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1.
Sci Rep ; 10(1): 14345, 2020 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-32873844

RESUMO

Emotion is communicated via the integration of concurrently presented information from multiple information channels, such as voice, face, gesture and touch. This study investigated the neural and perceptual correlates of emotion perception as influenced by facial and vocal information by measuring changes in oxygenated hemoglobin (HbO) using functional near-infrared spectroscopy (fNIRS) and acquiring psychometrics. HbO activity was recorded from 103 channels while participants ([Formula: see text], [Formula: see text]) were presented with vocalizations produced in either a happy, angry or neutral prosody. Voices were presented alone or paired with an emotional face and compared with a face-only condition. Behavioral results indicated that when voices were paired with faces, a bias in the direction of the emotion of the voice was present. Subjects' responses also showed greater variance and longer reaction times when responding to the bimodal conditions when compared to the face-only condition. While both the happy and angry prosody conditions exhibited right lateralized increases in HbO compared to the neutral condition, these activations were segregated into posterior-anterior subdivisions by emotion. Specific emotional prosodies may therefore differentially influence emotion perception, with happy voices exhibiting posterior activity in receptive emotion areas and angry voices displaying activity in anterior expressive emotion areas.


Assuntos
Estimulação Acústica/métodos , Mapeamento Encefálico/métodos , Emoções/fisiologia , Expressão Facial , Reconhecimento Facial/fisiologia , Espectroscopia de Luz Próxima ao Infravermelho/métodos , Percepção da Fala/fisiologia , Adulto , Ira , Feminino , Felicidade , Humanos , Masculino , Oxiemoglobinas/análise , Tempo de Reação , Voz , Adulto Jovem
2.
Psychiatry Res Neuroimaging ; 271: 135-141, 2018 01 30.
Artigo em Inglês | MEDLINE | ID: mdl-29174765

RESUMO

Recent research indicates the relative benefits of computerized attention control treatment (ACT) and attention bias modification treatment (ABMT) for posttraumatic stress disorder (PTSD); however, neural changes underlying these therapeutic effects remain unknown. This study examines how these two types of attention training modulate neurological dysfunction in veterans with PTSD. A community sample of 46 combat veterans with PTSD participated in a randomized double-blinded clinical trial of ACT versus ABMT and 32 of those veterans also agreed to undergo resting-state magnetoencephalography (MEG) recordings. Twenty-four veterans completed psychological and MEG assessments at pre- and post-training to evaluate treatment effects. MEG data were imaged using an advanced Bayesian reconstruction method and examined using statistical parametric mapping. In this report, we focus on the neural correlates and the differential treatment effects observed using MEG; the results of the full clinical trial have been described elsewhere. Our results indicated that ACT modulated occipital and ABMT modulated medial temporal activity more strongly than the comparative treatment. PTSD symptoms decreased significantly from pre- to post-test. These initial neurophysiological outcome data suggest that ACT modulates visual pathways, while ABMT modulates threat-processing regions, but that both are associated with normalizing aberrant neural activity in veterans with PTSD.


Assuntos
Viés de Atenção/fisiologia , Distúrbios de Guerra/diagnóstico por imagem , Distúrbios de Guerra/psicologia , Transtornos de Estresse Pós-Traumáticos/diagnóstico por imagem , Transtornos de Estresse Pós-Traumáticos/psicologia , Veteranos/psicologia , Adulto , Teorema de Bayes , Distúrbios de Guerra/terapia , Método Duplo-Cego , Humanos , Magnetoencefalografia/métodos , Masculino , Malformações do Sistema Nervoso/fisiopatologia , Malformações do Sistema Nervoso/psicologia , Malformações do Sistema Nervoso/terapia , Descanso/fisiologia , Transtornos de Estresse Pós-Traumáticos/terapia
3.
Front Hum Neurosci ; 11: 205, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28487642

