids, epicatechin and kaempferol, in cultured primary neurons. Using cultured striatal neurons and selective phosphospecific antibodies we addressed the potential role of extracellular signal-regulated kinases 1/2 (ERK1/2) and c-Jun N-terminal kinase (JNK). OxLDL stimulated a Ca(2+)-dependent activation of both ERK1/2 and JNK that was strongly inhibited by pre-treatment with low micromolar concentrations of epicatechin. Neurotoxicity induced by oxLDL, however, was neither reduced nor enhanced by inhibiting ERK1/2 activation with mitogen-activated protein kinase kinase (MEK) inhibitors, suggesting that this cascade is unlikely to be involved in either oxLDL toxicity or the protective effects of flavonoids. oxLDL caused a sustained activation of JNK that resulted in the phosphorylation of the transcription factor c-Jun, which was abolished in neurons pre-treated with flavonoids. Furthermore, oxLDL induced the cleavage of procaspase-3 and increased caspase-3-like protease activity in neurons, an effect which was strongly inhibited by pre-exposure to either epicatechin or kaempferol. In addition, a caspase-3 inhibitor reduced oxLDL-induced neuronal death, implicating an apoptotic mechanism. A major in vivo metabolite of epicatechin, 3'-O-methyl-epicatechin was as effective as epicatechin in protecting neurons. Thus dietary flavonoids might have potential as protective agents against neuronal apoptosis through selective actions within stress-activated cellular responses, including protein kinase signalling cascades.
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89
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Tests of a dynamic systems account of the A-not-B error: the influence of prior experience on the spatial memory abilities of two-year-olds. Child Dev 2001; 72:1327-46. [PMID: 11699674 DOI: 10.1111/1467-8624.00351] [Citation(s) in RCA: 101] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Recently, Smith, Thelen, and colleagues proposed a dynamic systems account of the Piagetian "A-not-B" error in which infants' errors result from general processes that make goal-directed actions to remembered locations. Based on this account, the A-not-B error should be a general phenomenon, observable in different tasks and at different points in development. Smith, Thelen, et al.'s proposal was tested using an A-not-B version of a sandbox task. During three training trials and three "A" trials, 2-year-olds watched as a toy was buried in a sandbox at Location A. Following a 10-s delay, children searched for the object. Across five experiments, children's (total N = 92) performance on the A trials was accurate. After the A trials, children watched as a toy was hidden at Location B, 8 to 10 inches from Location A. In all experiments, children's searches after a 10-s delay were significantly biased in the direction of Location A. Furthermore, this bias toward Location A decreased with repeated trials to Location B, as well as when children completed fewer trials to Location A. Together, these data suggest that A-not-B-type errors are pervasive across tasks and development.
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Epicatechin is the primary bioavailable form of the procyanidin dimers B2 and B5 after transfer across the small intestine. Biochem Biophys Res Commun 2001; 285:588-93. [PMID: 11453632 DOI: 10.1006/bbrc.2001.5211] [Citation(s) in RCA: 99] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Perfusion of isolated small intestine with the procyanidin dimers B2 and B5 extracted from cocoa indicated that both forms of dimer are transferred to the serosal side of enterocytes but only to a very small extent (<1% of the total transferred flavanol-like compounds). However, perfusion of dimer mainly resulted in large amounts of unmetabolised/unconjugated epicatechin monomer being detected on the serosal side (95.8%). The cleavage of dimer during transfer seemed to be energy-dependent, requiring an intact cell system, as incubation with jejunal homogenates failed to yield epicatechin. Low levels methylated dimer were also detected (3.2%), but no conjugates and metabolites of epicatechin indicating that metabolism of monomer and dimer is limited during dimer cleavage/translocation. The methylation of dimer may be by catechol-O-methyltransferase, however, at high concentrations of dimer COMT activity is reduced leading to an inhibition of both monomer and dimer O-methylation.
