March 2003

The Crossroads Institute Newsletter

ACCELERATED PERFORMANCE


Accelerated neurodevelopment allows us the ability to
maximize and use our intellectual, physical, and emotional strengths simultaneously.
When accelerating brain power, daily tasks such as working, studying, and sports become easier to do and manage. The brain is functioning at optimal levels and is able to make quick attentional shifts on demand.
This is the state of mind that peak performers call "the zone" and is accessible at will.

If interested please contact us.


NEWS BRIEFS



IOM REPORT ON CHILD VACCINATIONS URGES MORE RESEARCH 

National Vaccine Information Center
421-E Church Street
Vienna, VA 22180
http://www.909shot.com 

Washington, D.C. – Responding to a report issued by the National Academy of Sciences Institute of Medicine (IOM) on child vaccinations and autoimmune dysfunction, the nation’s oldest and largest vaccine safety and informed consent advocacy organization, the National Vaccine Information Center (NVIC) endorsed IOM’s call for expanded basic science research into the development of the human immune system and identification of genetic and other biomarkers which could predispose some children to vaccine based adverse events, including autoimmunity. 

   The report, issued by the IOM’s Immunization Safety Review Committee, found that scientific evidence from epidemiological studies on whether allergy, including asthma, can be caused by multiple vaccinations was conflicting and concluded that the evidence “was inadequate to accept or reject a causal relationship.” The Committee concluded that epidemiological studies to date “favor rejection of a causal relationship between multiple immunizations and increased risk for infections and for type 1 diabetes.” However, the Committee also concluded that they did find some biological mechanism evidence that vaccines could increase the risk of immune dysfunction in some children that could lead to increased infections and allergy, including asthma. They stated that “the biological mechanisms evidence regarding increased risk for infections is strong.” 

   The National Vaccine Information Center (NVIC) has long advocated increased basic science research into the biological mechanisms for immunity and vaccine adverse events, with particular emphasis on identifying genetic and other biomarkers that may play a role in increasing susceptibility for vaccine-induced neuroimmune dysfunction. Acknowledging the absence of research into this area, the Committee said, “The Committee was unable to address the concern that repeated exposure of a susceptible child to multiple immunizations over the developmental period may also produce atypical or non-specific immune or nervous system injury that could lead to severe disability or death.  (Fisher, 2001). There are no epidemiological studies that address this. Thus, the committee recognizes with some discomfort that this report addresses only part of the overall set of concerns of some of those most wary about the safety of childhood immunizations.” 

   NVIC President Barbara Loe Fisher called the report “an important step in acknowledging the very real basic science research needs of our nation’s mass vaccination system. We cannot continue to turn a blind eye to the growing minority of children who, for biological reasons, are not able to handle the increasing numbers of vaccinations routinely being given to all children.” 

   The IOM Committee pointed out that “as the array of available vaccines and disease targets expands the current emphasis on universal recommendations and state mandates for vaccine use should be reassessed.” It encouraged “an exploration of the merits of accomodating requests for alternative vaccine-dosing schedules and the development of appropriate clinical guidance for any such alternatives. A more flexible schedule might allow for a reduction in the number of vaccines administered at one time.” 

   Although the IOM Committee report did not recommend a policy review by the Centers for Disease Control, the Food and Drug Administration or the American Academy of Pediatrics at this time, the Committee report summary clearly recommended continued scientific research and consideration of “new frameworks for immunization policy, particularly as the number of licensed vaccines increases.” 

   “While we disagree with some of the Committees conclusions regarding the relative strengths and weakness of both the epidemiological and biological mechanism data that bears on proof of causality involved in vaccine-related autoimmunity and believe that specialized, methodologically sound studies of possible associations between multiple vaccinations and immune system dysfunction should be given a high funding and program priority by federal health agencies, we are pleased that this IOM report has identified a number of areas in which vaccine adverse event and policy research should be re-examined,” said Fisher. “We hope that both government and industry will pay attention to the signals given in this report and work with parents of vaccine injured children to come to a better scientific understanding of why, for some children, the risks of vaccination are 100 percent.” 

   A non-profit, educational organization founded in 1982 by parents of vaccine injured children, NVIC serves as a consumer watchdog on vaccine development and policymaking. NVIC advocates the institution of safety and informed consent protections in the mass vaccination system and basic science research into genetic and other biological factors which place some individuals at high risk for vaccine injury and death. 

To view the full report: http://National-Academies.org and www.iom.edu/imsafety.

The National Vaccine Information Center is a non-profit educational organization founded by parents of vaccine-injured children in 1982.

 
 

 

Vaccine Adverse Event Reporting System (VAERS) & "Hot Lots"

Access VAERS Database Online
http://www.vaers.org/


NVIC has served as a consumer watchdog on the implementation of The National Vaccine Injury Act of 1986, (PL99-660), which among other things created a centralized surveillance system to which parents, physicians and vaccine manufacturers could report adverse events occurring within thirty days of vaccination. NVIC has assisted many parents in reporting adverse events following vaccination as many doctors refuse to make a report. It is estimated that only 10% of all doctors report a severe health problem which occurs after a drug or vaccine is given to a patient.

In May 1990 we started to track DPT vaccine lot numbers when parents reported their child’s hospitalization, injury or death following vaccination to NVIC. Evaluating adverse event reports from more than 90 families, we found multiple serious reports were from the same vaccine lot numbers. NVIC made three separate presentations to government advisory committees between 1990 and 1993, but no substantive action was ever taken by the FDA or CDC.

Upon further investigation when the VAERS computer data became available through the Freedom of Information Act, we found (1) a lack of reporting by health care providers; (2) a lag time between when the adverse event occurred and when the report is filed; (3) data entry errors; (4) duplicate reports; (5) inadequate follow-up by the government of reported serious injuries and deaths; (6) many lots with very high numbers of reports; and (7) no recall of any lot of vaccine. We do not know how many doses of vaccine are in each lot because the FDA and the drug companies do not release this information to the public. Therefore, it is impossible to precisely compare one lot to another for reactivity.

The old, whole cell DPT vaccine is no longer used in the United States. The U.S. now uses an acellular version of the pertussis vaccine which is a more purified vaccine.   Vaccine manufacturers and the FDA will not release the number of doses in each lot of  vaccine that is sold to the public. Therefore it is not possible to totally, accurately compare the reactivity of one lot to another lot. In the past fifty years reports of "hot lots" of vaccines, those that appear to be associated with more injuries and deaths than others, have been reported in the United States and Europe.

Based on the data we have analyzed, we have identified MANY lot numbers that are associated with a higher number of serious injury and death reports. A complete print-out is available for $25. Many parents order the report and check on the lot number their child might receive with the lot numbers in the report.




Acupuncture may help break urinary infection cycle

Reuters Health

Women who experience repeated bouts of urinary tract infection (UTI) may want to try acupuncture to prevent another episode, new study findings suggest. Researchers from the University of Bergen in Norway found that women with recurrent UTIs who were treated with acupuncture were half as likely to have another infection during the next 6 months as women who did not receive acupuncture.




 


Feeding the Brain

$1.25 million NIH Award Funds Study on Feeding the Brain

Investigation may unlock secrets about how blood-brain barrier controls nutrient flow.

HERSHEY, PA Ian Simpson, Ph.D., professor of neuroscience and anatomy, Penn State College of Medicine, recently was awarded a four-year $1.25 million grant from the National Institutes of Health to study the blood-brain barrier, a system that regulates nourishment for the brain.

The bottom line is understanding how the brain receives its fuel, Simpson said. There are several diseases which are associated with impaired uptake of nutrients in the brain such as Alzheimers disease. Other conditions such as stroke and diabetes are also closely related to the supply and demand of energy to the brain.

Simpsons goal is to investigate how the blood-brain barrier, which is made up of tightly coupled endothelial cells in the tiny blood vessels of the brain, serves as gatekeeper for the passage of nutrients into the brain. These cells create a physical barrier, which can only be opened by interaction of the nutrients with specific transport proteins.

Two of the most important nutrients for brain health are glucose, which is the primary energy source for the brain, and iron, which is required for several different biochemical processes. Both glucose and iron are essential for normal brain function and will be the focus of this investigation.

Investigators will use bovine tissue to obtain information about the glucose and iron transport systems. Then, that information will be applied to animal models of diabetes and iron deficiency to look specifically at the effects of hyper- and hypoglycemia higher and lower than normal blood glucose on nutrient transport. Some earlier studies showed that chronic hypoglycemia caused the glucose transport system to go into overdrive in order to provide the brain with fuel.

Still, its not clear how the glucose transport system is regulated, Simpson said. We want to determine how the cells increase the number of available transporters so that, when there is less glucose in the blood, there are more transporters to take what glucose is available and get it to the brain to maintain that critical balance."

In humans, iron deficiency has been associated with attention deficit disorder and impaired ability to think and process information, and an imbalance of iron in the body has been associated with several diseases such as Alzheimers disease and Parkinsons disease. But there is disagreement in the scientific community about how iron is supplied to the brain.

Simpson will employ a new data collection process developed by Richard A. Hawkins, Ph.D., professor of physiology and biophysics at Chicago Medical School and co-investigator on the grant, to determine the mechanism by which glucose and iron feed the brain. The study process allows the investigators to separate the two membranes of the endothelial cell the luminal, which is on the side where blood passes, and the abluminal, on the brain side and look to see what is different between them and consequently gain insight into the mechanisms of uptake and discharge of the nutrients.

Ultimately, we hope to learn as much as possible about the blood-brain barrier and what it may reveal that can be applied to the treatment of people with medical conditions caused by nutrient imbalances in the brain, Simpson said.

 


Newsweek Cover:
Anxiety and Your Brain-Research Shows State of Fear Can Have Physical Long-Term Effects;
New Research Provides Insight for Treating Fear, Anxiety Disorders Massage, Yoga, Exercise Can Reduce Hormones Associated with Stress and Impact Brain Activity; Even Laughter Helps

Newsweek

NEW YORK, Feb 16, 2003 /PRNewswire via COMTEX/ -- The recent barrage of bad news -- nukes in North Korea, snipers in Maryland, a failing economy, an imminent war, a threat of domestic terror -- has left this privileged nation feeling unusually vulnerable and uncharacteristically anxious. Psychotherapists are working overtime. And even people who soldiered on after 9-11 are now blinking. "The psychological state of fear affects us biologically," Los Angeles psychiatrist Carole Lieberman tells Newsweek in the current issue. "People who are anxious drink and eat more. They have more accidents. They're more likely to get colds or suffer heart attacks." In short, says University of Michigan neuroscientist Stephen Maren, a brain system designed to keep us from getting eaten is now "eating away at us."