RESUMO

Posttraumatic stress disorder (PTSD) is a debilitating psychiatric condition that is common in veterans returning from combat operations. While the symptoms of PTSD have been extensively characterized, the neural mechanisms that underlie PTSD are only vaguely understood. In this study, we examined the neurophysiology of PTSD using magnetoencephalography (MEG) in a sample of veterans with and without PTSD. Our primary hypothesis was that veterans with PTSD would exhibit aberrant activity across multiple brain networks, especially those involving medial temporal and frontal regions. To this end, we examined a total of 51 USA combat veterans with a battery of clinical interviews and tests. Thirty-one of the combat veterans met diagnostic criteria for PTSD and the remaining 20 did not have PTSD. All participants then underwent high-density MEG during an eyes-closed resting-state task, and the resulting data were analyzed using a Bayesian image reconstruction method. Our results indicated that veterans with PTSD had significantly stronger neural activity in prefrontal, sensorimotor and temporal areas compared to those without PTSD. Veterans with PTSD also exhibited significantly stronger activity in the bilateral amygdalae, parahippocampal and hippocampal regions. Conversely, healthy veterans had stronger neural activity in the bilateral occipital cortices relative to veterans with PTSD. In conclusion, these data suggest that veterans with PTSD exhibit aberrant neural activation in multiple cortical areas, as well as medial temporal structures implicated in affective processing.

4.
Cogn Affect Behav Neurosci ; 16(6): 1140-1149, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27722837

RESUMO

Posttraumatic stress disorder (PTSD) is associated with executive functioning deficits, including disruptions in working memory (WM). Recent studies suggest that attention training reduces PTSD symptomatology, but the underlying neural mechanisms are unknown. We used high-density magnetoencephalography (MEG) to evaluate whether attention training modulates brain regions serving WM processing in PTSD. Fourteen veterans with PTSD completed a WM task during a 306-sensor MEG recording before and after 8 sessions of attention training treatment. A matched comparison sample of 12 combat-exposed veterans without PTSD completed the same WM task during a single MEG session. To identify the spatiotemporal dynamics, each group's data were transformed into the time-frequency domain, and significant oscillatory brain responses were imaged using a beamforming approach. All participants exhibited activity in left hemispheric language areas consistent with a verbal WM task. Additionally, veterans with PTSD and combat-exposed healthy controls each exhibited oscillatory responses in right hemispheric homologue regions (e.g., right Broca's area); however, these responses were in opposite directions. Group differences in oscillatory activity emerged in the theta band (4-8 Hz) during encoding and in the alpha band (9-12 Hz) during maintenance and were significant in right prefrontal and right supramarginal and inferior parietal regions. Importantly, following attention training, these significant group differences were reduced or eliminated. This study provides initial evidence that attention training improves aberrant neural activity in brain networks serving WM processing.


Assuntos
Atenção/fisiologia , Encéfalo/fisiopatologia , Memória de Curto Prazo/fisiologia , Transtornos de Estresse Pós-Traumáticos/fisiopatologia , Transtornos de Estresse Pós-Traumáticos/terapia , Veteranos/psicologia , Adulto , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico , Função Executiva/fisiologia , Reconhecimento Facial/fisiologia , Humanos , Imageamento por Ressonância Magnética , Magnetoencefalografia , Masculino , Testes Neuropsicológicos , Prática Psicológica , Transtornos de Estresse Pós-Traumáticos/diagnóstico por imagem , Transtornos de Estresse Pós-Traumáticos/etiologia , Resultado do Tratamento , Exposição à Guerra/efeitos adversos
5.
Brain Topogr ; 29(6): 824-833, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27277428

RESUMO

There is currently a void in the scientific literature on the cortical beta oscillatory activity that is associated with the production of leg motor actions. In addition, we have limited data on how these cortical oscillations may progressively change as a function of development. This study began to fill this vast knowledge gap by using high-density magnetoencephalography to quantify the beta cortical oscillatory activity over a cross-section of typically developing children as they performed an isometric knee target matching task. Advanced beamforming methods were used to identify the spatiotemporal changes in beta oscillatory activity during the motor planning and motor action time frames. Our results showed that a widespread beta event-related desynchronization (ERD) was present across the pre/postcentral gyri, supplementary motor area, and the parietal cortices during the motor planning stage. The strength of this beta ERD sharply diminished across this fronto-parietal network as the children initiated the isometric force needed to match the target. Rank order correlations indicated that the older children were more likely to initiate their force production sooner, took less time to match the targets, and tended to have a weaker beta ERD during the motor planning stage. Lastly, we determined that there was a relationship between the child's age and the strength of the beta ERD within the parietal cortices during isometric force production. Altogether our results suggest that there are notable maturational changes during childhood and adolescence in beta cortical oscillatory activity that are associated with the planning and execution of leg motor actions.