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91
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92
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Medications in the breast-feeding mother. Am Fam Physician 2001; 64:119-26. [PMID: 11456429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
Prescribing medications for a breast-feeding mother requires weighing the benefits of medication use for the mother against the risk of not breast-feeding the infant or the potential risk of exposing the infant to medications. A drug that is safe for use during pregnancy may not be safe for the nursing infant. The transfer of medications into breast milk depends on a concentration gradient that allows passive diffusion of nonionized, non-protein-bound drugs. The infant's medication exposure can be limited by prescribing medications to the breast-feeding mother that are poorly absorbed orally, by avoiding breast-feeding during times of peak maternal serum drug concentration and by prescribing topical therapy when possible. Mothers of premature or otherwise compromised infants may require altered dosing to avoid drug accumulation and toxicity in these infants. The most accurate and up-to-date sources of information, including Internet resources and telephone consultations, should be used.
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93
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Abstract
The purpose of this study was to investigate biomarkers of the bioavailability and metabolism of hydroxycinnamate derivatives through the determination of the pharmacokinetics of their urinary elimination and identification of the metabolites excreted. Coffee was used as a rich source of caffeic acid derivatives and human supplementation was undertaken. The results show a highly significant increase in the excretion of ferulic, isoferulic, dihydroferulic acid (3-(4-hydroxy-3-methoxyphenyl)-propionic acid), and vanillic acid postsupplementation relative to the levels presupplementation. Thus, ferulic, isoferulic, and dihydroferulic acids are specific biomarkers for the bioavailability and metabolism of dietary caffeic acid esters. Isoferulic acid is a unique biomarker as it is not a dietary component, however, dihydroferulic acid may well derive from other flavonoids with a structurally related B-ring. 3-Hydroxyhippuric acid has also been identified as an indicator for bioavailability and metabolism of phenolic compounds, and shows a highly significant excretion increase postsupplementation. The results reveal isoferulic acid (and possibly dihydroferulic acid) as novel markers of caffeoyl quinic acid metabolism.
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94
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Epicatechin and its in vivo metabolite, 3'-O-methyl epicatechin, protect human fibroblasts from oxidative-stress-induced cell death involving caspase-3 activation. Biochem J 2001; 354:493-500. [PMID: 11237853 PMCID: PMC1221680 DOI: 10.1042/0264-6021:3540493] [Citation(s) in RCA: 76] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
There is considerable current interest in the cytoprotective effects of natural antioxidants against oxidative stress. In particular, epicatechin, a major member of the flavanol family of polyphenols with powerful antioxidant properties in vitro, has been investigated to determine its ability to attenuate oxidative-stress-induced cell damage and to understand the mechanism of its protective action. We have induced oxidative stress in cultured human fibroblasts using hydrogen peroxide and examined the cellular responses in the form of mitochondrial function, cell-membrane damage, annexin-V binding and caspase-3 activation. Since one of the major metabolites of epicatechin in vivo is 3'-O-methyl epicatechin, we have compared its protective effects with that of epicatechin. The results provide the first evidence that 3'-O-methyl epicatechin inhibits cell death induced by hydrogen peroxide and that the mechanism involves suppression of caspase-3 activity as a marker for apoptosis. Furthermore, the protection elicited by 3'-O-methyl epicatechin is not significantly different from that of epicatechin, suggesting that hydrogen-donating antioxidant activity is not the primary mechanism of protection.
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95
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Bioavailability of flavonoids and potential bioactive forms in vivo. DRUG METABOLISM AND DRUG INTERACTIONS 2001; 17:291-310. [PMID: 11201300 DOI: 10.1515/dmdi.2000.17.1-4.291] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Flavonoids are powerful antioxidants in vitro, but their overall functions in vivo have yet to be clarified, whether antioxidant, anti-inflammatory, enzyme inhibitor or inducer, or some other role. The reducing properties of flavonoids might also contribute to redox regulation in cells independently of their antioxidant properties. However, in order to understand their bioactivity in vivo, it is necessary to understand the factors influencing the absorption of flavonoids by the gastrointestinal tract, the nature of the conjugates and metabolites in the circulation and how this influences their antioxidant activities.
