1
|
Negrón-Oyarzo I, Dib T, Chacana-Véliz L, López-Quilodrán N, Urrutia-Piñones J. Large-scale coupling of prefrontal activity patterns as a mechanism for cognitive control in health and disease: evidence from rodent models. Front Neural Circuits 2024; 18:1286111. [PMID: 38638163 PMCID: PMC11024307 DOI: 10.3389/fncir.2024.1286111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 03/11/2024] [Indexed: 04/20/2024] Open
Abstract
Cognitive control of behavior is crucial for well-being, as allows subject to adapt to changing environments in a goal-directed way. Changes in cognitive control of behavior is observed during cognitive decline in elderly and in pathological mental conditions. Therefore, the recovery of cognitive control may provide a reliable preventive and therapeutic strategy. However, its neural basis is not completely understood. Cognitive control is supported by the prefrontal cortex, structure that integrates relevant information for the appropriate organization of behavior. At neurophysiological level, it is suggested that cognitive control is supported by local and large-scale synchronization of oscillatory activity patterns and neural spiking activity between the prefrontal cortex and distributed neural networks. In this review, we focus mainly on rodent models approaching the neuronal origin of these prefrontal patterns, and the cognitive and behavioral relevance of its coordination with distributed brain systems. We also examine the relationship between cognitive control and neural activity patterns in the prefrontal cortex, and its role in normal cognitive decline and pathological mental conditions. Finally, based on these body of evidence, we propose a common mechanism that may underlie the impaired cognitive control of behavior.
Collapse
Affiliation(s)
- Ignacio Negrón-Oyarzo
- Instituto de Fisiología, Facultad de Ciencias, Universidad de Valparaíso, Valparaíso, Chile
| | - Tatiana Dib
- Instituto de Fisiología, Facultad de Ciencias, Universidad de Valparaíso, Valparaíso, Chile
| | - Lorena Chacana-Véliz
- Instituto de Fisiología, Facultad de Ciencias, Universidad de Valparaíso, Valparaíso, Chile
- Programa de Doctorado en Ciencias Mención en Neurociencia, Facultad de Ciencias, Universidad de Valparaíso, Valparaíso, Chile
| | - Nélida López-Quilodrán
- Instituto de Fisiología, Facultad de Ciencias, Universidad de Valparaíso, Valparaíso, Chile
- Programa de Doctorado en Ciencias Mención en Neurociencia, Facultad de Ciencias, Universidad de Valparaíso, Valparaíso, Chile
| | - Jocelyn Urrutia-Piñones
- Instituto de Fisiología, Facultad de Ciencias, Universidad de Valparaíso, Valparaíso, Chile
- Programa de Doctorado en Ciencias Mención en Neurociencia, Facultad de Ciencias, Universidad de Valparaíso, Valparaíso, Chile
| |
Collapse
|
2
|
Ezzyat Y, Kragel JE, Solomon EA, Lega BC, Aronson JP, Jobst BC, Gross RE, Sperling MR, Worrell GA, Sheth SA, Wanda PA, Rizzuto DS, Kahana MJ. Functional and anatomical connectivity predict brain stimulation's mnemonic effects. Cereb Cortex 2024; 34:bhad427. [PMID: 38041253 PMCID: PMC10793570 DOI: 10.1093/cercor/bhad427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Revised: 10/05/2023] [Accepted: 10/06/2023] [Indexed: 12/03/2023] Open
Abstract
Closed-loop direct brain stimulation is a promising tool for modulating neural activity and behavior. However, it remains unclear how to optimally target stimulation to modulate brain activity in particular brain networks that underlie particular cognitive functions. Here, we test the hypothesis that stimulation's behavioral and physiological effects depend on the stimulation target's anatomical and functional network properties. We delivered closed-loop stimulation as 47 neurosurgical patients studied and recalled word lists. Multivariate classifiers, trained to predict momentary lapses in memory function, triggered the stimulation of the lateral temporal cortex (LTC) during the study phase of the task. We found that LTC stimulation specifically improved memory when delivered to targets near white matter pathways. Memory improvement was largest for targets near white matter that also showed high functional connectivity to the brain's memory network. These targets also reduced low-frequency activity in this network, an established marker of successful memory encoding. These data reveal how anatomical and functional networks mediate stimulation's behavioral and physiological effects, provide further evidence that closed-loop LTC stimulation can improve episodic memory, and suggest a method for optimizing neuromodulation through improved stimulation targeting.
