Event-related brain potentials during an extended visual recognition memory task depict delayed development of cerebral inhibitory processes among 6-month-old infants with Down syndrome

From neurodevelopment to neurodegeneration: utilizing human stem cell models to gain insight into Down syndrome

Down syndrome (DS), caused by triplication of chromosome 21, is the most frequent aneuploidy observed in the human population and represents the most common genetic form of intellectual disability and early-onset Alzheimer's disease (AD). Individuals with DS exhibit a wide spectrum of clinical presentation, with a number of organs implicated including the neurological, immune, musculoskeletal, cardiac, and gastrointestinal systems. Decades of DS research have illuminated our understanding of the disorder, however many of the features that limit quality of life and independence of individuals with DS, including intellectual disability and early-onset dementia, remain poorly understood. This lack of knowledge of the cellular and molecular mechanisms leading to neurological features of DS has caused significant roadblocks in developing effective therapeutic strategies to improve quality of life for individuals with DS. Recent technological advances in human stem cell culture methods, genome editing approaches, and single-cell transcriptomics have provided paradigm-shifting insights into complex neurological diseases such as DS. Here, we review novel neurological disease modeling approaches, how they have been used to study DS, and what questions might be addressed in the future using these innovative tools.

Brain circuit pathology in Down syndrome: from neurons to neural networks

Down syndrome (DS), a genetic pathology caused by triplication of chromosome 21, is characterized by brain hypotrophy and impairment of cognition starting from infancy. While studies in mouse models of DS have elucidated the major neuroanatomical and neurochemical defects of DS, comparatively fewer investigations have focused on the electrophysiology of the DS brain. Electrical activity is at the basis of brain functioning. Therefore, knowledge of the way in which brain circuits operate in DS is fundamental to understand the causes of behavioral impairment and devise targeted interventions. This review summarizes the state of the art regarding the electrical properties of the DS brain, starting from individual neurons and culminating in signal processing in whole neuronal networks. The reported evidence derives from mouse models of DS and from brain tissues and neurons derived from individuals with DS. EEG data recorded in individuals with DS are also provided as a key tool to understand the impact of brain circuit alterations on global brain activity.

Challenges and new perspectives of developmental cognitive EEG studies

Despite shared procedures with adults, electroencephalography (EEG) in early development presents many specificities that need to be considered for good quality data collection. In this paper, we provide an overview of the most representative early cognitive developmental EEG studies focusing on the specificities of this neuroimaging technique in young participants, such as attrition and artifacts. We also summarize the most representative results in developmental EEG research obtained in the time and time-frequency domains and use more advanced signal processing methods. Finally, we briefly introduce three recent standardized pipelines that will help promote replicability and comparability across experiments and ages. While this paper does not claim to be exhaustive, it aims to give a sufficiently large overview of the challenges and solutions available to conduct robust cognitive developmental EEG studies.

Utility of Linear Mixed Effects Models for Event-Related Potential Research with Infants and Children

Event-related potentials (ERPs) are advantageous for investigating cognitive development. However, their application in infants/children is challenging given children’s difficulty in sitting through the multiple trials required in an ERP task. Thus, a large problem in developmental ERP research is high subject exclusion due to too few analyzable trials. Common analytic approaches (that involve averaging trials within subjects and excluding subjects with too few trials, as in ANOVA and linear regression) work around this problem, but do not mitigate it. Moreover, these practices can lead to inaccuracies in measuring neural signals. The greater the subject exclusion, the more problematic inaccuracies can be. We review recent developmental ERP studies to illustrate the prevalence of these issues. Critically, we demonstrate an alternative approach to ERP analysis—linear mixed effects (LME) modeling—which offers unique utility in developmental ERP research. We demonstrate with simulated and real ERP data from preschool children that commonly employed ANOVAs yield biased results that become more biased as subject exclusion increases. In contrast, LME models yield accurate, unbiased results even when subjects have low trial-counts, and are better able to detect real condition differences. We include tutorials and example code to facilitate LME analyses in future ERP research.

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Linear Mixed Effects models (LMEs) have advantages for event-related potential analyses.

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For infant/child ERPs especially, LME is superior to traditional ANOVA models.

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In simulated ERP data, ANOVAs returned biased results, but LME was unbiased.

