Neural phoneme discrimination in variable speech in newborns - Associations with dyslexia risk and later language skills

A crucial skill in infant language acquisition is learning of the native language phonemes. This requires the ability to group complex sounds into distinct auditory categories based on their shared features. Problems in phonetic learning have been suggested to underlie language learning difficulties in dyslexia, a developmental reading-skill deficit. We investigated auditory abilities important for language acquisition in newborns with or without a familial risk for dyslexia with electrophysiological mismatch responses (MMRs). We presented vowel changes in a sequence of acoustically varying vowels, requiring grouping of the stimuli to two phoneme categories. The vowel changes elicited an MMR which was significantly diminished in infants whose parents had the most severe dyslexia in our sample. Phoneme-MMR amplitude and its hemispheric lateralization were associated with language test outcomes assessed at 28 months, an age at which it becomes possible to behaviourally test children and several standardized tests are available. In addition, statistically significant MMRs to violations of a complex sound-order rule were only found in infants without dyslexia risk, but these results are very preliminary due to small sample size. The results demonstrate the relevance of the newborn infants' readiness for phonetic learning for their emerging language skills. Phoneme extraction difficulties in infants at familial risk may contribute to the phonological deficits observed in dyslexia.

Stress urinary incontinent women, the influence of age and hormonal status on estrogen receptor alpha and beta gene expression and protein immunoexpression in paraurethral tissues

The underlying cause of stress urinary incontinence (SUI) is an anatomical abnormality associated with paraurethral connective tissue dysfunction. The question as to whether estrogens affect the quality of that tissue remains unexplained. Samples of paraurethral connective tissue from 81 women were examined (the SUI's n = 49; the control's n = 32). In both groups, the patients were subdivided into pre- and postmenopausals. Primary study outcome was comparison of the estrogen receptor alpha (ERα) and the estrogen receptor beta (ERβ) gene and protein in paraurethral tissue between SUI and control group. Secondary study outcome was comparison of these receptors according to hormonal status of the patients and their age. In both examined groups, we found both ER proteins. The ERα gene expression was detected in-19/32 (SUI) samples and in 24/31 (control), and ERβ gene expression 31/32 and 30/31 samples, respectively. The SUI's had significantly lower ERa gene expression premenopausally than the control's. The analysis found considerably lower ERβ and reduced ERα gene expression in postmenopausals, approaches the significance level. There was also significant decrease in both receptors' genes expression in post-53 women, compared to younger patients. Spearman's correlation test revealed a statistically significant decrease in ERβ gene with age. Both estrogen receptors are found in women's paraurethral tissue, so this tissue is an estrogen target. No correlation between ERβ gene expression and immunoexpression and SUI was found. The ERα gene seems to play a key role in SUI in the premenopausal period, but ERβ gene expression in the paraurethral connective tissue decreases with age.

Event-related potential correlates of sound organization: early sensory and late cognitive effects

We tested whether incoming sounds are processed differently depending on how the preceding sound sequence has been interpreted by the brain. Sequences of a regularly repeating three-tone pattern, the perceived organization of which spontaneously switched back and forth between two alternative interpretations, were delivered to listeners. Occasionally, a regular tone was exchanged for a slightly or moderately lower one (deviants). The electroencephalogram (EEG) was recorded while listeners continuously marked their perception of the sound sequence. We found that for both the regular and the deviant tones, the early exogenous P1 and N1 amplitudes varied together with the perceived sound organization. Percept-dependent effects on the late endogenous N2 and P3a amplitudes were only found for deviant tones. These results suggest that the perceived sound organization affects sound processing both by modulating what information is extracted from incoming sounds as well as by influencing how deviant sound events are evaluated for further processing.

The development of the perceptual organization of sound by frequency separation in 5-11-year-old children

The analysis of the auditory scene begins from the moment we hear sounds, making it possible for the infant to distinguish the mother's voice from other sounds in the environment. The purpose of the study was to determine, in two experiments, whether the frequency separation threshold, at which the perception of a mixture of sounds turns from being perceived as one stream to two streams, differs between two groups of school-aged children (ages 5-8 and 9-11 years) and adults. The results show a developmental course for the perception of auditory streams that is not simply dependent upon frequency discrimination. This suggests that maturation of the stream segregation process follows a longer developmental course than maturation of simple feature discrimination. The data indicate that the ability to hear distinct sound streams in the environment takes time to develop and becomes sharpened with experience and maturity.

The role of predictive models in the formation of auditory streams

Sounds provide us with useful information about our environment which complements that provided by other senses, but also poses specific processing problems. How does the auditory system distentangle sounds from different sound sources? And what is it that allows intermittent sound events from the same source to be associated with each other? Here we review findings from a wide range of studies using the auditory streaming paradigm in order to formulate a unified account of the processes underlying auditory perceptual organization. We present new computational modelling results which replicate responses in primary auditory cortex [Fishman, Y.I., Arezzo, J.C., Steinschneider, M., 2004. Auditory stream segregation in monkey auditory cortex: effects of frequency separation, presentation rate, and tone duration. J. Acoust. Soc. Am. 116, 1656-1670; Fishman, Y. I., Reser, D. H., Arezzo, J.C., Steinschneider, M., 2001. Neural correlates of auditory stream segregation in primary auditory cortex of the awake monkey. Hear. Res. 151, 167-187] to tone sequences. We also present the results of a perceptual experiment which confirm the bi-stable nature of auditory streaming, and the proposal that the gradual build-up of streaming may be an artefact of averaging across many subjects [Pressnitzer, D., Hupé, J. M., 2006. Temporal dynamics of auditory and visual bi-stability reveal common principles of perceptual organization. Curr. Biol. 16(13), 1351-1357.]. Finally we argue that in order to account for all of the experimental findings, computational models of auditory stream segregation require four basic processing elements; segregation, predictive modelling, competition and adaptation, and that it is the formation of effective predictive models which allows the system to keep track of different sound sources in a complex auditory environment.

