Suicidal attempts and increased right amygdala volume in schizophrenia

Suicide is a major cause of death in schizophrenia. Neurobiological studies suggest that suicidality is associated with abnormal brain structure and connectivity in fronto-temporo-limbic regions. However, it is still unclear whether suicidality in schizophrenia is related to volumetric abnormalities in subcortical structures that play a key role in emotion regulation, aggression and impulse control. Therefore, we aimed to examine whether the volume of selected subcortical regions is associated with previous suicidal attempts and self-aggression in schizophrenia. For this cross-sectional study, we recruited 50 outpatients with schizophrenia and 50 healthy controls (HC) matched for age and gender. Fourteen patients had a history of one or more suicide attempts. Different forms of aggression were assessed using the Modified Overt Aggression Scale. All participants underwent structural MR imaging at 3 Tesla. Physical volumetric measures were calculated for the lateral ventricles, thalamus, hippocampus, amygdala, caudate, putamen, pallidum and accumbens using an automatic segmentation method on T1-weighted high-resolution (voxel size 1×1×1mm(3)) images. Multivariate and follow-up univariate ANOVAs revealed a selective increase in volume in the right amygdala of patients with a history of suicidality compared both to patients without such a history and HC. Moreover, in the entire patient group increased right amygdala volume was related to increased self-aggression. Our findings suggest that right amygdala hypertrophy may be a risk factor for suicide attempts in patients with schizophrenia and this could be relevant for suicide prevention.

Attending to multiple visual streams: interactions between location-based and category-based attentional selection

Behavioral studies indicate that subjects are able to divide attention between multiple streams of information at different locations. However, it is still unclear to what extent the observed costs reflect processes specifically associated with spatial attention, versus more general interference due the concurrent monitoring of multiple streams of stimuli. Here we used a factorial design to disentangle the correlates of location- versus category-based selection processes during fMRI. In all conditions, participants were presented with two overlapping visual stimuli (red shapes and green shapes) in each hemifield. In different blocks, subjects either: (1) attended to one single stimulus category, red shapes or green shapes, in one hemifield; (2) attended to both stimulus categories in the same hemifield; (3) attended to one single stimulus category, but monitoring both hemifields at the same time; or (4) attended to one stimulus category in one hemifield, and the other category in the opposite hemifield. The behavioral data showed the expected costs of dividing spatial attention across the two hemifields, and the cost of monitoring two stimulus categories versus one category. The imaging data revealed activation of a dorsal fronto-parietal network, both for dividing spatial attention and for monitoring multiple stimulus categories. However, unlike behavioral data, the imaging results also showed a significant interaction between location- and category-based attention within the same network. This demonstrates that the fronto-parietal cortex engages in both of these selective attention functions, and that a mere increase in task difficulty cannot explain colocalization of these processes. We conclude that, under conditions of multiple streams monitoring, fronto-parietal regions control location- and category-based attentional selection.

Shifting attention across near and far spaces: implications for the use of hands-free cell phones while driving

In three experiments, participants performed two tasks concurrently during driving. In the peripheral detection task, they responded manually to visual stimuli delivered through a LED placed on the internal rear mirror; in the conversation task, they were engaged in a conversation with a passenger, or through earphone-operated, loudspeaker-operated, or hand-held cell phones. Results showed that drivers were slower at responding to the visual stimuli when conversing through a hand-held cell phone or an earphone-operated cell phone than when conversing through a loudspeaker-operated cell phone or with a passenger. These results suggest that due to the brain coding the space into multiple representations, devices that make phone conversations taking place in the near, personal space make drivers slower at responding to visual stimuli, compared to devices that make the conversation occurring in a far space.

Controlling attention through action: observing actions primes action-related stimulus dimensions

Previous findings suggest that planning an action "backward-primes" perceptual dimension related to this action: planning a grasp facilitates the processing of visual size information, while planning a reach facilitates the processing of location information. Here we show that dimensional priming of perception through action occurs even in the absence of active action planning. Subjects watched video clips showing a grasping or reaching action before detecting size- or location-defined deviants in visual stimulus sequences. Size deviants were detected faster after seeing a grasp and location deviants were detected faster after seeing a reach. This supports the assumption that perceptual codes and action plans share a common representational medium, and that "attention to action" controls "attention to stimuli".

Switching between goals mediates the attentional blink effect

Humans are fundamentally limited in processing information from the outside world. This is particularly evident in the attentional blink (AB), the impaired ability to identify the second of two targets presented in close succession. We report findings from three experiments showing that the AB is significantly reduced when observers are set to achieve one single goal (reporting combinations of the two targets) instead of separate goals (reporting the two targets). This finding raises questions about the nature of AB, and suggests that processes involved in goal-switching must be taken into account by theories of the AB phenomenon.