Assuntos
Desenvolvimento do Adolescente/fisiologia , Ritmo beta/fisiologia , Córtex Cerebral/fisiologia , Desenvolvimento Infantil/fisiologia , Sincronização Cortical/fisiologia , Atividade Motora/fisiologia , Córtex Motor/fisiologia , Adolescente , Criança , Feminino , Humanos , Magnetoencefalografia , Masculino , Movimento , Córtex Sensório-Motor/fisiologia
6.
J Psychiatry Neurosci ; 41(4): 251-60, 2016 06.
Artigo em Inglês | MEDLINE | ID: mdl-26645740

RESUMO

BACKGROUND: Posttraumatic stress disorder (PTSD) is associated with executive functioning deficits, including disruptions in working memory. In this study, we examined the neural dynamics of working memory processing in veterans with PTSD and a matched healthy control sample using magnetoencephalography (MEG). METHODS: Our sample of recent combat veterans with PTSD and demographically matched participants without PTSD completed a working memory task during a 306-sensor MEG recording. The MEG data were preprocessed and transformed into the time-frequency domain. Significant oscillatory brain responses were imaged using a beamforming approach to identify spatiotemporal dynamics. RESULTS: Fifty-one men were included in our analyses: 27 combat veterans with PTSD and 24 controls. Across all participants, a dynamic wave of neural activity spread from posterior visual cortices to left frontotemporal regions during encoding, consistent with a verbal working memory task, and was sustained throughout maintenance. Differences related to PTSD emerged during early encoding, with patients exhibiting stronger α oscillatory responses than controls in the right inferior frontal gyrus (IFG). Differences spread to the right supramarginal and temporal cortices during later encoding where, along with the right IFG, they persisted throughout the maintenance period. LIMITATIONS: This study focused on men with combat-related PTSD using a verbal working memory task. Future studies should evaluate women and the impact of various traumatic experiences using diverse tasks. CONCLUSION: Posttraumatic stress disorder is associated with neurophysiological abnormalities during working memory encoding and maintenance. Veterans with PTSD engaged a bilateral network, including the inferior prefrontal cortices and supramarginal gyri. Right hemispheric neural activity likely reflects compensatory processing, as veterans with PTSD work to maintain accurate performance despite known cognitive deficits associated with the disorder.


Assuntos
Encefalopatias/fisiopatologia , Memória de Curto Prazo/fisiologia , Transtornos de Estresse Pós-Traumáticos/fisiopatologia , Adulto , Mapeamento Encefálico , Estudos de Casos e Controles , Córtex Cerebral/fisiologia , Distúrbios de Guerra/fisiopatologia , Distúrbios de Guerra/psicologia , Função Executiva/fisiologia , Humanos , Magnetoencefalografia , Masculino , Testes Neuropsicológicos , Transtornos de Estresse Pós-Traumáticos/psicologia , Veteranos , Saúde dos Veteranos
7.
Psychiatry Res ; 233(2): 194-200, 2015 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-26184460

RESUMO

Posttraumatic stress disorder (PTSD) is a severe psychiatric disorder prevalent in combat veterans. Previous neuroimaging studies have demonstrated that patients with PTSD exhibit abnormal responses to non-threatening visual and auditory stimuli, but have not examined somatosensory processing. Thirty male combat veterans, 16 with PTSD and 14 without, completed a tactile stimulation task during a 306-sensor magnetoencephalography (MEG) recording. Significant oscillatory neural responses were imaged using a beamforming approach. Participants also completed clinical assessments of PTSD, combat exposure, and depression. We found that veterans with PTSD exhibited significantly reduced activity during early (0-125 ms) tactile processing compared with combat controls. Specifically, veterans with PTSD had weaker activity in the left postcentral gyrus, left superior parietal area, and right prefrontal cortex in response to nonthreatening tactile stimulation relative to veterans without PTSD. The magnitude of activity in these brain regions was inversely correlated with symptom severity, indicating that those with the most severe PTSD had the most abnormal neural responses. Our findings are consistent with a resource allocation view of perceptual processing in PTSD, which directs attention away from nonthreatening sensory information.


