SCHIZOPHRENIA AND RED LIGHT: fMRI EVIDENCE FOR A NOVEL BIOBEHAVIORAL MARKER

When figure-ground segregation fails: Exploring antagonistic interactions in figure-ground perception

Perceptual fading of an artificial scotoma can be viewed as a failure of figure-ground segregation, providing a useful tool for investigating possible mechanisms and processes involved in figure-ground perception. Weisstein's antagonistic magnocellular/parvocellular stream figure-ground model proposes P stream activity encodes figure, and M stream activity encodes background. Where a boundary separates two regions, the region that is perceived as figure or ground is determined by the outcome of antagonism between M and P activity within each region and across the boundary between them. The region with the relatively stronger P "figure signal" is perceived as figure, and the region with the relatively stronger M "ground signal" is perceived as ground. From this perspective, fading occurs when the figure signal is overwhelmed by the ground signal. Strengthening the figure signal or weakening the ground signal should make the figure more resistant to fading. Based on research showing that red light suppresses M activity and short wavelength sensitive S-cones provide minimal input to M cells, we used red and blue light to reduce M activity in both figure and ground. The time to fade from stimulus onset until the figure completely disappeared was measured. Every combination of gray, green, red, and blue as figure and/or ground was tested. Compared with gray and green light, fade times were greatest when red or blue light either strengthened the figure signal by reducing M activity in the figure, or weakened the ground signal by reducing M activity in ground. The results support a dynamic antagonistic relationship between M and P activity contributing to figure-ground perception as envisioned in Weisstein's model.

Suppression and Contrast Normalization in Motion Processing

Sensory neurons are activated by a range of stimuli to which they are said to be tuned. Usually, they are also suppressed by another set of stimuli that have little effect when presented in isolation. The interactions between preferred and suppressive stimuli are often quite complex and vary across neurons, even within a single area, making it difficult to infer their collective effect on behavioral responses mediated by activity across populations of neurons. Here, we investigated this issue by measuring, in human subjects (three males), the suppressive effect of static masks on the ocular following responses induced by moving stimuli. We found a wide range of effects, which depend in a nonlinear and nonseparable manner on the spatial frequency, contrast, and spatial location of both stimulus and mask. Under some conditions, the presence of the mask can be seen as scaling the contrast of the driving stimulus. Under other conditions, the effect is more complex, involving also a direct scaling of the behavioral response. All of this complexity at the behavioral level can be captured by a simple model in which stimulus and mask interact nonlinearly at two stages, one monocular and one binocular. The nature of the interactions is compatible with those observed at the level of single neurons in primates, usually broadly described as divisive normalization, without having to invoke any scaling mechanism.SIGNIFICANCE STATEMENT The response of sensory neurons to their preferred stimulus is often modulated by stimuli that are not effective when presented alone. Individual neurons can exhibit multiple modulatory effects, with considerable variability across neurons even in a single area. Such diversity has made it difficult to infer the impact of these modulatory mechanisms on behavioral responses. Here, we report the effects of a stationary mask on the reflexive eye movements induced by a moving stimulus. A model with two stages, each incorporating a divisive modulatory mechanism, reproduces our experimental results and suggests that qualitative variability of masking effects in cortical neurons might arise from differences in the extent to which such effects are inherited from earlier stages.

Retinal Nerve Fiber Layer Thickness Measurement by Spectral-Domain Optical Coherence Tomography in Patients with Major Depressive Disorder

INTRODUCTION

In recent years, an increasing number of studies have researched retinal nerve fiber layer (RNFL) changes in neurodegenerative disorders. In this study, our aim was to determine structural RNFL changes in patients with major depressive disorder.

METHODS

A total of 30 patients with major depressive disorder and 30 age- and sex-matched controls were recruited. Using optical coherence tomography (OCT), the peripapillary RNFL thickness in major depressive disorder patients and control subjects was measured and compared at each location.

RESULTS

Patients with major depressive disorder did not show a statistically significant reduction in overall peripapillary RNFL thickness.

CONCLUSION

Our study showed that RNFL thickness is not reduced in major depressive disorder patients and that OCT is not a useful tool for diagnosing and monitoring the progression of major depressive disorder. This study suggests that the pathophysiology of unipolar depression is different than in neurodegenerative disorders, pervasive developmental disorders, schizophrenia, and bipolar disorder.

Examining the role of red background in magnocellular contribution to face perception

This study examines the role of the magnocellular system in the early stages of face perception, in particular sex categorization. Utilizing the specific property of magnocellular suppression in red light, we investigated visually guided reaching to low and high spatial frequency hybrid faces against red and grey backgrounds. The arm movement curvature measure shows that reduced response of the magnocellular pathway interferes with the low spatial frequency component of face perception. This finding provides behavioral evidence for magnocellular contribution to non-emotional aspect of face perception.