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96
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An internal ribosome entry segment in the 5' untranslated region of the mnt gene. Oncogene 2001; 20:893-7. [PMID: 11314024 DOI: 10.1038/sj.onc.1204157] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2000] [Revised: 12/05/2000] [Accepted: 12/07/2000] [Indexed: 11/08/2022]
Abstract
Mnt is a transcriptional repressor related to the Myc/Mad family of transcription factors. It is expressed in proliferating, resting and differentiating cells and is believed to antagonize the function of Myc. Here we have characterized the major transcription initiation site of the mnt gene. In doing so we noted a remarkable level of sequence conservation between the murine and human 5' untranslated regions. Our experiments revealed that this sequence contains an internal ribosome entry segment (IRES). In addition, we show that sequences at both the 5' and 3' end of the IRES are essential for its function. These findings indicate that mnt can be translated by internal initiation. Such a mechanism may allow efficient Mnt synthesis when cap-dependent translation initiation is reduced.
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97
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Bi-directional changes in synaptic plasticity induced at corticostriatal synapses in vitro. Exp Brain Res 2000; 135:497-503. [PMID: 11156313 DOI: 10.1007/s002210000523] [Citation(s) in RCA: 61] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Long-term changes in the synaptic efficacy of corticostriatal synapses are believed to be important for regulating the excitatory input to the basal ganglia, and hence for motor learning and certain forms of cognition. Previous reports have suggested that long-term depression (LTD) is the predominant form of plasticity at corticostriatal synapses. However, we report here that tetanic stimulation of the white matter can readily induce long-term potentiation (LTP) at corticostriatal synapses in a sagittal slice preparation. Furthermore, we find that corticostriatal LTP is obtained in the absence of pharmacological manipulation, and is dependent on NMDA receptor activation. In contrast, LTD is rarely observed following tetanic stimulation of the white matter, but in fact requires direct stimulation within the striatum. This striatally induced depression is blocked by both D1 and D2 dopamine receptor antagonists and by NMDA receptor blockade. Pairing of striatal stimulation with tetanic stimulation of the white matter does not prevent the induction, but significantly enhances the magnitude of LTP at corticostriatal synapses. We suggest that the corticostriatal depression reported here most likely involves the recruitment of local striatal circuits and dopaminergic inputs, and thus might explain the predominance of LTD previously reported. Our observation that it is indeed possible to induce LTP at corticostriatal synapses under physiological conditions in vitro has implications for the normal function and control of the basal ganglia in motor learning and cognition.
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98
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Epicatechin and catechin are O-methylated and glucuronidated in the small intestine. Biochem Biophys Res Commun 2000; 277:507-12. [PMID: 11032751 DOI: 10.1006/bbrc.2000.3701] [Citation(s) in RCA: 151] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
There is considerable interest in the bioavailability of polyphenols and their bioactivity in vivo. We have studied the absorption and metabolism of catechin and epicatechin in the small intestine and the comparative transfer across the jejunum and ileum. Perfusion of isolated jejunum with the flavanols resulted in glucuronidation ( approximately 45%), O-methylation: 3'-O-Methyl- and 4'-O-methyl- ( approximately 30%), and O-methyl-glucuronidation ( approximately 20% of total flavanols identified) during transfer across the enterocytes to the serosal side. This demonstrates the activity of catechol-O-methyl transferases in the metabolism of flavanols and suggests that these metabolites and conjugates are likely to enter the portal vein. In contrast, in the case of the ileum, the majority of the flavanols appeared on the serosal side unmetabolised and the total percentage of flavanols transferred was higher than that in the jejunum ( approximately fivefold).
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99
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Assisted vaginal delivery using the vacuum extractor. Am Fam Physician 2000; 62:1316-20. [PMID: 11011860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
Vacuum extractors have replaced forceps for many situations in which assistance is required to achieve vaginal delivery. Compared with metal-cup vacuum extractors, soft-cup devices are easier to use and cause fewer neonatal scalp injuries; however, they detach more frequently. Vacuum extractors can cause neonatal injury. These devices should be employed when indicated, usually for a nonreassuring fetal heart tracing or failure to progress in the second stage of labor. Complications may be minimized if the physician recognizes contraindications to the use of vacuum extraction. Complete documentation is essential.
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100
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