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Bernard C. Conditioning Conformity: A Neuroscientific Funding and Publishing Paradox. eNeuro 2024; 11:ENEURO.0193-24.2024. [PMID: 38755007 PMCID: PMC11099952 DOI: 10.1523/eneuro.0193-24.2024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/18/2024] Open
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Lokossou HA, Rabuffo G, Bernard M, Bernard C, Viola A, Perles-Barbacaru TA. Impact of the day/night cycle on functional connectome in ageing male and female mice. Neuroimage 2024; 290:120576. [PMID: 38490583 DOI: 10.1016/j.neuroimage.2024.120576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 03/07/2024] [Accepted: 03/12/2024] [Indexed: 03/17/2024] Open
Abstract
To elucidate how time of day, sex, and age affect functional connectivity (FC) in mice, we aimed to examine whether the mouse functional connectome varied with the day/night cycle and whether it depended on sex and age. We explored C57Bl6/J mice (6♀ and 6♂) at mature age (5 ± 1 months) and middle-age (14 ± 1 months). Each mouse underwent Blood Oxygen-Level-Dependent (BOLD) resting-state functional MRI (rs-fMRI) on a 7T scanner at four different times of the day, two under the light condition and two under the dark condition. Data processing consisted of group independent component analysis (ICA) and region-level analysis using resting-state networks (RSNs) derived from literature. Linear mixed-effect models (LMEM) were used to assess the effects of sex, lighting condition and their interactions for each RSN obtained with group-ICA (RSNs-GICA) and six bilateral RSNs adapted from literature (RSNs-LIT). Our study highlighted new RSNs in mice related to day/night alternation in addition to other networks already reported in the literature. In mature mice, we found sex-related differences in brain activation only in one RSNs-GICA comprising the cortical, hippocampal, midbrain and cerebellar regions of the right hemisphere. In males, brain activity was significantly higher in the left hippocampus, the retrosplenial cortex, the superior colliculus, and the cerebellum regardless of lighting condition; consistent with the role of these structures in memory formation and integration, sleep, and sex-differences in memory processing. Experimental constraints limited the analysis to the impact of light/dark cycle on the RSNs for middle-aged females. We detected significant activation in the pineal gland during the dark condition, a finding in line with the nocturnal activity of this gland. For the analysis of RSNs-LIT, new variables "sexage" (sex and age combined) and "edges" (pairs of RSNs) were introduced. FC was calculated as the Pearson correlation between two RSNs. LMEM revealed no effect of sexage or lighting condition. The FC depended on the edges, but there were no interaction effects between sexage, lighting condition and edges. Interaction effects were detected between i) sex and lighting condition, with higher FC in males under the dark condition, ii) sexage and edges with higher FC in male brain regions related to vision, memory, and motor action. We conclude that time of day and sex should be taken into account when designing, analyzing, and interpreting functional imaging studies in rodents.
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Affiliation(s)
- Houéfa Armelle Lokossou
- Centre for Magnetic Resonance in Biology and Medicine, CRMBM UMR 7339, Aix-Marseille University-CNRS, Marseille, France; Institute of Systems Neuroscience, INS UMR 1106, Aix-Marseille University-INSERM, Marseille, France.
| | - Giovanni Rabuffo
- Institute of Systems Neuroscience, INS UMR 1106, Aix-Marseille University-INSERM, Marseille, France
| | - Monique Bernard
- Centre for Magnetic Resonance in Biology and Medicine, CRMBM UMR 7339, Aix-Marseille University-CNRS, Marseille, France
| | - Christophe Bernard
- Institute of Systems Neuroscience, INS UMR 1106, Aix-Marseille University-INSERM, Marseille, France.
| | - Angèle Viola
- Centre for Magnetic Resonance in Biology and Medicine, CRMBM UMR 7339, Aix-Marseille University-CNRS, Marseille, France
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Bernard C. Statistical Analysis Is Vital at eNeuro. eNeuro 2024; 11:ENEURO.0082-24.2024. [PMID: 38485247 PMCID: PMC10941633 DOI: 10.1523/eneuro.0082-24.2024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/17/2024] Open
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Pedrosa R, Nazari M, Kergoat L, Bernard C, Mohajerani M, Stella F, Battaglia F. Hippocampal ripples coincide with "up-state" and spindles in retrosplenial cortex. Cereb Cortex 2024; 34:bhae083. [PMID: 38494417 DOI: 10.1093/cercor/bhae083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Revised: 02/13/2024] [Accepted: 02/14/2024] [Indexed: 03/19/2024] Open
Abstract
During NREM sleep, hippocampal sharp-wave ripple (SWR) events are thought to stabilize memory traces for long-term storage in downstream neocortical structures. Within the neocortex, a set of distributed networks organized around retrosplenial cortex (RS-network) interact preferentially with the hippocampus purportedly to consolidate those traces. Transient bouts of slow oscillations and sleep spindles in this RS-network are often observed around SWRs, suggesting that these two activities are related and that their interplay possibly contributes to memory consolidation. To investigate how SWRs interact with the RS-network and spindles, we combined cortical wide-field voltage imaging, Electrocorticography, and hippocampal LFP recordings in anesthetized and sleeping mice. Here, we show that, during SWR, "up-states" and spindles reliably co-occur in a cortical subnetwork centered around the retrosplenial cortex. Furthermore, retrosplenial transient activations and spindles predict slow gamma oscillations in CA1 during SWRs. Together, our results suggest that retrosplenial-hippocampal interaction may be a critical pathway of information exchange between the cortex and hippocampus.
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Affiliation(s)
- Rafael Pedrosa
- Donders Institute for Brain Cognition and Behaviour, Radboud University, Nijmegen 6525AJ, The Netherlands
| | - Mojtaba Nazari
- Canadian Centre for Behavioral Neuroscience, University of Lethbridge, Lethbridge AB T1K 6 3M4, Canada
| | - Loig Kergoat
- INSERM, INS, Institut de Neurosciences des Systèmes, Aix Marseille Université, UMR_S 1106, Marseille 13005, France
- Panaxium SAS, Aix-en-Provence 13100, France
| | - Christophe Bernard
- INSERM, INS, Institut de Neurosciences des Systèmes, Aix Marseille Université, UMR_S 1106, Marseille 13005, France
| | - Majid Mohajerani
- Canadian Centre for Behavioral Neuroscience, University of Lethbridge, Lethbridge AB T1K 6 3M4, Canada
| | - Federico Stella
- Donders Institute for Brain Cognition and Behaviour, Radboud University, Nijmegen 6525AJ, The Netherlands
| | - Francesco Battaglia
- Donders Institute for Brain Cognition and Behaviour, Radboud University, Nijmegen 6525AJ, The Netherlands
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Bernard C. eNeuro at Ten: Just Warming Up. eNeuro 2024; 11:ENEURO.0113-24.2024. [PMID: 38548334 PMCID: PMC10978820 DOI: 10.1523/eneuro.0113-24.2024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/01/2024] Open
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Kusch L, Diaz-Pier S, Klijn W, Sontheimer K, Bernard C, Morrison A, Jirsa V. Multiscale co-simulation design pattern for neuroscience applications. Front Neuroinform 2024; 18:1156683. [PMID: 38410682 PMCID: PMC10895016 DOI: 10.3389/fninf.2024.1156683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 01/19/2024] [Indexed: 02/28/2024] Open
Abstract
Integration of information across heterogeneous sources creates added scientific value. Interoperability of data, tools and models is, however, difficult to accomplish across spatial and temporal scales. Here we introduce the toolbox Parallel Co-Simulation, which enables the interoperation of simulators operating at different scales. We provide a software science co-design pattern and illustrate its functioning along a neuroscience example, in which individual regions of interest are simulated on the cellular level allowing us to study detailed mechanisms, while the remaining network is efficiently simulated on the population level. A workflow is illustrated for the use case of The Virtual Brain and NEST, in which the CA1 region of the cellular-level hippocampus of the mouse is embedded into a full brain network involving micro and macro electrode recordings. This new tool allows integrating knowledge across scales in the same simulation framework and validating them against multiscale experiments, thereby largely widening the explanatory power of computational models.
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Affiliation(s)
- Lionel Kusch
- Institut de Neurosciences des Systèmes (INS), UMR1106, Aix-Marseille Université, Marseilles, France
| | - Sandra Diaz-Pier
- Simulation and Data Lab Neuroscience, Jülich Supercomputing Centre (JSC), Institute for Advanced Simulation, JARA, Forschungszentrum Jülich GmbH, Jülich, Germany
| | - Wouter Klijn
- Simulation and Data Lab Neuroscience, Jülich Supercomputing Centre (JSC), Institute for Advanced Simulation, JARA, Forschungszentrum Jülich GmbH, Jülich, Germany
| | - Kim Sontheimer
- Simulation and Data Lab Neuroscience, Jülich Supercomputing Centre (JSC), Institute for Advanced Simulation, JARA, Forschungszentrum Jülich GmbH, Jülich, Germany
| | - Christophe Bernard
- Institut de Neurosciences des Systèmes (INS), UMR1106, Aix-Marseille Université, Marseilles, France
| | - Abigail Morrison
- Simulation and Data Lab Neuroscience, Jülich Supercomputing Centre (JSC), Institute for Advanced Simulation, JARA, Forschungszentrum Jülich GmbH, Jülich, Germany
- Forschungszentrum Jülich GmbH, IAS-6/INM-6, JARA, Jülich, Germany
- Computer Science 3 - Software Engineering, RWTH Aachen University, Aachen, Germany
| | - Viktor Jirsa
- Institut de Neurosciences des Systèmes (INS), UMR1106, Aix-Marseille Université, Marseilles, France
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Bernard C, Frauscher B, Gelinas J, Timofeev I. Sleep, oscillations, and epilepsy. Epilepsia 2023; 64 Suppl 3:S3-S12. [PMID: 37226640 PMCID: PMC10674035 DOI: 10.1111/epi.17664] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 04/27/2023] [Accepted: 05/23/2023] [Indexed: 05/26/2023]
Abstract
Sleep and wake are defined through physiological and behavioral criteria and can be typically separated into non-rapid eye movement (NREM) sleep stages N1, N2, and N3, rapid eye movement (REM) sleep, and wake. Sleep and wake states are not homogenous in time. Their properties vary during the night and day cycle. Given that brain activity changes as a function of NREM, REM, and wake during the night and day cycle, are seizures more likely to occur during NREM, REM, or wake at a specific time? More generally, what is the relationship between sleep-wake cycles and epilepsy? We will review specific examples from clinical data and results from experimental models, focusing on the diversity and heterogeneity of these relationships. We will use a top-down approach, starting with the general architecture of sleep, followed by oscillatory activities, and ending with ionic correlates selected for illustrative purposes, with respect to seizures and interictal spikes. The picture that emerges is that of complexity; sleep disruption and pathological epileptic activities emerge from reorganized circuits. That different circuit alterations can occur across patients and models may explain why sleep alterations and the timing of seizures during the sleep-wake cycle are patient-specific.
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Affiliation(s)
| | - Birgit Frauscher
- Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada
| | - Jennifer Gelinas
- Institute for Genomic Medicine, Columbia University Medical Center, New York, NY, USA
- Department of Neurology, Columbia University Medical Center, New York, NY, USA
| | - Igor Timofeev
- Faculté de Médecine, Département de Psychiatrie et de Neurosciences, Centre de Recherche CERVO, Université Laval, Québec, QC G1J2G3, Canada
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Jhaveri DJ, McGonigal A, Becker C, Benoliel JJ, Nandam LS, Soncin L, Kotwas I, Bernard C, Bartolomei F. Stress and Epilepsy: Towards Understanding of Neurobiological Mechanisms for Better Management. eNeuro 2023; 10:ENEURO.0200-23.2023. [PMID: 37923391 PMCID: PMC10626502 DOI: 10.1523/eneuro.0200-23.2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 09/03/2023] [Accepted: 09/20/2023] [Indexed: 11/07/2023] Open
Abstract
Stress has been identified as a major contributor to human disease and is postulated to play a substantial role in epileptogenesis. In a significant proportion of individuals with epilepsy, sensitivity to stressful events contributes to dynamic symptomatic burden, notably seizure occurrence and frequency, and presence and severity of psychiatric comorbidities [anxiety, depression, posttraumatic stress disorder (PTSD)]. Here, we review this complex relationship between stress and epilepsy using clinical data and highlight key neurobiological mechanisms including the hypothalamic-pituitary-adrenal (HPA) axis dysfunction, altered neuroplasticity within limbic system structures, and alterations in neurochemical pathways such as brain-derived neurotrophic factor (BNDF) linking epilepsy and stress. We discuss current clinical management approaches of stress that help optimize seizure control and prevention, as well as psychiatric comorbidities associated with epilepsy. We propose that various shared mechanisms of stress and epilepsy present multiple avenues for the development of new symptomatic and preventative treatments, including disease modifying therapies aimed at reducing epileptogenesis. This would require close collaborations between clinicians and basic scientists to integrate data across multiple scales, from genetics to systems biology, from clinical observations to fundamental mechanistic insights. In future, advances in machine learning approaches and neuromodulation strategies will enable personalized and targeted interventions to manage and ultimately treat stress-related epileptogenesis.