In the February 24 Newsweek cover story "Anxiety And Your Brain", Senior Editor Geoffrey Cowley examines the latest science and research and explains how living in this age of anxiety and fear impacts our brains and physical health. As researchers learn more about the fear response, Cowley reports, they're also learning more about the huge costs it imposes and how dangerous stress hormones can be. There's the instance of Elizabeth Brace, 37, who died when an earthquake jolted her out of her bed and sent her running, terrified, to get her son from his crib. Her husband found her face down on the floor, bleeding from the nose and mouth, dead. By all indications, the quake had scared her to death.

And a recent study suggests that heart patients around New York City suffered life-threatening heart arrhythmias at more than twice the usual rate in the month following the World Trade Center attack. "Prolonged stress has physiological consequences," says Dr. Jonathan Steinberg, chief of cardiology at New York's St. Luke's-Roosevelt Hospital Center and the leader of the study. "These patients experienced potentially fatal events, even though many of them had trouble identifying themselves as unduly fearful."

To cope with stress and fear, General Editor Claudia Kalb reports on a few remedies that can change bad habits in the brain: massage, a vigorous walk, swimming or a bike ride. And even laughter may be good medicine, since it reduces cortisol levels, the body's marker for stress.





RESEARCH AND ADVANCEMENTS

Restless Legs Syndrome
Society for Neuroscience

An irresistible urge to move about, particularly while trying to sleep, seems like a made-up ailment. The condition, however, clinically termed restless legs syndrome, is now known to be a true disorder of the nervous system. New research maps its biological origin and may lead to improved treatments that can curb the disruptive symptoms in a wide range of patients.

Ants under the skin. Heebie jeebies. Caffeine in the veins.

  Observations from a preschool class? Actually it's a list of complaints that people use to describe a prickly, creepy-crawly sensation in the legs and an irresistible urge to jerk about, particularly while trying to sleep.

  Once, these feelings were dismissed as a bizarre curiosity. "Heebie jeebies, you say?" But now mounting evidence shows that the plight, termed restless legs syndrome (RLS), is a true disorder that erupts from disturbances in the nervous system. The research is leading to:
* An enhanced understanding of how different brain molecules influence and disturb movement.

* New ideas for RLS treatments.


  As many as 6 to 14 million Americans have RLS, according to estimates from the National Sleep Foundation. Those afflicted contend that their silly-sounding symptoms in reality are as light-hearted as Chinese water torture. Their movement urges often lead to chronic sleep deprivation. Tired and moody, some have trouble working, participating in social activities and maintaining relationships.

  In recent years scientists also realized the seriousness of the ailment and began to take a closer look. Some of their new research finds that two major players in the brain that help cells work properly -iron and the chemical dopamine-malfunction in many people with RLS.

  For example, recent tests of cerebrospinal fluid, which bathes the brain, suggest that iron concentrations in the brains of RLS patients are lower than normal. Specifically, measures of key iron management proteins, termed ferritin and transferrin, appear out of balance. Ferritin, an iron storage protein, is low. Transferrin, a protein that helps transport iron to needy brain areas and reflects an increased need for iron in the brain, is high.

  In addition, a brain-imaging study reveals that a normally iron-rich area of the brain, the substantia nigra, contains dramatically less iron in RLS patients. A preliminary analysis of the brain tissue of three RLS patients after they died also finds that the same area has little iron.

  Research also shows that problems with dopamine exist in RLS patients. Importantly, drugs that enhance the dopamine system usually help patients, which indicates that the brain's own dopamine is working at a suboptimal level. Also, some brain-imaging studies find that those with RLS have small decreases in dopamine function compared with healthy individuals in the caudate nucleus and putamen, two areas deep in the brain. These areas normally interact with the substantia nigra to help control movements. Since patients seem to have little iron in the substantia nigra, the findings suggest that there may be a connection between iron and dopamine's role in RLS (see image).

  Currently researchers are investigating this link. One recent study shows that iron-deprived rats end up with impaired dopamine function, which may mean that iron takes the lead in the disorder. If the theory pans out, then finding a way to normalize brain iron could get at the heart of the RLS problem.

  Studies of small numbers of patients already show that supplements of iron can help relieve the symptoms of some RLS patients. As a follow-up, scientists are determining the lowest dose that can help RLS. A large dose of iron may not be an ideal treatment since it can have some toxic side effects, such as liver damage. Researchers also are using brain-imaging techniques and molecular tests to track how the supplements aid RLS. These insights could help them find ways to directly initiate in the brain the benefits of iron while bypassing its negative effects.

  Overall, investigators hope that this research and other findings on how RLS operates will result in improved treatments that provide peace to a wide range of people with the ailment.

In healthy individuals, nerve cells in the substantia nigra brain area communicate with other cells in the nearby putamen and caudate nucleus by releasing the chemical dopamine at cell endings in those areas. This action helps produce normal movements. Research indicates, however, that people with restless legs syndrome have abnormally low iron in the substantia nigra. Also dopamine activity appears impaired in the putamen and caudate nucleus brain areas. Some scientists speculate that the iron disturbance disrupts the nerve cell function in the substantia nigra, altering dopamine function in the putamen and caudate. Currently, research groups are trying to confirm this connection.



Nature's answer to boost our immune system
NEW STRAITS TIMES-MANAGEMENT TIMES

The only time we succumb to illnesses is when our immune system fails us.

It is the ravages of environmental pollution, stress, poor diet and unhealthy lifestyles that predispose us to immune dysfunction. This results in a host of degenerative diseases such as heart disease, cataract, arthritis, Alzheimer's disease, Parkinson's disease and cancer.

Nature has the answer when it comes to optimising our immune system.

Beta-glucan, an all-natural polysaccharide is designed to activate and support the immune response. Clinical trials have shown that beta 1,3/1,6 glucan, extracted from the cell wall of baker's yeast (Saccharomyces cerevisiae), is the most effective form of immune potentiator compared to those found in oats, barley and mushrooms.

In order to understand how beta-glucan works, it is important to know what is macrophage. The macrophage cell is one of the fundamental components that make up the first line defence of our immune system.

Macrophages, produced in the bone marrow and circulated throughout the body, are involved in daily detoxifying processes, intestinal microflora maintenance, anti-infective and anti-tumour protection, aside from supporting overall health.

Every macrophage has specific receptor sites for the beta-glucan molecule. Once the beta-glucan has bound to these receptors, it activates the macrophage to engulf, break down and dispose of any foreign invaders in the body, thus preventing infection.

The systemic effect of beta-glucan can be described as non-specific immune stimulation combined with free radical scavenging activity. In addition to immune-enhancing effects, beta-glucan has also been noted to assist the body in promoting rapid wound healing and protection against radiation exposure.

It also enhances recovery after radiation exposure and results in improvements in the bone marrow, spleen and white blood count.

In general, beta-glucan is best taken for coughs and colds, stress, old age and health maintenance. However, there are concerns that it may over-stimulate the immune system, elevate the blood glucose level and cause an allergic reaction or aggravate any existing yeast allergic condition. But studies have shown that beta-glucan does not create complications for individuals with auto-immune diseases.

Even though it is made of sugar molecules, it passes through the stomach virtually unchanged. Therefore, it will not raise the blood glucose level and is suitable for diabetics.

Being a pure isolate of baker's yeast, beta-glucan is without the proteins responsible for yeast-related problems. In fact, it is recommended for the overall treatment of candidiasis because of its antifungal effect shown in experiments with Candida albicans.






Oxidative Stress and Brain Disorders

For years researchers have known that free radicals can cause cell degeneration, especially in the brain. Scientists have implicated the unstable molecules as a cause of neurodegenerative disorders such as Lou Gehrig's disease, Parkinson's disease and Huntington's disease. Now researchers are unraveling the pathways of free radical destruction in order to create targeted therapies for these disorders.

Apples brown. Butter turns rancid. Iron rusts. All are everyday signs of oxidative stress, destruction caused by free radical molecules. But none of these nuisances compare to what these unstable molecules can do inside the body, especially to cells of the brain.
Photo: Eugene M. Johnson, PH.D,
Washington University, and Neuron

Free radicals, which are products of normal cell processes, wreak havoc during their hunt for a mate. The source of their devastating actions is this oxygen molecule's unpaired electron which makes it unstable and electrically charged. It becomes stable by interacting with the nearest available molecule. Having no prejudices, it targets proteins, fats, or even DNA. Scientists have discovered that the free radical's actions can damage molecules they react with and sometimes cause the cell's demise.

Scientists are now trying to stop free radical mayhem by studying the various roads the molecule takes when it corrodes the cells of the brain.

This research is leading to:
* Greater understanding of how nerve cell death occurs.
* Therapies to head off the destructive journey of the free radical and potentially stop nerve cell death in neurological disorders.
     

Under normal circumstances the body is not surprised by the free radical's intrusion and readily disarms it. Since the 1960s, scientists have known that these molecules permeate the environment as reaction by-products of substances such as oxygen, smog and cigarette smoke. Each cell in our body produces billions a day through common reactions such as turning food into energy.
     

While an apple may not be able to resist the assault, humans are equipped with a series of defenses, or antioxidants, that control free radical molecules and mend damage. For example, the enzyme superoxide dismutase (SOD) helps to detoxify certain harmful free radicals. Free radical scavengers such as Vitamin E mop up free radicals and help prevent damage to critical cell structures.
     

Other evidence suggests that ailments characterized by a loss of neurons, such as Parkinson's disease, Lou Gehrig's disease, and Huntington's disease may result from an imbalance in free radical production and internal defenses. Researchers speculate that age, abnormal stress, or genetic defects in the body's defense system corrupts internal checks and balances to reinforce the free radical reign causing cell damage.
     