Audio-visual dynamic remapping in an endogenous spatial attention task

Several studies on cross-modal attention showed that remapping processes between sensory modalities occur in the spatial orienting of attention. One hypothesis that accounts for such links is that spatial attention operates upon representations of common locations in the external space. However, convincing evidence only exists for cross-modal links in spatial orienting, leaving the dynamics of these effects unexplored. Four experiments were designed to cope with this issue by having participants being involved in an endogenous orienting task to visual and auditory target stimuli. Targets on invalid trials were embedded into two different kinds of sequences of stimuli: (1) long sequences, wherein three valid trials in one modality preceded the invalid trial in the other modality; (2) short sequences, wherein only one valid trial in one modality preceded the invalid trial in the other modality. Results revealed modality-specific meridian effects in the short sequences, and a significant decrement of the modality-specific meridian effect in the long sequences. The results of these experiments indicate that cross-modal links in visual and auditory spatial attention are based on representations of common locations in the external space across sensory modalities. Moreover, the results strongly support the hypothesis that representations of space are dynamically built and updated according to task demands.

Intentional control of attention: action planning primes action-related stimulus dimensions

Neurophysiological observations suggest that attending to a particular perceptual dimension, such as location or shape, engages dimension-related action, such as reaching and prehension networks. Here we reversed the perspective and hypothesized that activating action systems may prime the processing of stimuli defined on perceptual dimensions related to these actions. Subjects prepared for a reaching or grasping action and, before carrying it out, were presented with location- or size-defined stimulus events. As predicted, performance on the stimulus event varied with action preparation: planning a reaching action facilitated detecting deviants in location sequences whereas planning a grasping action facilitated detecting deviants in size sequences. These findings support the theory of event coding, which claims that perceptual codes and action plans share a common representational medium, which presumably involves the human premotor cortex.

Caffeine, but not nicotine, enhances visual feature binding

The distributed organization of the human visual cortex calls for a mechanism that integrates and binds the features of a perceived event, and neural synchronization is a prime candidate to serve that purpose. Animal studies suggest that synchronization in the visual cortex is enhanced by the muscarinic cholinergic system. Here we show that in healthy humans the binding of shape and colour, and of shape and location, of visual objects is increased by stimulating the muscarinic cholinergic system (caffeine consumption) but not by stimulating the nicotinic cholinergic system (nicotine consumption). Binding across perception and action is unaffected by either manipulation, suggesting a specific link between the visual system and the muscarinic cholinergic system.

Intermittent treatment with high dose nebulized beclomethasone for recurrent wheezing in infants due to upper respiratory tract infection

BACKGROUND

To investigate if high dose inhaled beclomethasone dipropionate started early after upper respiratory tract infection (URTI) could reduce recurrent wheezing in infants.

METHODS

Twenty-six ambulatory infants, 7-12 months of age, with recurrent wheezing during upper respiratory tract infection participated. All experienced at least three wheezing attacks. Those with underlying lung or systemic disease were excluded. Infants were divided into two groups in an open unblinded manner, until 13 patients had been recruited for each group. The groups were similar in risk factors for recurrent wheezing. Four treatment periods of 5 days were planned for group 1. The dose regimen was nebulized beclomethasone 400 mg by mask tid for 5 days. Treatment was started at the very first sign of URTI prior to any sign of wheezing. Group 2 did not receive any preventive treatment and constituted the control group. Symptoms scores were recorded. The number of emergency room visits, hospital admissions and short courses with oral steroids was also noted.

RESULTS

Twelve infants completed 48 treatment periods. Five visited the emergency room, only one during beclomethasone therapy. Six received oral steroids, two receiving beclomethasone. No patient was admitted to the hospital. Symptom scores were significantly lower during beclomethasone treatment (p<0.05). No apparent adverse events were reported.

CONCLUSIONS

The infant with recurrent wheezing during URTI is a therapeutic challenge. Most of these infants have prodromal symptoms for about 24 hours before wheezing starts. In the present study we observed favorable results, decrease in the number the child wheezed and the number of acute attacks, when high dose inhaled beclomethasone is administered during this critical time.

Radial maze performance and open-field behaviours in aged C57BL/6 mice: further evidence for preserved cognitive abilities during senescence

C57BL/6 mice, aged 2 or 24 months, were tested in a radial maze and observed for an 8-min period, repeated on 3 consecutive days, in an open-field situation with a novel object. In the eight-arm maze, the number of unrepeated path choices made by old mice does not significantly increase with training, whereas it does in young mice. Older animals also take significantly longer to solve the task but the two age groups do not differ with respect to how many paths they run before making the first error or in the strategies used to solve the task. In the open-field situation, the two age groups differ with regard to grooming and rearing behaviour, while in the novelty situation, older animal show a higher level of locomotor activity, perform less freezing, and interact more with the novel object. Habituation curves for all parameters, except grooming in the open field, do not differ between the two groups, thus indicating that this form of nonassociative learning does not vary substantially with increasing age. Results are discussed in terms of preserved cognitive abilities during senescence in that strain.