Collapse
Affiliation(s)
- Youssef Ezzyat
- Dept. of Psychology, Wesleyan University, Middletown, CT 06459, USA
| | - James E Kragel
- Dept. of Neurology, University of Chicago, Chicago, IL 60637, USA
| | - Ethan A Solomon
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Bradley C Lega
- Dept. of Neurosurgery, University of Texas Southwestern, Dallas, TX 75390, USA
| | - Joshua P Aronson
- Dept. of Neurosurgery, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
| | - Barbara C Jobst
- Dept. of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA
| | - Robert E Gross
- Dept. of Neurosurgery, Emory University Hospital, Atlanta, GA 30322, USA
| | - Michael R Sperling
- Dept. of Neurology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA 19107, USA
| | | | - Sameer A Sheth
- Dept. of Neurosurgery, Baylor College of Medicine, Houston, TX 77030, USA
| | - Paul A Wanda
- Dept. of Psychology, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Daniel S Rizzuto
- Dept. of Psychology, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Michael J Kahana
- Dept. of Psychology, University of Pennsylvania, Philadelphia, PA 19104, USA
| |
Collapse
|
3
|
Ezzyat Y, Kragel JE, Solomon EA, Lega BC, Aronson JP, Jobst BC, Gross RE, Sperling MR, Worrell GA, Sheth SA, Wanda PA, Rizzuto DS, Kahana MJ. Functional and anatomical connectivity predict brain stimulation's mnemonic effects. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.07.27.550851. [PMID: 37609181 PMCID: PMC10441352 DOI: 10.1101/2023.07.27.550851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/24/2023]
Abstract
Closed-loop direct brain stimulation is a promising tool for modulating neural activity and behavior. However, it remains unclear how to optimally target stimulation to modulate brain activity in particular brain networks that underlie particular cognitive functions. Here, we test the hypothesis that stimulation's behavioral and physiological effects depend on the stimulation target's anatomical and functional network properties. We delivered closed-loop stimulation as 47 neurosurgical patients studied and recalled word lists. Multivariate classifiers, trained to predict momentary lapses in memory function, triggered stimulation of the lateral temporal cortex (LTC) during the study phase of the task. We found that LTC stimulation specifically improved memory when delivered to targets near white matter pathways. Memory improvement was largest for targets near white matter that also showed high functional connectivity to the brain's memory network. These targets also reduced low-frequency activity in this network, an established marker of successful memory encoding. These data reveal how anatomical and functional networks mediate stimulation's behavioral and physiological effects, provide further evidence that closed-loop LTC stimulation can improve episodic memory, and suggest a method for optimizing neuromodulation through improved stimulation targeting.
Collapse
Affiliation(s)
- Youssef Ezzyat
- Dept. of Psychology, Wesleyan University, Middletown CT 06459
| | | | - Ethan A. Solomon
- Perelman School of Medicine, University of Pennsylvania, Philadelphia PA 19104
| | - Bradley C. Lega
- Dept. of Neurosurgery, University of Texas Southwestern, Dallas TX 75390
| | - Joshua P. Aronson
- Dept. of Neurosurgery, Dartmouth-Hitchcock Medical Center, Lebanon NH 03756
| | - Barbara C. Jobst
- Dept. of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon NH 03756
| | - Robert E. Gross
- Dept. of Neurosurgery, Emory University Hospital, Atlanta GA 30322
| | - Michael R. Sperling
- Dept. of Neurology, Thomas Jefferson University Hospital, Philadelphia PA 19107
| | | | - Sameer A. Sheth
- Dept. of Neurosurgery, Columbia University Medical Center, New York, NY 10032
| | - Paul A. Wanda
- Dept. of Psychology, University of Pennsylvania, Philadelphia PA 19104
| | - Daniel S. Rizzuto
- Dept. of Psychology, University of Pennsylvania, Philadelphia PA 19104
| | - Michael J. Kahana
- Dept. of Psychology, University of Pennsylvania, Philadelphia PA 19104
| |
Collapse
|
4
|
Rueda J, García-Barranquero P, Lara F. Doctor, please make me freer: Capabilities enhancement as a goal of medicine. MEDICINE, HEALTH CARE, AND PHILOSOPHY 2021; 24:409-419. [PMID: 33837472 DOI: 10.1007/s11019-021-10016-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/31/2021] [Indexed: 06/12/2023]
Abstract
Biomedical innovations are making possible the enhancement of human capabilities. There are two philosophical stances on the role that medicine should play in this respect. On the one hand, naturalism rejects every medical intervention that goes beyond preventing and treating disease. On the other hand, welfarism advocates enhancements that foster subjective well-being. We will show that both positions have considerable shortcomings. Consequently, we will introduce a third characterization in which therapies and enhancements can be reconciled with the legitimate objectives of medicine inasmuch as they improve the capabilities that enable the freedom to pursue personal well-being.