Researchers discovered that the neurotransmitter glutamate plays a role in the neurodegenerative pathway. They believe that accumulation of glutamate and related amino acids in the brain trigger oxidative stress and neurotoxicity in Huntington's disease and amyotrophic lateral sclerosis, known as ALS or Lou Gehrig's disease.
     

A recently approved therapy, riluzole, puts glutamate out of commission. Two studies of more than 1,100 patients with a form of ALS showed the drug could prolong life an average of three months.
     

Scientists' efforts to dissect the free radical pathway also led them recently to discover the activation of the survival gene, bcl-2, can protect nerve cells from the cell death signals induced by free radicals. One form of ALS may result from defects in the gene responsible for producing the neuro-protector, SOD. Studies performed in yeast show that the activation of the bcl-2 gene stops free radical induced death in cells lacking a functional SOD gene. A potential therapeutic treatment could involve increasing expression of the bcl-2 gene in patients, thereby increasing nerve cell survival.
     

The hope is that further deciphering of the free radical pathway will continue to lead to new therapies. Future treatments may involve a "cocktail" of mixtures that target various points along the free radical pathway and stop nerve cell death.





EXERCISE


Exercise & the Brain
The Journal of Neuroscience

Apart from its physical benefits, new findings show that exercise also can boost brain function, tone neural connections, and shape up memory and learning.

One study found that joggers consistently performed better than non-joggers on learning and memory tests that required the use of the prefrontal cortex. This area of the brain is located behind the forehead and is known for its ability to carry out complex functions involving learning and memory.

In the study, Kisou Kubota, MD, and his colleagues at the Nihon Fukushi University in Japan compared seven healthy joggers with seven healthy non-joggers. The joggers ran for 30 minutes, several times a week for 12 weeks. Before and after the training period, the researchers tested prefrontal function with three memory tasks using a computer.

"The tests showed that joggers had a clear improvement in prefrontal function over non-joggers," says Kubota. "These improvements, however, went down when the joggers stopped their training, which suggests that ongoing exercise is required to maintain the benefit."

A key mediator of exercise's effect on learning and memory is brain-derived neurotrophic factor (BDNF), which is a protein known to have a critical role in the repair and maintenance of neural circuits. Fernando Gomez-Pinilla, PhD, and his colleagues at the University of California in Los Angeles, found that voluntary exercise increased levels of BDNF in the hippocampus, a brain area involved with learning and memory.

The researchers found that exercise helped rats overcome poor cognitive function caused by nutritional factors. "A typical diet of most industrialized western societies, high in saturated fat and refined carbohydrates, can contribute to cognitive decline," says Gomez-Pinilla. These new studies suggest that "exercise can be used as a compensatory strategy to ameliorate the effects of an unhealthy diet on both cognition and neural function," he adds.

Researchers at the University of Colorado in Denver, led by David Albeck, PhD, found that even a light exercise routine can create the beneficial BDNF effect in rats. Previous reports showed that rigorous physical exercise, like high-intensity treadmill running, stimulated BDNF expression in the brain. The downside is that sometimes high-intensity workouts can be stressful experiences that increase the release of stress hormones. Stress hormones can suppress BDNF production, thereby canceling the positive effects of the BDNF rise from the exercise.

As a next step, the researchers plan to test whether mild exercise can boost BDNF in aged rats with low BDNF levels. "Aged rats often develop problems with short-term memory processing, similar to symptoms often reported in older people," says Albeck. "Enhancing BDNF expression in the brains of older rats may enhance their memory."



Study is first to confirm link between exercise and changes in brain

Three key areas of the brain adversely affected by aging show the greatest benefit when a person stays physically fit. The proof, scientists say, is visible in the brain scans of 55 volunteers over age 55.

The idea that fitness improves cognition in the aging is not new. Animal studies have found that aerobic exercise boosts cellular and molecular components of the brain, and exercise has improved problem solving and other cognitive abilities in older people. A new study in the February 2003 issue of the Journal of Gerontology: Medical Sciences, however, is the first to show - using high-resolution magnetic resonance imaging - anatomical differences in gray and white matter between physically fit and less fit aging humans.

Gray matter consists of thin layers of tissue of cell bodies such as neurons and support cells that are critically involved in learning and memory. White matter is the myelin sheath containing the nerve fibers that transmit signals throughout the brain.

As people age, especially after age 30, these tissues shrink in a pattern closely matched by declines in cognitive performance, Kramer said.

The authors, led by Arthur F. Kramer of the University of Illinois at Urbana-Champaign, said that the findings "provide the first empirical confirmation of the relationship between cardiovascular fitness and neural degeneration as predicted" in various academic studies on aging and cognition in both animal and human populations.

"We found differences in three areas of the brain, the frontal, temporal and parietal cortexes," Kramer said. "There were very distinct differences particularly in two types of tissue, the gray matter and white matter. Nobody has reported this before."

A second Kramer-led study - a meta-analysis of 18 previous studies - published in March 2003 in Psychological Science, suggests that older women, especially those on hormone replacement therapy, benefit more cognitively than do men from increased physical activity as they age.

The Journal of Gerontology study involved well-educated men and women aged 55-79. Their fitness ranged from sedentary to very fit, competitive-ready athletes. Fitness was measured by results of 1-mile-walking and treadmill stress tests. Three-dimensional scans of the participants' brains were done using MRI equipment at Carle Foundation Hospital in Urbana. Applying voxel-based morphometry, researchers estimated tissue atrophy in a point-by-point fashion in the targeted regions of the brain.

"Interestingly, we found that fitness per se didn't have any influence on brain density," said Kramer, a professor of psychology and member of the Beckman Institute for Advanced Science and Technology at Illinois. "It is fitness as it interacts with age that has the positive effects. Older adults show a real decline in brain density in white and gray areas, but fitness actually slows that decline."

In the study, most other potential negative attributes - smoking, diabetes, drinking, dieting, etc. - were factored out of the data equation, Kramer said.

"This, to our knowledge, is the first human data providing a potential anatomical account of the cognitive effects that we and others have found over the years," Kramer said. "Our data also suggest that more research is clearly needed to actually do a thorough examination of brain structure and functioning, and the impact of interventions such as fitness and cognitive training."

In 1999, Kramer and colleagues reported in the journal Nature that previously sedentary people over age 60 who walked rapidly for 45 minutes three days a week can significantly improve mental processing abilities that decline with age, and particularly tasks that rely heavily on the frontal lobes of the brain.

For their meta-analysis paper, researchers reviewed 18 intervention studies done between 1966 and 2001 and involving hundreds of participants ages 55 and older. Fitness training was found to show "robust but selective benefits for cognition, with the largest fitness-induced benefits occurring for executive-control processes."

Few studies done in the early part of the time included women, but as data were analyzed from later studies, Kramer said, "We found that gender had a large effect; men simply don't benefit as much, so we went back through our own data and asked why."

In previous studies of mice whose ovaries had been removed, they noted a decline in exercise and a drop in production of brain-derived neurotropin. When mice were put back on estrogen, production of the brain molecule increased and so did exercise activity.

In women, Kramer said, the data showed a similar trend: Women on estrogen replacement therapy benefited more than women not on it.

Other main conclusions from the meta-analysis:

* Exercise programs involving both aerobic exercise and strength training produced better results on cognitive abilities than either one alone.

* Older adults benefit more than younger adults do, possibly, Kramer said, because older adults have more to gain as age-related declines become more prevalent.

* More than 30 minutes of exercise per session produces the greatest benefit, a finding consistent with many existing guidelines for adults.

The studies were funded by the National Institute on Aging (National Institutes of Health) and the New York-based Institute for the Study of Aging.

"These intriguing data suggest there may be one more possible benefit from regular exercise," said Molly V. Wagster, program director for the Neuropsychology of Aging, Neuroscience and Neuropsychology of Aging Program of the NIA, which supported the work. "The study emphasizes the importance of continued research on the potential role that exercise might play in reducing cognitive decline with age."

Illinois contributors to the Journal of Gerontology paper were Kramer; postdoctoral researcher Stanley J. Colcombe; doctoral student Kirk I. Erickson; Andrew G. Webb, professor of electrical and computer engineering; Neal Cohen, professor of psychology; and Edward McAuley, professor of kinesiology. Naftali Raz of Wayne State University in Detroit also was a coauthor. Colcombe and Kramer performed the meta-analysis study. This article was prepared by Obesity, Fitness & Wellness Week editors from staff and other reports.






NEURO-PROCESSING

Linking reward expectation to behavior in the basal ganglia
Joshua I. Gold

Department of Neuroscience, University of Pennsylvania

Psychological factors such as expected reward value can have strong effects on behavior. Although signals related to reward have been found in numerous brain regions, how these signals are used by the circuits that control action is unknown. A recent study suggests that neurons in the caudate nucleus of the basal ganglia could play a role in transforming expected reward into a spatially selective behavioral bias.

Poor Paris was asked to make a decision that even Zeus had avoided. Who was the most beautiful goddess: Hera, Athena or Aphrodite? Fearful and uncertain about how his decision would be received by the losers, he tried – tactfully but unsuccessfully – to declare a three-way tie. Told to make a decision, Paris received assurances that there would be no reprisals and, even better, was offered rewards by the goddesses to try to influence him. Hera promised that if he picked her, he would become the King of Asia, as well as the richest man alive. Athena promised that Paris would be victorious in all battles, and that he would become the most handsome and wise man in the world. Aphrodite offered, simply, the beautiful Helen of Troy. It was no contest: Aphrodite's reward easily biased Paris' decision in her favor.

The fact that `psychological' factors, including uncertainty and anticipated costs and benefits, biased the judgment of Paris and can affect similarly subjective decisions is to be expected. Perhaps more surprising is that these factors can also shape our ability to perform even mundane sensory–motor tasks, influencing how well and how quickly we perceive sensory stimuli and execute appropriate motor commands [1 and 2]. However, as central as these influences are to both complex and simple behaviors, little is known about the underlying neural mechanisms. For example, despite a growing body of work identifying neural circuits that represent information related to reward in the context of sensory–motor tasks [3], how these kinds of signals might influence behavior is a mystery. A recent study by Lauwereyns and colleagues has begun to shed light on this difficult issue [4]. The results describe neural signals in a region of the basal ganglia called the caudate nucleus that appear to relate anticipation of an uncertain reward with the preparation for a goal-directed eye movement.