Pediatric applications of functional magnetic resonance imaging

Pediatric functional MRI has been used for the last 2 decades but is now gaining wide acceptance in the preoperative workup of children with brain tumors and medically refractory epilepsy. This review covers pediatrics-specific difficulties such as sedation and task paradigm selection according to the child's age and cognitive level. We also illustrate the increasing uses of functional MRI in the depiction of cognitive function, neuropsychiatric disorders and response to pharmacological agents. Finally, we review the uses of resting-state fMRI in the evaluation of children and in the detection of epileptogenic regions.

Visual masking & schizophrenia

Visual masking is a frequently used tool in schizophrenia research. Visual masking has a very high sensitivity and specificity and masking paradigms have been proven to be endophenotypes. Whereas masking is a powerful technique to study schizophrenia, the underlying mechanisms are discussed controversially. For example, for more than 25 years, masking deficits of schizophrenia patients were mainly attributed to a deficient magno-cellular system (M-system). Here, we show that there is very little evidence that masking deficits are magno-cellular deficits. We will discuss the magno-cellular and other approaches in detail and highlight their pros and cons.

Trade-offs in visual processing for stimuli near the hands

It is known that stimuli near the hands receive preferential processing. In the present study, we explored changes in early vision near the hands. Participants were more sensitive to low-spatial-frequency information and less sensitive to high-spatial-frequency information for stimuli presented close to the hands. This pattern suggests enhanced processing in the magnocellular visual pathway for such stimuli, and impaired processing in the parvocellular pathway. Consistent with that possibility, we found that the effects of hand proximity in several tasks were eliminated by illumination with red diffuse light-a manipulation known to impair magnocellular processing. These results help clarify how the hands affect vision.

The object advantage can be eliminated under equiluminant conditions

A key phenomenon supporting the existence of object-based attention is the object advantage, in which responses are faster for within-object, relative to equidistant between-object, shifts of attention. The origins of this effect have been variously ascribed to low-level "bottom-up" sensory processing and to a cognitive "top-down" strategy of within-object attention prioritization. The degree to which the object advantage depends on lower-level sensory processing was examined by differentially stimulating the magnocellular (M) and parvocellular (P) retino-geniculo-cortical visual pathways by using equiluminant and nonequiluminant conditions. We found that the object advantage can be eliminated when M activity is reduced using psychophysically equiluminant stimuli. This novel result in normal observers suggests that the origin of the object advantage is found in lower-level sensory processing rather than a general cognitive process, which should not be so sensitive to differential activation of the bottom-up P and M pathways. Eliminating the object advantage while maintaining a spatial-cueing advantage with reduced M activity suggests that the notion of independent M-driven spatial attention and P-driven object attention requires revision.

The magnocellular visual pathway and facial emotion misattribution errors in schizophrenia

Many individuals with schizophrenia show impairment in labeling the emotion depicted by faces, and tend to ascribe anger or fear to neutral expressions. Preliminary research has linked some of these difficulties to dysfunction in the magnocellular (M) visual pathway, which has direct projections to subcortical emotion processing regions. The current study attempted to clarify these relationships using a novel paradigm that included a red background. Diffuse red light is known to suppress the M-pathway in nonpsychiatric adults, and there is preliminary evidence that it may have the opposite (stimulating) effect in schizophrenia-spectrum disorders (SSDs). Twenty-five individuals with SSDs were compared with 31 nonpsychiatric controls using a facial emotion identification task depicting happy, angry, fearful, and sad emotions on red, green, and gray backgrounds. There was a robust interaction of group by change in errors to the red (vs. green) background for misattributing fear expressions as depicting anger (p=.001, ή(2)=.18). Specifically, controls showed a significant decrease in this type of error with the red background (p=.003, d=0.77), while the SSD group tended to increase this type of error (p=.07, d=0.54). These findings suggest that the well-established M-pathway abnormalities in SSDs may contribute to the heightened misperception of other emotions such as anger, which in turn may cause social misperceptions in the environment and elicit symptoms such as paranoia and social withdrawal. As the ventral striatum plays a primary role in identifying anger and receives efferent input from the M-pathway, it may serve as the neuroanatomical substrate in the perception of anger.

Visual field loss in schizophrenia: evaluation of magnocellular pathway dysfunction in schizophrenic patients and their parents

Purpose:

We sought to evaluate the visual pathway deficits in schizophrenic patients, compared with their parents and healthy controls, using Matrix frequency doubling technology (FDT) perimetry. Matrix FDT is an ophthalmic test used to detect visual field loss.

