New light from the dark: what blindness can teach us about brain function

Dissociating cognitive and sensory neural plasticity in human superior temporal cortex

Disentangling the effects of sensory and cognitive factors on neural reorganization is fundamental for establishing the relationship between plasticity and functional specialization. Auditory deprivation in humans provides a unique insight into this problem, because the origin of the anatomical and functional changes observed in deaf individuals is not only sensory, but also cognitive, owing to the implementation of visual communication strategies such as sign language and speechreading. Here, we describe a functional magnetic resonance imaging study of individuals with different auditory deprivation and sign language experience. We find that sensory and cognitive experience cause plasticity in anatomically and functionally distinguishable substrates. This suggests that after plastic reorganization, cortical regions adapt to process a different type of input signal, but preserve the nature of the computation they perform, both at a sensory and cognitive level.

Sociocultural factors in the development of bulimia nervosa in a blind woman: a case report

BACKGROUND

Although several cases of eating disorders in visually impaired women have been reported, there has been little research on the development of body image and disordered eating in the blind. Overall, it is argued that blind women are protected from developing body dissatisfaction because of having had little or no exposure to thin-ideal images, and that if they do develop an eating disorder, this would be linked to other risk factors. In the one reported case of bulimia nervosa in a blind woman, body image concerns were even absent.

METHOD

We report a single case of bulimia nervosa in a 28-year-old congenitally blind woman whose presentation was typical, including body dissatisfaction and drive for thinness.

DISCUSSION

The present case underscores the need to also consider an etiological role of perceived sociocultural pressure and thin-ideal internalization in promoting body dissatisfaction and eating disorders in visually impaired women.

Beyond motor scheme: a supramodal distributed representation in the action-observation network

The representation of actions within the action-observation network is thought to rely on a distributed functional organization. Furthermore, recent findings indicate that the action-observation network encodes not merely the observed motor act, but rather a representation that is independent from a specific sensory modality or sensory experience. In the present study, we wished to determine to what extent this distributed and ‘more abstract’ representation of action is truly supramodal, i.e. shares a common coding across sensory modalities. To this aim, a pattern recognition approach was employed to analyze neural responses in sighted and congenitally blind subjects during visual and/or auditory presentation of hand-made actions. Multivoxel pattern analyses-based classifiers discriminated action from non-action stimuli across sensory conditions (visual and auditory) and experimental groups (blind and sighted). Moreover, these classifiers labeled as ‘action’ the pattern of neural responses evoked during actual motor execution. Interestingly, discriminative information for the action/non action classification was located in a bilateral, but left-prevalent, network that strongly overlaps with brain regions known to form the action-observation network and the human mirror system. The ability to identify action features with a multivoxel pattern analyses-based classifier in both sighted and blind individuals and independently from the sensory modality conveying the stimuli clearly supports the hypothesis of a supramodal, distributed functional representation of actions, mainly within the action-observation network.

Where the brain appreciates the final state of an event: the neural correlates of telicity

In this study we investigated whether the human brain distinguishes between telic events that necessarily entail a specified endpoint (e.g., reaching), and atelic events with no delimitation or final state (e.g., chasing). We used functional magnetic resonance imaging to explore the patterns of neural response associated with verbs denoting telic and atelic events, and found that the left posterior middle temporal gyrus (pMTG), an area consistently engaged by verb processing tasks, showed a significantly higher activation for telic compared with atelic verbs. These results provide the first evidence that the human brain appreciates whether events lead to an end or a change of state. Moreover, they provide an explanation for the long-debated question of which verb properties modulate neural activity in the left pMTG, as they indicate that, independently of any other semantic property, verb processing and event knowledge in this area are specifically related to the representation of telicity.

Plasticity of the dorsal "spatial" stream in visually deprived individuals

Studies on visually deprived individuals provide one of the most striking demonstrations that the brain is highly plastic and is able to rewire as a function of the sensory input it receives from the environment. In the current paper, we focus on spatial abilities that are typically related to the dorsal visual pathway (i.e., spatial/motion processing). Bringing together evidence from cataract-reversal individuals, early- and late-blind individuals and sight-recovery cases of long-standing blindness, we suggest that the dorsal “spatial” pathway is mostly plastic early in life and is then more resistant to subsequent experience once it is set, highlighting some limits of neuroplasticity.

Increased BOLD variability in the parietal cortex and enhanced parieto-occipital connectivity during tactile perception in congenitally blind individuals

Previous studies in early blind individuals posited a possible role of parieto-occipital connections in conveying nonvisual information to the visual occipital cortex. As a consequence of blindness, parietal areas would thus become able to integrate a greater amount of multimodal information than in sighted individuals. To verify this hypothesis, we compared fMRI-measured BOLD signal temporal variability, an index of efficiency in functional information integration, in congenitally blind and sighted individuals during tactile spatial discrimination and motion perception tasks. In both tasks, the BOLD variability analysis revealed many cortical regions with a significantly greater variability in the blind as compared to sighted individuals, with an overlapping cluster located in the left inferior parietal/anterior intraparietal cortex. A functional connectivity analysis using this region as seed showed stronger correlations in both tasks with occipital areas in the blind as compared to sighted individuals. As BOLD variability reflects neural integration and processing efficiency, these cross-modal plastic changes in the parietal cortex, even if described in a limited sample, reinforce the hypothesis that this region may play an important role in processing nonvisual information in blind subjects and act as a hub in the cortico-cortical pathway from somatosensory cortex to the reorganized occipital areas.

Cortical GABAergic interneurons in cross-modal plasticity following early blindness

Early loss of a given sensory input in mammals causes anatomical and functional modifications in the brain via a process called cross-modal plasticity. In the past four decades, several animal models have illuminated our understanding of the biological substrates involved in cross-modal plasticity. Progressively, studies are now starting to emphasise on cell-specific mechanisms that may be responsible for this intermodal sensory plasticity. Inhibitory interneurons expressing γ-aminobutyric acid (GABA) play an important role in maintaining the appropriate dynamic range of cortical excitation, in critical periods of developmental plasticity, in receptive field refinement, and in treatment of sensory information reaching the cerebral cortex. The diverse interneuron population is very sensitive to sensory experience during development. GABAergic neurons are therefore well suited to act as a gate for mediating cross-modal plasticity. This paper attempts to highlight the links between early sensory deprivation, cortical GABAergic interneuron alterations, and cross-modal plasticity, discuss its implications, and further provide insights for future research in the field.