1. Caudate responses correspond to an advance bias

In their study, Lauwereyns and colleagues trained monkeys to perform a `biased saccade task' (BST). On a given trial, the monkey fixated a central spot of light until a target (another spot of light) appeared to the left or to the right. Once the target appeared, the monkey made a saccadic eye movement to it as quickly as possible. Then came the crucial feature of the task: after correctly making the saccade, the monkey was rewarded (with a sound plus a drop of liquid) only if the target was in one of the two possible locations. The rewarded location was fixed in blocks of 20 consecutive trials, such that only correct leftward saccades were rewarded in one block, only correct rightward saccades were rewarded in the next block, and so on. This block-wise design meant that the monkey knew before the target appeared which location would lead to a reward but did not know in which location it would actually appear. Predictably, this asymmetrical reward schedule resulted in a predisposition to make an eye movement to the rewarded location, evident as shorter response times (the amount of time elapsed between the appearance of the target and the initiation of the eye movement) to that location.

To find the neural signals that might be responsible for generating these reward-related changes in response times, Lauwereyns and colleagues recorded activity in the caudate nucleus. As part of the basal ganglia, the caudate is thought to play a role in the control of movement and, in particular, appears to be involved in the generation of saccadic eye movements [5]. It is also one of several structures in the brain, along with other parts of the basal ganglia and several areas of cortex, that represent the anticipated availability or magnitude of a reward provided in the context of a behavioral task [3]. Indeed, several recent studies from Hikosaka's research group have indicated that caudate activity that anticipates a memory-guided saccade is sensitive to the contingency between the visual cue and the reward [6 and 7]. They designed the BST to address how this reward-related activity might be used in the process of generating the saccade.

The activity of individual caudate neurons during the BST reflected the asymmetrical reward schedule. After selecting only neurons that showed a reliable increase in activity in the 1.5 seconds preceding target onset, they found that in ~75% of these neurons this increase tended to be associated with just one of the two position-reward contingencies. Specifically, 25 neurons responded more strongly when the rewarded target was in the hemifield contralateral to the recording site, whereas six neurons responded more strongly when the rewarded target was ipsilateral to the recording site. For the contralateral-favoring neurons, at least, the effect seemed to be robust, with differential activity appearing as much as 1.5 seconds before target onset and increasing in magnitude until the target appeared.

Thus, both the eye movements and the caudate responses reflected reward-related biases. When rightward saccades were rewarded, the monkey made rightward saccades more quickly than leftward saccades, and left (contralateral) caudate activity was high whereas right (ipsilateral) caudate activity was low. When leftward saccades were rewarded, the effects were reversed. Moreover, the rate at which these physiological and behavioral effects adapted to a change in the position-reward contingency was similar. When a new block started, saccades to the newly rewarded position sped up and anticipatory responses in the contralateral caudate increased to maximum levels after a single trial. By contrast, the speed of saccades to the newly unrewarded position and anticipatory responses in the contralateral caudate decreased more slowly, taking (~5 trials to reach stable levels.

Of course, these results establish only correlative, not causal, links between physiology and behavior. Nevertheless, the relationship between the caudate and other oculomotor circuitry provides a tantalizing view of how the anticipatory signals in the caudate might bring about the biased behavioral responses. The authors propose that the spatially selective anticipatory responses in the caudate could be propagated through two inhibitory connections, first to the substantia nigra pars reticulata and then on to the superior colliculus. The end result of anticipatory activity in the caudate would, thus, be to increase responses in a restricted region of the superior colliculus. For example, on a task like the BST that requires a saccade to a target that will appear either to the right or to the left, some caudate neurons on, say, the left side of the brain would respond in anticipation of target onset if rightward saccades are rewarded. This anticipatory activity would, in turn, generate a similar signal in the region of the superior colliculus involved in generating rightward saccades.

The idea that the caudate might be a source of a reward-related bias that exerts its influence by increasing the baseline responses of neurons that are involved in generating eye movement is particularly interesting in light of recent theoretical work. For tasks in which the detection, discrimination or identification of a sensory stimulus leads directly to an action (such as an eye or arm movement), accuracy and response times can be accounted for by assuming that the sensory stimulus causes some (noisy) signal in the brain to build up to a threshold value, at which point the action is initiated [1, 8 and 9]. Interestingly, in some cases it might be not only possible, but also in fact optimal, to incorporate psychological factors like reward anticipation and prior probabilities (i.e. uncertainty about the potential outcomes before any stimulus appears) into this framework by simply adding that information to the accumulating sensory signal [10 and 11]. For the BST and similar visually guided saccade tasks, it is tempting to speculate that this quantity, reflecting several sensory and non-sensory factors, is accumulated in oculomotor areas, such as the superior colliculus. According to this idea, the caudate might be just one of several sources that could, in principle, provide information to these oculomotor areas to influence the process of preparing an appropriate eye-movement response on a sensory–motor task.

2. The advance bias reflects an anticipation of a preferential outcome

Thus, anticipatory activity in the caudate, corresponding to a spatially selective expectation of reward, could be linked to oculomotor preparatory signals. But which of these factors is central to the function of the caudate? That is, it seems possible that the activity measured in the caudate during the BST did not reflect reward context per se but, rather, a more general anticipation of an impending eye movement. This kind of anticipation is known to be represented in oculomotor areas including the superior colliculus [12 and 13] and parts of the parietal cortex [14] and is sensitive to target uncertainty: lower the uncertainty and increase the anticipation. To test this idea, Lauwereyns and colleagues used a second task that eliminated target uncertainty by flashing a cue indicating where the saccade target would appear. All correct saccades were rewarded. Recording from a subset of the same caudate neurons that exhibited reward-related activity in the BST, they found that these neurons did not have spatially selective anticipatory responses when target uncertainty was eliminated in this manner. This result seems simply to rule out a general role for the caudate in oculomotor anticipation and to emphasize the importance of reward.

Results from this second task also raise two interesting questions. First, why would a neuron that responds in anticipation of reward associated with a contralateral stimulus in the BST task not also do so in this second task? Indeed, in both tasks, a reward is expected if the contralateral stimulus appears. The answer, it seems, has to do with another form of uncertainty. The second task eliminated uncertainty not only about which eye movement would be made, but also about whether or not there would be a reward. This experiment is similar in spirit to an earlier study that measured spatially selective, reward-dependent anticipatory activity in the caudate using a slightly different saccade-to-target task [7]. Results from that study indicated a similar effect, in which the responses in the caudate were eliminated by eliminating reward contingencies and rewarding on every trial. These results suggest that the caudate could represent an anticipated, spatially selective reward – but only if there is the possibility of an unrewarded alternative as well. That is, the caudate responses might be inherently `comparative' and, thus, particularly suitable for use in decision-making (even in tasks like the BST, in which certain outcomes might be preferable – even though the subject is never given the opportunity to choose between them!). Exactly how this comparative signal is generated (e.g. are the relative merits actually compared, or is there just an indication that different alternatives are possible?) remains an open question.

The second question raised by these results concerns the selectivity of the responses in the caudate. Of the 41 neurons with anticipatory activity, 31 exhibited spatially selective reward anticipation during the BST. Of these 31, 22 were tested on the second task and most, but not all, showed little effects of target uncertainty. An obvious question in studies with such small sample sizes is whether or not the sampled responses reflect the population as a whole. If so, does this imply that there could be small sub-populations of caudate neurons that signal target uncertainty? Or was that selectivity just a chance occurrence? If not, what is the selectivity of most caudate neurons? What other factors affect their responses? Indeed, other response properties have been found in the caudate, including a suppression of responses in anticipation of an eye movement to a rewarded location [7] and a representation of color-reward contingencies [6]. Learning how these different properties are represented across the population of neurons in the caudate will be an essential step in understanding its role in using information related to reward to influence oculomotor behavior.

3. Conclusions

The fact that an expectation of reward can strongly bias our decisions and actions – especially, as Paris and I can attest to personally, if the reward involves marrying the most beautiful woman in the world – is not in dispute. What is uncertain is exactly how brain links signals related to reward expectation [3] to the signals responsible for making decisions and preparing actions [15]. Several recent studies have characterized the influence of reward expectation on neural circuits involved in sensory–motor transformations [14, 16, 17, 18, 19 and 20]. The study by Lauwereyns and colleagues [4] adds to that short list and provides novel insights into how the brain might use signals related to a spatially selective anticipation of reward to bias a simple oculomotor behavior. It will be interesting to see whether the same principles can be extended to include other factors and more complex behaviors.






MEMORY

Functional specialization within the anterior medial prefrontal cortex: a functional magnetic resonance imaging study with human subjects

Stefan Zysset, Oswald Huberb, Andrea Samsonb, Evelyn C. Ferstla and D. Yves von Cramona

Max-Planck-Institute of Cognitive Neuroscience, Leipzig, Germany
Department of Psychology, University of Fribourg, Switzerland

This study investigated the functional neuroanatomy of the anterior medial prefrontal cortex (aMPFC). Previous studies have shown that the aMPFC is involved in evaluative judgment and self-referential processes. Specifically, different sections of the aMPFC are differentially influenced by attention demanding processes. Whereas the dorsal section is supposed to be involved in self-referential processes, the ventral section is assumed to be attenuated during attention demanding processes. The present study investigates the involvement of the dorsal and ventral aMPFC in evaluative judgment by using functional magnetic resonance imaging with spin-echo echo-planar-imaging. Processes involved in evaluative judgment are attention-demanding, self-referential and activate regions in the dorsal and ventral section of the aMPFC. Attention demanding tasks do not necessarily lead to an attenuation of the ventral section of the aMPFC, a region mainly involved in emotional and affective processing.