Strategien gegen die Stigmatisierung psychisch kranker Menschen und ihre praktische Umsetzung am Beispiel des Irrsinnig Menschlich e. V

In our society people with mental illness are still stigmatised and exposed to various forms of discrimination. Individual and structural discrimination and discrimination due to self-stigmatisation can be distinguished. The association "Irrsinnig Menschlich" ("Madly human") in Leipzig will serve as a model to present approaches to reduce these different kinds of discrimination of mentally ill people. The school project "Crazy? So what!" and the film festival "Ausnahmezustand" ("state of emergency"), carried out all over Germany in 2006, will be described in more detail. The first evaluation of both projects showed a reduction of stigmatisation to be possible. Students participating in the project tended to decrease their social distance to the mentally ill. These developments were not present with the control groups. Although the majority of the audience at the film festival either knew somebody who is mentally ill or were themselves suffering from a mental illness, the results showed that watching these documentaries can result in a reduction of social distance towards mentally ill people. Only long-term efforts can make anti-stigma campaigns successful and effective. Irrsinnig Menschlich has established the framework for this.

Top-down control over involuntary attention switching in the auditory modality

We tested the effects of predictability on involuntary attention switching to task-irrelevant sound changes (distraction). Behavioral and neurophysiological evidence are provided, showing that the predictability of task-irrelevant sound changes eliminates effects of distraction even though the automatic auditory change detection system remains responsive. Two indices of distraction, slower task performance and cortical brain responses associated with attention switching, were seen only in the unpredictable condition, in which the irrelevant acoustic changes were unexpected. Attention was not involuntarily drawn away from the primary task when the subjects had foreknowledge of when the irrelevant changes would occur. These results demonstrate attentional control over orienting to sound changes and suggest that involuntary attention switching occurs mainly when an irrelevant stimulus change is unexpected. The present data allowed observation of the temporal dynamics of attention switching in the human brain.

Event-related potential correlates of sound duration: similar pattern from birth to adulthood

The effects of sound duration on event-related potentials (ERP) were studied in newborns and adults. Increasing tone duration from 200 to 300 ms led to the enhancement of the N2 peak amplitude, whereas two peaks became distinguishable in the N2 response elicited by 400 ms long tones. The sound-duration related ERP changes most likely reflect contribution from the sustained potential, although the observed results can also be explained by assuming the elicitation of a sound-duration sensitive frontocentrally negative ERP component (duration-sensitive N2; DN2). The pattern of duration-related changes observed in newborn infants was very similar to that in adults, regardless of the structural differences between adult and infant ERPs. The results suggest that sound duration is processed already at birth in a similar way as in adulthood.

Dynamic sensory updating in the auditory system

Typically, in everyday situations, auditory input is constantly changing. Change is an important cue for the auditory system, which can signal the start of new sources of information or that some action may be required. Using an event-related brain potential that can be elicited whether or not attention is focused on the sounds (the mismatch negativity, MMN) we measured the time course of the effects of contextual changes on the brain's response to the same stimulus event. The onset or cessation of a sound in a stimulus block brought about context changes. The effect of the context was observed through changes in the MMN response to a deviant event that was present throughout the sound sequence. These results suggest the existence of a dynamic system of change detection, which updates its model of the sensory input on-line as the changes occur.

[Who, What, How much, Where? - an analysis of publications by German authors on sociopsychiatric issues in scientific journals]

OBJECTIVE

Stimulated by Finzen's critical appraisal of the actual situation of social psychiatric research in Germany an analysis of recent publications of German authors on social psychiatric topics was carried out.

METHOD

Covering the years 1998 - 2000, 70 scientific journals from psychiatry and related disciplines were systematically analysed.

RESULTS

A substantial proportion of research in social psychiatry is concentrated on a small number of research institutions. In German journals of general psychiatry papers dealing with social psychiatric topics are rarely found. By contrast in international, particularly in European journals the proportion of papers on social psychiatric topics originating from German authors is quite high as compared to papers on other topics. Applied research, especially research on mental health services, dominates the field. By contrast, basic research on social psychiatric issues is underrepresented. Studies using qualitative methods are almost missing. While, as traditionally, the research interest is still particularly focussed on schizophrenia, there are a number of papers dealing with other disorders, mainly with substance abuse disorders and affective disorders.

DISCUSSION

The critique raised by Finzen is to a large extent supported by the results of our study. However, we still hesitate to agree with his pessimistic prognosis for the future of social psychiatric research in Germany.

