Paola Mengotti

Altered white matter integrity and development in children with autism: A combined voxel-based morphometry and diffusion imaging study

BACKGROUND A combined protocol of voxel-based morphometry (VBM) and diffusion-weighted imaging (DWI) was applied to investigate the neurodevelopment of gray and white matter in autism. METHODS Twenty children with autism (mean age= 7 ± 2.75 years old; age range: 4-14; 2 girls) and 22 matched normally developing children (mean age = 7.68 ± 2.03 years old; age range: 4-11; 2 girls) underwent magnetic resonance imaging (MRI). VBM was employed by applying the Template-o-Matic toolbox (TOM), a new approach which constructs the age-matched customized template for tissue segmentation. Also, the apparent diffusion coefficients (ADC) of water molecules were obtained from the analysis of DWI. Regions of interests (ROIs), standardized at 5 pixels, were placed in cortical lobes and corpus callosum on the non-diffusion weighted echo-planar images (b = 0) and were then automatically transferred to the corresponding maps to obtain the ADC values. RESULTS Compared to normal children, individuals with autism had significantly: (1) increased white matter volumes in the right inferior frontal gyrus, the right fusiform gyrus, the left precentral and supplementary motor area and the left hippocampus, (2) increased gray matter volumes in the inferior temporal gyri bilaterally, the right inferior parietal cortex, the right superior occipital lobe and the left superior parietal lobule, and (3) decreased gray matter volumes in the right inferior frontal gyrus and the left supplementary motor area. Abnormally increased ADC values in the bilateral frontal cortex and in the left side of the genu of the corpus callosum were also reported in autism. Finally, age correlated negatively with lobar and callosal ADC measurements in individuals with autism, but not in children with normal development. CONCLUSIONS These findings suggest cerebral dysconnectivity in the early phases of autism coupled with an altered white matter maturation trajectory during childhood potentially taking place in the frontal and parietal lobes, which may represent a neurodevelopmental marker of the disorder, possibly accounting for the cognitive and social deficits.

Imitating others' actions: transcranial magnetic stimulation of the parietal opercula reveals the processes underlying automatic imitation

The human tendency to imitate gestures performed by conspecifics is automatic in nature. However, whether this automatic imitation can be considered as a true imitative phenomenon or only as a special instance of spatial compatibility is still being debated. New evidence suggests that automatic imitation, otherwise known as ‘imitative compatibility’, shall be considered as a phenomenon that operates independently from spatial compatibility. So far there are only a few investigations directly aimed at identifying the neural structures dedicated to this process. In the present study, we applied double‐pulse transcranial magnetic stimulation (TMS) over the parietal opercula to further investigate the role of these regions in coding imitative compatibility. We found that a temporary disruption of parietal opercula caused the reduction of the imitative compatibility relative to the sham condition. In particular, the TMS interference with the parietal operculas activity modulated the imitative compatibility but not the spatial compatibility, suggesting that these two processes are likely to be independent.

The effect of observed biological and non biological movements on action imitation: An fMRI study

Past research has indicated that when individuals observe biological movements many areas in the observers motor system become active. Nonetheless, recent behavioral evidence showed that observed movements can interfere with execution of incompatible movements, especially the biological ones. However, the hypothesis that the interference originates within a common neural network, encoding both movement observation and execution, and responding preferentially to biological movements, still awaits confirmation. To test this hypothesis, in the present fMRI study we compared patterns of activation obtained when participants executed finger-movements after having observed either a biological or a non biological model performing compatible (imitative) or incompatible (non imitative) movements. Moreover, we tested the possibility that imitative responses are influenced by the emotional facial expression (sad, neutral, angry) presented before the observed movement. Behaviorally, participants showed a marginally larger compatibility effect (compatible movements faster than incompatible movements) in the biological condition than in the non biological condition. In the imaging data, the interaction testing for areas more active when the observed model was biological (compared with non biological) and performed compatible movements (compared with incompatible movements), activated a network including the motor, premotor and parietal cortices. Notably, the interaction was significant for the neutral and sad facial expressions only. We showed that observing biological movements modulates the activation of motor-related regions, by facilitating the execution of compatible movements and/or interfering with the execution of incompatible movements.

Functional mechanisms of probabilistic inference in feature- and space-based attentional systems.

Humans flexibly attend to features or locations and these processes are influenced by the probability of sensory events. We combined computational modeling of response times with fMRI to compare the functional correlates of (re-)orienting, and the modulation by probabilistic inference in spatial and feature-based attention systems. Twenty-four volunteers performed two task versions with spatial or color cues. Percentage of cue validity changed unpredictably. A hierarchical Bayesian model was used to derive trial-wise estimates of probability-dependent attention, entering the fMRI analysis as parametric regressors. Attentional orienting activated a dorsal frontoparietal network in both tasks, without significant parametric modulation. Spatially invalid trials activated a bilateral frontoparietal network and the precuneus, while invalid feature trials activated the left intraparietal sulcus (IPS). Probability-dependent attention modulated activity in the precuneus, left posterior IPS, middle occipital gyrus, and right temporoparietal junction for spatial attention, and in the left anterior IPS for feature-based and spatial attention. These findings provide novel insights into the generality and specificity of the functional basis of attentional control. They suggest that probabilistic inference can distinctively affect each attentional subsystem, but that there is an overlap in the left IPS, which responds to both spatial and feature-based expectancy violations.