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Affiliation(s)
- Dhanisha J Jhaveri
- Queensland Brain Institute, The University of Queensland, Brisbane, QLD 4067, Australia
- Mater Research Institute, Faculty of Medicine, The University of Queensland, Brisbane, QLD 4067, Australia
| | - Aileen McGonigal
- Queensland Brain Institute, The University of Queensland, Brisbane, QLD 4067, Australia
- Mater Research Institute, Faculty of Medicine, The University of Queensland, Brisbane, QLD 4067, Australia
- Mater Epilepsy Unit, Department of Neurosciences, Mater Hospital, Brisbane, QLD 4101, Australia
| | - Christel Becker
- Institut National de la Santé et de la Recherche Médicale, Unité 1124, Université Paris Cité, Paris, 75006, France
| | - Jean-Jacques Benoliel
- Institut National de la Santé et de la Recherche Médicale, Unité 1124, Université Paris Cité, Paris, 75006, France
- Site Pitié-Salpêtrière, Service de Biochimie Endocrinienne et Oncologie, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Paris, 75651, France
| | - L Sanjay Nandam
- Turner Inst for Brain & Mental Health, Faculty of Medicine, Nursing and Health Sciences, School of Psychological Sciences, Monash University, Melbourne, 3800, Australia
| | - Lisa Soncin
- Institut National de la Santé et de la Recherche Médicale, Institut de Neurosciences des Systèmes, Aix Marseille University, Marseille, 13005, France
- Laboratoire d'Anthropologie et de Psychologie Cliniques, Cognitives et Sociales, Côte d'Azur University, Nice, 06300, France
| | - Iliana Kotwas
- Epileptology and Cerebral Rhythmology, Assistance Publique Hôpitaux de Marseille, Timone Hospital, Marseille, 13005, France
| | - Christophe Bernard
- Institut National de la Santé et de la Recherche Médicale, Institut de Neurosciences des Systèmes, Aix Marseille University, Marseille, 13005, France
| | - Fabrice Bartolomei
- Institut National de la Santé et de la Recherche Médicale, Institut de Neurosciences des Systèmes, Aix Marseille University, Marseille, 13005, France
- Epileptology and Cerebral Rhythmology, Assistance Publique Hôpitaux de Marseille, Timone Hospital, Marseille, 13005, France
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10
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Affiliation(s)
- Christophe Bernard
- Aix Marseille Univ, Inserm, INS, Institut de Neurosciences des Systèmes, Marseille, France
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Morris G, Avoli M, Bernard C, Connor K, de Curtis M, Dulla CG, Jefferys JGR, Psarropoulou C, Staley KJ, Cunningham MO. Can in vitro studies aid in the development and use of antiseizure therapies? A report of the ILAE/AES Joint Translational Task Force. Epilepsia 2023; 64:2571-2585. [PMID: 37642296 DOI: 10.1111/epi.17744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 08/11/2023] [Accepted: 08/11/2023] [Indexed: 08/31/2023]
Abstract
In vitro preparations (defined here as cultured cells, brain slices, and isolated whole brains) offer a variety of approaches to modeling various aspects of seizures and epilepsy. Such models are particularly amenable to the application of anti-seizure compounds, and consequently are a valuable tool to screen the mechanisms of epileptiform activity, mode of action of known anti-seizure medications (ASMs), and the potential efficacy of putative new anti-seizure compounds. Despite these applications, all disease models are a simplification of reality and are therefore subject to limitations. In this review, we summarize the main types of in vitro models that can be used in epilepsy research, describing key methodologies as well as notable advantages and disadvantages of each. We argue that a well-designed battery of in vitro models can form an effective and potentially high-throughput screening platform to predict the clinical usefulness of ASMs, and that in vitro models are particularly useful for interrogating mechanisms of ASMs. To conclude, we offer several key recommendations that maximize the potential value of in vitro models in ASM screening. This includes the use of multiple in vitro tests that can complement each other, carefully combined with in vivo studies, the use of tissues from chronically epileptic (rather than naïve wild-type) animals, and the integration of human cell/tissue-derived preparations.
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Affiliation(s)
- Gareth Morris
- Division of Neuroscience, Faculty of Biology, Medicine and Health, School of Biological Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
- Department of Neuroscience, Physiology and Pharmacology, University College London, London, UK
| | - Massimo Avoli
- Montreal Neurological Institute-Hospital and Departments of Neurology & Neurosurgery, McGill University, Montréal, Quebec, Canada
- Department of Physiology, McGill University, Montréal, Quebec, Canada
| | - Christophe Bernard
- Inserm, INS, Institut de Neurosciences des Systèmes, Aix Marseille Univ, Marseille, France
| | - Kate Connor
- Discipline of Physiology, School of Medicine, Trinity College Dublin, Dublin 2, Ireland
| | - Marco de Curtis
- Epilepsy Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Chris G Dulla
- Department of Neuroscience, Tufts University School of Medicine, Boston, Massachusetts, USA
| | - John G R Jefferys
- Department of Physiology, 2nd Medical School, Motol, Charles University, Prague, Czech Republic
- Department of Pharmacology, University of Oxford, Oxford, UK
| | - Caterina Psarropoulou
- Laboratory of Animal and Human Physiology, Department of Biological Applications and Technology, Faculty of Health Sciences, University of Ioannina, Ioannina, Greece
| | - Kevin J Staley
- Neurology Department, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Mark O Cunningham
- Discipline of Physiology, School of Medicine, Trinity College Dublin, Dublin 2, Ireland
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Clawson W, Waked B, Madec T, Ghestem A, Quilichini PP, Battaglia D, Bernard C. Perturbed Information Processing Complexity in Experimental Epilepsy. J Neurosci 2023; 43:6573-6587. [PMID: 37550052 PMCID: PMC10513075 DOI: 10.1523/jneurosci.0383-23.2023] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 07/07/2023] [Accepted: 07/20/2023] [Indexed: 08/09/2023] Open
Abstract
Comorbidities, such as cognitive deficits, which often accompany epilepsies, constitute a basal state, while seizures are rare and transient events. This suggests that neural dynamics, in particular those supporting cognitive function, are altered in a permanent manner in epilepsy. Here, we test the hypothesis that primitive processes of information processing at the core of cognitive function (i.e., storage and sharing of information) are altered in the hippocampus and the entorhinal cortex in experimental epilepsy in adult, male Wistar rats. We find that information storage and sharing are organized into substates across the stereotypic states of slow and theta oscillations in both epilepsy and control conditions. However, their internal composition and organization through time are disrupted in epilepsy, partially losing brain state selectivity compared with controls, and shifting toward a regimen of disorder. We propose that the alteration of information processing at this algorithmic level of computation, the theoretical intermediate level between structure and function, may be a mechanism behind the emergent and widespread comorbidities associated with epilepsy, and perhaps other disorders.SIGNIFICANCE STATEMENT Comorbidities, such as cognitive deficits, which often accompany epilepsies, constitute a basal state, while seizures are rare and transient events. This suggests that neural dynamics, in particular those supporting cognitive function, are altered in a permanent manner in epilepsy. Here, we show that basic processes of information processing at the core of cognitive function (i.e., storage and sharing of information) are altered in the hippocampus and the entorhinal cortex (two regions involved in memory processes) in experimental epilepsy. Such disruption of information processing at the algorithmic level itself could underlie the general performance impairments in epilepsy.
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Affiliation(s)
- Wesley Clawson
- Aix Marseille Université, INSERM, INS, Institut de Neurosciences des Systèmes, Marseille, France
- Allen Discovery Center, Tufts University, Medford, Massachusetts
| | - Benjamin Waked
- Aix Marseille Université, INSERM, INS, Institut de Neurosciences des Systèmes, Marseille, France
| | - Tanguy Madec
- Aix Marseille Université, INSERM, INS, Institut de Neurosciences des Systèmes, Marseille, France
| | - Antoine Ghestem
- Aix Marseille Université, INSERM, INS, Institut de Neurosciences des Systèmes, Marseille, France
| | - Pascale P Quilichini
- Aix Marseille Université, INSERM, INS, Institut de Neurosciences des Systèmes, Marseille, France
| | - Demian Battaglia
- Aix Marseille Université, INSERM, INS, Institut de Neurosciences des Systèmes, Marseille, France
- University of Strasbourg Institute for Advanced Studies, Strasbourg, France
| | - Christophe Bernard
- Aix Marseille Université, INSERM, INS, Institut de Neurosciences des Systèmes, Marseille, France
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McGonigal A, Becker C, Fath J, Hammam K, Baumstarck K, Fernandes S, Giusiano B, Dufau S, Rheims S, Maillard L, Biraben A, Benoliel JJ, Bernard C, Bartolomei F. BDNF as potential biomarker of epilepsy severity and psychiatric comorbidity: pitfalls in the clinical population. Epilepsy Res 2023; 195:107200. [PMID: 37542747 DOI: 10.1016/j.eplepsyres.2023.107200] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2022] [Revised: 07/26/2023] [Accepted: 07/31/2023] [Indexed: 08/07/2023]
Abstract
BACKGROUND Several studies implicate brain-derived neurotrophic factor (BDNF) in the pathophysiology of epilepsy. In particular, preclinical data suggest that lower serum BDNF is a biomarker of epilepsy severity and psychiatric comorbidities. We tested this prediction in clinical epilepsy cohorts. METHODS Patients with epilepsy were recruited from 4 epilepsy centers in France and serum BDNF was quantified. Clinical characteristics including epilepsy duration, classification, localization, etiology, seizure frequency and drug resistance were documented. Presence of individual anti-seizure medications (ASM) was noted. Screening for depression and anxiety symptoms was carried out in all patients using the NDDI-E and the GAD-7 scales. In patients with positive screening for anxiety and/or depression, detailed psychiatric testing was performed including the Mini International Neuropsychiatric Interview (MINI), STAI-Y, Holmes Rahe Stressful Events Scale and Beck Depression Interview. Descriptive analysis was applied. Spearman's test and Pearson's co-efficient were used to assess the association between BDNF level and continuous variables. For discrete variables, comparison of means (Student's t-test, Mann-Whitney u-test) was used to compare mean BDNF serum level between groups. Multivariate analysis was performed using a regression model. RESULTS No significant correlation was found between serum BDNF level and clinical features of epilepsy or measures of depression. The main group-level finding was that presence of any ASM at was associated with increased BDNF; this effect was particularly significant for valproate and perampanel. CONCLUSION Presence of ASM affects serum BDNF levels in patients with epilepsy. Future studies exploring BDNF as a possible biomarker of epilepsy severity and/or psychiatric comorbidity must control for ASM effects.
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Affiliation(s)
- Aileen McGonigal
- Mater Hospital, Brisbane and Faculty of Medicine, University of Queensland, Australia; APHM, Timone Hospital, Epileptology and Cerebral Rhythmology, Marseille, France; Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France.
| | | | - Julia Fath
- Université Paris Cité, INSERM, U1124, Paris, France
| | - Kahina Hammam
- APHM, Timone Hospital, Epileptology and Cerebral Rhythmology, Marseille, France
| | - Karine Baumstarck
- Aix-Marseille Univ, EA 3279: CEReSS - Health Service Research and Quality of Life Center, Marseille, France; Unité d'Aide Méthodologique à la Recherche Clinique, APHM, Timone Hospital, Marseille, France
| | - Sara Fernandes
- Aix-Marseille Univ, EA 3279: CEReSS - Health Service Research and Quality of Life Center, Marseille, France; Unité d'Aide Méthodologique à la Recherche Clinique, APHM, Timone Hospital, Marseille, France
| | - Bernard Giusiano
- Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France; Aix-Marseille Univ, EA 3279: CEReSS - Health Service Research and Quality of Life Center, Marseille, France; Unité d'Aide Méthodologique à la Recherche Clinique, APHM, Timone Hospital, Marseille, France
| | - Stéphane Dufau
- Laboratoire de Psychologie Cognitive, CNRS & Aix-Marseille University, France
| | - Sylvain Rheims
- Department of Functional Neurology and Epileptology, Hospices Civils de Lyon and University of Lyon, Lyon, France; Lyon's Neuroscience Research Center, INSERM U1028 / CNRS UMR 5292, Lyon, France; Epilepsy Institute, Lyon, France
| | - Louis Maillard
- Department of Neurology, University Hospital of Nancy, Lorraine University, Nancy, France; Neurosciences of Systems and Cognition Project, BioSiS Department (Department Biologie, Signaux et Systèmes en Cancérologie et Neurosciences), Research Center for Automatic Control of Nancy (CRAN), Lorraine University, CNRS, UMR 7039, Vandoeuvre, France
| | - Arnaud Biraben
- Centre Hospitalier Universitaire Pontchaillou, F-35000, Rennes, France
| | - Jean-Jacques Benoliel
- Université Paris Cité, INSERM, U1124, Paris, France; APHP GH Sorbonne Université, Site Pitié-Salpêtrière, Service de Biochimie Endocrinienne et Oncologie, Paris, France
| | | | - Fabrice Bartolomei
- APHM, Timone Hospital, Epileptology and Cerebral Rhythmology, Marseille, France; Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France
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14
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Ghestem A, Pompili MN, Dipper-Wawra M, Quilichini P, Bernard C, Ferraris M. Long-term near-continuous recording with Neuropixels probes in healthy and epileptic rats. J Neural Eng 2023. [PMID: 37369197 DOI: 10.1088/1741-2552/ace218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/29/2023]
Abstract
Neuropixels probes have become a crucial tool for high-density electrophysiological recordings. Although most research involving these probes is in acute preparations, some scientific inquiries require long-term recordings in freely moving animals. Recent reports have presented prosthesis designs for chronic recordings, but some of them do not allow for probe recovery, which is desirable given their cost. Others appear to be fragile, as these articles describe numerous broken implants. 
Objective. This fragility presents a challenge for recordings in rats, particularly in epilepsy models where strong mechanical stress impinges upon the prosthesis. To overcome these limitations, we sought to develop a new prosthesis for long-term electrophysiological recordings in healthy and epileptic rats. 
Approach. We present a new prosthesis specifically designed to protect the probes from strong shocks and enable the safe retrieval of probes after experiments. 
Main results. This prosthesis was successfully used to record from healthy and epileptic rats for up to three weeks almost continuously. Overall, 10 out of 11 probes could be successfully retrieved with a retrieval and reuse success rate of 91%.
Significance. Our design and protocol significantly improved previously described probe recycling performances and prove usage on epileptic rats.