Simultaneously active pre-attentive representations of local and global rules for sound sequences in the human brain

Regular sequences of sounds (i.e., non-random) can usually be described by several, equally valid rules. Rules allowing extrapolation from one sound to the next are termed local rules, those that define relations between temporally non-adjacent sounds are termed global rules. The aim of the present study was to determine whether both local and global rules can be simultaneously extracted from a sound sequence even when attention is directed away from the auditory stimuli. The pre-attentive representation of a sequence of two alternating tones (differing only in frequency) was investigated using the mismatch negativity (MMN) auditory event-related potential. Both local- and global-rule violations of tone alternation elicited the MMN component while subjects ignored the auditory stimuli. This finding suggests that (a) pre-attentive auditory processes can extract both local and global rules from sound sequences, and (b) that several regularity representations of a sound sequence are simultaneously maintained during the pre-attentive phase of auditory stimulus processing.

Mismatch negativity is unaffected by top-down predictive information

The mismatch negativity (MMN) event-related brain potential is assumed to reflect a stimulus-driven change detection process. We examined whether MMN is sensitive to volitional control by testing whether MMN is affected by the subject's foreknowledge of the sound changes. Subjects were instructed to produce a sequence of button presses by pressing one button frequently and another infrequently. In the predictable condition, the frequently pressed button triggered the standard tone, the other button the deviant tone. In the unpredictable condition, each button press triggered the next tone of a prearranged standard/deviant sequence. No difference was found in the MMN amplitude, latency, or scalp distribution between the predictable and unpredictable conditions. This suggests that there is no direct top-down control over the MMN-generating process.

Common neural mechanism for processing onset-to-onset intervals and silent gaps in sound sequences

Stimulus onset asynchrony (SOA) and inter-stimulus interval (ISI) are important factors in the perceptual organization of sound sequences. The present study tested whether these two temporal parameters are independently processed in the auditory system. Independence was studied by testing the additivity of mismatch negativity (MMN). Four conditions differing in their temporal regularities were administered: (1) constant SOA and ISI, (2) constant SOA and variable ISI, (3) constant ISI and variable SOA, and (4) variable SOA and ISI. The MMN elicited by simultaneous deviance from the constant SOA and ISI (Condition 1) was compared with an additive model calculated from the MMNs elicited in the other conditions. The amplitude of the MMN in Condition 1 was significantly larger than that of the modeled MMN, suggesting that SOA and ISI are processed by interactive or common neural mechanisms.

"Primitive intelligence" in the auditory cortex

The everyday auditory environment consists of multiple simultaneously active sources with overlapping temporal and spectral acoustic properties. Despite the seemingly chaotic composite signal impinging on our ears, the resulting perception is of an orderly "auditory scene" that is organized according to sources and auditory events, allowing us to select messages easily, recognize familiar sound patterns, and distinguish deviant or novel ones. Recent data suggest that these perceptual achievements are mainly based on processes of a cognitive nature ("sensory intelligence") in the auditory cortex. Even higher cognitive processes than previously thought, such as those that organize the auditory input, extract the common invariant patterns shared by a number of acoustically varying sounds, or anticipate the auditory events of the immediate future, occur at the level of sensory cortex (even when attention is not directed towards the sensory input).

Organizing sound sequences in the human brain: the interplay of auditory streaming and temporal integration

The present study examined the relationship between two of the early brain processes of sound organization: auditory streaming and the temporal window of integration (TWI). Presented at a fast stimulus delivery rate, two tones alternating in frequency are perceived as separate streams of high and low sounds. However, when two sounds are presented within a ca. 200 ms temporal window, they are often processed as a single auditory event. Both stream segregation and temporal integration occur even in the absence of focused attention as was shown by their effect on the mismatch negativity (MMN) event-related potential. The goal of the present study was to determine the precedence between these two sound organization processes by using the stimulus-omission MMN paradigm. Infrequently omitting one stimulus from a homogeneous tone sequence only elicits an MMN when the stimulus onset asynchrony separating successive tones is shorter than 170 ms. This demonstrates the effect of the TWI. Magnetic brain responses elicited by infrequent stimulus omissions appearing in a sequence of two alternating tones were recorded. The magnetic MMN was elicited by tone omission when the alternating tones formed a single stream (with no or only small frequency separation between the two tones) but not when separate high and low streams emerged in perception (large frequency separation between the two alternating tones). This result shows that auditory streaming takes precedence over the processes of temporal integration.

Changes in acoustic features and their conjunctions are processed by separate neuronal populations

We investigated the relationship between the neuronal populations involved in detecting change in two acoustic features and their conjunction. Equivalent current dipole (ECD) models of the magnetic mismatch negativity (MMNm) generators were calculated for infrequent changes in pitch, perceived sound source location, and the conjunction of these two features. All of these three changes elicited MMNms that were generated in the vicinity of auditory cortex. The location of the ECD best describing the MMNm to the conjunction deviant was anterior to those for the MMNm responses elicited by either one of the constituent features. The present data thus suggest that at least partially separate neuronal populations are involved in detecting change in acoustic features and feature conjunctions.

Preattentive extraction of abstract feature conjunctions from auditory stimulation as reflected by the mismatch negativity (MMN)

Brain mechanisms extracting invariant information from varying auditory inputs were studied using the mismatch-negativity (MMN) brain response. We wished to determine whether the preattentive sound-analysis mechanisms, reflected by MMN, are capable of extracting invariant relationships based on abstract conjunctions between two sound features. The standard stimuli varied over a large range in frequency and intensity dimensions following the rule that the higher the frequency, the louder the intensity. The occasional deviant stimuli violated this frequency-intensity relationship and elicited an MMN. The results demonstrate that preattentive processing of auditory stimuli extends to unexpectedly complex relationships between the stimulus features.