Collapse
Affiliation(s)
- Jon Rueda
- Department of Philosophy 1, University of Granada, Granada, Spain.
| | | | - Francisco Lara
- Department of Philosophy 1, University of Granada, Granada, Spain
| |
Collapse
|
5
|
Lech M, Berry B, Topcu C, Kremen V, Nejedly P, Lega B, Gross RE, Sperling M, Jobst B, Sheth S, Zaghloul K, Davis K, Worrell G, Kucewicz M. Direct Electrical Stimulation of the Human Brain Has Inverse Effects on the Theta and Gamma Neural Activities. IEEE Trans Biomed Eng 2021; 68:3701-3712. [PMID: 34014821 DOI: 10.1109/tbme.2021.3082320] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE Our goal was to analyze the electrophysiological response to direct electrical stimulation (DES) systematically applied at a wide range of parameters and anatomical sites, with particular focus on neural activities associated with memory and cognition. METHODS We used a large set of intracranial EEG (iEEG) recordings with DES from 45 subjects with electrodes implanted both subdurally on the cortical surface and subcortically into the brain parenchyma. Subjects were stimulated in blocks of alternating frequency and amplitude parameters during quiet wakefulness. RESULTS Stimulating at different frequencies and amplitudes of electric current revealed a persistent pattern of response in the slow and the fast neural activities. In particular, amplification of the theta (4-7 Hz) and attenuation of the gamma (29-52 Hz) power-in-band was observed with increasing the stimulation parameters. This opposite effect on the low and high frequency bands was found across a network of selected local and distal sites proportionally to the proximity and magnitude of the electric current. Power increase in the theta and decrease in the gamma band was driven by the total electric charge delivered with either increasing the frequency or amplitude of the stimulation current. This inverse effect on the theta and gamma activities was consistently observed in response to different stimulation frequencies and amplitudes. CONCLUSION Our results suggest a uniform DES effect of amplifying theta and suppressing gamma neural activities in the human brain. SIGNIFICANCE These findings reveal the utility of simple power-in-band features for understanding and optimizing the effects of electrical stimulation on brain functions.
Collapse
|
6
|
Beuter A, Balossier A, Vassal F, Hemm S, Volpert V. Cortical stimulation in aphasia following ischemic stroke: toward model-guided electrical neuromodulation. BIOLOGICAL CYBERNETICS 2020; 114:5-21. [PMID: 32020368 DOI: 10.1007/s00422-020-00818-w] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2019] [Accepted: 01/28/2020] [Indexed: 06/10/2023]
Abstract
The aim of this paper is to integrate different bodies of research including brain traveling waves, brain neuromodulation, neural field modeling and post-stroke language disorders in order to explore the opportunity of implementing model-guided, cortical neuromodulation for the treatment of post-stroke aphasia. Worldwide according to WHO, strokes are the second leading cause of death and the third leading cause of disability. In ischemic stroke, there is not enough blood supply to provide enough oxygen and nutrients to parts of the brain, while in hemorrhagic stroke, there is bleeding within the enclosed cranial cavity. The present paper focuses on ischemic stroke. We first review accumulating observations of traveling waves occurring spontaneously or triggered by external stimuli in healthy subjects as well as in patients with brain disorders. We examine the putative functions of these waves and focus on post-stroke aphasia observed when brain language networks become fragmented and/or partly silent, thus perturbing the progression of traveling waves across perilesional areas. Secondly, we focus on a simplified model based on the current literature in the field and describe cortical traveling wave dynamics and their modulation. This model uses a biophysically realistic integro-differential equation describing spatially distributed and synaptically coupled neural networks producing traveling wave solutions. The model is used to calculate wave parameters (speed, amplitude and/or frequency) and to guide the reconstruction of the perturbed wave. A stimulation term is included in the model to restore wave propagation to a reasonably good level. Thirdly, we examine various issues related to the implementation model-guided neuromodulation in the treatment of post-stroke aphasia given that closed-loop invasive brain stimulation studies have recently produced encouraging results. Finally, we suggest that modulating traveling waves by acting selectively and dynamically across space and time to facilitate wave propagation is a promising therapeutic strategy especially at a time when a new generation of closed-loop cortical stimulation systems is about to arrive on the market.