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Affiliation(s)
- Antoine Ghestem
- INSERM U1106, 27, Boulevard Jean Moulin, Marseille, 13005, FRANCE
| | - Marco N Pompili
- INSERM U1106, 27, Boulevard Jean Moulin, Marseille, 13005, FRANCE
| | | | | | | | - Maëva Ferraris
- INSERM U1106, 27, Boulevard Jean Moulin, Marseille, 13005, FRANCE
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15
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Cornuéjols R, Albon A, Joshi S, Taylor JA, Baca M, Drakopoulou S, Rinaldi Barkat T, Bernard C, Rezaei-Mazinani S. Design, Characterization, and In Vivo Application of Multi-Conductive Layer Organic Electrocorticography Probes. ACS Appl Mater Interfaces 2023; 15:22854-22863. [PMID: 37141163 DOI: 10.1021/acsami.3c00553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Biocompatible and plastic neural interface devices allow for minimally invasive recording of brain activity. Increasing electrode density in such devices is essential for high-resolution neural recordings. Superimposing conductive leads in devices can help multiply the number of recording sites while keeping probes width small and suitable for implantation. However, because of leads' vertical proximity, this can create capacitive coupling (CC) between overlapping channels, which leads to crosstalk. Here, we present a thorough investigation of CC phenomenon in multi-gold layer thin-film multi-electrode arrays with a parylene C (PaC) insulation layer between superimposed leads. We also propose a guideline on the design, fabrication, and characterization of such type of neural interface devices for high spatial resolution recording. Our results demonstrate that the capacitance created through CC between superimposed tracks decreases non-linearly and then linearly with the increase of insulation thickness. We identify an optimal PaC insulation thickness that leads to a drastic reduction of CC between superimposed gold channels while not significantly increasing the overall device thickness. Finally, we show that double gold layer electrocorticography probes with the optimal insulation thickness exhibit similar performances in vivo when compared to single-layer devices. This confirms that these probes are adequate for high-quality neural recordings.
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Affiliation(s)
- Rémy Cornuéjols
- Mines Saint-Etienne, Centre CMP, Departement BEL, F-13541 Gardanne, France
- Aix Marseille University, INSERM, INS, Inst Neurosci Syst, 13005 Marseille, France
| | - Amélie Albon
- Mines Saint-Etienne, Centre CMP, Departement BEL, F-13541 Gardanne, France
| | - Suyash Joshi
- Department of Biomedicine, Basel University, 4056 Basel, Switzerland
| | | | - Martin Baca
- Mines Saint-Etienne, Centre CMP, Departement BEL, F-13541 Gardanne, France
| | - Sofia Drakopoulou
- Mines Saint-Etienne, Centre CMP, Departement BEL, F-13541 Gardanne, France
| | | | - Christophe Bernard
- Aix Marseille University, INSERM, INS, Inst Neurosci Syst, 13005 Marseille, France
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16
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Depannemaecker D, Ezzati A, Wang H, Jirsa V, Bernard C. From phenomenological to biophysical models of seizures. Neurobiol Dis 2023; 182:106131. [PMID: 37086755 DOI: 10.1016/j.nbd.2023.106131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 04/12/2023] [Accepted: 04/14/2023] [Indexed: 04/24/2023] Open
Abstract
Epilepsy is a complex disease that requires various approaches for its study. In this short review, we discuss the contribution of theoretical and computational models. The review presents theoretical frameworks that underlie the understanding of certain seizure properties and their classification based on their dynamical properties at the onset and offset of seizures. Dynamical system tools are valuable resources in the study of seizures. By analyzing the complex, dynamic behavior of seizures, these tools can provide insights into seizure mechanisms and offer a framework for their classification. Additionally, computational models have high potential for clinical applications, as they can be used to develop more accurate diagnostic and personalized medicine tools. We discuss various modeling approaches that span different scales and levels, while also questioning the neurocentric view, and emphasize the importance of considering glial cells. Finally, we explore the epistemic value provided by this type of approach.
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Affiliation(s)
- Damien Depannemaecker
- Institut de Neurosciences des Syst' emes, Aix-Marseille University, INSERM, Marseille, France.
| | - Aitakin Ezzati
- Institut de Neurosciences des Syst' emes, Aix-Marseille University, INSERM, Marseille, France
| | - Huifang Wang
- Institut de Neurosciences des Syst' emes, Aix-Marseille University, INSERM, Marseille, France
| | - Viktor Jirsa
- Institut de Neurosciences des Syst' emes, Aix-Marseille University, INSERM, Marseille, France
| | - Christophe Bernard
- Institut de Neurosciences des Syst' emes, Aix-Marseille University, INSERM, Marseille, France.
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17
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Dollomaja B, Makhalova J, Wang H, Bartolomei F, Jirsa V, Bernard C. Personalized whole brain modeling of status epilepticus. Epilepsy Behav 2023; 142:109175. [PMID: 37003103 DOI: 10.1016/j.yebeh.2023.109175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Revised: 02/10/2023] [Accepted: 03/08/2023] [Indexed: 04/03/2023]
Abstract
How status epilepticus (SE) is generated and propagates in the brain is not known. As for seizures, a patient-specific approach is necessary, and the analysis should be performed at the whole brain level. Personalized brain models can be used to study seizure genesis and propagation at the whole brain scale in The Virtual Brain (TVB), using the Epileptor mathematical construct. Building on the fact that SE is part of the repertoire of activities that the Epileptor can generate, we present the first attempt to model SE at the whole brain scale in TVB, using data from a patient who experienced SE during presurgical evaluation. Simulations reproduced the patterns found with SEEG recordings. We find that if, as expected, the pattern of SE propagation correlates with the properties of the patient's structural connectome, SE propagation also depends upon the global state of the network, i.e., that SE propagation is an emergent property. We conclude that individual brain virtualization can be used to study SE genesis and propagation. This type of theoretical approach may be used to design novel interventional approaches to stop SE. This paper was presented at the 8th London-Innsbruck Colloquium on Status Epilepticus and Acute Seizures held in September 2022.
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Affiliation(s)
- Borana Dollomaja
- Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France
| | - Julia Makhalova
- APHM, Timone Hospital, Epileptology Departement, Marseille, France; Aix Marseille Univ, CNRS, CRMBM, Marseille, France; APHM, Timone Hospital, CEMEREM, Marseille, France
| | - Huifang Wang
- Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France
| | - Fabrice Bartolomei
- Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France; APHM, Timone Hospital, Epileptology Departement, Marseille, France
| | - Viktor Jirsa
- Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France
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18
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Claverie D, Becker C, Ghestem A, Coutan M, Bernard C, Trousselard M, Benoliel JJ, Canini F. Sleep Biomarkers for Stress-Induced Vulnerability to Depression. Sleep 2023:7078035. [PMID: 36919515 DOI: 10.1093/sleep/zsad068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Indexed: 03/16/2023] Open
Abstract
Stress can push individuals close to the threshold to depression. An individual's intrinsic vulnerability before a stressful event determines how close they come to the threshold of depression. Identification of vulnerability biomarkers at early (before the stressful event) and late (close to the threshold after the stressful event) stages would allow for corrective actions. Social defeat is a stressful event that triggers vulnerability to depression in half of exposed rats. We analyzed the sleep properties of rats before (baseline) and after (recovery) social defeat by telemetry electroencephalogram recordings. Using Gaussian partitioning, we identified three non-Rapid Eye Movement (NREM) stages (N-S1, N-S2, and N-S3) in rats based on a sleep-depth index (relative δ power) and a cortical activity index (fractal dimension). We found (i) that, at baseline, N-S3 lability and high-θ relative power in wake identified, with 82% accuracy, the population of rats that will become vulnerable to depression after social defeat, and (ii) that, at recovery, N-S1 instability identified vulnerable rats with 83% accuracy. Thus, our study identified early and late sleep biomarkers of vulnerability to depression, opening the way to the development of treatments at a prodromal stage for high sensitivity to stress, and for stress-induced vulnerability to depression.
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Affiliation(s)
- Damien Claverie
- Département Neurosciences & Contraintes Opérationnelles, Institut de Recherche Biomédicale des Armées (IRBA), Brétigny-sur-Orge, France
| | | | - Antoine Ghestem
- Université Aix Marseille, INS, Marseille, France.,Aix Marseille Univ, Inserm, INS, Institut de Neurosciences des Systèmes, Marseille, France
| | - Mathieu Coutan
- Département Neurosciences & Contraintes Opérationnelles, Institut de Recherche Biomédicale des Armées (IRBA), Brétigny-sur-Orge, France
| | - Christophe Bernard
- Université Aix Marseille, INS, Marseille, France.,Aix Marseille Univ, Inserm, INS, Institut de Neurosciences des Systèmes, Marseille, France
| | - Marion Trousselard
- Département Neurosciences & Contraintes Opérationnelles, Institut de Recherche Biomédicale des Armées (IRBA), Brétigny-sur-Orge, France.,Ecole du Val de Grâce, Paris, France
| | - Jean-Jacques Benoliel
- Université Paris Cité, INSERM, U1124, Paris, France.,APHP GH Sorbonne Université, Site Pitié-Salpêtrière, Service de Biochimie Endocrinienne et Oncologie, Paris, France
| | - Frédéric Canini
- Département Neurosciences & Contraintes Opérationnelles, Institut de Recherche Biomédicale des Armées (IRBA), Brétigny-sur-Orge, France.,Ecole du Val de Grâce, Paris, France
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19
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Malik F, Rossi N, Barker JR, Bernard C, Ayathamattam J. 1186 IMPROVED PERFORMANCE AGAINST SSNAP PARAMETERS FOR THROMBOLYSED STROKE PATIENTS FOLLOWING CHANGES IN PRACTICE. Age Ageing 2023. [DOI: 10.1093/ageing/afac322.107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
Abstract
Abstract
Background
The CQC inspection of the Royal Lancaster Infirmary (RLI) in May 2021 rated the performance of the stroke department unsatisfactory, leading to a number of changes. A retrospective audit was performed to determine the impact of these changes for thrombolysed stroke patients.
Aim
This retrospective audit assessed the performance of the stroke department at the RLI against the parameters set by the ‘Sentinel Stroke National Audit Program’ (SSNAP), comparing 6-month periods before and after the CQC inspection in May 2021.
Method
Using electronic medical records and SSNAP data, we reviewed every thrombolysed stroke patient at the RLI between November 2020 until April 2021 and from May 2021 until November 2021, assessing 10 parameters and comparing the results with SSNAP targets. Since May 2021, changes to practice introduced included opening a new, larger stroke unit located directly opposite the Emergency Department, ring-fencing stroke beds, doubling the number of stroke specialists and stroke consultants reviewing all suspected stroke patients face-to-face within working hours.
Results
46 patients were thrombolysed with 42 confirmed as having had ischaemic strokes on subsequent MRI imaging. All patients were discussed with a stroke consultant before thrombolysis. Mean time from arrival to CT improved from 51 to 34.5 minutes, admission to stroke unit from 7hr53 to 4hr36 and to thrombolysis from 2hr18 to 1hr22. The number of thrombolysis complications decreased from 5 to 2. Since the changes, the SSNAP grade for stroke unit admission improved from C to A and specialist assessments from E to B.
Conclusion
The changes implemented following the May 2021 CQC inspection have had a positive impact on the care of thrombolysed stroke patients and overall SSNAP grades at RLI. Improvements are still required and the next steps include improving the efficiency of thrombolysis times and further improving SSNAP grades.
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Affiliation(s)
- F Malik
- Royal Lancaster Infirmary Department of Stroke Medicine,
| | - N Rossi
- Royal Lancaster Infirmary Department of Stroke Medicine,
| | - J R Barker
- Royal Lancaster Infirmary Department of Stroke Medicine,
| | - C Bernard
- Royal Lancaster Infirmary Department of Stroke Medicine,
| | - J Ayathamattam
- Royal Lancaster Infirmary Department of Stroke Medicine,
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20
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Sorrentino P, Rabuffo G, Baselice F, Troisi Lopez E, Liparoti M, Quarantelli M, Sorrentino G, Bernard C, Jirsa V. Dynamical interactions reconfigure the gradient of cortical timescales. Netw Neurosci 2023; 7:73-85. [PMID: 37334007 PMCID: PMC10270712 DOI: 10.1162/netn_a_00270] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2022] [Accepted: 07/14/2022] [Indexed: 09/18/2023] Open
Abstract
The functional organization of the brain is usually presented with a back-to-front gradient of timescales, reflecting regional specialization with sensory areas (back) processing information faster than associative areas (front), which perform information integration. However, cognitive processes require not only local information processing but also coordinated activity across regions. Using magnetoencephalography recordings, we find that the functional connectivity at the edge level (between two regions) is also characterized by a back-to-front gradient of timescales following that of the regional gradient. Unexpectedly, we demonstrate a reverse front-to-back gradient when nonlocal interactions are prominent. Thus, the timescales are dynamic and can switch between back-to-front and front-to-back patterns.
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Affiliation(s)
- P. Sorrentino
- Institut de Neurosciences des Systèmes, Aix-Marseille University, Marseille, France
- Institute of Applied Sciences and Intelligent Systems, National Research Council, Pozzuoli, Italy
| | - G. Rabuffo
- Institut de Neurosciences des Systèmes, Aix-Marseille University, Marseille, France
| | - F. Baselice
- Department of Engineering, Parthenope University of Naples, Naples, Italy
| | - E. Troisi Lopez
- Department of Motor Sciences and Wellness, Parthenope University of Naples, Naples, Italy
- Institute for Diagnosis and Cure Hermitage Capodimonte, Naples, Italy
| | - M. Liparoti
- Department of Motor Sciences and Wellness, Parthenope University of Naples, Naples, Italy
- Institute for Diagnosis and Cure Hermitage Capodimonte, Naples, Italy
| | - M. Quarantelli
- Biostructure and Bioimaging Institute, National Research Council, Naples, Italy
| | - G. Sorrentino
- Institute of Applied Sciences and Intelligent Systems, National Research Council, Pozzuoli, Italy
- Institute for Diagnosis and Cure Hermitage Capodimonte, Naples, Italy
| | - C. Bernard
- Institut de Neurosciences des Systèmes, Aix-Marseille University, Marseille, France
| | - V. Jirsa
- Institut de Neurosciences des Systèmes, Aix-Marseille University, Marseille, France
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21
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Doublet T, Ghestem A, Bernard C. Deficit in observational learning in experimental epilepsy. Epilepsia 2022; 63:e150-e155. [PMID: 36197904 PMCID: PMC10092486 DOI: 10.1111/epi.17421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 09/26/2022] [Accepted: 09/26/2022] [Indexed: 01/11/2023]
Abstract
Individuals use the observation of a conspecific to learn new behaviors and skills in many species. Whether observational learning is affected in epilepsy is not known. Using the pilocarpine rat model of epilepsy, we assessed learning by observation in a spatial task. The task involves a naive animal observing a demonstrator animal seeking a reward at a specific spatial location. After five observational sessions, the observer is allowed to explore the rewarded space and look for the reward. Although control observer rats succeed in finding the reward when allowed to explore the rewarded space, epileptic animals fail. However, epileptic animals are able to successfully learn the location of the reward through their own experience after several trial sessions. Thus, epileptic animals show a clear deficit in learning by observation. This result may be clinically relevant, in particular in children who strongly rely on observational learning.