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In real, child ERP data, LME detected condition differences where ANOVA did not.

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Tutorial and sample codes given to guide use of LMEs in future research.

Face-sensitive brain responses in the first year of life

Cortical areas in the ventral visual pathway become selectively tuned towards the processing of faces compared to non-face stimuli beginning around 3 months of age and continuing over the first year. Studies using event-related potentials in the EEG (ERPs) have found an ERP component, the N290, that displays specificity for human faces. Other components, such as the P1, P400, and Nc have been studied to a lesser degree in their responsiveness to human faces. However, little is known about the systematic changes in the neural responses to faces during the first year of life, and the localization of these responses in infants' brain. We examined ERP responses to pictures of faces and objects in infants from 4.5 months through 12 months in a cross-sectional study. We investigated the activity of all the components reported to be involved in infant face processing, with particular interest to their amplitude variation and cortical localization. We identified neural regions responsible for the component through the application of cortical source localization methods. We found larger P1 and N290 responses to faces than objects, and these components were localized in the lingual and middle/posterior fusiform gyri, respectively. The amplitude of the P400 was not differentially sensitive to faces over objects. The Nc component was different for faces and objects, was influenced by the infant's attentional state, and localized in medial-anterior brain areas. The implications of these results are discussed in the identification of developmental ERP precursors to face processing.

Exploring early human brain development with structural and physiological neuroimaging

Early brain development, from the embryonic period to infancy, is characterized by rapid structural and functional changes. These changes can be studied using structural and physiological neuroimaging methods. In order to optimally acquire and accurately interpret this data, concepts from adult neuroimaging cannot be directly transferred. Instead, one must have a basic understanding of fetal and neonatal structural and physiological brain development, and the important modulators of this process. Here, we first review the major developmental milestones of transient cerebral structures and structural connectivity (axonal connectivity) followed by a summary of the contributions from ex vivo and in vivo MRI. Next, we discuss the basic biology of neuronal circuitry development (synaptic connectivity, i.e. ensemble of direct chemical and electrical connections between neurons), physiology of neurovascular coupling, baseline metabolic needs of the fetus and the infant, and functional connectivity (defined as statistical dependence of low-frequency spontaneous fluctuations seen with functional magnetic resonance imaging (fMRI)). The complementary roles of magnetic resonance imaging (MRI), electroencephalography (EEG), magnetoencephalography (MEG), and near-infrared spectroscopy (NIRS) are discussed. We include a section on modulators of brain development where we focus on the placenta and emerging placental MRI approaches. In each section we discuss key technical limitations of the imaging modalities and some of the limitations arising due to the biology of the system. Although neuroimaging approaches have contributed significantly to our understanding of early brain development, there is much yet to be done and a dire need for technical innovations and scientific discoveries to realize the future potential of early fetal and infant interventions to avert long term disease.

Visual Event-Related Potentials to Novel Objects Predict Rapid Word Learning Ability in 20-Month-Olds

In an event-related potentials (ERP) study, twenty-month-old children (n = 37) were presented with pseudowords to map to novel object referents in five presentations. Quicker attenuation of the visual Negative central component (Nc) to novel objects predicted a larger difference in N400 amplitude between congruous and incongruous presentations of pseudowords at test. Furthermore, better initial recognition of familiar objects (Nc difference between familiar and novel objects) predicted the strength of the N400 incongruity effect to the verbal labels of these real objects. This study presents novel evidence for a link between efficient visual processing of objects and word learning ability.

Duration of exclusive breastfeeding is associated with differences in infants' brain responses to emotional body expressions

Much research has recognized the general importance of maternal behavior in the early development and programing of the mammalian offspring's brain. Exclusive breastfeeding (EBF) duration, the amount of time in which breastfed meals are the only source of sustenance, plays a prominent role in promoting healthy brain and cognitive development in human children. However, surprisingly little is known about the influence of breastfeeding on social and emotional development in infancy. In the current study, we examined whether and how the duration of EBF impacts the neural processing of emotional signals by measuring electro-cortical responses to body expressions in 8-month-old infants. Our analyses revealed that infants with high EBF experience show a significantly greater neural sensitivity to happy body expressions than those with low EBF experience. Moreover, regression analyses revealed that the neural bias toward happiness or fearfulness differs as a function of the duration of EBF. Specifically, longer breastfeeding duration is associated with a happy bias, whereas shorter breastfeeding duration is associated with a fear bias. These findings suggest that breastfeeding experience can shape the way in which infants respond to emotional signals.