Assuntos
Nível de Alerta/fisiologia , Magnetoencefalografia , Lobo Parietal/fisiopatologia , Córtex Sensório-Motor/fisiopatologia , Limiar Sensorial/fisiologia , Transtornos de Estresse Pós-Traumáticos/fisiopatologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Tato/fisiologia , Veteranos/psicologia , Adulto , Campanha Afegã de 2001- , Atenção/fisiologia , Mapeamento Encefálico , Humanos , Guerra do Iraque 2003-2011 , Masculino , Valores de Referência , Estatística como Assunto
8.
J Neurophysiol ; 113(9): 3143-50, 2015 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-25717160

RESUMO

The noted disruption of thalamocortical connections and abnormalities in tactile sensory function has resulted in a new definition of cerebral palsy (CP) that recognizes the sensorimotor integration process as central to the motor impairments seen in these children. Despite this updated definition, the connection between a child's motor impairments and somatosensory processing remains almost entirely unknown. In this investigation, we explored the relationship between the magnitude of neural activity within the somatosensory cortices, the strength of the ankle plantarflexors, and the gait spatiotemporal kinematics of a group of children with CP and a typically developing matched cohort. Our results revealed that the magnitude of somatosensory cortical activity in children with CP had a strong positive relationship with the ankle strength, step length, and walking speed. These results suggest that stronger activity within the somatosensory cortices in response to foot somatosensations was related to enhanced ankle plantarflexor strength and improved mobility in the children with CP. These results provide further support for the notion that children with CP exhibit, not only musculoskeletal deficits, but also somatosensory deficits that potentially contribute to their overall functional mobility and strength limitations.


Assuntos
Paralisia Cerebral/complicações , Paralisia Cerebral/patologia , Transtornos dos Movimentos/etiologia , Movimento/fisiologia , Córtex Somatossensorial/fisiopatologia , Adolescente , Feminino , Humanos , Magnetoencefalografia , Masculino , Neurônios/fisiologia , Córtex Somatossensorial/patologia , Estatísticas não Paramétricas , Torque
9.
Hum Brain Mapp ; 36(3): 897-910, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25376125

RESUMO

Combination antiretroviral therapy transformed human immunodeficiency virus (HIV)-infection from a terminal illness to a manageable condition, but these patients remain at a significantly elevated risk of developing cognitive impairments and the mechanisms are not understood. Some previous neuroimaging studies have found hyperactivation in frontoparietal networks of HIV-infected patients, whereas others reported aberrations restricted to sensory cortices. In this study, we utilize high-resolution structural and neurophysiological imaging to determine whether alterations in brain structure, function, or both contribute to HIV-related cognitive impairments. HIV-infected adults and individually matched controls completed 3-Tesla structural magnetic resonance imaging (sMRI) and a mechanoreception task during magnetoencephalography (MEG). MEG data were examined using advanced beamforming methods, and sMRI data were analyzed using the latest voxel-based morphometry methods with DARTEL. We found significantly reduced theta responses in the postcentral gyrus and increased alpha activity in the prefrontal cortices of HIV-infected patients compared with controls. Patients also had reduced gray matter volume in the postcentral gyrus, parahippocampal gyrus, and other regions. Importantly, reduced gray matter volume in the left postcentral gyrus was spatially coincident with abnormal MEG responses in HIV-infected patients. Finally, left prefrontal and postcentral gyrus activity was correlated with neuropsychological performance and, when used in conjunction, these two MEG findings had a sensitivity and specificity of over 87.5% for HIV-associated cognitive impairment. This study is the first to demonstrate abnormally increased activity in association cortices with simultaneously decreased activity in sensory areas. These MEG findings had excellent sensitivity and specificity for HIV-associated cognitive impairment, and may hold promise as a potential disease marker.


Assuntos
Complexo AIDS Demência/patologia , Complexo AIDS Demência/fisiopatologia , Ondas Encefálicas/fisiologia , Córtex Cerebral/patologia , Córtex Cerebral/fisiopatologia , Idoso , Feminino , Humanos , Imageamento por Ressonância Magnética , Magnetoencefalografia , Masculino , Pessoa de Meia-Idade , Giro Para-Hipocampal/patologia , Giro Para-Hipocampal/fisiopatologia , Córtex Somatossensorial/patologia , Córtex Somatossensorial/fisiopatologia
10.
Neuroimage ; 102 Pt 2: 531-9, 2014 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-25128712