Collapse
Affiliation(s)
- Anne Beuter
- Bordeaux INP, University of Bordeaux, Bordeaux, France.
| | - Anne Balossier
- Service de neurochirurgie fonctionnelle et stéréotaxique, AP-HM La Timone, Aix-Marseille University, Marseille, France
| | - François Vassal
- INSERM U1028 Neuropain, UMR 5292, Centre de Recherche en Neurosciences, Universités Lyon 1 et Saint-Etienne, Saint-Étienne, France
- Service de Neurochirurgie, Hôpital Nord, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Étienne, France
| | - Simone Hemm
- School of Life Sciences, Institute for Medical Engineering and Medical Informatics, University of Applied Sciences and Arts Northwestern Switzerland, 4132, Muttenz, Switzerland
| | - Vitaly Volpert
- Institut Camille Jordan, UMR 5208 CNRS, University Lyon 1, 69622, Villeurbanne, France
- INRIA Team Dracula, INRIA Lyon La Doua, 69603, Villeurbanne, France
- People's Friendship University of Russia (RUDN University), Miklukho-Maklaya St, Moscow, Russian Federation, 117198
| |
Collapse
|
7
|
Warren KN, Hermiller MS, Nilakantan AS, Voss JL. Stimulating the hippocampal posterior-medial network enhances task-dependent connectivity and memory. eLife 2019; 8:e49458. [PMID: 31724946 PMCID: PMC6855798 DOI: 10.7554/elife.49458] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Accepted: 10/30/2019] [Indexed: 11/13/2022] Open
Abstract
Successful episodic memory involves dynamic increases in activity across distributed hippocampal networks, including the posterior-medial (PMN) and the anterior-temporal (ATN) networks. We tested whether this up-regulation of functional connectivity during memory processing can be enhanced within hippocampal networks by noninvasive stimulation, and whether such task-dependent connectivity enhancement predicts memory improvement. Participants received stimulation targeting the PMN or an out-of-network control location. We compared the effects of stimulation on fMRI connectivity during an autobiographical retrieval task versus during rest within the PMN and the ATN. PMN-targeted stimulation significantly increased connectivity during autobiographical retrieval versus rest within the PMN. This effect was not observed in the ATN, or in either network following control stimulation. Task-dependent increases in connectivity within the medial temporal lobe predicted improved performance of a separate episodic memory test. It is therefore possible to enhance the task-dependent regulation of hippocampal network connectivity that supports memory processing using noninvasive stimulation.
