Individual differences in working memory moderate the relationship between prosaccade latency and antisaccade error rate

Pro-Saccades Predict Cognitive Decline in Parkinson's Disease: ICICLE-PD

BACKGROUND

Cumulative dementia incidence in Parkinson's disease (PD) is significant, with major personal and socioeconomic impacts on individuals with PD and their carers. Early identification of dementia risk is vital to ensuring optimal intervention. Saccadic deficits often distinguish neurodegenerative disorders and cognitive impairment, but their ability to predict cognitive decline in PD has yet to be determined. The aims of this study were to (1) evaluate baseline (6.4 ± 6.1 months since PD diagnosis) differences in pro-saccadic metrics between those with early PD and healthy age-matched adults; and (2) assess the ability of baseline pro-saccades to predict subsequent cognitive decline over 4.5 years.

METHODS

One hundred and forty-one PD and 90 age-matched participants recruited at diagnosis underwent saccadometric assessment of pro-saccades at baseline and had cognition assessed at baseline, 18, 36, and 54 months. Pro-saccadic characteristics included latency, duration, amplitude, peak, and average velocity. Cognitive assessment included executive function, attention, fluctuating attention, and memory. Linear mixed-effects models examined pro-saccadic metrics as predictors of cognitive decline over 54 months.

RESULTS

Pro-saccades were significantly impaired at baseline in PD compared with controls. Pro-saccadic characteristics of latency, duration, peak, and average velocity predicted decline in global cognition, executive function, attention, and memory over 54 months in PD. In addition, only reduction in global cognition and attention were predicted by pro-saccadic metrics in age-matched adults, indicating that PD findings were not purely age related.

CONCLUSIONS

Saccadic characteristics are impaired in early PD and are predictive of cognitive decline in several domains. Assessment of saccades may provide a useful non-invasive biomarker for long-term PD cognitive decline in early disease. © 2019 International Parkinson and Movement Disorder Society.

Microsaccadic rate and pupil size dynamics in pro-/anti-saccade preparation: the impact of intermixed vs. blocked trial administration

Prolonged fixation can lead to the generation of tiny and fast eye movements called microsaccades, whose dynamics can be associated with higher cognitive mechanisms. Saccade preparation is also reflected in microsaccadic activity, but the few studies on this topic provided mixed results. For instance, fewer microsaccades have been observed when participants were asked to prepare for an anti-saccade (i.e., a saccade in the opposite direction to the target) as compared to a pro-saccade (i.e., a saccade executed towards a target), but null results have also been reported. In the attempt to shed new light on this topic, two experiments were carried out in which the context of presentation of pro- and anti-saccade trials was manipulated. Pupil size was also recorded, as a further index of cognitive load. In Experiment 1, participants were asked to prepare and perform pro- and anti-saccades in response to a peripheral target, according to a central instruction cue provided at the beginning of each trial (intermixed condition). In Experiment 2, the same task was employed, but pro- and anti-saccade trials were delivered in two distinct blocks (blocked condition). In both experiments, greater saccadic latencies and lower accuracy emerged for anti- than for pro-saccades. However, in the intermixed condition, a lower microsaccadic rate and a greater pupil size emerged when participants prepared for anti- rather than pro-saccades, whereas these differences disappeared in the blocked condition. These results suggest that contextual factors may play a key role in shaping oculomotor dynamics linked to saccade preparation.

Modulation of cognitive control levels via manipulation of saccade trial-type probability assessed with event-related BOLD fMRI

Cognitive control supports flexible behavior adapted to meet current goals and can be modeled through investigation of saccade tasks with varying cognitive demands. Basic prosaccades (rapid glances toward a newly appearing stimulus) are supported by neural circuitry, including occipital and posterior parietal cortex, frontal and supplementary eye fields, and basal ganglia. These trials can be contrasted with complex antisaccades (glances toward the mirror image location of a stimulus), which are characterized by greater functional magnetic resonance imaging (MRI) blood oxygenation level-dependent (BOLD) signal in the aforementioned regions and recruitment of additional regions such as dorsolateral prefrontal cortex. The current study manipulated the cognitive demands of these saccade tasks by presenting three rapid event-related runs of mixed saccades with a varying probability of antisaccade vs. prosaccade trials (25, 50, or 75%). Behavioral results showed an effect of trial-type probability on reaction time, with slower responses in runs with a high antisaccade probability. Imaging results exhibited an effect of probability in bilateral pre- and postcentral gyrus, bilateral superior temporal gyrus, and medial frontal gyrus. Additionally, the interaction between saccade trial type and probability revealed a strong probability effect for prosaccade trials, showing a linear increase in activation parallel to antisaccade probability in bilateral temporal/occipital, posterior parietal, medial frontal, and lateral prefrontal cortex. In contrast, antisaccade trials showed elevated activation across all runs. Overall, this study demonstrated that improbable performance of a typically simple prosaccade task led to augmented BOLD signal to support changing cognitive control demands, resulting in activation levels similar to the more complex antisaccade task.