RESUMO

Previous electrophysiological investigations have evaluated movement-related beta (14-28 Hz) oscillatory activity in healthy participants. These studies have described an abrupt decrease in beta activity that starts before movement onset, and a sharp increase in beta power that peaks after movement termination. These neural responses have been respectively termed the event-related beta desynchronization or pre-movement beta ERD, and the post-movement beta rebound (PMBR). Previous studies have shown that a variety of movement parameters and demographic factors (e.g., age) modulate the amplitude of these oscillatory responses, and in the current study we evaluated whether the amplitudes follow a biological temporal rhythm (e.g., circadian), as it is known that spontaneous beta levels increase from morning to afternoon in some brain areas. To this end, we used magnetoencephalography (MEG) to evaluate oscillatory activity during a right hand finger-tapping task in four participants who were recorded at three different times (09:00, 12:00, 16:00) on three consecutive days (i.e., 36 total MEG sessions). All MEG data were corrected for head motion and examined in the time-frequency domain using beamforming methods. We found a significant linear increase in beta ERD amplitude from 09:00 to 16:00 h in the left precentral gyrus, left premotor cortices, left supplementary motor area (SMA), and right precentral and postcentral gyri. In contrast, the amplitude of the PMBR was very steady across the day in all brain regions except the left SMA, which exhibited a linear increase from morning to afternoon. Finally, beta levels during the baseline period also increased from 09:00 to 16:00 in most regions of the cortical sensorimotor network. These data show that both the pre-movement beta ERD and spontaneous beta levels strongly increase from morning to afternoon in the motor cortices, which may indicate that the amplitude of the beta ERD response is determined by the spontaneous beta level during the motor planning period.


Assuntos
Ritmo beta , Ritmo Circadiano , Atividade Motora , Córtex Motor/fisiologia , Adulto , Encéfalo/fisiologia , Sincronização Cortical , Dedos , Humanos , Magnetoencefalografia , Masculino , Descanso , Adulto Jovem
11.
J Neurophysiol ; 112(7): 1739-47, 2014 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-25008416

RESUMO

Parkinson's disease (PD) is a progressive debilitating neurodegenerative disorder clinically manifest by motor, posture and gait abnormalities. Human neurophysiological studies recording local field potentials within the subthalamic nucleus and scalp-based electroencephalography have shown pathological beta synchrony throughout the basal ganglia-thalamic-cortical motor network in PD. Notably, suppression of this pathological beta synchrony by dopamine replacement therapy or deep-brain stimulation has been associated with improved motor function. However, due to the invasive nature of these studies, it remains unknown whether this "pathological beta" is actually stronger than that observed in healthy demographically matched controls. We used magnetoencephalography to investigate neuronal synchrony and oscillatory amplitude in the beta range and lower frequencies during the resting state in patients with PD and a matched group of patients without neurological disease. Patients with PD were studied both in the practically defined drug "OFF" state, and after administration of dopamine replacements. We found that beta oscillatory amplitude was reduced bilaterally in the primary motor regions of unmedicated patients with PD compared with controls. Administration of dopaminergic medications significantly increased beta oscillatory activity, thus having a normalizing effect. Interestingly, we also found significantly stronger beta synchrony (i.e., hypersynchrony) between the primary motor regions in unmedicated patients with PD compared with controls, and that medication reduced this coupling which is in agreement with the intraoperative studies. These results are consistent with the known functionality of the basal ganglia-thalamic-cortical motor circuit and the likely consequences of beta hypersynchrony in the subthalamic nucleus of patients with PD.


Assuntos
Ritmo beta , Córtex Motor/fisiopatologia , Doença de Parkinson/fisiopatologia , Idoso , Idoso de 80 Anos ou mais , Antiparkinsonianos/farmacologia , Ritmo beta/efeitos dos fármacos , Sincronização Cortical/efeitos dos fármacos , Dopaminérgicos/farmacologia , Feminino , Humanos , Magnetoencefalografia , Masculino , Pessoa de Meia-Idade , Córtex Motor/efeitos dos fármacos
12.
Dev Med Child Neurol ; 56(11): 1072-7, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24931008

RESUMO

AIM: This investigation used magnetoencephalography (MEG) to examine the neural oscillatory responses of the sensorimotor cortices during the motor planning and movement execution stages of children with typical development and children with cerebral palsy (CP). METHOD: The study involved 13 children with CP (nine males, four females; mean [SD] age 14y 3mo [9mo], range 10-18y; height 1.61m [0.08m]; weight 52.65kg [13kg]), and 13 age- and sex-matched typically developing children (height 1.64m [0.06m]; weight 56.88kg [10kg]). The experiment required the children to extend their knee joint as whole-head MEG recordings were acquired. Beamformer imaging methods were employed to quantify the source activity of the beta-frequency (14-28Hz) event-related desynchronization (ERD) that occurs during the motor planning period, and the gamma-frequency (~50Hz) event-related synchronization (ERS) that occurs at the motor execution stage. RESULTS: The children with CP had a stronger mean beta ERD during the motor planning phase and reduced mean gamma ERS at the onset of movement. INTERPRETATION: The uncharacteristic beta ERD in the children with CP suggests that they may have greater difficulty planning knee joint movements. We suggest that these aberrant beta ERD oscillations may have a cascading effect on the gamma ERS, which ultimately affects the execution of the motor command.