Auditory stream segregation processes operate similarly in school-aged children and adults

Our previous research with adults suggests that pre-attentive (bottom-up) brain processes govern auditory stream segregation [Sussman et al., 1998. Brain Res. 789, 130--138; Sussman et al., 1999. Psychophysiology 36, 22--34; Winkler et al., submitted for publication]. We investigated whether the pre-attentive mechanisms underlying auditory stream segregation operate similarly in school-aged (7--10 years of age) children and adults. We used an electrophysiological index of auditory change detection that does not require the experimental participant to focus on the sounds to be evoked. In Experiment 1, children were presented with mixtures of high and low frequency tones in different conditions and were instructed to watch a silent video and ignore the sounds. In Experiment 2, children were asked to listen to the same sets of sounds as presented in Experiment 1 and tell whether they heard one or two auditory streams. The pre-attentive processing of the mixture of sounds as one or two auditory streams (Experiment 1), matched with the perception of the sounds as one or two distinct streams (Experiment 2). Our results demonstrate that the mechanisms for auditory stream segregation operate similarly in school-aged children and adults when frequency proximity is the cue for segregation.

Preattentive processing of spectral, temporal, and structural characteristics of acoustic regularities: a mismatch negativity study

In the present study we investigated the relationship between detecting violations of structural regularities of tone sequences and detecting deviations from temporal regularities or repetitive spectral auditory stimulus features. Twelve subjects were presented with randomized sequences of two tones (differing both in frequency and intensity) delivered alternately to the left and right ears at a constant stimulus onset asynchrony (SOA). In separate blocks, occasional deviant stimuli broke one, two, or three of the following regularities: spatial alternation, the constancy of SOA, or the dominant frequency-intensity conjunctions. Unlike the mismatch negativity (MMN) elicited by alternation-plus-SOA deviants, the MMN elicited by alternation-plus-conjunction deviants was approximately equal to the sum of the two corresponding single-deviant MMNs. These results suggest that the preattentive change-detection system processes infrequent violations of the structural regularities of sound sequences together with changes in temporal regularities, but separately from changes in repetitive spectral sound features. The MMN elicited by the triple-deviant stimuli corroborated these conclusions.

The role of large-scale memory organization in the mismatch negativity event-related brain potential

The mismatch negativity (MMN) component of event-related brain potentials is elicited by infrequent changes in regular acoustic sequences even if the participant is not actively listening to the sound sequence. Therefore, the MMN is assumed to result from a preattentive process in which an incoming sound is checked against the automatically detected regularities of the auditory sequence and is found to violate them. For example, presenting a discriminably different (deviant) sound within the sequence of a repetitive (standard) sound elicits the MMN. In the present article, we tested whether the memory organization of the auditory sequence can affect the preattentive change detection indexed by the MMN. In Experiment 1, trains of six standard tones were presented with a short, 0.5-sec stimulus onset asynchrony (SOA) between tones in the train. This was followed by a variable SOA between the last standard and the deviant tone (the "irregular presentation" condition). Of 12 participants displaying an MMN at the 0.5-sec predeviant SOA, it was elicited by 11 with the 2-sec predeviant SOA, in 5 participants with the 7-sec SOA, and in none with the 10-sec SOA. In Experiment 2, we repeated the 7-sec irregular predeviant SOA condition, along with a "regular presentation" condition in which the SOA between any two tones was 7 sec. MMN was elicited in about half of the participants (9 out of 16) in the irregular presentation condition, whereas in the regular presentation condition, MMN was elicited in all participants. These results cannot be explained on the basis of memory-strength decay but can be interpreted in terms of automatic, auditory preperceptual grouping principles. In the irregular presentation condition, the close grouping of standards may cause them to become irrelevant to the mismatch process when the deviant tone is presented after a long silent break. Because the MMN indexes preattentive auditory processing, the present results provide evidence that large-scale preperceptual organization of auditory events occurs despite attention being directed away from the auditory stimuli.

Involuntary attention and distractibility as evaluated with event-related brain potentials

This article reviews recent event-related brain potential (ERP) studies of involuntary attention and distractibility in response to novelty and change in the acoustic environment. These studies show that the mismatch negativity, N(1) and P(3a) ERP components elicited by deviant or novel sounds in an unattended sequence of repetitive stimuli index different processes along the course to involuntary attention switch to distracting stimuli. These studies used new auditory-auditory and auditory-visual distraction paradigms, which enable one to assess objectively abnormal distractibility in several clinical patient groups, such as those suffering from closed-head injuries or chronic alcoholism.

The concept of auditory stimulus representation in cognitive neuroscience

The sequence of neurophysiological processes elicited in the auditory system by a sound is analyzed in search of the stage at which the processes carrying sensory information cross the borderline beyond which they directly underlie sound perception. Neurophysiological data suggest that this transition occurs when the sensory input is mapped onto the physiological basis of sensory memory in the auditory cortex. At this point, the sensory information carried by the stimulus-elicited process corresponds, for the first time, to that contained by the actual sound percept. Before this stage, the sensory stimulus code is fragmentary, lacks the time dimension, cannot enter conscious perception, and is not accessible to top-down processes (voluntary mental operations). On these grounds, 2 distinct stages of auditory sensory processing, prerepresentational and representational, can be distinguished.