The anterior medial prefrontal cortex (aMPFC) has been in the focus of attention of neuroscience over the last few years. The dorsal aMPFC cortex includes the medial part of Brodman Area (BA) 9m/10m/(32). The ventral portion of aMPFC includes the pre- and subgenual parts of BA10/32/14 [16]. aMPFC activations have been reported in the context of `theory of mind' [8], evaluative judgment [20], self-referential processes [9], self-initiated thoughts [14], coherence processes [6], or processing of intentions [3]. The ventral aMPFC ( Fig. 2) appears to play an essential role in anticipatory behavior [1]. Further, the aMPFC appears to be part of a network integrating cognitive task performance and emotion [2, 4 and 18]. This is further supported by the common finding that blood flow in the aMPFC is said to be decreased during emotionally neutral but attentionally demanding cognitive tasks [17]. Gusnard et al. [9] put forward that the dorsal and ventral aMPFC are differentially influenced by attention demanding tasks and explicitly self-referential tasks. Self-referential mental processes appear to be associated with increases in blood flow in the dorsal aMPFC, whereas emotional and affective processing [2] tend to be attenuated in the ventral aMPFC during attention-demanding tasks. More generally, we argue that the aMPFC mediates meta-control processes [11], which resolve conflicts between subprocesses and incorporate different aspects of internal and external events.

In a previous functional magnetic resonance imaging (fMRI) experiment we were able to show that the aMPFC (BA 9m/10m), along with the inferior precuneus and the inferior frontal gyrus, plays an essential role in evaluative judgment [20]. In contrast to semantic judgments (George Bush is president: yes/no), evaluative judgments (George Bush is a good president: yes/no) are a special type of judgment, in which the internal scale is related to the person's internal value system. This situation can be considered as incompletely specified, the response is not evident and an involvement of the ventral aMPFC would be expected [5].

However, the measurement of ventral aMPFC with fMRI using gradient-echo echo-planar-imaging (GE-EPI) at 3 Tesla is problematic, as this region is especially prone to signal voids caused by susceptibility artifacts [15]. The previous study [20] and most other fMRI studies use GE-EPI, so that the detection of activations in the ventral section of the aMPFC cannot be guaranteed. Most studies reporting orbito-frontal or ventral aMFPC activations are PET studies. For this reason we re-ran the above-mentioned experiment using spin-echo (SE)-EPI for image acquisition in order to find out whether the activation extends all along the aMPFC. SE-EPI has the advantage over conventional GE-EPI that signal losses caused by strong susceptibility gradients are not present and signal voids will be eliminated [15]. SE-EPI at 3T is sufficiently sensitive to be used in cognitive studies, albeit with a reduction in z-scores of about a factor of three [15].

Eighteen healthy subjects (right handed, 20–31 years of age, 11 female) were tested using fMRI with SE-EPI. All subjects gave written informed consent prior to scanning.

Eighty semantic items, 80 evaluative items, 40 baseline trials (`press left button' or `press right button'), and 40 empty trials were used, resulting in a total number of 240 trials. Each semantic item had a corresponding evaluative item regarding the topic. Half of the items were positive assertions and the other half negative ones. Stimuli were presented in a randomized order every 6 s on average. In order to increase the temporal resolution, the trials were presented with variable onset-delays of 0, 400, 800, 1200 or 1600 ms. Stimulus sentences were displayed with a LCD projector on a back-projection screen mounted in the bore of the magnet behind the participant's head. Participants viewed the screen wearing mirror glasses. The sentences appeared on the screen for 2 s, after which they disappeared. Subjects were given a maximum of 4 s after stimulus onset to respond by pressing with the right index finger (Yes) or right middle finger (No). The screen remained blank between trials.

The experiment was performed using a 3T whole body scanner (Medspec 30/100, Bruker, Ettlingen). Functional images were acquired using a SE-EPI sequence (TR 2000 ms) with 16 axial slices (5 mm thickness, 1 mm spacing), parallel to the AC-PC plane and covering the whole brain. One functional run with 723 time points was measured, with each time point sampling over the 16 slices. Prior to the functional run, 16 corresponding anatomical slices were acquired.

The fMRI data were processed with LIPSIA software [13]. Functional data were corrected for motion and slice acquisition time differences. A temporal highpass filter with a cutoff frequency of 1/144 Hz and a spatial Gaussian filter with a full width at half maximum (FWHM) of 5.65 mm was applied. The anatomical slices were co-registered with the full-brain scan that resided in the stereotactic coordinate system and then transformed by linear scaling to a standard size. The transformation parameters obtained from the registration were subsequently applied to the functional slices so that the functional slices were also co-registered into the stereotactic space. This linear normalization process was improved by an additional nonlinear normalization [19].

The statistical evaluation was based on a least-squares estimation using the general linear model for serially autocorrelated observations [7]. The model equation, including the observation data, the design matrix and the error term, was convolved with a Gaussian kernel of dispersion of 4 s FWHM. Thereafter, contrast maps (i.e. estimates of the raw-score differences of the beta coefficients between specified conditions), were generated for each subject. As the individual functional datasets were all aligned to the same stereotactic reference space, a group analysis was performed subsequently. A one-sample t-test of contrast maps across subjects was computed to indicate whether observed differences between conditions were significantly different from zero [10]. Subsequently, t-values were transformed into z-scores.

For the evaluative conditions, it was not possible to differentiate between correct and false responses. Thus, all responses were considered for the evaluative as well as for the semantic condition. The resulting mean reaction time was 1860 ms (SE=79 ms) for the semantic condition and 1857 ms (SE=76 ms) for the evaluative condition; reaction times did not differ between conditions (Student's t-test; t=-0.27; P=0.79).

First, we contrasted the semantic memory retrieval condition against the evaluative judgment task in order to replicate the findings of the previously presented study [20]. The results are summarized in Table 1 and in Fig. 1. The main regions activated specifically by the evaluative condition were the dorsal aMPFC (BA 9/10m) and the inferior precuneus/posterior cingulate cortex (PCC); both regions correspond to those found in the previous study [20]. In addition, the dorsal aMPFC activation now extends further ventrally into the ventral aMPFC ( Fig. 1). This activation was located in the ventral part of the cingulate sulcus. An additional activation was found in the fronto-opercular cortex. Minor activations were found in the superior frontal sulcus and in the left middle and superior temporal gyri. By using the SE-EPI sequence it was possible to show that the aMPFC activation extended into the ventral aMPFC and into the fronto-orbital cortex.


Averaged activation maps of the main contrast evaluative judgment vs. semantic memory retrieval mapped on to the reference brain. Three sagittal slices of the medial surface with the main activations in aMPFC and precuneus are shown. The z-value were thresholded at z=3.1 (P=0.001, uncorrected).

By only considering these activation maps, one cannot exclude that blood flow is decreased in both tasks. If the signal is attenuated to a greater extend in the semantic condition than in the evaluative condition, this would also result in activations in the aMPFC, even though none of the tasks really activates the aMPFC. To investigate this, we analyzed the underlying signal time courses in different regions of the aMPFC. To accomplish this, the aMPFC was split into four arbitrary sections from dorsal to ventral (Fig. 2). For each subject, significant activations (z-value >2.3 and a volume of at least 90 mm3) in the aMPFC were allocated to one of the four sections, according to their location. The underlying signal time-course was extracted and the percent signal change was calculated in relation to the mean signal intensity across all timesteps. The percent signal change was averaged for each condition and region and averaged over all subjects. The time course of the non-events was subtracted from the averaged time-courses. Then, the mean percent signal change for the period of 3–8 s after stimulus onset was calculated. The results clearly indicate that signal intensity increased in all regions of the aMPFC in the evaluative task, and was attenuated in the semantic task (Fig. 2). The signal decrease in the semantic condition is not necessarily a `deactivation' (i.e. reduction from baseline) of this area during the semantic task, as the mean signal intensity does not reflect a resting baseline. It might represent the falling slope of the hemodynamic response of the previous trial, which in half of the trials was an evaluative judgment task. The signal increase in the ventral aMPFC partly contradicts the notion that the aMPFC is suppressed during attention-demanding cognitive tasks [4 and 18]. Simpson et al. [18] argued that blood flow changes in the aMPFC can be interpreted as the interaction between attention-demanding cognitive activity and performance anxiety. By this, any attentional task could lead to accompanying activations in the ventral aMPFC. In the present study it seems unplausible to assume that the semantic condition is less attention-demanding and causes less anxiety than the evaluative task. However, there is a major difference between the two conditions contrasted in the present experiment. The response in the semantic condition is evident and can be retrieved from memory. In contrast, the evaluative condition requires a new response to be generated on the basis of the subject's internal value system and given facts. Some sort of feeling of `rightness' [5] has to be generated rather than a merely rational analysis of given facts as in the semantic condition. It appears that the dorsal aMPFC is mainly involved when, due to insufficient information, the appropriate course of action has to be determined [5]. Further, the dorsal and ventral aMPFC are not necessarily differentially activated. The ventral aMPFC is not necessarily attenuated during attention-demanding processes, but rather co-activates along with the dorsal section if the internal value system is addressed. One could argue that the ventral aMPFC activation represents processes induced by thinking of a subjectively relevant situation or fact [12]. However, the same responses should be evoked during the semantic and evaluative condition, provided that the same situation or fact is retrieved. It appears that under certain circumstances, the ventral aMPFC is co-activated with the dorsal aMFPC, which is not due to performance anxiety or emotional arousal, but rather to task-specific aspects.

In conclusion, the present findings showed that evaluative judgment not only activates the dorsal aMPFC, but that the activation extends into the ventral aMPFC. Thus, the ventral section seems to be involved both in attention-demanding processes and evaluative judgment. This does not exclude the possibility that a factor like the subjective significance of the content of a sentence is relevant, which in everyday life is often confounded with formal self-reference.








SPEECH AND LANUGAGE

Brain Plasticity, Language Processing and Reading
Society for Neuroscience

Many scientists once believed that as we aged the brain's networks cemented in place. But now an enormous amount of evidence uncovered in the past two decades finds that the brain never stops changing and adjusting. One line of research is showing that this flexibility can help maintain language processing even in the face of severe obstacles. Futhermore, some research suggests that special brain exercises can tap into the brain's adaptive capacities and help people overcome certain language and reading problems.

People who lose their eye-sight do not have to rely on audio novels to fulfill a book obsession. They can learn to read compositions in Braille, a writing composed of raised dots arranged in specific patterns, with their fingertips.