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Affiliation(s)
- Thomas Doublet
- Institute of Systems Neuroscience, Aix-Marseille University, Marseille, France
| | - Antoine Ghestem
- Institute of Systems Neuroscience, Aix-Marseille University, Marseille, France
| | - Christophe Bernard
- Institute of Systems Neuroscience, Aix-Marseille University, Marseille, France
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22
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Bernard C, Bouvet PJ, Tomasi B. Spread Spectrum Modulation with Grassmannian Constellations for Mobile Multiple Access Underwater Acoustic Channels. Sensors (Basel) 2022; 22:8518. [PMID: 36366216 PMCID: PMC9659017 DOI: 10.3390/s22218518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 10/28/2022] [Accepted: 11/03/2022] [Indexed: 06/16/2023]
Abstract
The objective of this study is to evaluate Grassmannian constellations combined with a spread spectrum multiple access scheme for underwater acoustic mobile multiple access communication systems. These communication systems enable the coordination of a fleet of Autonomous Underwater Vehicles (AUVs) from a surface or bottom control unit, e.g., a boat. Due to its robustness against phase rotation, the demodulator of Grassmannian constellations uses non-coherent detection, and the main advantage of such modulation lies in the spectrum efficiency gain with respect to conventional differential modulation. The communication system under study in this paper consists of (i), at the transmitter side, a Grassmannian modulation used in an orthogonal spread spectrum multiple access scheme called Multiuser Hyperbolic Frequency Modulation (MU-HFM) and (ii), at the receiver side, a non-coherent array decoder. The modulation and demodulation are presented as well as the considered spreading sequences. Finally, performances of the proposed transmission scheme are evaluated over replayed underwater acoustic channel responses collected at sea by a multi-sensor acoustic acquisition system.
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23
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Rabuffo G, Sorrentino P, Bernard C, Jirsa V. Spontaneous neuronal avalanches as a correlate of access consciousness. Front Psychol 2022; 13:1008407. [PMID: 36337573 PMCID: PMC9634647 DOI: 10.3389/fpsyg.2022.1008407] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Accepted: 10/04/2022] [Indexed: 09/03/2023] Open
Abstract
Decades of research have advanced our understanding of the biophysical mechanisms underlying consciousness. However, an overarching framework bridging between models of consciousness and the large-scale organization of spontaneous brain activity is still missing. Based on the observation that spontaneous brain activity dynamically switches between epochs of segregation and large-scale integration of information, we hypothesize a brain-state dependence of conscious access, whereby the presence of either segregated or integrated states marks distinct modes of information processing. We first review influential works on the neuronal correlates of consciousness, spontaneous resting-state brain activity and dynamical system theory. Then, we propose a test experiment to validate our hypothesis that conscious access occurs in aperiodic cycles, alternating windows where new incoming information is collected but not experienced, to punctuated short-lived integration events, where conscious access to previously collected content occurs. In particular, we suggest that the integration events correspond to neuronal avalanches, which are collective bursts of neuronal activity ubiquitously observed in electrophysiological recordings. If confirmed, the proposed framework would link the physics of spontaneous cortical dynamics, to the concept of ignition within the global neuronal workspace theory, whereby conscious access manifest itself as a burst of neuronal activity.
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Affiliation(s)
- Giovanni Rabuffo
- Institut de Neurosciences des Systemes, Aix-Marseille University, Marseille, France
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24
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Zouggari I, Bernard C, Becquart O, Guilbaud L, Loustau V. Réticulohistiocytose multicentrique ALK positive révélant un cancer du sein. À propos d’un cas. Rev Med Interne 2022. [DOI: 10.1016/j.revmed.2022.03.102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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25
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Lévi S, Bernard C. Comment le cerveau élimine les synapses surnuméraires au cours du développement. Med Sci (Paris) 2022; 38:511-513. [DOI: 10.1051/medsci/2022076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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26
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Lamaye C, Bastin C, Bernard C, Withofs N, Hustinx R, Salmon E. [Comparative analysis of the brain distribution of [18F]FDG in populations of patients with Alzheimer's disease with or without family history of dementia]. Rev Med Liege 2022; 77:224-230. [PMID: 35389006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Hereditary forms of Alzheimer's disease (AD) and early-onset forms have more brain damage than sporadic or late-onset forms at the time of diagnosis (1, 2). Data in the literature are contradictory concerning familial forms without known heredity or mutation. The aim of this study was to compare the brain distribution of FDG between two populations of patients with a clinical diagnosis of sporadic AD according to the presence or not of a first degree family history of dementia. We retrospectively included 243 patients with clinical diagnosis of AD who underwent brain FDG PET imaging between 2012 and 2017. SPM12 was used to compare the FDG brain distribution in 199 patients with AD and no familial history of dementia and 43 patients with AD and first degree familial history of dementia. Compared to a database of 22 healthy control subjects, both groups of AD patients showed a significant decrease of FDG distribution in temporo-parietal, posterior cingulate and posterior left frontal cortex with respect to the controls (p inferior to 0.05 corrected for the family-wise error, pFWE-corr). There were no significant differences between the two AD groups (pFWE-corr superior to 0.05 and p superior to 0.001 uncorrected for multiple comparisons) that present the same brain metabolic pathology.
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Affiliation(s)
- C Lamaye
- Division de Médecine Nucléaire et Imagerie Oncologique, Département de Physique Médicale, CHU Liège, Belgique
| | - C Bastin
- GIGA-Cyclotron Research Centre In vivo Imaging, Université de Liège, Belgique
| | - C Bernard
- Division de Médecine Nucléaire et Imagerie Oncologique, Département de Physique Médicale, CHU Liège, Belgique
| | - N Withofs
- Division de Médecine Nucléaire et Imagerie Oncologique, Département de Physique Médicale, CHU Liège, Belgique
- GIGA-Cyclotron Research Centre In vivo Imaging, Université de Liège, Belgique
| | - R Hustinx
- Division de Médecine Nucléaire et Imagerie Oncologique, Département de Physique Médicale, CHU Liège, Belgique
- GIGA-Cyclotron Research Centre In vivo Imaging, Université de Liège, Belgique
| | - E Salmon
- GIGA-Cyclotron Research Centre In vivo Imaging, Université de Liège, Belgique
- Service de Neurologie, CHU Liège, Belgique
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27
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Bernard C. Troubles anxieux et épilepsie, que nous disent les modèles animaux ? Rev Neurol (Paris) 2022. [DOI: 10.1016/j.neurol.2022.02.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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28
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Gomez-Castro F, Zappettini S, Pressey JC, Silva CG, Russeau M, Gervasi N, Figueiredo M, Montmasson C, Renner M, Canas PM, Gonçalves FQ, Alçada-Morais S, Szabó E, Rodrigues RJ, Agostinho P, Tomé AR, Caillol G, Thoumine O, Nicol X, Leterrier C, Lujan R, Tyagarajan SK, Cunha RA, Esclapez M, Bernard C, Lévi S. Convergence of adenosine and GABA signaling for synapse stabilization during development. Science 2021; 374:eabk2055. [PMID: 34735259 DOI: 10.1126/science.abk2055] [Citation(s) in RCA: 34] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
[Figure: see text].
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Affiliation(s)
- Ferran Gomez-Castro
- INSERM UMR-S 1270, Sorbonne Université, Institut du Fer à Moulin, Paris, France
| | - Stefania Zappettini
- Aix Marseille Université, INSERM, INS, Institut de Neurosciences des Systèmes, Marseille, France
| | - Jessica C Pressey
- INSERM UMR-S 1270, Sorbonne Université, Institut du Fer à Moulin, Paris, France.,Department of Cell and Systems Biology, University of Toronto, Toronto, ON M5S 3G5, Canada
| | - Carla G Silva
- Aix Marseille Université, INSERM, INS, Institut de Neurosciences des Systèmes, Marseille, France.,CNC-Center for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal
| | - Marion Russeau
- INSERM UMR-S 1270, Sorbonne Université, Institut du Fer à Moulin, Paris, France
| | - Nicolas Gervasi
- INSERM UMR-S 1270, Sorbonne Université, Institut du Fer à Moulin, Paris, France.,Center for Interdisciplinary Research in Biology, College de France, INSERM U1050, CNRS UMR7241, Labex Memolife, Paris, France
| | - Marta Figueiredo
- Institute of Pharmacology and Toxicology, University of Zürich, 8057 Zürich, Switzerland
| | - Claire Montmasson
- INSERM UMR-S 1270, Sorbonne Université, Institut du Fer à Moulin, Paris, France
| | - Marianne Renner
- INSERM UMR-S 1270, Sorbonne Université, Institut du Fer à Moulin, Paris, France
| | - Paula M Canas
- CNC-Center for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal
| | - Francisco Q Gonçalves
- CNC-Center for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal
| | - Sofia Alçada-Morais
- CNC-Center for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal
| | - Eszter Szabó
- CNC-Center for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal
| | - Ricardo J Rodrigues
- CNC-Center for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal
| | - Paula Agostinho
- CNC-Center for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal.,Faculty of Medicine, University of Coimbra, 3004-504 Coimbra, Portugal
| | - Angelo R Tomé
- CNC-Center for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal.,Department of Life Sciences, University of Coimbra, 3000-456 Coimbra, Portugal
| | - Ghislaine Caillol
- Aix Marseille Université, CNRS, INP UMR7051, NeuroCyto, Marseille, France
| | - Olivier Thoumine
- Université Bordeaux, CNRS, Interdisciplinary Institute for Neuroscience, IINS, UMR 5297, Bordeaux, France
| | - Xavier Nicol
- Sorbonne Université, Inserm, CNRS, Institut de la Vision, Paris, France
| | | | - Rafael Lujan
- Synaptic Structure Laboratory, Instituto de Investigación en Discapacidades Neurológicas (IDINE), Departamento Ciencias Médicas, Facultad de Medicina, Universidad Castilla-La Mancha, Campus Biosanitario, 02008 Albacete, Spain
| | - Shiva K Tyagarajan
- Institute of Pharmacology and Toxicology, University of Zürich, 8057 Zürich, Switzerland
| | - Rodrigo A Cunha
- CNC-Center for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal.,Faculty of Medicine, University of Coimbra, 3004-504 Coimbra, Portugal
| | - Monique Esclapez
- Aix Marseille Université, INSERM, INS, Institut de Neurosciences des Systèmes, Marseille, France
| | - Christophe Bernard
- Aix Marseille Université, INSERM, INS, Institut de Neurosciences des Systèmes, Marseille, France
| | - Sabine Lévi
- INSERM UMR-S 1270, Sorbonne Université, Institut du Fer à Moulin, Paris, France
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Kuk M, Chicoine D, Maedler C, Bernard C. Quality improvement Initiative to eliminate silver precipitate during Periodic Acid Silver Methenamine Stain (PAMS) automated protocol of renal biopsies at McGill University Health Centre. Am J Clin Pathol 2021. [DOI: 10.1093/ajcp/aqab191.324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction/Objective
Annually, about 400 renal biopsies are processed at the McGill University Health Centre (MUHC) pathology laboratory located in Montreal, Canada. One of the stains used to visualize the glomerular basement membrane is Periodic Acid Silver Methenamine Stain (PAMS). In August 2020, a strong, granular precipitate of silver was noted during PAMS automated staining resulting in uninterpretable results and delay in the diagnosis. Based on a sample analysis, this problem affected 21 % of kidney biopsies.
Methods/Case Report
A cause-and-effect workflow was developed for systematic assessment of potential causes of the granular precipitate including pre-analytical and analytical factors. Some of the pre-analytical factors included length of time spent in transport before fixation and patient factors that predisposed precipitate formation. Analytical factors were categorized as fixation problems (temperature, pH, duration), embedding problems (parafilm temperature, cooling method, type of parafilm), slide preparation (temperature, water bath pH, dehydration and further processing steps), microtone parameters (microtone calibration, thickness, laboratory technologist expertise), automatic staining parameters (cartridge age, hematoxylin counterstain duration, wash-out period etc.) and coverslip placement (adhesive type, temperature, drying).
Results (if a Case Study enter NA)
Following our systematic approach, the cause of granular precipitate was identified as the timing of hematoxylin counterstain. A portion of renal biopsy tissue was taken from parafilm blocks of previouslly reported cases of patients with membranous glomerulonephritis to further test the hypothesis by introduction of various incubation times with the hematoxylin counterstain.
Conclusion
Best PAMS staining was attained when no hematoxylin counterstain was employed (instead, neutral red counterstain for 70 seconds was used). PAMS staining with hematoxylin counter stain for no more than 60 seconds was found to be acceptable for the interpretation of glomerular pathology.