Brain responses reveal the learning of foreign language phonemes

Learning to speak a new language requires the formation of recognition patterns for the speech sounds specific to the newly acquired language. The present study demonstrates the dynamic nature of cortical memory representations for phonemes in adults by using the mismatch negativity (MMN) event-related potential. We studied Hungarian and Finnish subjects, dividing the Hungarians into a naive (no knowledge of Finnish) and a fluent (in Finnish) group. We found that the MMN for a contrast between two Finnish phonemes was elicited in the fluent Hungarians but not in the naive Hungarians. This result indicates that the fluent Hungarians developed cortical memory representations for the Finnish phoneme system that enabled them to preattentively categorize phonemes specific to this language.

Event-related brain potentials reveal covert distractibility in closed head injuries

Event-related brain potentials (ERPs) to auditory stimuli were recorded from 11 closed head injured (CHI) and 10 age-matched healthy adults. Auditory stimuli consisted of sequences of repetitive standard tones (600 Hz), occasionally replaced by deviant tones (660 Hz) or by natural novel sounds. Subjects were instructed to ignore auditory stimuli while concentrating on a demanding visuo-motor tracking task. CHI patients showed, in comparison to control subjects, significantly enhanced late P3a component in the ERPs to novel sounds. This suggests that novel stimuli cause greater distraction in CHI patients than in controls, demonstrating that ERPs provide a powerful tool to determine the physiological basis of attentional deficits in CHI patients.

Independent processing of changes in auditory single features and feature conjunctions in humans as indexed by the mismatch negativity

The mismatch negativity (MMN), an event-related potential component of the EEG, is elicited by violations of auditory regularities In the present study, the stimulus blocks contained two types of standard tones, differing from each other in frequency and intensity. MMNs were recorded to three different types of deviant stimuli: (a) feature deviants, differing from standards in their perceived locus of origin; (b) conjunction deviants, having the frequency of one of the standards and the intensity of the other; (c) double deviants, differing from standards in both (a) and (b). The MMN to double deviants was similar to the sum of the MMNs to feature and conjunction deviants. This result indicates that changes in simple stimulus features and conjunction of features are processed independently by the automatic sound change detection system indexed by MMN.

Neuronal populations in the human brain extracting invariant relationships from acoustic variance

The ability to extract invariant relationships from physically varying stimulation is critical for example to categorical perception of complex auditory information such as speech and music. Human subjects were presented with tone pairs randomly varying over a wide frequency range, there being no physically constant tone pair at all. Instead, the invariant feature was either the direction of the tone pairs (ascending: the second tone was higher in frequency than the first tone) or the frequency ratio (musical interval) of the two tones. The subjects ignored the tone pairs, and instead attended a silent video. Occasional deviant pairs (either descending in direction or having a different frequency ratio) elicited the mismatch negativity (MMN) of the event-related potential, demonstrating the existence of neuronal populations which automatically (independently of attention) extract invariant relationships from acoustical variance.

Temporal integration of auditory stimulus deviance as reflected by the mismatch negativity

We recorded event-related brain potentials (ERPs) to two different infrequent deviant tones presented successively within the repetitive sequence of a standard tone. A separate mismatch negativity (MMN) component was elicited by each of the two deviants when the interval separating their onsets was 300 ms. However, only a single MMN component was elicited when the temporal separation between the onsets of the two deviants was 150 ms. Previous studies obtained similar results using two temporally separated deviations carried by a single sound. Taken together, these results support the notion of a general temporal integration mechanism in the formation of auditory events with ca. 200 ms long window.

Antiviral activity of the human immunodeficiency virus type 1-specific nonnucleoside reverse transcriptase inhibitor HBY 097 alone and in combination with zidovudine in a phase II study. HBY 097/2001 Study Group

The safety and antiviral activity of the second-generation nonnucleoside inhibitor HBY 097 was investigated in asymptomatic or mildly symptomatic human immunodeficiency virus (HIV)-1-infected patients in a randomized, double-blinded, dose-escalation study. Mean maximum virus load decreases ranged from -1.31 log10 copies/mL of plasma at week 1 in the group receiving HBY 097 monotherapy (250 mg three times daily) to -2.19 log10 copies/mL at week 4 in the group receiving zidovudine plus HBY 097 (750 mg three times daily). After 12 weeks, these patients had viral RNA copy numbers 1.05 log10 below baseline. Genotypic analysis of resistance development revealed reverse transcriptase K103N variants in most patients, which was associated with less durable efficacy of HBY 097 treatment. Fewer patients receiving combination therapy with high-dose HBY 097 developed the K103N variant (P<.01). HBY 097 caused pronounced acute suppression of HIV-1 replication both in combination with zidovudine and alone. Therefore, sustained antiviral activity can be expected from multiple combination therapy regimens including a quinoxaline derivative.