Preschoolers with Down syndrome do not yet show the learning and memory impairments seen in adults with Down syndrome

Individuals with Down syndrome (DS) exhibit a behavioral phenotype of specific strengths and weaknesses, in addition to a generalized cognitive delay. In particular, adults with DS exhibit specific deficits in learning and memory processes that depend on the hippocampus, and there is some suggestion of impairments on executive function tasks that depend on the prefrontal cortex. While these functions have been investigated in adults with DS, it is largely unclear how these processes develop in young children with DS. Here we tested preschoolers with DS and typically developing children, age-matched on either receptive language or non-verbal scores as a proxy for mental age (MA), on a battery of eye-tracking and behavioral measures that have been shown to depend on the hippocampus or the prefrontal cortex. Preschoolers with DS performed equivalently to MA-matched controls, suggesting that the disability-specific memory deficits documented in adults with DS, in addition to a cognitive delay, are not yet evident in preschoolers with DS, and likely emerge progressively with age. Our results reinforce the idea that early childhood may be a critical time frame for targeted early intervention. A video abstract of this article can be viewed at https://www.youtube.com/watch?v=r6GUA6my22Q&list=UU3FIcom6UpITHZOIEa8Onnw.

Infants with Down syndrome and their interactions with objects: development of exploratory actions after reaching onset

During infant development, objects and their functions are learned by means of active exploration. Factors that may influence exploration include reaching and grasping ability, object properties and the presence of developmental disorders. We assessed the development of exploratory actions in 16 typically-developing (TD) infants and 9 infants with Down syndrome (DS) after reaching onset. Infants with DS reached for and explored objects less frequently than TD infants, especially small objects. Over time, the amount of reaches increased in both groups, with no changes in the amount of exploration in the DS group. Pre-grasping actions were different across objects, but less efficient in generating action-relevant information in the DS group. These infants also performed fewer behaviors requiring complex motor skills. The results suggest that perceptual-motor abilities determine different exploratory behaviors in TD and DS infants. The reduced amount and complexity of exploratory actions may impact developmental outcome in DS.

Cognition in Down syndrome: a developmental cognitive neuroscience perspective

Down syndrome (DS) is the most common genetic form of intellectual disability. DS results in a characteristic profile of cognitive and neurological dysfunction. The predominant theory of the pattern of neural deficits in this syndrome suggests that DS affects 'late-developing' neural systems, including the function of the prefrontal cortex and hippocampus. In order to evaluate the validity of this theory, in this review, I highlight data addressing the neurological and cognitive phenotype in DS across development. In particular, I address the evidence suggesting that DS may impact late-developing neural systems and end with the conclusion that some cognitive difficulties in DS must result from poor communication between late-developing regions. Analogous to recent theories of cognitive processing in autism, cognitive deficits in DS may be substantially impacted by less efficient interregional communication. Finally, I discuss some ways in which understanding the impact of altered neurodevelopment in DS has the potential to inform our understanding of species-typical trajectories of cognitive development. WIREs Cogn Sci 2013, 4:307-317. doi: 10.1002/wcs.1221 For further resources related to this article, please visit the WIREs website.

Neural dynamics of audiovisual synchrony and asynchrony perception in 6-month-old infants

Young infants are sensitive to multisensory temporal synchrony relations, but the neural dynamics of temporal interactions between vision and audition in infancy are not well understood. We investigated audiovisual synchrony and asynchrony perception in 6-month-old infants using event-related brain potentials (ERP). In a prior behavioral experiment (n = 45), infants were habituated to an audiovisual synchronous stimulus and tested for recovery of interest by presenting an asynchronous test stimulus in which the visual stream was delayed with respect to the auditory stream by 400 ms. Infants who behaviorally discriminated the change in temporal alignment were included in further analyses. In the EEG experiment (final sample: n = 15), synchronous and asynchronous stimuli (visual delay of 400 ms) were presented in random order. Results show latency shifts in the auditory ERP components N1 and P2 as well as the infant ERP component Nc. Latencies in the asynchronous condition were significantly longer than in the synchronous condition. After video onset but preceding the auditory onset, amplitude modulations propagating from posterior to anterior sites and related to the Pb component of infants' ERP were observed. Results suggest temporal interactions between the two modalities. Specifically, they point to the significance of anticipatory visual motion for auditory processing, and indicate young infants' predictive capacities for audiovisual temporal synchrony relations.