Collapse
Affiliation(s)
- Kristen N Warren
- Interdepartmental Neuroscience Program, Department of Medical Social Sciences, Ken and Ruth Davee Department of Neurology, and Department of Psychiatry and Behavioral SciencesFeinberg School of Medicine, Northwestern UniversityChicagoUnited States
| | - Molly S Hermiller
- Interdepartmental Neuroscience Program, Department of Medical Social Sciences, Ken and Ruth Davee Department of Neurology, and Department of Psychiatry and Behavioral SciencesFeinberg School of Medicine, Northwestern UniversityChicagoUnited States
| | - Aneesha S Nilakantan
- Interdepartmental Neuroscience Program, Department of Medical Social Sciences, Ken and Ruth Davee Department of Neurology, and Department of Psychiatry and Behavioral SciencesFeinberg School of Medicine, Northwestern UniversityChicagoUnited States
| | - Joel L Voss
- Interdepartmental Neuroscience Program, Department of Medical Social Sciences, Ken and Ruth Davee Department of Neurology, and Department of Psychiatry and Behavioral SciencesFeinberg School of Medicine, Northwestern UniversityChicagoUnited States
| |
Collapse
|
8
|
Ferrarelli F, Kaskie R, Laxminarayan S, Ramakrishnan S, Reifman J, Germain A. An increase in sleep slow waves predicts better working memory performance in healthy individuals. Neuroimage 2019; 191:1-9. [DOI: 10.1016/j.neuroimage.2019.02.020] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Revised: 01/14/2019] [Accepted: 02/07/2019] [Indexed: 11/16/2022] Open
|
9
|
El-Kalliny MM, Wittig JH, Sheehan TC, Sreekumar V, Inati SK, Zaghloul KA. Changing temporal context in human temporal lobe promotes memory of distinct episodes. Nat Commun 2019; 10:203. [PMID: 30643130 PMCID: PMC6331638 DOI: 10.1038/s41467-018-08189-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2018] [Accepted: 12/14/2018] [Indexed: 12/28/2022] Open
Abstract
Memories of experiences that occur around the same time are linked together by a shared temporal context, represented by shared patterns of neural activity. However, shared temporal context may be problematic for selective retrieval of specific memories. Here, we examine intracranial EEG (iEEG) in the human temporal lobe as participants perform a verbal paired associates memory task that requires the encoding of distinct word pairs in memory. We find that the rate of change in patterns of low frequency (3–12 Hz) power distributed across the temporal lobe is significantly related to memory performance. We also find that exogenous electrical stimulation affects how quickly these neural representations of temporal context change with time, which directly affects the ability to successfully form memories for distinct items. Our results indicate that the ability to retrieve distinct episodic memories is related to how quickly neural representations of temporal context change over time during encoding. Memories formed around the same time are linked together by a shared temporal context. Here, the authors show that the ability to selectively retrieve distinct episodic memories formed close together in time is related to how quickly neural representations of temporal context change over time during encoding.
Collapse
Affiliation(s)
- Mostafa M El-Kalliny
- Surgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, 20892, USA
| | - John H Wittig
- Surgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, 20892, USA
| | - Timothy C Sheehan
- Neurosciences Graduate Program, University of California, San Diego, La Jolla, CA, 92093, USA
| | - Vishnu Sreekumar
- Surgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, 20892, USA
| | - Sara K Inati
- Office of the Clinical Director, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, 20892, USA
| | - Kareem A Zaghloul
- Surgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, 20892, USA.
| |
Collapse
|
10
|
Suthana N, Aghajan ZM, Mankin EA, Lin A. Reporting Guidelines and Issues to Consider for Using Intracranial Brain Stimulation in Studies of Human Declarative Memory. Front Neurosci 2018; 12:905. [PMID: 30564089 PMCID: PMC6288473 DOI: 10.3389/fnins.2018.00905] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2018] [Accepted: 11/19/2018] [Indexed: 11/16/2022] Open
Abstract
Participants with stimulating and recording electrodes implanted within the brain for clinical evaluation and treatment provide a rare opportunity to unravel the neuronal correlates of human memory, as well as offer potential for modulation of behavior. Recent intracranial stimulation studies of memory have been inconsistent in methodologies employed and reported conclusions, which renders generalizations and construction of a framework impossible. In an effort to unify future study efforts and enable larger meta-analyses we propose in this mini-review a set of guidelines to consider when pursuing intracranial stimulation studies of human declarative memory and summarize details reported by previous relevant studies. We present technical and safety issues to consider when undertaking such studies and a checklist for researchers and clinicians to use for guidance when reporting results, including targeting, placement, and localization of electrodes, behavioral task design, stimulation and electrophysiological recording methods, details of participants, and statistical analyses. We hope that, as research in invasive stimulation of human declarative memory further progresses, these reporting guidelines will aid in setting standards for multicenter studies, in comparison of findings across studies, and in study replications.