Pre-attentive detection of vowel contrasts utilizes both phonetic and auditory memory representations

Event-related brain potentials (ERP) were recorded to infrequent changes of a synthesized vowel (standard) to another vowel (deviant) in speakers of Hungarian and Finnish language, which are remotely related to each other with rather similar vowel systems. Both language groups were presented with identical stimuli. One standard-deviant pair represented an across-vowel category contrast in Hungarian, but a within-category contrast in Finnish, with the other pair having the reversed role in the two languages. Both within- and across-category contrasts elicited the mismatch negativity (MMN) ERP component in the native speakers of either language. The MMN amplitude was larger in across- than within-category contrasts in both language groups. These results suggest that the pre-attentive change-detection process generating the MMN utilized both auditory (sensory) and phonetic (categorical) representations of the test vowels.

Mismatch negativity: deviance detection or the maintenance of the 'standard'

Electric brain responses were measured to infrequent tones that broke the frequency alternation of two tones, deviated in duration or violated both regularities (alternation and constant duration). Mismatch negativity (MMN) was elicited by both simple deviants with the duration-related MMN peaking approximately 130 ms later than the alternation-related MMN. The double deviant elicited two successive MMNs. Thus violation of each regularity elicited a separate MMN, whereas previous studies showed that multiple temporally separate deviations from a single repetitive standard elicit one MMN only. These results suggest that the primary function of the MMN-generating process is more closely related to maintaining the representation of auditory regularities than to deviance detection per se.

Structures of Tyr188Leu mutant and wild-type HIV-1 reverse transcriptase complexed with the non-nucleoside inhibitor HBY 097: inhibitor flexibility is a useful design feature for reducing drug resistance

The second generation Hoechst-Bayer non-nucleoside inhibitor, HBY 097 (S-4-isopropoxycarbonyl-6-methoxy-3-(methylthiomethyl)-3, 4-dihydroqui noxalin-2(1H)-thione), is an extremely potent inhibitor of HIV-1 reverse transcriptase (RT) and of HIV-1 infection in cell culture. HBY 097 selects for unusual drug-resistance mutations in HIV-1 RT (e.g. Gly190Glu) when compared with other non-nucleoside RT inhibitors (NNRTIs), such as nevirapine, alpha-APA and TIBO. We have determined the structure of HBY 097 complexed with wild-type HIV-1 RT at 3.1 A resolution. The HIV-1 RT/HBY 097 structure reveals an overall inhibitor geometry and binding mode differing significantly from RT/NNRTI structures reported earlier, in that HBY 097 does not adopt the usual butterfly-like shape. We have determined the structure of the Tyr188Leu HIV-1 RT drug-resistant mutant in complex with HBY 097 at 3.3 A resolution. HBY 097 binds to the mutant RT in a manner similar to that seen in the wild-type RT/HBY 097 complex, although there are some repositioning and conformational alterations of the inhibitor. Conformational changes of the structural elements forming the inhibitor-binding pocket, including the orientation of some side-chains, are observed. Reduction in the size of the 188 side-chain and repositioning of the Phe227 side-chain increases the volume of the binding cavity in the Tyr188Leu HIV-1 RT/HBY 097 complex. Loss of important protein-inhibitor interactions may account for the reduced potency of HBY 097 against the Tyr188Leu HIV-1 RT mutant. The loss of binding energy may be partially offset by additional contacts resulting from conformational changes of the inhibitor and nearby amino acid residues. This would suggest that inhibitor flexibility can help to minimize drug resistance.

Neural mechanisms of involuntary attention to acoustic novelty and change

Behavioral and event-related brain potential (ERP) measures were used to elucidate the neural mechanisms of involuntary engagement of attention by novelty and change in the acoustic environment. The behavioral measures consisted of the reaction time (RT) and performance accuracy (hit rate) in a forced-choice visual RT task where subjects were to discriminate between odd and even numbers. Each visual stimulus was preceded by an irrelevant auditory stimulus, which was randomly either a "standard" tone (80%), a slightly higher "deviant" tone (10%), or a natural, "novel" sound (10%). Novel sounds prolonged the RT to successive visual stimuli by 17 msec as compared with the RT to visual stimuli that followed standard tones. Deviant tones, in turn, decreased the hit rate but did not significantly affect the RT. In the ERPs to deviant tones, the mismatch negativity (MMN), peaking at 150 msec, and a second negativity, peaking at 400 msec, could be observed. Novel sounds elicited an enhanced N1, with a probable overlap by the MMN, and a large positive P3a response with two different subcomponents: an early centrally dominant P3a, peaking at 230 msec, and a late P3a, peaking at 315 msec with a right-frontal scalp maximum. The present results suggest the involvement of two different neural mechanisms in triggering involuntary attention to acoustic novelty and change: a transient-detector mechanism activated by novel sounds and reflected in the N1 and a stimulus-change detector mechanism activated by deviant tones and novel sounds and reflected in the MMN. The observed differential distracting effects by slightly deviant tones and widely deviant novel sounds support the notion of two separate mechanisms of involuntary attention.

Combined mapping of human auditory EEG and MEG responses

Auditory electric and magnetic P50(m), N1(m) and MMN(m) responses to standard, deviant and novel sounds were studied by recording brain electrical activity with 25 EEG electrodes simultaneously with the corresponding magnetic signals measured with 122 MEG gradiometer coils. The sources of these responses were located on the basis of the MEG responses; all were found to be in the supratemporal plane. The goal of the present paper was to investigate to what degree the source locations and orientations determined from the magnetic data account for the measured EEG signals. It was found that the electric P50, N1 and MMN responses can to a considerable degree be explained by the sources of the corresponding magnetic responses. In addition, source-current components not detectable by MEG were shown to contribute to the measured EEG signals.