Intermittent alien hand syndrome and callosal apraxia in multiple sclerosis: implications for interhemispheric communication.

We report a case of a 47-year-old woman with 35-year history of multiple sclerosis, who showed alien hand signs, a rare behavioural disorder that involves unilateral goal-directed movements that are contrary to the individuals intention. Alien hand syndrome has been described in multiple sclerosis (MS) only occasionally and is generally suggestive of callosal disconnection. The patient presented also with bilateral limb apraxia and left hand agraphia, raising the possibility of cortical dysfunction or disconnection, in addition to corpus callosum and white matter involvement. Her specific pattern of symptoms supports the role of the corpus callosum in interhemispheric communication for complex as well as fine motor activities and may indicate that it can serve as both an inhibitory and excitatory function depending on task demands.

Anatomical and spatial matching in imitation: Evidence from left and right brain-damaged patients.

Imitation is a sensorimotor process whereby the visual information present in the models movement has to be coupled with the activation of the motor system in the observer. This also implies that greater the similarity between the seen and the produced movement, the easier it will be to execute the movement, a process also known as ideomotor compatibility. Two components can influence the degree of similarity between two movements: the anatomical and the spatial component. The anatomical component is present when the model and imitator move the same body part (e.g., the right hand) while the spatial component is present when the movement of the model and that of the imitator occur at the same spatial position. Imitation can be achieved by relying on both components, but typically the models and imitators movements are matched either anatomically or spatially. The aim of this study was to ascertain the contribution of the left and right hemisphere to the imitation accomplished either with anatomical or spatial matching (or with both). Patients with unilateral left and right brain damage performed an ideomotor task and a gesture imitation task. Lesions in the left and right hemispheres gave rise to different performance deficits. Patients with lesions in the left hemisphere showed impaired imitation when anatomical matching was required, and patients with lesions in the right hemisphere showed impaired imitation when spatial matching was required. Lesion analysis further revealed a differential involvement of left and right hemispheric regions, such as the parietal opercula, in supporting imitation in the ideomotor task. Similarly, gesture imitation seemed to rely on different regions in the left and right hemisphere, such as parietal regions in the left hemisphere and premotor, somatosensory and subcortical regions in the right hemisphere.

Neural correlates of the energetic value of food during visual processing and response inhibition

&NA; Previous research showed that human brain regions involved in reward and cognitive control are responsive to visually presented food stimuli, in particular high‐energy foods. However, it is still to be determined whether the preference towards high‐energy foods depends on their higher energy density (kcal/gram), or is based on the difference in energy content of the food items (total amount of kcal). Here we report the results of an fMRI study in which normal‐weight healthy participants processed food images during a one‐back task or were required to inhibit their response towards food stimuli during a Go/No‐Go task. High‐energy density (HD) and low‐energy density (LD) foods were matched for energy content displayed. Food‐related kitchen objects (OBJ) were used as control stimuli. The lateral occipital complex and the orbitofrontal cortex showed consistent higher activity in response to HD than LD foods, both during visual processing and response inhibition. This result suggests that images of HD foods, even when the amount of food shown is not associated with a higher energy content, elicit preferential visual processing ‐ possibly involving attentional processes ‐ and trigger a response from the reward system. We conclude that the human brain is able to distinguish food energy densities of food items during both active visual processing and response inhibition. HighlightsFoods can differ in their energy density (ED, kcal/gram) and in their energy content.High ED foods elicit preferential visual processing in the lateral occipital cortex.High ED foods enhance activity in the lateral occipital cortex during inhibition.High ED foods enhance activity in the orbitofrontal cortex during inhibition.The human brain processes differences in energy density of food items.

Integrating modality-specific expectancies for the deployment of spatial attention

The deployment of spatial attention is highly sensitive to stimulus predictability. Despite evidence for strong crossmodal links in spatial attentional systems, it remains to be elucidated how concurrent but divergent predictions for targets in different sensory modalities are integrated. In a series of behavioral studies, we investigated the processing of modality-specific expectancies using a multimodal cueing paradigm in which auditory cues predicted the location of visual or tactile targets with modality-specific cue predictability. The cue predictability for visual and tactile targets was manipulated independently. A Bayesian ideal observer model with a weighting factor was applied to trial-wise individual response speed to investigate how the two probabilistic contexts are integrated. Results showed that the degree of integration depended on the level of predictability and on the divergence of the modality-specific probabilistic contexts (Experiments 1–2). However, when the two probabilistic contexts were matched in their level of predictability and were highly divergent (Experiment 3), higher separate processing was favored, especially when visual targets were processed. These findings suggest that modality-specific predictions are flexibly integrated according to their reliability, supporting the hypothesis of separate modality-specific attentional systems that are however linked to guarantee an efficient deployment of spatial attention across the senses.

Dual-route imitation in preschool children

Imitation can be realized via two different routes: a direct route that translates visual input into motor output when gestures are meaningless or unknown, and a semantic route for known/meaningful gestures. Young infants show imitative behaviours compatible with the direct route, but little is known about the development of the semantic route, studied here for the first time. The present study examined preschool children (3-5years of age) imitating gestures that could be transitive or intransitive, and meaningful or meaningless. Both routes for imitation were already present by three years of age, and children were more accurate at imitating meaningful-intransitive gestures than meaningless-intransitive ones; the reverse pattern was found for transitive gestures. Children preferred to use their dominant hand even if they had to anatomically imitate the model to do this, showing that a preference for specular imitation is not exclusive at these ages.