Event-related potentials for 7-month-olds' processing of animals and furniture items

Event-related potentials (ERPs) to single visual stimuli were recorded in 7-month-old infants. In a three-stimulus oddball paradigm, infants watched one frequently occurring standard stimulus (either an animal or a furniture item) and two infrequently occurring oddball stimuli, presenting one exemplar from the same and one from the different superordinate category as compared to the standard stimulus. Additionally, visual attributes of the stimuli were controlled to investigate whether infants focus on category membership or on perceptual similarity when processing the stimuli. Infant ERPs indicated encoding of the standard stimulus and discriminating it from the two oddball stimuli by larger Nc peak amplitude and late-slow-wave activity for the infrequent stimuli. Moreover, larger Nc latency and positive-slow-wave activity indicated increased processing for the different-category as compared to the same-category oddball. Thus, 7-month-olds seem to encode single stimuli not only by surface perceptual features, but they also regard information of category membership, leading to facilitated processing of the oddball that belongs to the same domain as the standard stimulus.

Mouse models of Down syndrome as a tool to unravel the causes of mental disabilities

Down syndrome (DS) is the most common genetic cause of mental disability. Based on the homology of Hsa21 and the murine chromosomes Mmu16, Mmu17 and Mmu10, several mouse models of DS have been developed. The most commonly used model, the Ts65Dn mouse, has been widely used to investigate the neural mechanisms underlying the mental disabilities seen in DS individuals. A wide array of neuromorphological alterations appears to compromise cognitive performance in trisomic mice. Enhanced inhibition due to alterations in GABA(A)-mediated transmission and disturbances in the glutamatergic, noradrenergic and cholinergic systems, among others, has also been demonstrated. DS cognitive dysfunction caused by neurodevelopmental alterations is worsened in later life stages by neurodegenerative processes. A number of pharmacological therapies have been shown to partially restore morphological anomalies concomitantly with cognition in these mice. In conclusion, the use of mouse models is enormously effective in the study of the neurobiological substrates of mental disabilities in DS and in the testing of therapies that rescue these alterations. These studies provide the basis for developing clinical trials in DS individuals and sustain the hope that some of these drugs will be useful in rescuing mental disabilities in DS individuals.

Social cues at encoding affect memory in 4-month-old infants

Available evidence suggests that infants use adults' social cues for learning by the second half of the first year of life. However, little is known about the short-term or long-term effects of joint attention interactions on learning and memory in younger infants. In the present study, 4-month-old infants were familiarized with visually presented objects in either of two conditions that differed in the degree of joint attention (high vs. low). Brain activity in response to familiar and novel objects was assessed immediately after the familiarization phase (immediate recognition), and following a 1-week delay (delayed recognition). The latency of the Nc component differentiated between recognition of old versus new objects. Pb amplitude and latency were affected by joint attention in delayed recognition. Moreover, the frequency of infant gaze to the experimenter during familiarization differed between the two experimental groups and modulated the Pb response. Results show that joint attention affects the mechanisms of long-term retention in 4-month-old infants. We conclude that joint attention helps children at this young age to recognize the relevance of learned items.

Effects of joint attention on long-term memory in 9-month-old infants: an event-related potentials study

Joint attention develops during the first year of life but little is known about its effects on long-term memory. We investigated whether joint attention modulates long-term memory in 9-month-old infants. Infants were familiarized with visually presented objects in either of two conditions that differed in the degree of joint attention (high versus low). EEG indicators in response to old and novel objects were probed directly after the familiarization phase (immediate recognition), and following a 1-week delay (delayed recognition). In immediate recognition, the amplitude of positive slow-wave activity was modulated by joint attention. In the delayed recognition, the amplitude of the Pb component differentiated between high and low joint attention. In addition, the positive slow-wave amplitude during immediate and delayed recognition correlated with the frequency of infants' looks to the experimenter during familiarization. Under both high- and low-joint-attention conditions, the processing of unfamiliar objects was associated with an enhanced Nc component. Our results show that the degree of joint attention modulates EEG during immediate and delayed recognition. We conclude that joint attention affects long-term memory processing in 9-month-old infants by enhancing the relevance of attended items.