Retention of marked sensitivity to (S)-4-isopropoxycarbonyl-6-methoxy-3-(methylthiomethyl)-3,4-di hydroquin oxaline-2(1H)-thione (HBY 097) by an azidothymidine (AZT)-resistant human immunodeficiency virus type 1 (HIV-1) strain subcultured in the combined presence of quinoxaline HBY 097 and 2',3'-dideoxy-3'-thiacytidine (lamivudine)

An azidothymidine (AZT)-resistant virus strain (HIV-1/AZT) (containing the 67 Asp --> Asn, 70 Lys --> Arg, 215 Thr --> Phe and 219 Lys --> Gln mutations into its reverse transcriptase) was grown in the combined presence of 2',3'-dideoxy-3'-thiacytidine (3TC, lamivudine) and the nonnucleoside reverse transcriptase inhibitor (S)-4-isopropoxycarbonyl-6-methoxy-3-(methylthiomethyl)-3,4-dih ydroquinoxaine-2(1H)-thione (quinoxaline HBY 097). Replication of HIV-1/AZT was inhibited to a significantly greater extent by the combination of 3TC and quinoxaline HBY 097 than by either drug alone. Virus breakthrough was markedly delayed in the combined presence of 3TC and HBY 097 at drug concentrations as low as 0.05 microg/mL and 0.0025 microg/mL, respectively. The virus that was recovered after exposure to the compounds (3TC and HBY 097) individually had acquired, in the genetic AZT-resistance background of HIV-1/AZT, 103 Lys --> Glu and 106 Val --> Ala mutations. The 103 Lys --> Glu mutation had not been observed before. However, both virus mutants retained marked sensitivity to HBY 097. In all cases, the genotypic AZT-resistance mutations were maintained in the mutant virus RT genomes, and the viruses also remained phenotypically resistant to AZT. Given the exquisite potency of a concomitant combination of 3TC and HBY 097 in suppressing virus replication, this drug combination should be further pursued in clinical trials in HIV-1-infected individuals.

Processing of novel sounds and frequency changes in the human auditory cortex: magnetoencephalographic recordings

Whole-head magnetoencephalographic (MEG) responses to repeating standard tones and to infrequent slightly higher deviant tones and complex novel sounds were recorded together with event-related brain potentials (ERPs). Deviant tones and novel sounds elicited the mismatch negativity (MMN) component of the ERP and its MEG counterpart (MMNm) both when the auditory stimuli were attended to and when they were ignored. MMNm generators were located bilateral to the superior planes of the temporal lobes where preattentive auditory discrimination appears to occur. A subsequent positive P3a component was elicited by deviant tones and with a larger amplitude by novel sounds even when the sounds were to be ignored. Source localization for the MEG counterpart of P3a (P3am) suggested that the auditory cortex in the superior temporal plane is involved in the neural network of involuntary attention switching to changes in the acoustic environment.

Temporal constraints of auditory event synthesis: evidence from ERPs

The temporal constraints of auditory event synthesis were investigated using event-related potentials. Standard stimuli consisted of an initial constant-frequency segment followed by a frequency glide. Occasionally, stimuli deviating from this standard both in intensity and within the direction of the glide were presented in the otherwise repetitive sound sequence. Previous results suggested that such 'double' deviants elicit only a single mismatch negativity (MMN) if the two temporally separate deviant elements were integrated within a common unit. Two successive MMNs were elicited by double deviants when the initial constant-frequency segment of the sound was 250 ms long, but only one when this segment was 150 ms in duration. The results support the hypothesis that the auditory input is processed in approximately 200 ms long temporal integration windows.

Preattentive processing of auditory spatial information in humans

Auditory event-related potentials were recorded from reading subjects to frequent and infrequent tones. Frequent tones presented by a loudspeaker in front of the subject were interspersed with infrequent tones delivered either by one of the symmetrically-placed lateral loudspeakers, or by both lateral loudspeakers simultaneously. This latter sound was perceived as originating from a spacious source in the direction of the central loudspeaker. A sizable mismatch negativity (MMN) and P3a were elicited by all three infrequent stimuli, suggesting that infrequent changes in the direction or perceived spaciousness of the sound source were preattentively detected. In addition, a dissociation between the MMN and P3a amplitudes was found: whereas lateral deviants elicited a larger P3a than the simultaneous left + right deviant, the MMN amplitude was approximately equal for all three deviants.

Zidovudine-resistant human immunodeficiency virus type 1 strains subcultured in the presence of both lamivudine and quinoxaline HBY 097 retain marked sensitivity to HBY 097 but not to lamivudine

Replication of zidovudine-resistant human immunodeficiency virus type 1 (HIV-1) strains (containing the 41 Met-->Leu and 215 Thr-->Tyr mutations in reverse transcriptase [RT]) was inhibited to a significantly greater extent by the combination of lamivudine and quinoxaline HBY 097 than by either drug alone or even fully suppressed by concomitant HBY 097 and lamivudine administration at relatively low concentrations. The virus recovered after exposure to the drug combinations individually had acquired the 103 Lys-->Arg, 138 Glu-->Lys, 184 Met-->Ile, and 189 Val-->Ile mutations in the genetic zidovudine-resistance background of zidovudine-resistant HIV-1. These mutants retained marked sensitivity to HBY 097. The genotypic zidovudine-resistance mutations were maintained in the mutant virus RT genomes, and the viruses also remained phenotypically resistant to zidovudine. Given the exquisite potency of the combination of lamivudine and HBY 097 in suppressing viral replication, this combination should be further pursued in clinical trials examining treatment of HIV-1-infected persons.