Assuntos
Paralisia Cerebral/fisiopatologia , Movimento , Desempenho Psicomotor , Córtex Sensório-Motor/fisiopatologia , Adolescente , Paralisia Cerebral/patologia , Criança , Potencial Evocado Motor , Feminino , Humanos , Imageamento por Ressonância Magnética , Magnetoencefalografia , Masculino , Córtex Sensório-Motor/patologia
13.
J Neurophysiol ; 111(3): 573-9, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24225536

RESUMO

Cerebral palsy (CP) results from a perinatal brain injury that often results in sensory impairments and greater errors in motor performance. Although these impairments have been well catalogued, the relationship between sensory processing networks and errors in motor performance has not been well explored. Children with CP and typically developing age-matched controls participated in this investigation. We used high-density magnetoencephalography to measure event-related oscillatory changes in the somatosensory cortices following tactile stimulation to the bottom of the foot. In addition, we quantified the amount of variability or errors in the isometric ankle joint torques as these children attempted to match a target. Our results showed that neural populations in the somatosensory cortices of children with CP were desynchronized by the tactile stimulus, whereas those of typically developing children were clearly synchronized. Such desynchronization suggests that children with CP were unable to fully integrate the external stimulus into ongoing sensorimotor computations. Our results also indicated that children with CP had a greater amount of errors in their motor output when they attempted to match the target force, and this amount of error was negatively correlated with the degree of synchronization present in the somatosensory cortices. These results are the first to show that the motor performance errors of children with CP are linked with neural synchronization within the somatosensory cortices.


Assuntos
Paralisia Cerebral/fisiopatologia , Movimento , Desempenho Psicomotor , Córtex Somatossensorial/fisiopatologia , Adolescente , Articulação do Tornozelo/inervação , Estudos de Casos e Controles , Criança , Feminino , Pé/inervação , Humanos , Masculino , Neurônios/fisiologia , Córtex Somatossensorial/citologia , Tato
14.
J Neurovirol ; 19(6): 586-94, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24297500

RESUMO

The introduction of combination antiretroviral therapy significantly reduced the prevalence of the most severe form of HIV-associated neurocognitive disorders (HAND). Despite this decline, 35-70 % of HIV-infected patients continue to develop mild motor and cognitive impairments. Although neuropsychological studies have shown that HAND affects a wide array of cognitive functions, a formal diagnosis is still based on the exclusion of opportunistic infections and other common ailments, as no specific tests or biomarkers are currently available. In this study, we used magnetoencephalography (MEG) to measure neural activity during the resting-state in 15 HIV-infected older patients and a demographically matched group of 15 uninfected controls. MEG is a noninvasive and direct measure of neural activity with excellent spatiotemporal resolution. All MEG data were coregistered to structural magnetic resonance images, corrected for head motion, fitted to a regional-level source model, and subjected to spectral analyses to quantify population-level neural oscillatory activity. We found that HIV-infected persons exhibited decreased beta oscillations in the supplementary motor area bilaterally, paracentral lobule, posterior cingulate, and bilateral regions of the superior parietal lobule relative to healthy controls. Beta oscillations in the posterior cingulate, a critical component of the default mode network, were also positively correlated with patient scores on the memory recall aspect of the Hopkins Verbal Learning Test-Revised. These results demonstrate that chronic HIV infection does not uniformly disturb cortical function, and that neuronal populations in dorsomedial motor and parietal cortices are especially affected. These findings also suggest that resting-state MEG recordings may hold significant promise as a functional biomarker for identifying HAND and monitoring disease progression.


Assuntos
Ritmo beta , Transtornos Cognitivos/fisiopatologia , Infecções por HIV/fisiopatologia , HIV-1 , Lobo Parietal/fisiopatologia , Fatores Etários , Idoso , Mapeamento Encefálico , Estudos de Casos e Controles , Cognição , Transtornos Cognitivos/etiologia , Transtornos Cognitivos/virologia , Progressão da Doença , Feminino , Infecções por HIV/complicações , Infecções por HIV/virologia , Humanos , Magnetoencefalografia , Masculino , Memória , Pessoa de Meia-Idade , Atividade Motora , Testes Neuropsicológicos , Lobo Parietal/virologia , Descanso , Índice de Gravidade de Doença
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