Collapse
Affiliation(s)
- Nanthia Suthana
- Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, Jane and Terry Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, CA, United States.,Department of Neurosurgery, David Geffen School of Medicine, UCLA, Los Angeles, CA, United States.,UCLA, Los Angeles, CA, United States
| | - Zahra M Aghajan
- Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, Jane and Terry Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, CA, United States
| | - Emily A Mankin
- Department of Neurosurgery, David Geffen School of Medicine, UCLA, Los Angeles, CA, United States
| | - Andy Lin
- IDRE Statistical Consulting Group, UCLA, Los Angeles, CA, United States
| |
Collapse
|
11
|
Solomon EA, Kragel JE, Gross R, Lega B, Sperling MR, Worrell G, Sheth SA, Zaghloul KA, Jobst BC, Stein JM, Das S, Gorniak R, Inman CS, Seger S, Rizzuto DS, Kahana MJ. Medial temporal lobe functional connectivity predicts stimulation-induced theta power. Nat Commun 2018; 9:4437. [PMID: 30361627 PMCID: PMC6202342 DOI: 10.1038/s41467-018-06876-w] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Accepted: 10/01/2018] [Indexed: 02/04/2023] Open
Abstract
Focal electrical stimulation of the brain incites a cascade of neural activity that propagates from the stimulated region to both nearby and remote areas, offering the potential to control the activity of brain networks. Understanding how exogenous electrical signals perturb such networks in humans is key to its clinical translation. To investigate this, we applied electrical stimulation to subregions of the medial temporal lobe in 26 neurosurgical patients fitted with indwelling electrodes. Networks of low-frequency (5–13 Hz) spectral coherence predicted stimulation-evoked increases in theta (5–8 Hz) power, particularly when stimulation was applied in or adjacent to white matter. Stimulation tended to decrease power in the high-frequency broadband (HFB; 50–200 Hz) range, and these modulations were correlated with HFB-based networks in a subset of subjects. Our results demonstrate that functional connectivity is predictive of causal changes in the brain, capturing evoked activity across brain regions and frequency bands. Direct electrical brain stimulation can induce widespread changes in neural activity, offering a means to modulate network-wide activity and treat disease. Here, the authors show that the low-frequency functional connectivity profile of a stimulation target predicts where induced theta activity occurs.
Collapse
Affiliation(s)
- E A Solomon
- Department of Bioengineering, University of Pennsylvania, Philadelphia, PA, 19146, USA.
| | - J E Kragel
- Department of Psychology, University of Pennsylvania, Philadelphia, PA, 19146, USA
| | - R Gross
- Department of Neurosurgery, Emory School of Medicine, Atlanta, GA, 30322, USA
| | - B Lega
- Department of Neurosurgery, University of Texas Southwestern, Dallas, TX, 75390, USA
| | - M R Sperling
- Department of Neurology, Thomas Jefferson University Hospital, Philadelphia, PA, 19107, USA
| | - G Worrell
- Department of Neurology, Department of Physiology and Bioengineering, Mayo Clinic, Rochester, MN, 55905, USA
| | - S A Sheth
- Department of Neurosurgery, Baylor College of Medicine, Houston, TX, 77030, USA
| | - K A Zaghloul
- Surgical Neurology Branch, National Institutes of Health, Bethesda, MD, 20814, USA
| | - B C Jobst
- Department of Neurology, Dartmouth Medical Center, Lebanon, NH, 03756, USA
| | - J M Stein
- Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA, 19104, USA
| | - S Das
- Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA, 19104, USA
| | - R Gorniak
- Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA, 19107, USA
| | - C S Inman
- Department of Neurosurgery, Emory School of Medicine, Atlanta, GA, 30322, USA
| | - S Seger
- Department of Neurosurgery, University of Texas Southwestern, Dallas, TX, 75390, USA
| | - D S Rizzuto
- Department of Psychology, University of Pennsylvania, Philadelphia, PA, 19146, USA
| | - M J Kahana
- Department of Psychology, University of Pennsylvania, Philadelphia, PA, 19146, USA.
| |
Collapse
|