Method:

A total of 13 patients, 13 parents, and 12 healthy controls were enrolled in the study. Participants were subjected to Matrix FDT perimetry in a single test session. We analyzed the mean deviation for each eye and used a generalized estimated equation to evaluate differences among the groups and correct the dependency between the eyes.

Results:

The global mean deviation (presented as the mean of both eyes) was significantly lower in the schizophrenic patients than in their parents or controls. Analysis of the general sensitivity of the fibers crossing the optic chiasm showed a difference between the groups (P = 0.006), indicating that the sensitivity of the fibers crossing the optic chiasm was lower than those which did not cross. But when we analyzed the specific groups, the difference between the fibers was not considerable. Comparison of the right and left hemispheres showed that general sensitivity was lower for the left hemisphere, but when we analyzed specific groups, the difference was not significant (P = 0.29).

Conclusion:

These findings are suggestive of a lower global sensitivity in schizophrenic patients and their parents compared with controls. This difference may be an endophenotype of schizophrenia. The present study adds to a growing body of research on early-stage visual processing deficits in schizophrenia.

Changes in the visual-evoked P1 potential as a function of schizotypy and background color in healthy young adults

Research has suggested a hypoactive visual magnocellular (M) pathway in individuals with schizophrenia-spectrum disorders and traits, along with a unique response of this pathway to red light. As these abnormalities only appear in a subset of these samples, they may reflect unknown subtypes with unique etiologies and corresponding neuropathologies. The P1 transient visual-evoked component has been found to be influenced by M-pathway activity; therefore, the current study assessed the P1 component in response to a 64% contrast checker stimulus on white, red, and green background conditions. The sample consisted of 28 undergraduate participants (61% male) who endorsed a continuous range of total scores from the Schizotypal Personality Questionnaire (SPQ). Participants with higher total SPQ scores had a reduced P1 mean amplitude with the white (baseline) background, which was primarily related to the SPQ Magical Thinking subscale score. In addition, while participants with lower total SPQ scores showed the expected reduction in P1 amplitude to the red (vs. green) background, participants with higher total SPQ scores showed no change, which was primarily related to the SPQ Ideas of Reference subscale. This differential change to the red background remained after covarying for the P1 amplitude to the green background, thus representing a relatively independent effect. Further confirmation of these early visual processing relationships to particular clusters of symptoms in related psychiatric samples may assist in revealing unique, currently unknown, subtypes of particular psychiatric disorders such as schizophrenia. This can direct treatment efforts toward more homogeneous neuropathology targets.

Altered depth perception is associated with presence of schizotypal personality traits

INTRODUCTION

Impaired depth perception, a fundamental aspect of early visual processing, has been shown in patients with schizophrenia suggesting a disturbance to magnocellular and possibly parvocellular pathways. Despite some evidence showing visual-perceptive deficits in people with schizotypal personality traits (SPT), depth perception has not been evaluated in these subjects.

METHODS

12 clinically healthy schizotypy and 17 control participants were examined using a novel stereoscopic depth perception task. A mixed ANOVA design considered the Group (SPT/control) as independent factor, and trial Block (BD/BD+/BD-) and target Condition (SDSS/SDDS/DDSS/DDDS) were considered as repeated measures.

RESULTS

Schizotypal participants were not significantly different to controls on simple judgements of depth but demonstrated a subtle impairment in perceiving binocular depth when performing high difficulty judgements.

CONCLUSIONS

The presence of subtle depth perception problems in schizotypal subjects, similar but less marked than those of schizophrenia patients, may suggest a less pervasive disturbance of early information processing. If so, such deficits could be considered as innate neurological changes that may occur in people vulnerable for schizophrenia, thus with the potential to be a novel intermediate phenotype.

The backward masking red light effect and schizotypy: the influence of sex

Previous research has shown a unique effect of red light on visual processing related to both schizophrenia and positive schizotypy. The current study examined whether this effect is influenced by sex in a more broadly-defined schizotypy sample. A location backward masking (BM) task with red, green, and gray backgrounds was administered to 34 undergraduate students (59% female) with a high score on the Schizotypal Personality Questionnaire (SPQ) and 38 students (50% female) with a low score. Results revealed that the group by color interaction was significant for the male participants, while it did not approach significance in the females. The male schizotypy participants showed a significant decrease in BM accuracy to the red (vs. green) background, while the male control participants showed a non-significant mean increase in accuracy. A decrease in accuracy to the red background in the male schizotypy participants was related to a higher score on the Social Anxiety subscale of the SPQ. Findings suggest that the previously reported schizophrenia red light effect is limited to males when examining a SPQ-defined sample, and appears to be primarily related to negative schizotypy symptoms. The red light effect continues to show promise as a new endophenotype for schizophrenia-spectrum disorders.