It's one of the benefits of having a plastic brain. That doesn't mean your brain is molded from a high-molecular-weight polymer similar to your toothbrush. It means that the brain is flexible. It compensates for obstacles. It adapts. It adjusts.

Once, researchers believed that only young brains were plastic. They thought that the connections between the brain's neurons developed in the first few years of childhood. Then they became fixed and very hard to change. An enormous amount of animal and human data uncovered in the past two decades, however, confirms that the brain retains its plasticity throughout life.

One line of research provides evidence that older brains can adapt in order to overcome a number of barriers and aid language processing and reading. The new findings are leading to:
* A better understanding of the many different ways that the brain can process language.
* Clearer ideas on how children and adults naturally can overcome language-processing obstacles.
* Insights into how strategies may reroute brain networks and help those with reading, speech or hearing disabilities.
* Ways to help second-language learners recognize new language sounds and to eliminate accents.

An increasing number of studies detail how the brain naturally reorganizes to overcome language and reading obstacles. For example, one new experiment shows how young and old brain networks modify to handle a loss of sight and process Braille. Researchers photographed the brain activity of individuals who lost their sight either as infants or after age 10 while they thought of a verb that related to a Braille-embossed noun. Like sighted people, the blind activated three brain areas thought to relate to language processing. Those who had been blind since infancy also received some help from the brain areas that normally process visual information in sighted people. Those who had been blinded later in life snagged some extra help from a few of the brain's visual areas as well as the brain's touch areas. The study shows the brain's ability to readjust its circuits to process language -- at any age. It also backs the idea that special brain exercises could tap into the brain's adaptive capacities when it can't do it on its own and could help people regain language functions despite various deficits.
       

Individuals with the reading disabiltiy, dyslexia, are one group that may benefit from these exercises. Studies show that different types of training techniques sometimes can improve dyslexics' poor reading skills. Many scientists believe that these techniques rework failing language processing networks.
       

Researchers now are photographing brains before and after intervention trainings to see if this is the case (see images below). Once they catalog the changes, they may be able to pair certain interventions with certain forms of dyslexia.
       

Adults who learn second languages also may benefit from interventions that are thought to take advantage of brain plasticity. Often, adults have trouble hearing and pronouncing certain non-native sounds. Japanese individuals, for example, can't hear or pronounce the difference between the "r" and "l" English sounds. The words "read" and "lead" sound the same to Japanese individuals. Studies have found, however, that special training techniques can help them overcome this setback. A recent study found that one training approach resulted in improvements in Japanese adults' perception and production of English words with "r" and "l" sounds. The improvements lasted for at least three months.

Many researchers think that training techniques sometimes can help those with the reading disability, dyslexia, because they modify brain networks. The images above hint that this is the case. The top images show the brain activity (lit-up areas) of a 10 year-old boy while he completes a task that requires the ability to identify the sounds of words. His reading level equaled that of an eight-year-old child. The bottom images show his brain activity while he completes the same task after receiving eight weeks of a type of special training. Following the intervention training, his reading level increased by three years and the images indicate that his brain activity changed as well. Researchers are conducting a very large, ongoing study to confirm this one example.

Drooling and stuttering, or do synapses whisper?
Craig E. Jahr
Vollum Institute, Oregon Health and Science University

Spillover and multivesicular release are likely to occur at a variety of synapses in the CNS. Although the latter could enhance the former, neither appears to require the other, even though both affect neuronal communication. In two recent papers, new techniques, as well as the careful use of old standards, provide compelling evidence for these formerly heretical mechanisms.


1. Stuttering
2. Drooling
3. Whispering



The exquisite alignment of pre and postsynaptic specializations suggests that these point-to-point connections between neurons serve as isolated pathways of information transfer. In addition, classical physiological studies indicate that, at each active zone, release is binary: when an action potential invades the presynaptic element, either a single synaptic vesicle is released or no release occurs. However, in recent years, reports of transmitter `spillover' between synapses and of `multivesicular release' (MVR) have suggested that these rules are broken at several synapses, if not in general. In most of these papers, either spillover or MVR could explain at least qualitatively many of the observations but, as is our want, the authors have usually chosen to back one hypothesis or the other. This summer, two compelling papers have appeared that each report one of the phenomena and reject the other. Unfortunately for the goal of parsimony, one paper decides for MVR whereas the other favors spillover. As two very different synapses were examined in the two laboratories, these disparate interpretations do not come as a complete surprise.

1. Stuttering

The first paper [1] reports MVR at Schaffer collateral synapses in the hippocampus. Although not the first report of MVR [2, 3, 4 and 5], this study makes use of two-photon microscopy to study synaptic events at individual dendritic spines. As the vast majority of spines in this region receive single presynaptic inputs [6 and 7], this technique allows the monitoring of the strength of transmission at morphologically defined single synapses. The protocol is conceptually simple: intra-spine Ca2 transients mediated by synaptically activated NMDA receptors are recorded at different release probabilities (Pr). If release at individual synapses is restricted to single vesicles, the size of the Ca2 transients should not be affected by changing Pr. However, if these synapses are not restricted to univesicular release, then MVR might occur more frequently at high Pr and, assuming that NMDA receptors are not saturated by single vesicles [8 and 9], the average Ca2 transient should be larger than that at low Pr. This was, in fact, the finding. As this synapse displays paired-pulse facilitation, the Ca2 transient following a single stimulus was compared to that following a pair of stimuli, the first of which resulted in a failure of transmission. The second, facilitated response was ~1.5 times larger than the response to a single stimulus, indicating that more NMDA receptors were activated and suggesting that the synapse was capable of MVR. Theoretically, this result could also be explained by spillover. At higher Pr, the likelihood of neighboring synapses releasing simultaneously is also elevated and, therefore, pooling of transmitter from adjacent sites could enhance NMDA-receptor activation at the spine under observation. However, these studies were performed at near-physiological temperatures, at which hippocampal spillover is thought to be diminished ([10], but see [11 and 12] for reports of spillover), and low stimulus intensities were used to restrict activation to a few presynaptic fibers.

2. Drooling

The second paper [13] reports spillover of glutamate between synapses of cerebellar mossy fibers and granule cells. Each mossy fiber terminal makes many tens of synapses onto neighboring granule cells in a glomerular structure of tightly packed synapses. However, a given granule cell receives direct input from only a single mossy fiber active zone. The first telling findings of this paper are that individual AMPA-receptor-mediated excitatory postsynaptic currents (EPSCs) from the same cell could have fast or slow rising phases and that the probability of a slow-rising EPSC was greater than that of a fast-rising EPSC. Averages across all EPSCs from a cell, however, had fast-rising phases and usually both fast and slow components to their decay phases. The interpretation is that slow-rising EPSCs are caused solely by spillover of glutamate from nearby synapses within the glomerulus. Because of dilution in the extracellular space, spillover results in lower glutamate concentrations at the postsynaptic receptors than direct release and, therefore, receptor activation is slower. As there are many nearby synapses, this type of event occurs often. Furthermore, the low-affinity AMPA receptor antagonist, kynurenate, was more effective at blocking the slow-rising EPSCs (as well as the slowly decaying phase of averaged EPSCs) than the fast-rising portion of averaged EPSCs. Because low-affinity antagonists are more effective at blocking events produced by transients at low glutamate concentrations than those at high-concentrations, these results indicate that the glutamate concentration transients responsible for the slow-rising EPSCs were lower than those responsible for the fast components. Large glutamate transients and fast EPSCs are expected from release just across the synaptic cleft. In keeping with the higher incidence of slow-rising EPSCs, the authors estimated that there are 3–4 times as many active zones contributing to the slow portion of the EPSC than to the fast portion. Although some of the results could also be explained by MVR, the existence of the slow-rising EPSCs argues very strongly for spillover as the major contributor to the slow component of the averaged EPSC. Were MVR to occur at these synapses, however, spillover would be enhanced.

Both of these papers provide convincing interpretations but questions (although perhaps nit-picking ones) remain. For example, it was not possible to record Ca2 transients from small spines. About half of the spines in the stratum radiatum of the CA1 hippocampus have dimensions that are smaller [6] than the smallest spines included in the first study [1]. Small spines could be more apt to sense glutamate spillover because of differences in glial investiture [14] and, therefore, glutamate transporter densities. Small spines might also be less likely to exhibit MVR because the Pr of their presynaptic partners could be lower [7]. The second paper [13] does not report the effect of changing Pr on potency (the mean size of EPSCs, excluding failures) or the amount of block of the fast EPSC by kynurenate. These two measures could help determine the degree to which spillover contributes to the amplitude of the fast component of the EPSC or whether there is any contribution of MVR at this synapse.

3. Whispering

A final concern is the possibility that the amplitude and time course of the glutamate transient in the cleft can be controlled by altering the rate of glutamate expulsion from exocytotic vesicles, by regulation of fusion-pore opening [15 and 16]. If rapid exocytosis is more likely to occur in conditions of high Pr, and prolonged, slow release occurs at low Pr, fusion-pore regulation could at least qualitatively account for paired-pulse facilitation of intra-spine Ca2 transients. In addition, slow release also could result in slow-rising and decaying AMPA-receptor EPSCs. Although both papers [1 and 13] argue that fusion-pore regulation cannot account for their data, the fusion-pore loophole was not entirely closed. The rise-time of the spine Ca2+ transient should, in theory, track changes in the kinetics of the cleft glutamate transient and, indeed, no differences were observed when Pr was altered. It could be argued, however, that the rise of the Ca2+ transient might be controlled by a slower, rate-limiting process that would obscure changes in the glutamate transient. Slow release could also produce slow-rising AMPA-receptor EPSCs at mossy fiber–granule cell synapses; however, such EPSCs are only observed in older animals [13]. Thus, the developmental expression sequence would have to be the opposite of that seen in hippocampal neuronal cultures [16], in which evidence for slow release was observed more often at early times. But this is not impossible.