Infant attention and visual preferences: converging evidence from behavior, event-related potentials, and cortical source localization

In this study, we had 3 major goals. The 1st goal was to establish a link between behavioral and event-related potential (ERP) measures of infant attention and recognition memory. To assess the distribution of infant visual preferences throughout ERP testing, we designed a new experimental procedure that embeds a behavioral measure (paired comparison trials) in the modified-oddball ERP procedure. The 2nd goal was to measure infant ERPs during the paired comparison trials. Independent component analysis (ICA) was used to identify and to remove eye-movement components from the electroencephalographic data, thus allowing for the analysis of ERP components during paired comparison trials. The 3rd goal was to localize the cortical sources of infant visual preferences. Equivalent current dipole analysis was performed on the ICA components related to experimental events. Infants who demonstrated novelty preferences in paired comparison trials demonstrated greater amplitude Negative central ERP components across tasks than infants who did not demonstrate novelty preferences. Visual preference also interacted with attention and stimulus type. The cortical sources of infant visual preferences were localized to inferior and superior prefrontal cortex and to the anterior cingulate cortex.

Social cognition in children with Down's syndrome: challenges to research and theory building

Characterising how socio-cognitive abilities develop has been crucial to understanding the wider development of typically developing children. It is equally central to understanding developmental pathways in children with intellectual disabilities such as Down's syndrome. While the process of acquisition of socio-cognitive abilities in typical development and in autism has received considerable attention, socio-cognitive development in Down's syndrome has received far less scrutiny. Initial work in the 1970s and 1980s provided important insights into the emergence of socio-cognitive abilities in the children's early years, and recently there has been a marked revival of interest in this area, with research focusing both on a broader range of abilities and on a wider age range. This annotation reviews some of these more recent findings, identifies outstanding gaps in current understanding, and stresses the importance of the development of theory in advancing research and knowledge in this field. Barriers to theory building are discussed and the potential utility of adopting a transactional approach to theory building illustrated with reference to a model of early socio-cognitive development in Down's syndrome. The need for a more extensive model of social cognition is emphasised, as is the need for larger-scale, finer-grained, longitudinal work which recognises the within-individual and within-group variability which characterises this population. The value of drawing on new technologies and of adapting innovative research paradigms from other areas of typical and atypical child psychology is also highlighted.

Event-related brain potentials and visual attention in six-month-old infants

This study tested theoretical accounts of the Nc component of the event-related brain potentials in six-month-old infants by replicating and extending a previous study [Ackles, P. K., & Cook, K. G. (2007). Attention or memory? Effects of familiarity and novelty on the Nc component in event-related brain potentials in six-month-old infants. The International Journal of Neuroscience, 117, 837-867]. Stimulus familiarity and novelty of visual stimuli were manipulated within and across four groups of infants to test predictions from attentional, memory, and expectancy accounts of Nc. Nc amplitudes were the larger to oddball stimuli in the. 80/.20 oddball group and One Face group than to frequent stimuli in oddball group and to novel stimuli in the Novel Faces and Novel Pictures groups. The results supported an attention-based interpretation of Nc.

ATTENTION OR MEMORY? EFFECTS OF FAMILIARITY AND NOVELTY ON THE Nc COMPONENT OF EVENT-RELATED BRAIN POTENTIALS IN SIX-MONTH-OLD INFANTS

This study tested predictions from attentional, expectancy, and memory accounts of the Nc and early NSW components of ERPs in six-month-old infants. Visual stimuli were presented at the extremes of the probability continuum (a repeating stimulus versus novel stimuli) and at intermediate levels of probability (.80/.20 oddball task). Probability effects were found for Nc, early NSW, and visual fixation performance but there were no differences in the ERPs or behavior to familiar or novel stimuli. The results are discussed in terms of attentional and memory based interpretations of the Nc component.