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Affiliation(s)
- M Kuk
- Pathology, McGill University, Montreal, Quebec, CANADA
| | - D Chicoine
- Pathology, McGill University, Montreal, Quebec, CANADA
| | - C Maedler
- Pathology, McGill University, Montreal, Quebec, CANADA
| | - C Bernard
- Pathology, McGill University, Montreal, Quebec, CANADA
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Bernard C, Font H, Diallo Z, Ahonon R, Tine JM, Abouo FN, Tanon A, Messou E, Seydi M, Dabis F, Dartigues JF, de Rekeneire N. Effects of Age, Level of Education and HIV Status on Cognitive Performance in West African Older Adults: The West Africa IeDEA Cohort Collaboration. AIDS Behav 2021; 25:3316-3326. [PMID: 34050826 DOI: 10.1007/s10461-021-03309-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/11/2021] [Indexed: 12/28/2022]
Abstract
An in-depth understanding of the impact of aging, cognitive reserve, and HIV status on cognitive function is needed in older West African adults. Ninety-nine HIV-negative and 334 HIV-positive adults aged ≥ 50 years were enrolled in three clinics (Senegal and Côte d'Ivoire) participating in the IeDEA West Africa collaboration. All subjects underwent the Free and Cued Selective Reminding Test (FCSRT) and the Isaacs Set Test (IST). Age (both linear and quadratic), education level, and HIV status effects on Z-scores were assessed using multivariate linear regression models. Interactions between HIV status and age or educational level were tested. In the present cohort of older West African adults, the role of age and educational level on episodic memory and verbal fluency was observed without revealing an interaction between HIV status and age effect. As age had quadratic effects, older HIV-positive adults should not be considered as a unique group irrespective of their age. Low-educated HIV-positive patients had the lowest verbal fluency performance compared to others. Further studies are needed to duplicate these results. In clinical settings, screening and adapted programs focusing on improving cognition in those patients are needed.
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Bernard C, Blanas N, Magalhaes M. Outcomes of Oral Epithelial Dysplasia Managed by Observation versus Excision at a Canadian Tertiary Centre. J Oral Maxillofac Surg 2021. [DOI: 10.1016/j.joms.2021.08.134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Rabuffo G, Fousek J, Bernard C, Jirsa V. Neuronal Cascades Shape Whole-Brain Functional Dynamics at Rest. eNeuro 2021; 8:ENEURO.0283-21.2021. [PMID: 34583933 PMCID: PMC8555887 DOI: 10.1523/eneuro.0283-21.2021] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 09/11/2021] [Accepted: 09/15/2021] [Indexed: 01/20/2023] Open
Abstract
At rest, mammalian brains display remarkable spatiotemporal complexity, evolving through recurrent functional connectivity (FC) states on a slow timescale of the order of tens of seconds. While the phenomenology of the resting state dynamics is valuable in distinguishing healthy and pathologic brains, little is known about its underlying mechanisms. Here, we identify neuronal cascades as a potential mechanism. Using full-brain network modeling, we show that neuronal populations, coupled via a detailed structural connectome, give rise to large-scale cascades of firing rate fluctuations evolving at the same time scale of resting-state networks (RSNs). The ignition and subsequent propagation of cascades depend on the brain state and connectivity of each region. The largest cascades produce bursts of blood oxygen level-dependent (BOLD) co-fluctuations at pairs of regions across the brain, which shape the simulated RSN dynamics. We experimentally confirm these theoretical predictions. We demonstrate the existence and stability of intermittent epochs of FC comprising BOLD co-activation (CA) bursts in mice and human functional magnetic resonance imaging (fMRI). We then provide evidence for the existence and leading role of the neuronal cascades in humans with simultaneous EEG/fMRI recordings. These results show that neuronal cascades are a major determinant of spontaneous fluctuations in brain dynamics at rest.
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Affiliation(s)
- Giovanni Rabuffo
- Aix Marseille University, INSERM, INS, Institut de Neurosciences des Systèmes, 13005 Marseille, France
| | - Jan Fousek
- Aix Marseille University, INSERM, INS, Institut de Neurosciences des Systèmes, 13005 Marseille, France
| | - Christophe Bernard
- Aix Marseille University, INSERM, INS, Institut de Neurosciences des Systèmes, 13005 Marseille, France
| | - Viktor Jirsa
- Aix Marseille University, INSERM, INS, Institut de Neurosciences des Systèmes, 13005 Marseille, France
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Manouze H, Ghestem A, Bennis M, Sokar Z, Benoliel JJ, Becker C, Ba-M'hamed S, Bernard C. Antiseizure effects of Anacyclus pyrethrum in socially isolated rats with and without a positive handling strategy. Epilepsia 2021; 62:2551-2564. [PMID: 34347880 DOI: 10.1111/epi.17028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 07/18/2021] [Accepted: 07/19/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVE Aqueous extract of Anacyclus pyrethrum (AEAPR) is used in traditional medicine to treat epilepsy, but whether it has antiseizure properties has not been established. Because extracts of the plant have antioxidant properties, we hypothesized that it may be particularly potent in conditions associated with oxidative stress, in particular social isolation. METHODS We addressed these objectives in the pilocarpine experimental model of epilepsy using socially isolated rats maintaining contacts with (handled) and without (unhandled) positive handling strategy. Both groups were further divided into treated (AEAPR was added to the drinking water) and untreated groups. Continuous (24/7) electroencephalography (EEG) recordings started in the sixth week after status epilepticus (SE) with a predrug control period of 3 weeks, followed by 3 weeks of daily treatment with AEAPR or water, and finally a postdrug control period of 3 weeks. At the end of the experimental procedure, we measured lipid peroxidation, superoxide dismutase (SOD), glutathione peroxidase (GPx), and catalase activities in the hippocampus to assess oxidative stress. RESULTS A. pyrethrum treatment significantly reduced seizure frequency by 51% and 57%, duration by 30% and 33%, and severity by 31% and 26% in isolated handled and unhandled rats, respectively. The beneficial effects on seizures were still present 3 weeks after the end of the treatment. The treatment reduced lipid peroxidation as well as SOD, GPx, and catalase activities. SIGNIFICANCE We conclude that A. pyrethrum has antiseizure and antioxidant properties, even in social isolation conditions.
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Affiliation(s)
- Houria Manouze
- Inserm, INS, Institut de Neurosciences des Systèmes, Aix Marseille Univ, Marseille, France.,Lab of Pharmacology, Neurobiology, Anthropology & Environment, Cadi Ayyad University, Marrakesh, Morocco
| | - Antoine Ghestem
- Inserm, INS, Institut de Neurosciences des Systèmes, Aix Marseille Univ, Marseille, France
| | - Mohamed Bennis
- Lab of Pharmacology, Neurobiology, Anthropology & Environment, Cadi Ayyad University, Marrakesh, Morocco
| | - Zahra Sokar
- Lab of Pharmacology, Neurobiology, Anthropology & Environment, Cadi Ayyad University, Marrakesh, Morocco
| | - Jean-Jacques Benoliel
- Service de Biochimie Endocrinienne et Oncologique, AP-HP, Hôpital de la Pitié-Salpêtrière, Sorbonne Université, Paris, France.,INSERM UMRS 1124, Faculté des Sciences Fondamentales et Biomédicales, Université de Paris, Paris, France
| | - Chrystel Becker
- INSERM UMRS 1124, Faculté des Sciences Fondamentales et Biomédicales, Université de Paris, Paris, France
| | - Saadia Ba-M'hamed
- Lab of Pharmacology, Neurobiology, Anthropology & Environment, Cadi Ayyad University, Marrakesh, Morocco
| | - Christophe Bernard
- Inserm, INS, Institut de Neurosciences des Systèmes, Aix Marseille Univ, Marseille, France
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Nakatani M, Toyoda I, Buckmaster PS, Bernard C. P-EP029. Variability in seizure phenotypes in individual epilepsy rat model contributes to the propagation of the seizure. Clin Neurophysiol 2021. [DOI: 10.1016/j.clinph.2021.02.190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Depannemaecker D, Destexhe A, Jirsa V, Bernard C. Modeling seizures: From single neurons to networks. Seizure 2021; 90:4-8. [PMID: 34219016 DOI: 10.1016/j.seizure.2021.06.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 06/11/2021] [Accepted: 06/11/2021] [Indexed: 11/26/2022] Open
Abstract
Dynamical system tools offer a complementary approach to detailed biophysical seizure modeling, with a high potential for clinical applications. This review describes the theoretical framework that provides a basis for theorizing certain properties of seizures and for their classification according to their dynamical properties at onset and offset. We describe various modeling approaches spanning different scales, from single neurons to large-scale networks. This narrative review provides an accessible overview of this field, including non-exhaustive examples of key recent works.
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Affiliation(s)
- Damien Depannemaecker
- Paris-Saclay University, French National Centre for Scientific Research (CNRS), Institute of Neuroscience (NeuroPSI), 91198 Gif sur Yvette, France.
| | - Alain Destexhe
- Paris-Saclay University, French National Centre for Scientific Research (CNRS), Institute of Neuroscience (NeuroPSI), 91198 Gif sur Yvette, France.
| | - Viktor Jirsa
- Aix Marseille Univ, INSERM, INS, Institut des Neurosciences des Systèmes, Marseille, France.
| | - Christophe Bernard
- Aix Marseille Univ, INSERM, INS, Institut des Neurosciences des Systèmes, Marseille, France.
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Abstract
Epilepsy is among the most dynamic disorders in neurology. A canonical view holds that seizures, the characteristic sign of epilepsy, occur at random, but, for centuries, humans have looked for patterns of temporal organization in seizure occurrence. Observations that seizures are cyclical date back to antiquity, but recent technological advances have, for the first time, enabled cycles of seizure occurrence to be quantitatively characterized with direct brain recordings. Chronic recordings of brain activity in humans and in animals have yielded converging evidence for the existence of cycles of epileptic brain activity that operate over diverse timescales: daily (circadian), multi-day (multidien) and yearly (circannual). Here, we review this evidence, synthesizing data from historical observational studies, modern implanted devices, electronic seizure diaries and laboratory-based animal neurophysiology. We discuss advances in our understanding of the mechanistic underpinnings of these cycles and highlight the knowledge gaps that remain. The potential clinical applications of a knowledge of cycles in epilepsy, including seizure forecasting and chronotherapy, are discussed in the context of the emerging concept of seizure risk. In essence, this Review addresses the broad question of why seizures occur when they occur.
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Affiliation(s)
- Philippa J Karoly
- Graeme Clark Institute, The University of Melbourne, Melbourne, Victoria, Australia.
| | - Vikram R Rao
- Department of Neurology, University of California, San Francisco, CA, USA.,Weill Institute for Neurosciences, University of California, San Francisco, CA, USA
| | - Nicholas M Gregg
- Bioelectronics, Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, MN, USA
| | - Gregory A Worrell
- Bioelectronics, Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, MN, USA
| | - Christophe Bernard
- Aix Marseille University, Inserm, Institut de Neurosciences des Systèmes, Marseille, France
| | - Mark J Cook
- Graeme Clark Institute, The University of Melbourne, Melbourne, Victoria, Australia
| | - Maxime O Baud
- Sleep-Wake-Epilepsy Center, Department of Neurology, Inselspital Bern, University Hospital, University of Bern, Bern, Switzerland. .,Center for Experimental Neurology, Department of Neurology, Inselspital Bern, University Hospital, University of Bern, Bern, Switzerland.
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Duval C, Hamlaoui S, Piquet B, Toutirais G, Yéprémian C, Reinhardt A, Duperron S, Marie B, Demay J, Bernard C. Diversity of cyanobacteria from thermal muds (Balaruc-Les-Bains, France) with the description of Pseudochroococcus coutei gen. nov., sp. nov. FEMS Microbes 2021. [DOI: 10.1093/femsmc/xtab006] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
ABSTRACT
Cyanobacteria are able to synthesize a high diversity of natural compounds that account for their success in the colonization of a variety of ecological niches. Many of them have beneficial properties. The mud from the thermal baths of Balaruc-Les-Bains, one of the oldest thermal baths in France, has long been recognized as a healing treatment for arthro-rheumatic diseases. To characterize the cyanobacteria living in these muds, several strains were isolated from the water column and biofilms of the retention basin and analyzed using a polyphasic approach. Morphological, ultrastructural and molecular (16S rRNA gene and 16S-23S ITS region sequencing) methods were employed to identify nine cyanobacterial strains belonging to the orders Chroococcales, Synechococcales, Oscillatoriales and Nostocales. The combination of morphological and genetic characteristics supported the description of a new genus and species with the type species as Pseudochroococcus coutei. The taxonomic diversity in the muds from Thermes de Balaruc-Les-Bains appears higher than previously documented, providing new candidate taxa for their observed therapeutic properties.
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Affiliation(s)
- C Duval
- UMR7245 MCAM MNHN-CNRS, Muséum National d'Histoire Naturelle, CP 39, 12 rue Buffon, F-75231 Paris Cedex 05, France
| | - S Hamlaoui
- UMR7245 MCAM MNHN-CNRS, Muséum National d'Histoire Naturelle, CP 39, 12 rue Buffon, F-75231 Paris Cedex 05, France
| | - B Piquet
- Electron Microscopy Platform, Muséum National d'Histoire Naturelle, CP 39, 12 rue Buffon, F-75231 Paris Cedex 05, France
| | - G Toutirais
- Electron Microscopy Platform, Muséum National d'Histoire Naturelle, CP 39, 12 rue Buffon, F-75231 Paris Cedex 05, France
| | - C Yéprémian
- UMR7245 MCAM MNHN-CNRS, Muséum National d'Histoire Naturelle, CP 39, 12 rue Buffon, F-75231 Paris Cedex 05, France
| | - A Reinhardt
- Thermes de Balaruc-Les-Bains, 1 rue du Mont Saint-Clair BP 45, 34540 Balaruc-Les-Bains, France
| | - S Duperron
- UMR7245 MCAM MNHN-CNRS, Muséum National d'Histoire Naturelle, CP 39, 12 rue Buffon, F-75231 Paris Cedex 05, France
| | - B Marie
- UMR7245 MCAM MNHN-CNRS, Muséum National d'Histoire Naturelle, CP 39, 12 rue Buffon, F-75231 Paris Cedex 05, France
| | - J Demay
- UMR7245 MCAM MNHN-CNRS, Muséum National d'Histoire Naturelle, CP 39, 12 rue Buffon, F-75231 Paris Cedex 05, France
| | - C Bernard
- UMR7245 MCAM MNHN-CNRS, Muséum National d'Histoire Naturelle, CP 39, 12 rue Buffon, F-75231 Paris Cedex 05, France
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Sellier A, Beucler N, Desse N, Julien C, Tannyeres P, Bernard C, Joubert C, Dagain A. Evaluation of neurosurgical training of French military surgeons prior to their deployment. Neurochirurgie 2021; 67:454-460. [PMID: 33766563 DOI: 10.1016/j.neuchi.2021.03.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Revised: 12/27/2020] [Accepted: 03/06/2021] [Indexed: 11/25/2022]
Abstract
BACKGROUND A specific training course was formalized in 2007 in order to facilitate the management of cranio-encephalic injuries by French military general surgeons during deployment, within the Advanced Course for Deployment Surgery (ACDS). The objective is to evaluate the neurosurgical pre-deployment training course attended by the military surgeons. METHODS From June 2019 to September 2019, we conducted a cross-sectional survey in the form of a digital self-completed questionnaire, addressed to all graduated military surgeons working in the French Military Training Hospitals. The survey included: (1) a knowledge assessment; and (2) a self-assessment of the training course. The participating surgeons were classified into two groups according to their participation (group 1) or not (group 2) in the neurosurgical module. The main outcome was the score received on the knowledge assessment. RESULTS Among the 145 military surgeons currently in service, 76 participated in our study (53%), of which 49 were classified in group 1 (64%) and 27 in group 2 (36%). Group 1 surgeons had a significantly higher score than Group 2 at the knowledge assessment (mean 21.0±7.1 vs. 17.8±6.0, P=0.041). The most successful questions were related to TBI diagnosis and surgical technique, while the least successful questions dealt with "beyond emergency care" and surgical indications. CONCLUSION The French pre-deployment neurosurgical training course provides a strong neurosurgical background, sufficient to perform life-saving procedures in a modern conflict situation. However, neurosurgical specialized advice should be solicited whenever possible to assist the in-theatre surgeon in surgical decisions.