Other than providing physiologists with something interesting to study, what are the consequences of MVR and spillover? If the incidence of MVR increases with Pr [2, 4 and 5], two factors will combine to increase postsynaptic responses: more active synapses and larger contributions from each synapse. In addition to this, the larger bolus of glutamate released into the cleft could have several consequences, including prolonged activation of postsynaptic receptors, and more spillover to extrasynaptic receptors on both pre and postsynaptic elements as well as to receptors at neighboring synapses. Altering Pr is not the exclusive province of the experimenter. Physiological events that alter Pr include changes in presynaptic action potential frequency and the activity of presynaptic receptors, such as metabotropic glutamate, GABAB and adenosine receptors. The utility of spillover might depend on the tissue being considered. In the present case of the mossy fiber–granule cell glomerulus, spillover augments excitability by activating receptors at neighboring synapses and, therefore, increases the reliability of transmission. In addition, because adjacent granule cells presumably all sense spillover, it might help to synchronize the activity of multiple granule cells. In other tissues, however, spillover can inhibit neighboring synapses by activating presynaptic metabotropic receptors [17] or can cause prolonged depolarizations of postsynaptic cells by activating postsynaptic metabotropic receptors [18].

The two papers highlighted here illustrate that MVR and spillover can both occur. Which of these two mechanisms dominates at a given synapse will depend on several morphological and physiological characteristics, including release probability, intersynaptic distance and the density of surrounding glutamate transporters. Heresy or not, these mechanisms seem to be here to stay.






AUDITORY PROCESSING
Deficient auditory processing in children with Asperger Syndrome, as indexed by event-related potentials

Eira Jansson-Verkasalo, Rita Ceponienec,Marko Kielinene, Kalervo Suominenb, Ville Jänttib, Sirkka-Liisa Linnae, Irma Moilanene and Risto Näätänenc

Department of Finnish, Saami and Logopedics, University of Oulu, Oulu, Finland
Cognitive Laboratory, Clinical Neurophysiology, Oulu University Hospital,
Cognitive Brain Research Unit, Department of Psychology, University of Helsinki, Finland
Center for Research in Language, University of California, San Diego, CA,


Asperger Syndrome (AS) is characterized by normal language development but deficient understanding and use of the intonation and prosody of speech. While individuals with AS report difficulties in auditory perception, there are no studies addressing auditory processing at the sensory level. In this study, event-related potentials (ERP) were recorded for syllables and tones in children with AS and in their control counterparts. Children with AS displayed abnormalities in transient sound-feature encoding, as indexed by the obligatory ERPs, and in sound discrimination, as indexed by the mismatch negativity. These deficits were more severe for the tone stimuli than for the syllables. These results indicate that auditory sensory processing is deficient in children with AS, and that these deficits might be implicated in the perceptual problems encountered by children with AS.



Musicians' Brains Are Different

Are the people who perform great music written by Mozart, Handel and Bach really different? New research suggests that they are. The brain waves of professional musicians respond to music in a way that suggests they possess an intuitive sense of the notes that amateurs lack.

In studies of eight professional violinists with German orchestras and eight amateur violinists, researchers at the University of Tuebingen found that professionals had significant activity in the part of the brain that controls hearing.

In one experiment, the scientists used functional magnetic resonance imaging (fMRI), which detects changes in blood flow to particular areas of the brain, to scan the brains of eight professional musicians and eight amateur musicians while they executed the fingering used to play a musical piece. Each of the study participants performed the fingering of the first 16 bars of Mozart's violin concerto in G major. This concerto was chosen because it is part of the repertoire of professional violinists and not difficult for amateurs to play.

Gabriela Scheler, PhD, the primary investigator on the study, is a former violinist with the Nuremberg Philharmonic Orchestra. She found that "Activity in the motor cortex, the part of the brain that controls finger movements, was much more economic and focused in the brains of the professional musicians." This suggests that professional musicians who have practiced the concerto so many times use their brains more efficiently, because the playing has become automatic.

The auditory region of the brain, however, showed heightened activity with the professionals and less activity for the amateurs. "When the professionals move their fingers they are also hearing the music in their heads, so that's why the auditory region is more active," says Scheler. "Presumably, this enhances the musical performance."

In a second experiment, both groups of musicians were told to imagine playing the concerto without moving their fingers to find out if the same neuronal networks are activated while executing the movements. Once again, the professionals showed more focused activity in the motor cortex and increased activity in the auditory region.

"Our next step is to observe brain activity in people before and after they've been trained to imagine the performance of a piece of music," says Scheler. "We will look to see if imagery training changes brain activity and if it improves performance."



Dissecting the circuitry of the auditory system
George D. Pollak, R. Michael Burger and Achim Klug

Section of Neurobiology, The University of Texas at Austin,
Virginia Merrill Bloedel Hearing Research Center,
University of Washington, Seattle, WA
Oregon Hearing Research Center, Oregon Health Sciences University of Portland, OR

The brainstem auditory system is a complex system composed of numerous parallel and serial pathways that converge on a common destination in the inferior colliculus (IC). The exact nature of the response transformations that occur in the IC have, however, been elusive – even though the IC has been the subject of numerous studies for more than 30 years. Recent studies have addressed this issue by recording from IC neurons before and during micro-iontophoresis of drugs that selectively block GABAA or glycine receptors (the dominant inhibitory receptors in the IC) or by reversibly inactivating a lower nucleus that provides inhibitory innervation to the IC. These studies have revealed some of the ways that signals, relayed via many different parallel routes, interact in the IC, and suggest some functional advantages that these interactions might have.


Two of the primary goals of auditory neuroscience are to determine how acoustic information is progressively transformed along the auditory pathway and to understand the functional consequences of those transformations. These goals have been difficult to achieve, in large part owing to the complexity of the auditory system. The ascending auditory system is composed of a large number of nuclei connected through a series of parallel pathways. The pathways begin with the auditory nerve, which branches to distribute information to the various cell groups in the cochlear nucleus (Fig. 1). Each cell group in the cochlear nucleus transforms the incoming spike trains uniquely [1] and then distributes that information along a series of parallel pathways to a myriad of auditory nuclei in the medulla and pons. Some of these nuclei are binaural, receiving innervation from the cochlear nuclei on both sides, whereas others are innervated from the cochlear nucleus on only one side and are monaural. The outputs from all of these binaural and monaural nuclei then converge on the inferior colliculus (IC) in the midbrain [2, 3 and 4]. The IC provides the principal source of innervation to the medial geniculate body [5 and 6] and, thus, indirectly to the auditory cortex ( Fig. 1). Therefore, the IC is the nexus of the auditory system because it processes and integrates almost all ascending acoustic information from lower centers, and determines the form in which information is conveyed to higher regions in the forebrain.

Major connections of the ascending auditory system, showing the enormous convergence of projections onto the inferior colliculus from the majority of lower nuclei. Excitatory projections are shown as black lines and inhibitory projections are shown as red lines (GABAergic projections) or green lines (glycinergic projections). One of the parallel projections from the cochlear nucleus innervates the principal cell groups in the superior olivary complex: the medial nucleus of the trapezoid body (MNTB), and two binaural nuclei, the lateral superior olive (LSO) and the medial superior olive (MSO). The three principal nuclei of the lateral lemniscus (dorsal, ventral and intermediate) are situated rostral to the superior olive and just below the inferior colliculus. The ventral and intermediate nuclei receive innervation from only one ear and are, therefore, monaural; the dorsal nucleus of the lateral lemniscus receives innervation from both ears and is binaural. The dorsal nucleus is also GABAergic and provides strong inhibitory innervation to the inferior colliculus bilaterally and to the opposite dorsal nucleus via a commissural projection.

Although the IC has been intensively studied, it remains an enigma. On the one hand, the response properties of IC neurons evoked by tones, noise or other conventional signals are, with only a few exceptions, very similar to the properties of neurons in one or another of the lower nuclei from which IC cells receive their innervation. Such results were obtained in a variety of mammals, including echolocating bats. These similarities have led some investigators to the viewpoint that the major processing occurs in lower nuclei and that IC response properties are, for the most part, a reflection of the particular lower nuclei that innervate the IC cell in question. On the other hand, substantial changes in most response properties occur when inhibitory inputs to the IC are blocked. These results have led to an alternative viewpoint, which holds that the enormous convergence of excitatory and inhibitory inputs produces a corresponding degree of processing and, hence, substantial transformations of response features. As explained below, both viewpoints receive support from recent studies.

1. IC neurons and lower auditory nuclei often have similar response properties

Similar response properties in IC and lower nuclei are well illustrated by neurons that are excited by stimulation of one ear and inhibited by stimulation of the other ear (EI neurons). These neurons encode interaural intensity disparities (IIDs), the principal cues animals use to localize high frequency sounds. EI properties are revealed by simply presenting a sound of fixed intensity to the excitatory ear and simultaneously presenting sounds of progressively increasing intensity to the opposite or inhibitory ear. The sound at the excitatory ear drives the neuron and this driven activity is progressively inhibited by increasing the intensity at the inhibitory ear. The feature we focus on is the smallest IID (the IID with the lowest intensity at the inhibitory ear) that evokes maximal spike suppression in each EI neuron, termed the IID of maximal inhibition (IIDmi) of the neuron.

The principal brainstem nuclei devoted to processing interaural intensity disparities (IIDs) are the lateral superior olive (LSO), the dorsal nucleus of the lateral lemniscus (DNLL) and the inferior colliculus (IC). The intensities received at the two ears are first processed binaurally in the LSO. The coded intensities are compared by subtraction, whereby the coded intensity from the ipsilateral ear excites each LSO neuron and the coded intensity from the contralateral ear inhibits each LSO neuron via glycinergic neurons from the medial nucleus of the trapezoid body (MNTB). EI properties (the ability to be excited by stimulation of one ear and inhibited by stimulation of the other ear) are studied by presenting a sound of fixed intensity to the excitatory ear to drive neuronal firing, and then documenting how progressively increasing sound intensity at the inhibitory ear reduces the discharges evoked by the sound at the excitatory ear. Because the excitatory intensity is fixed, each change in the inhibitory intensity generates a different IID. The IID function for each neuron plots these changes in spike count with IID, and the lowest IID that causes maximal suppression is the IIDmi of the neuron (arrows in plots of IIDs shown for the LSO). The IID functions of several LSO neurons are shown, to illustrate the range of IIDmi expressed by the LSO population. Virtually the same IID functions and range of IIDmi occur in the LSO, the DNLL ipsilateral to the excitatory input, and in the population of EI neurons in the IC contralateral to the excitatory input. The IID functions for the left DNLL are inverted versions of those of the left LSO and right IC because the DNLL on that side is inhibited by sound at the left ear and excited by sound at the right ear. Although the IID functions of IC cells are similar to those of LSO and DNLL cells, EI cells in the IC receive a large innervation from the LSO bilaterally, from the DNLL bilaterally, and from lower monaural nuclei, as illustrated by the projection from the cochlear nucleus. Abbreviations: INLL, intermediate nucleus of the lateral lemniscus; VNLL, ventral nucleus of the lateral lemniscus.