Effects of oxotremorine on inhibitory avoidance behaviour in two inbred strains of mice: interaction with 5-methoxy-NN-dimethyltriptamine

The effects of the cholinergic muscarinic agonist, oxotremorine (0.005, 0.01, 0.02 and 0.04 mg/kg), the serotonergic agonist, 5-methoxy-NN-dimethyltriptamine (5-MeODMT) (0.5, 1 and 2 mg/kg), and their combination, were investigated in C57BL/6 and DBA/2 mice using a one-trial inhibitory avoidance task, drug treatment being given immediately after the acquisition trial. Post-trial administration of oxotremorine facilitated, while post-trial administration of 5-MeODMT inhibited memory retention of both strains in a dose-dependent fashion. The DBA/2 strain was more affected by oxotremorine than the C57BL/6 mice; no strain-dependent sensitivity to serotonergic agonist administration was observed. In both strains, the combination of oxotremorine plus 5-MeODMT inhibited the performance improvement shown by the administration of the cholinergic agonist alone. The facilitatory role of cholinergic stimulation on retention performance was confirmed and an inhibitory action of the serotonergic system on memory processes was suggested. Moreover, the present results support a functional interaction between cholinergic and serotonergic systems on memory consolidation.

Genotype-dependent involvement of limbic areas in spatial learning and postlesion recovery

Male C57BL/6 (C57) and DBA/2 (DBA) mice with hippocampal, amygdaloid, or sham lesions were tested in a radial eight-arm maze 1 or 4 weeks after surgery. The results show that the effect of the lesions varied according to the performance level of the strain considered. In the high-learner C57 strain, the two lesions impaired acquisition at both postlesion intervals. Conversely, in the low-learner DBA strain, only hippocampal lesions impaired acquisition 1 week but not 4 weeks after lesioning. It is hypothesized that if more limbic areas are involved in controlling spatial learning in C57 mice, these structures could be processing distinct but complementary memory attributes, thus contributing to a high baseline performance. This, however, also entails an increased sensitivity of C57 performance to brain damage with reduced possibilities of long-term recovery.

Serotonergic influence on cholinergic-induced analgesia: differences in two inbred strains of mice

C57BL/6 (C57) and DBA/2 (DBA) inbred mice showed different analgesic responses to cholinergic stimulation. The simultaneous administration of muscarinic and serotonergic agonists, oxotremorine and 5-methoxy-NN-dimethyltryptamine (5-MeODMT), lowered the antinociceptive effect of the cholinergic drug in DBA mice, while no effects were detectable in the C57 strain. These results suggest a strain-dependent behavioural effect of the interaction of cholinergic and serotonergic neuronal systems.

Dose-dependent effect of GM1 ganglioside during development on inhibitory avoidance behaviour in mice: influence of the period of administration

Groups of C57BL/6 mice were injected intraperitoneally with GM1 monosialoganglioside at different ages during development and subsequently tested for the retention of an inhibitory avoidance task 24 h after training. Results show improvements in inhibitory avoidance retention according to the age of the animals, the doses of GM1 used and the length of treatment. The effective doses ranged from 20 mg/kg for all age groups after 7 days treatment to 280 mg/kg for 6- and 7-week old animals after pre-trial treatment. Six- and 7-week-old mice are more sensitive to GM1 treatment than 5-week-old animals and, with decreasing lengths of treatment, increasing doses of GM1 are needed to improve the performance of the animals. These findings show that short treatment durations can be effective in improving inhibitory avoidance retention as long as the doses of GM1 administered are increased and that animals are more sensitive to the treatment when they are 6 or 7 weeks of age than when they are 5 weeks old.

Spatial learning in two inbred strains of mice: genotype-dependent effect of amygdaloid and hippocampal lesions

Spatial learning performance and maze-running strategies were estimated in two inbred strains of mice, C57BL/6 and DBA/2, submitted to an 8-arm radial maze task. Subsequently the genotype-dependent effect of hippocampus and amygdala on the mastering of this task was examined as a function of the different acquisition model provided by each strain. The results firstly show that unoperated C57BL/6 mice reach a higher level of performance and develop a stronger preference for adjacent arms - 45 degrees angle - turns than unoperated DBA/2 mice. In the high learner C57BL/6 strain, both hippocampal and amygdaloid lesions impair performance and modify maze-running strategies. With practice, however, the difference between amygdala-lesioned mice and controls disappears while that between hippocampus-lesioned mice and controls persists. Conversely, in the low learner DBA/2 strain, hippocampal lesions have a negative effect on a single parameter of performance, while amygdaloid lesions only affect maze-running strategies. Taken together, these results confirm the specific control exerted by the hippocampus on spatial learning. Moreover, they suggest that the amygdala can parallel the role of the hippocampus as far as the baseline level of performance of the strain considered is high.