Infants' neural processing of positive emotion and eye gaze

Previous research demonstrated that young infants' neural processing of novel objects is enhanced by a fearful face gazing toward the object. The current event-related potential (ERP) study addresses the question of whether this effect is driven by the particular threat-value of a fearful expression or whether a positive emotion could elicit a similar response. Three-month-old infants' brain responses were measured while infants were presented with happy and neutral faces gazing toward simultaneously presented objects (Experiment 1) or happy and neutral faces gazing away from objects (Experiment 2). Then the objects were presented again without the face. While infants showed an increased neural response for happy relative to neutral faces looking towards objects, infants did not differentiate between happy and neutral faces gazing away from the objects. Furthermore, infants showed no different response to objects alone in Experiment 1. However, infants responded with an increased negative central component (Nc) indicating increased attention for objects in the neutral face condition in Experiment 2. The current results confirm previous findings showing that infants allocate increased attention to an emotional face if it directs eye gaze toward an object in the environment. However, a happy expression does not increase subsequent processing of the gaze-cued object. The findings are discussed in terms of early social cognitive development.

Brain dynamics of word familiarization in 20-month-olds: effects of productive vocabulary size

The present study investigated the brain mechanisms involved during young children's receptive familiarization with new words, and whether the dynamics of these mechanisms are related to the child's productive vocabulary size. To this end, we recorded event-related potentials (ERPs) from 20-month-old children in a pseudoword repetition task. Results revealed distinct patterns of repetition effects for children with large and small productive vocabularies. High producers showed evidence of recognizing the novel words already after three presentations, while the low producers needed five presentations to display a recognition effect. The familiarization process was manifested in the modulations of two components, the N200-400 and a later fronto-central component, which appeared to increase in amplitude until a certain level of encoding was reached and then decrease with further repetition. These findings suggest a relation between the onset of the productive vocabulary spurt and the rate of receptive word familiarization.

Cortical source localization of infant cognition

Neuroimaging techniques such as positron emission topography (PET) and functional magnetic resonance imaging (fMRI) have been utilized with older children and adults to identify cortical sources of perceptual and cognitive processes. However, due to practical and ethical concerns, these techniques cannot be routinely applied to infant participants. An alternative to such neuroimaging techniques appropriate for use with infant participants is high-density electroencephalogram (EEG) recording and cortical source localization techniques. The current article provides an overview of a method developed for such analyses. The method consists of four steps: (1) recording high-density (e.g., 128-channel) EEG. (2) Analysis of individual participant raw segmented data with independent component analysis (ICA). (3) Estimation of equivalent current dipoles (ECDs) that represent cortical sources for the observed ICA component clusters. (4) Calculation of component activations in relation to experimental factors. We discuss an example of research applying this technique to investigate the development of visual attention and recognition memory. We also describe the application of "realistic head modeling" to address some of the current limitations of infant cortical source localization.

Use of event-related potentials in the study of typical and atypical development

A variety of neuroimaging tools are now available for use in studying neurodevelopment. In this article, we focus our attention on one such tool--the event-related potential (ERP). We begin by providing an overview of what ERPs are, their physiological basis, how they are recorded, and some constraints on their use. We then provide an abbreviated glossary of ERP components, that is, what processes are reflected in ERPs. We conclude by summarizing two areas of atypical development that have benefited from this method: children experiencing early psychosocial neglect, and children diagnosed with autism. We conclude by offering recommendations for future research.

Stimulus novelty and cognitive-related ERP components of the infant brain

This study recorded visual fixation performance and event-related brain potentials (ERPs) to examine processing of novel visual information in 6- to 7-mo.-old infants as well as to test attention- or memory-related hypotheses of the functional significance of the Nc-ERP component. Separate groups of infants were presented two versions of a novelty-probe task with three types of visual stimuli: (a) a frequent face on 70% of the trials, (b) an oddball face on 15% of the trials, and (c) novel probe stimuli on the remaining 15% of the trials. The novelty probes were faces in one group and irregular shapes in the second group. Analysis showed longer fixations and Nc responses of greater amplitude occurred to oddball and novel stimuli. It was concluded that Nc reflects a top-down, controlled processing mechanism that flexibly allocates attentional resources.