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Affiliation(s)
- A Sellier
- Department of Neurosurgery, Sainte-Anne Military Hospital, 1, Boulevard Sainte Anne, BP 600, 8800 Toulon cedex 9, France.
| | - N Beucler
- Department of Neurosurgery, Sainte-Anne Military Hospital, 1, Boulevard Sainte Anne, BP 600, 8800 Toulon cedex 9, France
| | - N Desse
- Department of Neurosurgery, Sainte-Anne Military Hospital, 1, Boulevard Sainte Anne, BP 600, 8800 Toulon cedex 9, France
| | - C Julien
- Department of Visceral Surgery, Sainte-Anne Military Hospital, Toulon, France
| | - P Tannyeres
- 9th Army Medical Center, 144th medical unit, French Military Health Service, Canjuers, France
| | - C Bernard
- Department of Neurosurgery, Sainte-Anne Military Hospital, 1, Boulevard Sainte Anne, BP 600, 8800 Toulon cedex 9, France
| | - C Joubert
- Department of Neurosurgery, Sainte-Anne Military Hospital, 1, Boulevard Sainte Anne, BP 600, 8800 Toulon cedex 9, France
| | - A Dagain
- Department of Neurosurgery, Sainte-Anne Military Hospital, 1, Boulevard Sainte Anne, BP 600, 8800 Toulon cedex 9, France; French Military Health Service Academy - École du Val-de-Grâce, Paris, France
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Pedreschi N, Bernard C, Clawson W, Quilichini P, Barrat A, Battaglia D. Dynamic core-periphery structure of information sharing networks in entorhinal cortex and hippocampus. Netw Neurosci 2021; 4:946-975. [PMID: 33615098 PMCID: PMC7888487 DOI: 10.1162/netn_a_00142] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2019] [Accepted: 04/16/2020] [Indexed: 02/01/2023] Open
Abstract
Neural computation is associated with the emergence, reconfiguration, and dissolution of cell assemblies in the context of varying oscillatory states. Here, we describe the complex spatiotemporal dynamics of cell assemblies through temporal network formalism. We use a sliding window approach to extract sequences of networks of information sharing among single units in hippocampus and entorhinal cortex during anesthesia and study how global and node-wise functional connectivity properties evolve through time and as a function of changing global brain state (theta vs. slow-wave oscillations). First, we find that information sharing networks display, at any time, a core-periphery structure in which an integrated core of more tightly functionally interconnected units links to more loosely connected network leaves. However the units participating to the core or to the periphery substantially change across time windows, with units entering and leaving the core in a smooth way. Second, we find that discrete network states can be defined on top of this continuously ongoing liquid core-periphery reorganization. Switching between network states results in a more abrupt modification of the units belonging to the core and is only loosely linked to transitions between global oscillatory states. Third, we characterize different styles of temporal connectivity that cells can exhibit within each state of the sharing network. While inhibitory cells tend to be central, we show that, otherwise, anatomical localization only poorly influences the patterns of temporal connectivity of the different cells. Furthermore, cells can change temporal connectivity style when the network changes state. Altogether, these findings reveal that the sharing of information mediated by the intrinsic dynamics of hippocampal and entorhinal cortex cell assemblies have a rich spatiotemporal structure, which could not have been identified by more conventional time- or state-averaged analyses of functional connectivity. It is generally thought that computations performed by local brain circuits rely on complex neural processes, associated with the flexible waxing and waning of cell assemblies, that is, an ensemble of cells firing in tight synchrony. Although cell assembly formation is inherently and unavoidably dynamical, it is still common to find studies in which essentially “static” approaches are used to characterize this process. In the present study, we adopt instead a temporal network approach. Avoiding usual time-averaging procedures, we reveal that hub neurons are not hardwired but that cells vary smoothly their degree of integration within the assembly core. Furthermore, our temporal network framework enables the definition of alternative possible styles of “hubness.” Some cells may share information with a multitude of other units but only in an intermittent manner, as “activists” in a flash mob. In contrast, some other cells may share information in a steadier manner, as resolute “lobbyists.” Finally, by avoiding averages over preimposed states, we show that within each global oscillatory state rich switching dynamics can take place between a repertoire of many available network states. We thus show that the temporal network framework provides a natural and effective language to rigorously describe the rich spatiotemporal patterns of information sharing instantiated by cell assembly evolution.
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Affiliation(s)
- Nicola Pedreschi
- Aix-Marseille University, Université de Toulon, CNRS, CPT, Turing Center for Living Systems, Marseille, France
| | - Christophe Bernard
- Aix-Marseille University, Inserm, INS, Institut de Neurosciences des Systèmes, Marseille, France
| | - Wesley Clawson
- Aix-Marseille University, Inserm, INS, Institut de Neurosciences des Systèmes, Marseille, France
| | - Pascale Quilichini
- Aix-Marseille University, Inserm, INS, Institut de Neurosciences des Systèmes, Marseille, France
| | - Alain Barrat
- Aix-Marseille University, Université de Toulon, CNRS, CPT, Turing Center for Living Systems, Marseille, France
| | - Demian Battaglia
- Aix-Marseille University, Inserm, INS, Institut de Neurosciences des Systèmes, Marseille, France
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Stivala A, di Summa PG, Bernard C, Moris V, See LA, Loffroy R, Zwetyenga N, Cheynel N, Guillier D. The infragluteal fold: An appraisal by MRI combined with an anatomic study. Surg Radiol Anat 2021; 43:1131-1139. [PMID: 33462737 DOI: 10.1007/s00276-020-02636-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Accepted: 11/20/2020] [Indexed: 12/01/2022]
Abstract
PURPOSE The gluteal region is a key element of beauty balance and sexual appearance. However, there is no clear anatomical description of the infragluteal fold, nor any classification exists allowing standardizing treatment of this area in case of jeopardisation. The purpose of this study was to perform an anatomical description of the infragluteal fold (IGF) matching radiological and anatomical findings in describing specifically raise of the fibrous component at the bone level. METHODS Six volunteers (three males and three females) underwent an MRI scan (Siemens Aera® 1.5 T) of the pelvic region. T1 Vibe Morpho T2, Sag Space 3D, and Millimetric slices were performed in order to obtain a more detailed selection of the gluteal landmark. Trabecular connective tissue of the region was analyzed using Horos® ROI (region of interest) segmentation function. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. RESULTS The infragluteal fold is a connectival fibrous band extending from the ramus of the ischium (but not involving the ischial tuberosity, for a length of 21 mm ± 2 and 21 mm ± 3), the apex of the sacrum (for a length of 13 ± 2 and 11 mm ± 2), and the coccyx (for a length of 19 mm ± 2 and 20 mm ± 2, all measures referring to volunteers and cadavers, respectively) reaching superficially the dermis of the medial one-third of the cutaneous fold. No significant difference was found between volunteer and cadaver group in MRI measurement of bony origins, or between MRI and cadaveric dissection measurements. CONCLUSION Knowledge of this structure will define novel surgical techniques in infragluteal fold restoration.
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Affiliation(s)
- A Stivala
- Department of Plastic Reconstructive and Hand Surgery, Department of Oral and Maxillofacial Surgery, University Hospital, Boulevard de Lattre de Tassigny, 21000, Dijon, France
| | - P G di Summa
- Department of Plastic and Hand Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), Rue du Bugnon 46, 1011, Lausanne, Switzerland
| | - C Bernard
- Department of Cardiac Surgery, University Hospital, Boulevard de Lattre de Tassigny, 21000, Dijon, France
| | - V Moris
- Department of Plastic Reconstructive and Hand Surgery, Department of Oral and Maxillofacial Surgery, University Hospital, Boulevard de Lattre de Tassigny, 21000, Dijon, France
| | - L A See
- Department of Plastic Reconstructive and Hand Surgery, Department of Oral and Maxillofacial Surgery, University Hospital, Boulevard de Lattre de Tassigny, 21000, Dijon, France
| | - R Loffroy
- Department of Vascular and Interventional Radiology, Image-Guided Therapy Center, François-Mitterrand University Hospital, Dijon Cedex, France
| | - N Zwetyenga
- Department of Plastic Reconstructive and Hand Surgery, Department of Oral and Maxillofacial Surgery, University Hospital, Boulevard de Lattre de Tassigny, 21000, Dijon, France.,Department of Plastic and Hand Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), Rue du Bugnon 46, 1011, Lausanne, Switzerland.,Department of Cardiac Surgery, University Hospital, Boulevard de Lattre de Tassigny, 21000, Dijon, France.,Department of Vascular and Interventional Radiology, Image-Guided Therapy Center, François-Mitterrand University Hospital, Dijon Cedex, France.,Lipid Nutrition Cancer Team NuTox, UMR866, University of Burgundy and Franche-Comté, Boulevard Jeanne d'Arc, 21000, Dijon, France
| | - N Cheynel
- Department of Digestive Surgical Oncology, University Hospital, Boulevard de Lattre de Tassigny, 21000, Dijon, France.,Department of Morphology and Anatomy, UFR Sciences de Santé, 7 boulevard Jeanne d'Arc, 21000, Dijon, France
| | - D Guillier
- Department of Plastic Reconstructive and Hand Surgery, Department of Oral and Maxillofacial Surgery, University Hospital, Boulevard de Lattre de Tassigny, 21000, Dijon, France. .,Department of Plastic and Hand Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), Rue du Bugnon 46, 1011, Lausanne, Switzerland. .,Department of Cardiac Surgery, University Hospital, Boulevard de Lattre de Tassigny, 21000, Dijon, France. .,Department of Vascular and Interventional Radiology, Image-Guided Therapy Center, François-Mitterrand University Hospital, Dijon Cedex, France. .,Lipid Nutrition Cancer Team NuTox, UMR866, University of Burgundy and Franche-Comté, Boulevard Jeanne d'Arc, 21000, Dijon, France. .,Department of Digestive Surgical Oncology, University Hospital, Boulevard de Lattre de Tassigny, 21000, Dijon, France. .,Department of Morphology and Anatomy, UFR Sciences de Santé, 7 boulevard Jeanne d'Arc, 21000, Dijon, France.
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42
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Bernard C, Nehlig A. Seizures: About the right time to explore their mechanisms. Epilepsia 2021; 62 Suppl 1:S1. [PMID: 33410510 DOI: 10.1111/epi.16782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Accepted: 11/13/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Christophe Bernard
- Inserm, INS, Institut de Neurosciences des Systèmes, Aix Marseille Univ, Marseille, France
| | - Astrid Nehlig
- INSERM U 1129, Pediatric Neurology, Necker Hospital for Sick Children, University of Paris Descartes, Paris, France.,Faculty of Medicine, INSERM U 1129, Strasbourg, France
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Morgant M, Malapert G, Jazayeri S, Bernard C, Bouchot O. Comparison of sutured valves and suturless and rapid deployment valves in aortic valve surgery by minimally invasive approach. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Billwiller F, Castillo L, Elseedy H, Ivanov AI, Scapula J, Ghestem A, Carponcy J, Libourel PA, Bras H, Abdelmeguid NE, Krook-Magnuson E, Soltesz I, Bernard C, Luppi PH, Esclapez M. GABA-glutamate supramammillary neurons control theta and gamma oscillations in the dentate gyrus during paradoxical (REM) sleep. Brain Struct Funct 2020; 225:2643-2668. [PMID: 32970253 PMCID: PMC7674372 DOI: 10.1007/s00429-020-02146-y] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Accepted: 09/08/2020] [Indexed: 12/25/2022]
Abstract
Several studies suggest that neurons from the lateral region of the SuM (SuML) innervating the dorsal dentate gyrus (DG) display a dual GABAergic and glutamatergic transmission and are specifically activated during paradoxical (REM) sleep (PS). The objective of the present study is to characterize the anatomical, neurochemical and electrophysiological properties of the SuML-DG projection neurons and to determine how they control DG oscillations and neuronal activation during PS and other vigilance states. For this purpose, we combine structural connectivity techniques using neurotropic viral vectors (rabies virus, AAV), neurochemical anatomy (immunohistochemistry, in situ hybridization) and imaging (light, electron and confocal microscopy) with in vitro (patch clamp) and in vivo (LFP, EEG) optogenetic and electrophysiological recordings performed in transgenic VGLUT2-cre male mice. At the cellular level, we show that the SuML-DG neurons co-release GABA and glutamate on dentate granule cells and increase the activity of a subset of DG granule cells. At the network level, we show that activation of the SuML-DG pathway increases theta power and frequency during PS as well as gamma power during PS and waking in the DG. At the behavioral level, we show that the activation of this pathway does not change animal behavior during PS, induces awakening during slow wave sleep and increases motor activity during waking. These results suggest that the SuML-DG pathway is capable of supporting the increase of theta and gamma power in the DG observed during PS and plays an important modulatory role of DG network activity during this state.