Open field behaviours and spatial learning performance in C57BL/6 mice: early stage effects of chronic GM1 ganglioside administration

One month intact C57BL/6 mice were treated with GM1 ganglioside for 3 consecutive weeks. At 2 months of age, treated and control mice were observed in the open-field situation and tested for spatial learning in a radial eight-arm maze. The results showed that, in the open-field, treated mice displayed less freezing but more rearing behavior than control animals. In the radial maze, GM1-treated mice made more correct path choices before the first error within each trial than control mice. However, this improvement was limited to the first stage of training. These results suggest an early stimulating effect of the GM1 ganglioside treatment which could facilitate adaptive reactions to new situations.

Chronic administration of phosphatidylserine during ontogeny enhances subject-environment interactions and radial maze performance in C57BL/6 mice

A longitudinal behavioral study was performed in mice exposed to the bovine brain phospholipid phosphatidylserine (BC-PS) from birth until sixty days. Examination of treated and control pups revealed no effect of the treatment on body weight nor on sensorimotor reflexes. At one and two months of age, when placed in an open field and, particularly, in the presence of a novel object, treated mice were found more interactive with their environment than control mice. Finally, when submitted to a radial eight-arm maze problem, choice accuracy was higher and maze-running strategies more adaptive in treated than in control adult mice. These results suggest a stimulating effect of the treatment on subject-environment interactions during ontogeny underlying improved cognitive abilities in adulthood.

[Gardner syndrome. A report of 3 cases in members of the same family]

The aim of the present report is to describe the overall mandibular and extramandibular lesions correlated to Gardner's syndrome which were found in the same family (mother and two daughters). In two cases (mother and one daughter) mandibular lesions consisted of osteoma. In the latter, these were associated with composite odontoma. In the other daughter the lesions consisted of desmoid fibroma. The two daughters revealed single colonic polyposis whereas the mother was affected by multiple colonic polyposis and subcutaneous lipoma. Such a constellation of lesions may be attributed to Gardner's syndrome, a Mendelian hereditary syndrome which is often incomplete. In fact, intestinal polyposis can only be associated with one of the various extraintestinal manifestations of the syndrome. The recognition of the syndrome is important given the high percentage of intestinal polyp-adenocarcinoma associations.

Age-related cholinergic drug effects on analgesia in two inbred strains of mice

The two inbred strains of mice C57BL/6 and DBA/2 are characterized by a different behavioral reactivity to cholinergic agents during development. The present experiment revealed that the strain-dependent differences in cholinergic-mediated analgesia during development disappeared during adult life. In fact, oxotremorine administration (0.0025 and 0.005 mg/kg) exerted the same analgesic effect in both strains at 6 months of age, in contrast with the finding of the lack of any effect of the drug in C57 mice at two months of age in comparison with DBA.

Effect of chronic GM1 ganglioside administration on passive avoidance retention in mice

Chronic administration of GM1 ganglioside to C57BL/6 mice during development improved passive avoidance retention. A significant weight increase was also evident in the treated animals in comparison with the control group. The results are discussed in terms of the possible effects exerted by GM1 upon the cholinergic mechanisms of this inbred strain.

Developmental differences of antinociceptive effects of oxotremorine in two inbred strains of mice

During development the C57BL/6 and DBA/2 mouse strains present morphological variations in cholinergic forebrain structures correlated with different behavioral reactivities to cholinergic agents. The present research assessed that these strain-dependent differences are also present in cholinergic-mediated analgesia. The administration of oxotremorine (0.0025, 0.005 and 0.01 mg/kg) to 30- and 60-day-old C57 and DBA mice resulted in dose- age- and strain-dependent analgesia. In particular oxotremorine is more effective in DBA/2 than in C57BL/6 mice and the latter strain showed a significant decrease of analgesic response in adulthood.

Phosphatidylserine administration during postnatal development improves memory in adult mice

Postnatal administration of an aqueous suspension of phosphatidylserine (BC-PS) to C57BL/6 mice resulted in improvement of memory processes in adulthood, as assessed in a passive avoidance task. These findings are discussed in terms of the effects of BC-PS on cholinergic mechanisms and of cholinergic patterns of this inbred strain.