Education and children with Down syndrome: neuroscience, development, and intervention

Of the recent advances in education-related research in Down syndrome, the characterization of the Down syndrome behavioral phenotype has become a potentially critical tool for shaping education and intervention in this population. This article briefly reviews the literature on brain-behavior connections in Down syndrome and identifies aspects of the Down syndrome behavioral phenotype that are potentially relevant to educators. Potential challenges to etiologically informed educational planning are discussed.

Down syndrome: Cognitive phenotype

Down syndrome is the most prevalent cause of intellectual impairment associated with a genetic anomaly, in this case, trisomy of chromosome 21. It affects both physical and cognitive development and produces a characteristic phenotype, although affected individuals vary considerably with respect to severity of specific impairments. Studies focusing on the cognitive characteristics of Down syndrome were reviewed, and while performance in most areas could be predicted based upon overall intellectual disability, relative weaknesses were consistently found to be associated with expressive language, syntactic/morphosyntactic processing, and verbal working memory. This profile of uneven deficits could result from a failure to develop typically automatic processing for speech perception and production, and this possibility is discussed along with its implications for intervention.

The development of visual- and auditory processing in Rett syndrome: an ERP study

Rett syndrome is a neurodevelopmental disorder that occurs almost exclusively in females. It is characterized by a progressive loss of intellectual functioning and motor skills, and the development of stereotypic hand movements, that occur after a period of normal development. Event-related potentials were recorded to a passive auditory- and visual oddball task in 17 females with Rett syndrome aged between 2 and 60 years, and age-matched controls. Overall the participants with Rett syndrome had longer ERP latencies and smaller ERP amplitudes than the Control group suggesting slowed information processing and reduced brain activation. The Rett groups also failed to show typical developmental changes in event-related brain activity and revealed a marked decline in ERP task modulation with increasing age.

A longitudinal investigation of visual event-related potentials in the first year of life

The goal of the current study was to assess general maturational changes in the ERP in the same sample of infants from 4 to 12 months of age. All participants were tested in two experimental manipulations at each age: a test of facial recognition and one of object recognition. Two sets of analyses were undertaken. First, growth curve modeling with mixed models was used to examine trajectories of development and possible differences in trajectories based on recognition memory (novel versus familiar) and/or stimulus-specific memory (face versus object recognition). Our results suggest that the Pb, Nc and Slow Wave components change significantly in terms of amplitude and latency over the first year of life. Pb amplitude showed a significant non-linear increase over time, whereas Pb latency showed a significant linear decrease over time with a plateau beginning at 10 months. Nc amplitude showed a significant linear decrease over time (i.e. a stronger negative value), whereas Nc latency showed a significant linear decrease over time, with a plateau beginning at 8 months. Second, to relate our findings to those reported in the literature, we examined the effects of memory and stimulus and their combination. Differences between recognition memory and stimulus specific memory were found in the responses to familiar and novel faces and objects for all three components, although the pattern differed across the five ages. These results have implications for future studies that involve the recording of the visual ERP, and point to the advantages of growth curve modeling in examining longitudinal data to account for non-linear development.

The Carter Neurocognitive Assessment for children with severely compromised expressive language and motor skills

In this paper, different means of assessing cognitive development in children with severe impairments in both their expressive language and their motor skills are reviewed. A range of techniques are considered, including traditional cognitive tests and behavioral and physiological measures, but these techniques are generally impractical and minimally informative when it comes to assessing children with both motor and speech impairments. Electrophysiological measures show some promise for the future, but are currently inadequate for wide-ranging cognitive assessment. Development of the Carter Neurocognitive Assessment (CNA) is described. The CNA is appropriate for use in clinical and research settings and was designed to minimalize the impact of severely impaired motor skills and expressive language on performance. The CNA is intended to itemize and quantify a range of skills reflecting a cognitive level up to approximately 18 to 24 months in four areas: Social Awareness, Visual Attention, Auditory Comprehension and Vocal Communication. The use of the CNA to assess the performance and developmental growth of eight children with Holoprosencephaly (HPE), a midline developmental brain malformation, is described. The CNA is a useful tool for the assessment of children with severely compromised motor and verbal skills and has provided a more positive view of the cognitive potential of children with severe handicaps, such as the sample of children with HPE, than that presented in the past.