Characterization of the genome of feline foamy virus and its proteins shows distinct features different from those of primate spumaviruses

The genome of the feline foamy virus (FeFV) isolate FUV was characterized by molecular cloning and nucleotide sequence analysis of subgenomic proviral DNA. The overall genetic organization of FeFV and protein sequence comparisons of different FeFV genes with their counterparts from other known foamy viruses confirm that FeFV is a complex foamy virus. However, significant differences exist when FeFV is compared with primate foamy viruses. The FeFV Gag protein is smaller than that of the primate spumaviruses, mainly due to additional MA/CA sequences characteristic of the primate viruses only. Gag protein sequence motifs of the NC domain of primate foamy viruses assumed to be involved in genome encapsidation are not conserved in FeFV. FeFV Gag and Pol proteins were detected with monospecific antisera directed against Gag and Pol domains of the human foamy virus and with antisera from naturally infected cats. Proteolytic processing of the FeFV Gag precursor was incomplete, whereas more efficient proteolytic cleavage of the pre125Pro-Pol protein was observed. The active center of the FeFV protease contains a Gln that replaces an invariant Gly residue at this position in other retroviral proteases. Functional studies on FeFV gene expression directed by the promoter of the long terminal repeat showed that FeFV gene expression was strongly activated by the Bell/Tas transactivator protein. The FeFV Bell/Tas transactivator is about one-third smaller than its counterpart of primate spumaviruses. This difference is also reflected by a limited sequence similarity and only a moderate conservation of structural motifs of the different foamy virus transactivators analyzed.

Two separate codes for missing-fundamental pitch in the human auditory cortex

Two auditory event-related potential components, the supratemporal N1 and the mismatch negativity (MMN), index traces encoding the missing-fundamental pitch. The present results suggest that these two codes derive from separate pitch extraction processes. Frequent 300-Hz and infrequent 600-Hz missing-fundamental tones were presented, in some stimulus blocks with short (150 ms), in others, with long (500 ms) stimulus durations. MMN, reflecting a preattentive change detection process, was elicited by infrequent missing-fundamental tones only in the long-duration condition. Correspondingly, subjects were able to detect these high-pitch missing-fundamental tones amongst similar low-pitch ones only when the stimulus duration was long. In addition, the MMN response peaked ca. 120 ms later for missing-fundamental tones than for pure tones of the fundamental frequency suggesting that missing-fundamental pitch resolving took substantially longer than extracting the spectral pitch. In contrast, a differential N1 response to the missing-fundamental pitch was found for both stimulus durations, with no substantial difference in peak latency between the pure and missing-fundamental tones. The contrasting features found for the two auditory cortical missing-fundamental pitch codes support the notion of two separate missing-fundamental pitch resolving mechanisms.

Pre-attentive categorization of sounds by timbre as revealed by event-related potentials

Infrequent (10%) pure tones were randomly presented among nine different missing-fundamental tones having the same pitch (10% each) to subjects playing a computer game. MMN (an index of pre-attentive change detection) was elicited by timbre-deviant pure tones with 150 and 500 ms stimulus duration. This suggests that the spectral component of timbre is pre-attentively determined from relatively short (150 ms) acoustic samples. Previous research established that resolving the pitch of the same missing-fundamental tones requires longer (> 150 ms) sounds. Consequently, timbre and pitch are probably determined by separate neural processes. The present results also demonstrate pre-attentive categorization of sounds based on timbre as MMN could only be elicited by the pure tones if their timbre was contrasted with the combined group of the nine standard sounds of qualitatively similar rich timbre.

In vitro selection for different mutational patterns in the HIV-1 reverse transcriptase using high and low selective pressure of the nonnucleoside reverse transcriptase inhibitor HBY 097

In vitro resistance of HIV-1 against high levels of HBY 097 ((S)-4-isopropoxycarbonyl-6-methoxy-3-(methylthiomethyl)-3, 4-dihydro-quinoxaline-2(1H)-thione) and other quinoxaline nonnucleoside reverse transcriptase inhibitors (NNRTIs) is characterized by a specific amino acid substitution in the reverse transcriptase (RT), Gly 190Glu. This change results in decreased RT polymerase activity and in reduced growth properties of the corresponding viral variant. Here we show that the appearance of the crippling mutation at codon 190 can be prevented by lowering the selective pressure exerted by HBY 097. Under low selective pressure an accumulation of other NNRTI-specific mutations is observed. Up to five NNRTI-specific substitutions were detected in some of these virus lineages. In addition, we report novel RT amino acid changes which were not observed previously, including Val106lle, Val106Leu, and Gly190Thr. HBY 097 selects for different mutational patterns under high and low selective pressure conditions, respectively. Thus, the type of mutations which appear in HIV-infected patients undergoing therapy may be determined by the levels of the selecting drug.