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Affiliation(s)
- Francesca Billwiller
- UMR 5292 CNRS/U1028 INSERM, Centre hospitalier le vinatier, Neurocampus, University Lyon I, Bron, France
| | - Laura Castillo
- INSERM, INS, Institut de Neurosciences des Systèmes, Aix-Marseille Univ, Marseille, France
| | - Heba Elseedy
- INSERM, INS, Institut de Neurosciences des Systèmes, Aix-Marseille Univ, Marseille, France
- Zoology Department, Faculty of Science, Alexandria University, Alexandria, Egypt
| | - Anton Ivanovich Ivanov
- INSERM, INS, Institut de Neurosciences des Systèmes, Aix-Marseille Univ, Marseille, France
| | - Jennyfer Scapula
- INSERM, INS, Institut de Neurosciences des Systèmes, Aix-Marseille Univ, Marseille, France
| | - Antoine Ghestem
- INSERM, INS, Institut de Neurosciences des Systèmes, Aix-Marseille Univ, Marseille, France
| | - Julien Carponcy
- UMR 5292 CNRS/U1028 INSERM, Centre hospitalier le vinatier, Neurocampus, University Lyon I, Bron, France
| | - Paul Antoine Libourel
- UMR 5292 CNRS/U1028 INSERM, Centre hospitalier le vinatier, Neurocampus, University Lyon I, Bron, France
| | - Hélène Bras
- CNRS, INT, Institut de Neurosciences Timone, Aix-Marseille Univ, Marseille, France
| | | | | | - Ivan Soltesz
- Department of Neurosurgery, Stanford University, Stanford, USA
| | - Christophe Bernard
- INSERM, INS, Institut de Neurosciences des Systèmes, Aix-Marseille Univ, Marseille, France
| | - Pierre-Hervé Luppi
- UMR 5292 CNRS/U1028 INSERM, Centre hospitalier le vinatier, Neurocampus, University Lyon I, Bron, France
| | - Monique Esclapez
- INSERM, INS, Institut de Neurosciences des Systèmes, Aix-Marseille Univ, Marseille, France.
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Petitprez K, Guillaume S, Mattuizzi A, Arnal M, Artzner F, Bernard C, Bonnin M, Bouvet L, Caron FM, Chevalier I, Daussy-Urvoy C, Ducloy-Bouthorsc AS, Garnier JM, Keita-Meyer H, Lavillonnière J, Lejeune-Sadaa V, Leray C, Morandeau A, Morau E, Nadjafizade M, Pizzagalli F, Schantz C, Schmitz T, Shojai R, Hédon B, Sentilhes L. [Normal childbirth: physiologic labor support and medical procedures. Guidelines of the French National Authority for Health (HAS) with the collaboration of the French College of Gynaecologists and Obstetricians (CNGOF) and the French College of Midwives (CNSF) -- Text of the Guidelines (short text)]. Gynecol Obstet Fertil Senol 2020; 48:873-882. [PMID: 33011381 DOI: 10.1016/j.gofs.2020.09.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
OBJECTIVE The objective of these guidelines is to define for women at low obstetric risk modalities that respect the physiology of delivery and guarantee the quality and safety of maternal and newborn care. METHODS These guidelines were made by a consensus of experts based on an analysis of the scientific literature and the French and international recommendations available on the subject. RESULTS It is recommended to conduct a complete initial examination of the woman in labor at admission (consensus agreement). The labor will be monitored using a partogram that is a useful traceability tool (consensus agreement). A transvaginal examination may be offered every two to four hours during the first stage of labor and every hour during the second stage of labor or before if the patient requests it, or in case of a warning sign. It is recommended that if anesthesia is required, epidural or spinal anesthesia should be used to prevent bronchial inhalation (grade A). The consumption of clear fluids is permitted throughout labor in patients with a low risk of general anesthesia (grade B). It is recommended to carry out a "low dose" epidural analgesia that respects the experience of delivery (grade A). It is recommended to maintain the epidural analgesia through a woman's self-administration pump (grade A). It is recommended to give the woman the choice of continuous (by cardiotocography) or discontinuous (by cardiotocography or intermittent auscultation) monitoring if the conditions of maternity organization and the permanent availability of staff allow it and, after having informed the woman of the benefits and risks of each technique (consensus agreement). In the active phase of the first stage of labor, the dilation rate is considered abnormal if it is less than 1cm/4h between 5 and 7cm or less than 1cm/2h above 7cm (level of Evidence 2). It is then recommended to propose an amniotomy if the membranes are intact or an oxytocin administration if the membranes are already ruptured, and the uterine contractions considered insufficient (consensus agreement). It is recommended not to start expulsive efforts as soon as complete dilation is identified, but to let the presentation of the fetus drop (grade A). It is recommended to inform the gynecologist-obstetrician in case of nonprogression of the fetus after two hours of complete dilation with sufficient uterine dynamics (consensus agreement). It is recommended not to use abdominal expression (grade B). It is recommended to carry out preventive administration of oxytocin at 5 or 10 IU to prevent PPH after vaginal delivery (grade A). In the case of placental retention, it is recommended to perform a manual removal of the placenta (grade A). In the absence of bleeding, it should be performed 30minutes but not more than 60minutes after delivery (consensus agreement). It is recommended to assess at birth the breathing or screaming, and tone of the newborn to quickly determine if resuscitation is required (consensus agreement). If the parameters are satisfactory (breathing present, screaming frankly, and normal tonicity), it is recommended to propose to the mother that she immediately place the newborn skin-to-skin with her mother if she wishes, with a monitoring protocol (grade B). Delayed cord clamping is recommended beyond the first 30seconds in neonates, not requiring resuscitation (grade C). It is recommended that the first oral dose (2mg) of vitamin K (consensus agreement) be given systematically within two hours of birth. CONCLUSION These guidelines allow women at low obstetric risk to benefit from a better quality of care and optimal safety conditions while respecting the physiology of delivery.
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Affiliation(s)
- K Petitprez
- Service des bonnes pratiques professionnelles, Haute Autorité de santé, 93218 Saint-Denis, France
| | - S Guillaume
- Service de gynécologie-obstétrique, hôpital Necker-Enfants-Malades, Assistance publique des Hôpitaux de Paris, 75015 Paris, France
| | - A Mattuizzi
- Service de gynécologie-obstétrique, maternité Aliénor d'Aquitaine, centre hospitalier universitaire de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France
| | | | - F Artzner
- Collectif inter-associatif autour de la naissance (CIANE), 93100 Montreuil, France
| | - C Bernard
- Collectif inter-associatif autour de la naissance (CIANE), 75011 Paris, France
| | - M Bonnin
- Service d'anesthésie-réanimation, hôpital d'Estaing, centre hospitalier universitaire de Clermont-Ferrand, 63100 Clermont-Ferrand, France
| | - L Bouvet
- Service d'anesthésie-réanimation, hôpital Femme-Mère-Enfant, hospices civils de Lyon, 69000 Lyon, France
| | - F-M Caron
- Pôle femme enfant Victor-Pauchet, centre hospitalier universitaire d'Amiens, 80080 Amiens, France
| | | | | | - A-S Ducloy-Bouthorsc
- Service d'anesthésie-réanimation, maternité Jeanne-de-Flandre, centre hospitalier régional universitaire de Lille, 59000 Lille, France
| | | | - H Keita-Meyer
- Service d'anesthésie-réanimation, hôpital Necker-Enfants-Malades, Assistance publique des Hôpitaux de Paris, 75015 Paris, France
| | | | - V Lejeune-Sadaa
- Service de gynécologie-obstétrique, centre hospitalier d'Auch, 32008 Auch, France
| | - C Leray
- Service de gynécologie-obstétrique, hôpital Cochin, maternité Port-Royal, Assistance publique des Hôpitaux de Paris, 75014 Paris, France
| | | | - E Morau
- Service d'anesthésie-réanimation, centre hospitalier de Narbonne, 11100 Narbonne, France
| | - M Nadjafizade
- École de sages-femmes, centre hospitalier régional universitaire de Nancy, 54035 Nancy, France
| | - F Pizzagalli
- Service de gynécologie-obstétrique, hôpital Antoine-Béclère, 92140 Clamart, France
| | - C Schantz
- CEPED, IRD, université Paris Descartes, Inserm, équipe SAGESUD, 75006 Paris, France
| | - T Schmitz
- Service de gynécologie-obstétrique, hôpital Robert-Debré, Assistance publique des Hôpitaux de Paris, 75019 Paris, France
| | - R Shojai
- Service de gynécologie-obstétrique, clinique de l'étoile, 13100 Aix-en-Provence, France
| | - B Hédon
- Service de gynécologie-obstétrique, centre hospitalier universitaire de Montpellier, 34295 Montpellier, France
| | - L Sentilhes
- Service de gynécologie-obstétrique, maternité Aliénor d'Aquitaine, centre hospitalier universitaire de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France.
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Bernard C. Circadian/multidien Molecular Oscillations and Rhythmicity of Epilepsy (MORE). Epilepsia 2020; 62 Suppl 1:S49-S68. [PMID: 33063860 DOI: 10.1111/epi.16716] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 09/15/2020] [Accepted: 09/15/2020] [Indexed: 12/26/2022]
Abstract
The occurrence of seizures at specific times of the day has been consistently observed for centuries in individuals with epilepsy. Electrophysiological recordings provide evidence that seizures have a higher probability of occurring at a given time during the night and day cycle in individuals with epilepsy here referred to as the seizure rush hour. Which mechanisms underlie such circadian rhythmicity of seizures? Why don't they occur every day at the same time? Which mechanisms may underlie their occurrence outside the rush hour? In this commentary, I present a hypothesis: MORE - Molecular Oscillations and Rhythmicity of Epilepsy, a conceptual framework to study and understand the mechanisms underlying the circadian rhythmicity of seizures and their probabilistic nature. The core of the hypothesis is the existence of ~24-hour oscillations of gene and protein expression throughout the body in different cells and organs. The orchestrated molecular oscillations control the rhythmicity of numerous body events, such as feeding and sleep. The concept developed here is that molecular oscillations may favor seizure genesis at preferred times, generating the condition for a seizure rush hour. However, the condition is not sufficient, as other factors are necessary for a seizure to occur. Studying these molecular oscillations may help us understand seizure genesis mechanisms and find new therapeutic targets and predictive biomarkers. The MORE hypothesis can be generalized to comorbidities and the slower multidien (week/month period) rhythmicity of seizures, a phenomenon addressed in another article in this issue of Epilepsia.
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Affiliation(s)
- Christophe Bernard
- Inserm, INS, Institut de Neurosciences des Systèmes, Aix Marseille Univ, Marseille, France
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Debski KJ, Ceglia N, Ghestem A, Ivanov AI, Brancati GE, Bröer S, Bot AM, Müller JA, Schoch S, Becker A, Löscher W, Guye M, Sassone-Corsi P, Lukasiuk K, Baldi P, Bernard C. The circadian dynamics of the hippocampal transcriptome and proteome is altered in experimental temporal lobe epilepsy. Sci Adv 2020; 6:eaat5979. [PMID: 33036982 PMCID: PMC10764101 DOI: 10.1126/sciadv.aat5979] [Citation(s) in RCA: 38] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Accepted: 08/27/2020] [Indexed: 06/11/2023]
Abstract
Gene and protein expressions display circadian oscillations, which can be disrupted in diseases in most body organs. Whether these oscillations occur in the healthy hippocampus and whether they are altered in epilepsy are not known. We identified more than 1200 daily oscillating transcripts in the hippocampus of control mice and 1600 in experimental epilepsy, with only one-fourth oscillating in both conditions. Comparison of gene oscillations in control and epilepsy predicted time-dependent alterations in energy metabolism, which were verified experimentally. Although aerobic glycolysis remained constant from morning to afternoon in controls, it increased in epilepsy. In contrast, oxidative phosphorylation increased in control and decreased in epilepsy. Thus, the control hippocampus shows circadian molecular remapping, which is altered in epilepsy. We suggest that the hippocampus operates in a different functioning mode in epilepsy. These alterations need to be considered when studying epilepsy mechanisms, designing drug treatments, and timing their delivery.
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Affiliation(s)
- K J Debski
- Epileptogenesis Laboratory, Nencki Institute of Experimental Biology of Polish Academy of Sciences, 02-093 Warsaw, Poland
- Bioinformatics Laboratory, Nencki Institute of Experimental Biology of Polish Academy of Sciences, 02-093 Warsaw, Poland
| | - N Ceglia
- Department of Computer Science and Institute for Genomics and Bioinformatics, University of California, Irvine, Irvine, CA 92697-3435, USA
| | - A Ghestem
- Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France
| | - A I Ivanov
- Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France
| | - G E Brancati
- Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France
| | - S Bröer
- Department of Pharmacology, Toxicology and Pharmacy, University of Veterinary Medicine Hannover, Hannover, Germany
| | - A M Bot
- Epileptogenesis Laboratory, Nencki Institute of Experimental Biology of Polish Academy of Sciences, 02-093 Warsaw, Poland
| | - J A Müller
- Department of Neuropathology, University of Bonn Medical Center, Bonn, Germany
| | - S Schoch
- Department of Neuropathology, University of Bonn Medical Center, Bonn, Germany
| | - A Becker
- Department of Neuropathology, University of Bonn Medical Center, Bonn, Germany
| | - W Löscher
- Department of Pharmacology, Toxicology and Pharmacy, University of Veterinary Medicine Hannover, Hannover, Germany
| | - M Guye
- Aix-Marseille Univ, CNRS, CRMBM, Marseille, France
- APHM, Hôpital Universitaire Timone, CEMEREM, Marseille, France
| | - P Sassone-Corsi
- Department of Biological Chemistry, University of California-Irvine, Irvine, CA 92697, USA
| | - K Lukasiuk
- Epileptogenesis Laboratory, Nencki Institute of Experimental Biology of Polish Academy of Sciences, 02-093 Warsaw, Poland
| | - P Baldi
- Department of Computer Science and Institute for Genomics and Bioinformatics, University of California, Irvine, Irvine, CA 92697-3435, USA
| | - C Bernard
- Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France.