The Influence of Unequal Numbers of Trials on Comparisons of Average Event-Related Potentials

Four studies examined (a) how event-related potentials (ERPs) change as the number of trials averaged increases and (b) the statistical implications of comparing ERPs composed of different numbers of trials. Experiment 1 utilized data from 7-year-old children performing an oddball task. The other three experiments used simulated data with different distributions of P3 peak latency. In all 4 experiments, peak amplitude decreased and the mean amplitude of the 300 to 900 msec interval remained stable as the number of trials averaged increased. The standard deviations of both measures decreased. These data show that the decrease in peak amplitude with increasing numbers of trials that has been found in other studies is not solely due to the elimination of residual noise but is likely to also involve a fundamental aspect of signal averaging and the algorithm used to select peaks. Furthermore, these experiments expose the possibility of statistical errors when investigators compare average ERPs composed of small versus large numbers of trials as is often done when the oddball paradigm is used.

Multimodal inhibition of return effects in adults with and without Down syndrome

Data from a previous study (Welsh & Elliott, 2001) has been reanalyzed to explore inhibition of return (IOR) effects in adults with and without Down syndrome (DS). Participants were required to react and move with either the left or right hand as quickly as possible to 1 of 2 target locations based on either a visual or a verbal cue. Although persons with DS demonstrated a different pattern of information processing capabilities, they demonstrated the same magnitude of IOR across all conditions of presentation as their peers without DS. This pattern of results provides further support for the multimodal and response-based nature of IOR. Moreover, the results indicate that the inhibitory processes that underlie IOR in the average population seem to be functional in persons with DS.

Harm avoidance, anxiety, and response to novelty in the adolescent S-100beta transgenic mouse: role of serotonin and relevance to Down syndrome

S-100beta is an astroglial-derived protein, which plays a role in brain development and maintenance, and is known to play a specific role in the regulation of growth of the serotonergic neuronal system. In humans, the gene for S-100beta is found on chromosome 21, within the region that is considered important for the phenotype of Down syndrome (DS). Thus, we have been studying a model of DS, the S-100beta transgenic mouse. In the current study, we have examined anxiety and responses to novelty in adolescent (60-90 days) animals, at a time when we have shown the animals to be relatively lacking in serotonin innervation, compared to their CD-1 nontransgenic controls. In a test for approach/avoidance, the light/dark test, the S-100beta transgenic mice animals showed no differences from control CD-1 mice. However, in the hole-board test for exploratory behavior, the S-100beta animals were found to be less responsive to the inhibiting effects of the serotonin receptor 5-HT1A agonist, buspirone. Three tests were used to measure response to novelty. In the open field, the S-100beta animals showed greater activity longer than the control animals, and in the Y-maze test, the S-100beta animals spent more time in the novel arm. In a test for novelty-induced gnawing, the S-100beta animals were also more active than control animals. All of these suggest that the S-100beta transgenic mice are slower to habituate to novelty than control animals. Finally, we tested the animals in a new procedure that we are proposing as a test for harm avoidance. In this apparatus, the S-100beta animals showed more approaches to a novel and potentially harmful object than the control mice did. These results are discussed in reference to the known lack of serotonin in the animals, and to the behavioral phenotype of DS.

Down's syndrome: a genetic disorder in biobehavioral perspective

Down's syndrome is a genetic disorder that can lead to mental retardation of varying degrees. How this chromosomal abnormality causes mental retardation remains an open question. This paper reviews what is currently known about the neural and cognitive features of Down's syndrome, noting the growing evidence of disproportionate impairment of specific systems such as the hippocampal formation, the prefrontal cortex and the cerebellum. The development of animal models of these defects offers a way of ultimately connecting the genetic disorder to its cognitive consequences.

Behavioral phenotype of individuals with Down syndrome

Evidence is reviewed for a developmentally-emerging behavioral phenotype in individuals with Down syndrome that includes significant delay in nonverbal cognitive development accompanied by additional, specific deficits in speech, language production, and auditory short-term memory in infancy and childhood, but fewer adaptive behavior problems than individuals with other cognitive disabilities. Evidence of dementia emerges for up to half the individuals studied after age 50. Research issues affecting control group selection in establishing phenotypic characteristics are discussed, as well as the possible genetic mechanisms underlying variation in general cognitive delay, specific language impairment, and adult dementia. MRDD Research Reviews 2000;6:84-95. Wiley-Liss, Inc.