Colour-induced relationship between affect and reaching kinematics during a goal-directed aiming task

A link between affect and action has been supported by the discovery that threat information is prioritized through an action-centred pathway--the dorsal visual stream. Magnocellular afferents, which originate from the retina and project to dorsal stream structures, are suppressed by exposure to diffuse red light, which diminishes humans' perception of threat-based images. In order to explore the role of colour in the relationship between affect and action, participants donned different pairs of coloured glasses (red, yellow, green, blue and clear) and completed Positive and Negative Affect Scale questionnaires as well as a series of target-directed aiming movements. Analyses of affect scores revealed a significant main effect for affect valence and a significant interaction between colour and valence: perceived positive affect was significantly smaller for the red condition. Kinematic analyses of variable error in the primary movement direction and Pearson correlation analyses between the displacements travelled prior to and following peak velocity indicated reduced accuracy and application of online control processes while wearing red glasses. Variable error of aiming was also positively and significantly correlated with negative affect scores under the red condition. These results suggest that only red light modulates the affect-action link by suppressing magnocellular activity, which disrupts visual processing for movement control. Furthermore, previous research examining the effect of the colour red on psychomotor tasks and perceptual acceleration of threat-based imagery suggest that stimulus-driven motor performance tasks requiring online control may be particularly susceptible to this effect.

Red diffuse light suppresses the accelerated perception of fear

Prioritization of affective events may occur via two parallel pathways originating from the retina-a parvocellular (P) pathway projecting to ventral-stream structures responsible for object recognition or a faster and phylogenetically older magnocellular (M) pathway projecting to dorsal-stream structures responsible for localization and action. It has previously been demonstrated that retinal exposure to red diffuse light suppresses M-cell neural activity. We tested whether the fast propagation along the dorsal-action pathway drives an accelerated conduction of fear-based content. Using a visual prior-entry procedure, we assessed accelerated stimulus perception while either suppressing the M pathway with red diffuse light or leaving it unaffected with green diffuse light. We show that the encoding of fearful faces is accelerated, but not when M-channel activity is suppressed, revealing a dissociation that implicates a privileged neural link between emotion and action that begins at the retina.

A potential qualitative endophenotype for schizophrenia: backward masking response to red light

Past research with unaffected relatives of individuals with schizophrenia has suggested a new qualitative endophenotype for schizophrenia that involves a unique change in visual processing response to red light. The current study provides the first report of this "red light effect" in individuals with schizophrenia (N=15), compared with nonpsychiatric controls (N=16), using a location backward masking by pattern paradigm with red and green background conditions. Analyses revealed a statistically significant group difference in the overall change in accuracy to a red background. Controls tended to show an increase in accuracy with the red (compared with green) background, although the medium effect size was not statistically significant in the small sample. In contrast, participants with schizophrenia showed a statistically significant decrease in accuracy with the red background. Results support recent reports which have suggested that a unique change in visual processing in response to red light may represent a new endophenotype for schizophrenia. This effect is unique from most existing endophenotypes in that it represents a distinct qualitative performance pattern rather than simply poorer performance relative to a comparison group.

Chronic smoking and the BOLD response to a visual activation task and a breath hold task in patients with schizophrenia and healthy controls

Many psychiatric patient groups smoke heavily, but little is known regarding the effects of this habit on functional brain imaging results. The present report assesses the effect of chronic smoking on the blood oxygen level-dependent (BOLD) response to a simple visual activation (VA) task and a breath hold (BH) task in patients with schizophrenia. Eight healthy controls and twelve patients with schizophrenia were studied. Half of each group had never smoked and the other half of each group had smoked for more than 10 pack years. Responses to the VA task were assessed in the visual cortex and responses to the BH task were assessed in gray matter generally. There were four fMRI-dependent measures: (1) median percent signal change; (2) activation volume (in voxels); (3) time-to-peak of the impulse response function (IRF); and (4) time-to-trough of the IRF. All measures were tested as dependent variables in an ANCOVA with diagnosis and smoking status as crossed factors and age as a covariate. Heavy smokers had 22% larger percent signal change for the VA task and 50% larger percent signal change for the BH task. Patients had a 40% larger percent signal change for the breath hold task. Other statistically significant effects of smoking history on activation volume and the timing of the brain responses were noted. If replicated, the results may have important implications for fMRI studies comparing groups with markedly different smoking habits, such as studies comparing patients with schizophrenia, 60-90% of whom smoke, and healthy controls, who smoke with a much lower frequency.