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Bernard C, Keryvin V. Crystalline defects in bulk metallic glasses: consequences on fracture toughness determination and ductility. J Phys Condens Matter 2020; 32:483001. [PMID: 32726754 DOI: 10.1088/1361-648x/abaa7f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Accepted: 07/29/2020] [Indexed: 06/11/2023]
Abstract
Dating back to the late 1980s, bulk metallic glasses (BMGs) are relatively new materials that exhibit exceptional mechanical properties (strength, hardness, fracture toughness, stored elastic energy …), compared to those of most crystalline metallic alloys. Their apparent brittleness under uniaxial loading, however, is still a major obstacle to their industrialization. Moreover, BMGs often contain crystalline defects developed, intentionally or not, during their complex and delicate elaboration. These flaws are known to affect their fracture toughness and their plastic behavior. This paper reviews twenty years of works about this subject on Zr-based BMGs that may contain a low volume fraction of crystalline defects of different natures, e.g. dendrites or spherulites, depending on the synthesis method. Dedicated experimental set-ups, mainly bending tests on notched beams, were developed to create in the specimen a proper pre-crack by fatigue and then load it monotonically up to fracture. The measured fracture toughness and the fractographic observations allow to conclude that these crystalline defects facilitate pre-cracking, but result in an embrittlement that is more or less significant depending on their type. The loading mode of the crack - mode I, II or mixed - as well as the temperature were shown to play a key role in crack initiation and propagation, whether steadily or catastrophically, in the BMG. By means of finite element computations analyses, explanations on how the crystalline flaws presence can affect fracture toughness and perturbate crack growth, under mode I and mode II, were proposed. Finally, the relevance of these experimental techniques as well as the link between crystalline defects, fracture toughness and their consequences on the ductility of a structural component are discussed.
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Affiliation(s)
- C Bernard
- Univ. Bretagne Sud, UMR CNRS 6027, IRDL, F-56100 Lorient, France
| | - V Keryvin
- Univ. Bretagne Sud, UMR CNRS 6027, IRDL, F-56100 Lorient, France
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Saggio ML, Crisp D, Scott JM, Karoly P, Kuhlmann L, Nakatani M, Murai T, Dümpelmann M, Schulze-Bonhage A, Ikeda A, Cook M, Gliske SV, Lin J, Bernard C, Jirsa V, Stacey WC. A taxonomy of seizure dynamotypes. eLife 2020; 9:55632. [PMID: 32691734 PMCID: PMC7375810 DOI: 10.7554/elife.55632] [Citation(s) in RCA: 53] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Accepted: 06/12/2020] [Indexed: 01/02/2023] Open
Abstract
Seizures are a disruption of normal brain activity present across a vast range of species and conditions. We introduce an organizing principle that leads to the first objective Taxonomy of Seizure Dynamics (TSD) based on bifurcation theory. The ‘dynamotype’ of a seizure is the dynamic composition that defines its observable characteristics, including how it starts, evolves and ends. Analyzing over 2000 focal-onset seizures from multiple centers, we find evidence of all 16 dynamotypes predicted in TSD. We demonstrate that patients’ dynamotypes evolve during their lifetime and display complex but systematic variations including hierarchy (certain types are more common), non-bijectivity (a patient may display multiple types) and pairing preference (multiple types may occur during one seizure). TSD provides a way to stratify patients in complement to present clinical classifications, a language to describe the most critical features of seizure dynamics, and a framework to guide future research focused on dynamical properties. Epileptic seizures have been recognized for centuries. But it was only in the 1930s that it was realized that seizures are the result of out-of-control electrical activity in the brain. By placing electrodes on the scalp, doctors can identify when and where in the brain a seizure begins. But they cannot tell much about how the seizure behaves, that is, how it starts, stops or spreads to other areas. This makes it difficult to control and prevent seizures. It also helps explain why almost a third of patients with epilepsy continue to have seizures despite being on medication. Saggio, Crisp et al. have now approached this problem from a new angle using methods adapted from physics and engineering. In these fields, “dynamics research” has been used with great success to predict and control the behavior of complex systems like electrical power grids. Saggio, Crisp et al. reasoned that applying the same approach to the brain would reveal the dynamics of seizures and that such information could then be used to categorize seizures into groups with similar properties. This would in effect create for seizures what the periodic table is for the elements. Applying the dynamics research method to seizure data from more than a hundred patients from across the world revealed 16 types of seizure dynamics. These “dynamotypes” had distinct characteristics. Some were more common than others, and some tended to occur together. Individual patients showed different dynamotypes over time. By constructing a way to classify seizures based on the relationships between the dynamotypes, Saggio, Crisp et al. provide a new tool for clinicians and researchers studying epilepsy. Previous clinical tools have focused on the physical symptoms of a seizure (referred to as the phenotype) or its potential genetic causes (genotype). The current approach complements these tools by adding the dynamotype: how seizures start, spread and stop in the brain. This approach has the potential to lead to new branches of research and better understanding and treatment of seizures.
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Affiliation(s)
- Maria Luisa Saggio
- Aix Marseille Univ, Inserm, INS, Institut de Neurosciences des Systèmes, Marseille, France, Marseille, France
| | - Dakota Crisp
- Department of Biomedical Engineering, BioInterfaces Institute, University of Michigan, Ann Arbor, United States
| | - Jared M Scott
- Department of Biomedical Engineering, BioInterfaces Institute, University of Michigan, Ann Arbor, United States
| | - Philippa Karoly
- Graeme Clark Institute, The University of Melbourne, Melbourne, Australia
| | - Levin Kuhlmann
- Department of Medicine, St. Vincent's Hospital, The University of Melbourne, Melbourne, Australia.,Faculty of Information Technology, Monash University, Clayton, Australia
| | - Mitsuyoshi Nakatani
- Aix Marseille Univ, Inserm, INS, Institut de Neurosciences des Systèmes, Marseille, France, Marseille, France
| | - Tomohiko Murai
- Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine, Kyoto, Japan
| | - Matthias Dümpelmann
- Epilepsy Center, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.,Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany
| | - Andreas Schulze-Bonhage
- Epilepsy Center, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.,Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.,Center for Basics in NeuroModulation (NeuroModul Basics), Epilepsy Center, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany
| | - Akio Ikeda
- Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine, Kyoto, Japan
| | - Mark Cook
- Graeme Clark Institute, The University of Melbourne, Melbourne, Australia.,Department of Medicine, St. Vincent's Hospital, The University of Melbourne, Melbourne, Australia
| | - Stephen V Gliske
- Department of Neurology, University of Michigan, Ann Arbor, United States
| | - Jack Lin
- Department of Neurology, University of Michigan, Ann Arbor, United States
| | - Christophe Bernard
- Aix Marseille Univ, Inserm, INS, Institut de Neurosciences des Systèmes, Marseille, France, Marseille, France
| | - Viktor Jirsa
- Aix Marseille Univ, Inserm, INS, Institut de Neurosciences des Systèmes, Marseille, France, Marseille, France
| | - William C Stacey
- Department of Biomedical Engineering, BioInterfaces Institute, University of Michigan, Ann Arbor, United States.,Department of Neurology, University of Michigan, Ann Arbor, United States
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Guglielmetti L, Jaffré J, Bernard C, Brossier F, El Helali N, Chadelat K, Thouvenin G, Dautzenberg B, Henry B, Jaspard M, Guillot H, Pourcher V, Le Dû D, Marigot-Outtandy D, Mougari F, Raskine L, Rivoire B, Andrejak C, Jarlier V, Aubry A, Robert J, Frechet-Jachym M, Veziris N. Multidisciplinary advisory teams to manage multidrug-resistant tuberculosis: the example of the French Consilium. Int J Tuberc Lung Dis 2020; 23:1050-1054. [PMID: 31627768 DOI: 10.5588/ijtld.18.0779] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
SETTING: The World Health Organization (WHO) recommends that multidrug-resistant tuberculosis (MDR-TB) treatment should be managed in collaboration with multidisciplinary advisory committees (consilia). A formal national Consilium has been established in France since 2005 to provide a centralised advisory service for clinicians managing MDR-TB and extensively drug-resistant (XDR-TB) cases.OBJECTIVE: Review the activity of the French TB Consilium since its establishment.DESIGN: Retrospective description and analysis of the activity of the French TB Consilium.RESULTS: Between 2005 and 2016, 786 TB cases or contacts of TB cases were presented at the French TB Consilium, including respectively 42% and 79% of all the MDR-TB and XDR-TB cases notified in France during this period. Treatment regimens including bedaquiline and/or delamanid were recommended for 42% of the cases presented at the French TB Consilium since 2009. Patients were more likely to be presented at the French TB Consilium if they were born in the WHO Europe Region, had XDR-TB, were diagnosed in the Paris region, or had resistance to additional drugs than those defining XDR-TB.CONCLUSION: The French TB Consilium helped supervise appropriate management of MDR/XDR-TB cases and facilitated implementation of new drugs for MDR/XDR-TB treatment.
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Affiliation(s)
- L Guglielmetti
- Sorbonne Université, Centre d'immunologie et des Maladies Infectieuses-Paris (CIMI-Paris), Centre National de Référence des Mycobactéries et de la Résistance des Mycobactéries aux Antituberculeux, Laboratoire de Bactériologie-Hygiène, Assistance Publique-Hôpitaux de Paris (APHP), Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Paris
| | - J Jaffré
- Sorbonne Université, Centre d'immunologie et des Maladies Infectieuses-Paris (CIMI-Paris), Centre National de Référence des Mycobactéries et de la Résistance des Mycobactéries aux Antituberculeux, Laboratoire de Bactériologie-Hygiène, Assistance Publique-Hôpitaux de Paris (APHP), Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Paris
| | - C Bernard
- Service de Biologie, Grand Hôpital de l'Est Francilien, Jossigny
| | - F Brossier
- Sorbonne Université, Centre d'immunologie et des Maladies Infectieuses-Paris (CIMI-Paris), Centre National de Référence des Mycobactéries et de la Résistance des Mycobactéries aux Antituberculeux, Laboratoire de Bactériologie-Hygiène, Assistance Publique-Hôpitaux de Paris (APHP), Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Paris
| | - N El Helali
- Plateforme de dosages des anti-infectieux, Groupe Hospitalier Paris Saint-Joseph, Paris
| | - K Chadelat
- APHP, Hôpital d'enfants Armand-Trousseau, Paris
| | - G Thouvenin
- APHP, Hôpital d'enfants Armand-Trousseau, Paris
| | - B Dautzenberg
- APHP, Pneumologie, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Paris
| | - B Henry
- Sorbonne Université, CIMI-Paris, APHP, Service des Maladies Infectieuses et Tropicales, Hôpitaux Universitaires Pitié-Salpêtrière-Charles Foix, Paris
| | - M Jaspard
- Sorbonne Université, CIMI-Paris, APHP, Service des Maladies Infectieuses et Tropicales, Hôpitaux Universitaires Pitié-Salpêtrière-Charles Foix, Paris
| | - H Guillot
- Sorbonne Université, CIMI-Paris, APHP, Service des Maladies Infectieuses et Tropicales, Hôpitaux Universitaires Pitié-Salpêtrière-Charles Foix, Paris
| | - V Pourcher
- Sorbonne Université, CIMI-Paris, APHP, Service des Maladies Infectieuses et Tropicales, Hôpitaux Universitaires Pitié-Salpêtrière-Charles Foix, Paris
| | - D Le Dû
- Sanatorium, Centre Hospitalier de Bligny, Briis-sous-Forges
| | - D Marigot-Outtandy
- Sanatorium, Centre Hospitalier de Bligny, Briis-sous-Forges, APHP, Service de Médecine Aigue Spécialisée, Hôpital Raymond Poincaré, Garches
| | - F Mougari
- APHP, Centre National de Référence des Mycobactéries et de la Résistance des Mycobactéries aux Antituberculeux (CNR-MyRMA), Bactériologie-Virologie, Hôpitaux Universitaires Lariboisière-St Louis-Widal, Paris
| | - L Raskine
- APHP, Centre National de Référence des Mycobactéries et de la Résistance des Mycobactéries aux Antituberculeux (CNR-MyRMA), Bactériologie-Virologie, Hôpitaux Universitaires Lariboisière-St Louis-Widal, Paris
| | - B Rivoire
- Service d'Aide Médicale Urgente Social, Paris
| | - C Andrejak
- Pneumologie, Centre Hospitalière Universitaire d'Amiens, Amiens
| | - V Jarlier
- Sorbonne Université, Centre d'immunologie et des Maladies Infectieuses-Paris (CIMI-Paris), Centre National de Référence des Mycobactéries et de la Résistance des Mycobactéries aux Antituberculeux, Laboratoire de Bactériologie-Hygiène, Assistance Publique-Hôpitaux de Paris (APHP), Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Paris
| | - A Aubry
- Sorbonne Université, Centre d'immunologie et des Maladies Infectieuses-Paris (CIMI-Paris), Centre National de Référence des Mycobactéries et de la Résistance des Mycobactéries aux Antituberculeux, Laboratoire de Bactériologie-Hygiène, Assistance Publique-Hôpitaux de Paris (APHP), Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Paris
| | - J Robert
- Sorbonne Université, Centre d'immunologie et des Maladies Infectieuses-Paris (CIMI-Paris), Centre National de Référence des Mycobactéries et de la Résistance des Mycobactéries aux Antituberculeux, Laboratoire de Bactériologie-Hygiène, Assistance Publique-Hôpitaux de Paris (APHP), Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Paris
| | | | - N Veziris
- Sorbonne Université, CIMI-Paris, Centre National de Référence des Mycobactéries et de la Résistance des Mycobactéries aux Antituberculeux, Département de Bactériologie, APHP, Hôpitaux Universitaires de l'Est Parisien, F-75012 Paris, France
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