Neurons initially acquire EI properties in the lateral superior olive (LSO). However, EI neurons are also prevalent in auditory nuclei above the LSO, especially in the dorsal nucleus of the lateral lemniscus (DNLL), a purely GABAergic nucleus that projects bilaterally to the IC. Additionally, EI cells dominate portions of the IC that receive innervation from the LSO and DNLL. Because the LSO sends strong, excitatory projections to both the opposite DNLL and opposite IC, it could be that the EI properties created in the LSO are simply imposed on their targets in the DNLL and IC. Indeed, many EI cells in the IC seem to be formed in this way, which supports the view that IC neurons reflect properties that were created in a lower nucleus, presumably the LSO

Some principal connections from lower nuclei to EI neurons (neurons that are excited by stimulation of one ear and inhibited by stimulation of the other ear) in the inferior colliculus (IC) (a) and the various ways in which EI properties can be formed by subsets of those projections (b–d). The dorsal nucleus of the lateral lemniscus (DNLL, shown in red) is a purely GABAergic nucleus that provides strong inhibitory projections to both the ipsilateral and contralateral IC. Excitatory projections are shown as solid black lines and inhibitory projections as colored lines. The interaural intensity disparity (IID) function of an IC neuron is first evaluated by monitoring discharges in response to binaural stimulation using the recording barrel of a multi-barrel pipette (a). Bicuculline (an antagonist of GABAA receptors) or a combination of bicuculline and strychnine (an antagonist of glycine receptors) can be iontophoretically applied to an IC neuron, thereby blocking inhibition at the IC. Alternatively, the DNLL is reversibly inactivated by iontophoresis of kynurenic acid, a broad-spectrum blocker of glutamate receptors (b–d). IID function obtained before blocking inhibition is shown as dashed black lines and IID functions obtained after blocking inhibition are solid green lines. (b) Circuit showing how EI properties, which are first formed in the lateral superior olive (LSO), are imposed on the IC cell through a strong crossed excitatory projection. The IID functions of these IC cells are unchanged when inhibition is blocked at the IC or when the DNLL is reversibly inactivated. (c) Circuit showing how EI properties, which are first formed in the LSO, can be modified in the IC through the convergence of LSO and DNLL projections. The net effect of this convergence is to create EI cells in the IC that are suppressed by lower intensities at the ipsilateral ear than they would be if they received only the LSO projection (their IIDmi are shifted to the right when inhibition is blocked). The IID function obtained after blocking inhibition (solid green line) presumably reflects the IID function of the LSO projection. (d) Circuit showing how EI properties can be formed de novo in the IC. Stimulation of the ear contralateral to the IC (left ear) drives a lower monaural nucleus, shown generically here as the cochlear nucleus, which provides the excitation to the IC cell. Stimulation of the ear ipsilateral to the IC (right ear) excites the DNLL, which then provides the inhibition that suppresses the excitation in the IC evoked by stimulation of the left, excitatory ear. Blocking inhibition at the IC, or reversibly inactivating the DNLL with kynurenic acid, abolishes the inhibition evoked by the ipsilateral (right) ear and transforms what was previously a strongly inhibited EI cell into one that is monaural and influenced only by excitation evoked by stimulation of the left ear.

2. EI neurons are formed in multiple ways in the IC

Subjecting IC neurons to more challenging tests, however, reveals that the EI properties of many IC cells are not simply a reflection of LSO projections. The first question these tests were designed to answer is simple: does the actual inhibition evoked by stimulation of the inhibitory ear occur in the IC or does it occur in a lower nucleus, presumably the LSO? If the inhibition occurs in the LSO, then blocking inhibition at the IC cell should have no effect on ipsilaterally evoked inhibition; the IC cell should be EI whether or not that inhibition is blocked at the IC . If, however, EI properties are completely or partially created in the IC through inhibitory projections from lower nuclei, then blocking inhibition at the IC should substantially reduce ipsilaterally evoked inhibition, or even abolish it completely. By evaluating the IC in this way, studies from several laboratories showed that the EI properties in the majority of IC cells are either modified or created de novo in the IC through a GABAergic inhibitory projection. Moreover, by reversibly inactivating the opposite DNLL while recording from EI neurons in the IC, several studies in rats and bats showed that the source of the GABAergic inhibition is the contralateral DNLL. The effects of blocking inhibition are continuous, and range from no effect in some neurons, to shifts in the IIDmi (the most common modification of EI properties), to a complete or nearly complete elimination of inhibition – thereby transforming the neuron from one that was EI into a monaural neuron, which is only influenced by sound presented to one ear.

These data support the view that the IC is a center for integration and transformation but they also raise several questions. For example, why do the IIDmi of some IC cells have to be modified from circuit interactions? The populations of LSO and IC neurons express a similar range of IIDmi, although the LSO population emphasizes IIDmi of ~0 dB, whereas the IC population emphasizes larger IIDmi. If the primary function of ipsilaterally evoked inhibition at the IC is to shift the IIDmi of some IC cells, it would seem more economical for the axons of LSO cells possessing the required IIDmi simply to branch more profusely to innervate a larger number of IC cells than LSO cells with other IIDmi. Such a differential innervation would create a population of IC cells that has the same range of IIDmi as the LSO population, but that would also have the expanded representation of larger IIDmi found in the EI population of the IC. An even more perplexing question is: what is the functional significance of recreating EI properties de novo in the IC when EI cells have already been created in abundance in the LSO? One insight into this question is provided by a unique feature of inhibition at the DNLL, as explained in the following section.

3. Properties of DNLL neurons predict emergent properties of some EI neurons in the IC

The DNLL, like the IC, receives a large complement of inputs from lower nuclei and the neurons within it that are tuned to high frequencies are predominately, if not exclusively, EI . Stimulation of the contralateral (excitatory) ear typically evokes a strong, sustained discharge train. The duration of the discharge train corresponds to the duration of the stimulus, and is never longer. By contrast, stimulation of the ipsilateral (inhibitory) ear evokes a long-lasting inhibition that persists for periods ranging 5–80 ms longer than the duration of the signals that generated it. The average duration of the persistent inhibition is ~18 ms. In other words, the DNLL remembers that a stimulus was received at the ipsilateral ear for ~18 ms, on average, after the stimulus has ended.


Circuitry that creates EI properties (the ability to be excited by stimulation of one ear and inhibited by stimulation of the other ear) in neurons of the dorsal nucleus of the lateral lemniscus (DNLL). (a) Binaural signals that favor the contralateral (right) ear excite neurons in the lateral superior olive (LSO) that then excite DNLL neurons through a crossed excitatory projection. Each sound evokes a sustained discharge train in DNLL neurons with a duration equal to that of the stimulus (tone burst) duration. (b) Binaural signals that favor the ipsilateral (left) ear inhibit DNLL neurons. The inhibition is evoked through the LSO on the same (left) side. This LSO provides a strong glycinergic projection to the DNLL, but the same LSO excites the opposite DNLL. The opposite (right) DNLL sends a strong GABAergic projection through the commissure of Probst to inhibit the DNLL on the other (left) side. The noteworthy feature of the inhibition at the DNLL is that the resulting inhibition lasts substantially longer (on average ~18 ms longer) than the signal that generated it.

The persistent inhibition evoked by ipsilateral stimulation is potent and prevents DNLL neurons from responding to signals received at the excitatory (contralateral) ear for a period of time following the inhibitory signal [13, 49 and 50]. Thus, the reception of an initial signal having an IID that favors the inhibitory ear functionally inactivates (persistently inhibits) the DNLL for a period of time. Because many IC cells derive their inhibition from the DNLL, during the period of persistent inhibition of the DNLL these IC cells are deprived of their inhibitory innervation and, thus, are temporarily transformed from strongly inhibited EI cells into weakly inhibited EI, or even monaural, cells [13].

These features suggest that the circuitry linking the DNLL with the IC is important for processing signals which generate IIDs that change over time, such as the IIDs that would be generated by moving stimuli or by multiple sound sources that emanate from different regions of space. The hypothesis predicts that when two sounds with different IIDs are presented in close temporal sequence, there should be a change in the responsiveness of an IC cell to the trailing sound – a change produced by the reception of an earlier sound whose IID is strongly excitatory to the IC cell and inhibitory to the opposite DNLL. Stated differently, the reception of the first sound persistently inhibits the DNLL, thereby depriving the IC of its inhibitory input from the ipsilateral ear. Thus, when a trailing signal with an IID that would normally inhibit the IC cell is received, that signal excites the IC cell because the IC cell is deprived of its inhibitory input from the DNLL at that time. Conversely, the hypothesis also predicts that the responses to a trailing sound should be unchanged by an initial sound in IC neurons that are not innervated by the DNLL.

How a binaural signal having an interaural intensity disparity (IID) that favors the ear contralateral to the inferior colliculus (IC) could reconfigure the circuit and, thus, allow the IC cell to respond to a trailing binaural signal to which it was unresponsive when the trailing signal was presented alone. (a) A binaural signal with an IID that favors the right ear (R), ipsilateral to the IC, drives two projections. The first is a GABAergic inhibitory projection from the opposite (left) dorsal nucleus of the lateral lemniscus (DNLL), which is strongly driven; the second an excitatory projection from a lower monaural nucleus (e.g. the cochlear nucleus), which is not as strongly driven. At this IID, the inhibitory projection from the left DNLL suppresses the excitation at the IC evoked by the weaker stimulation at the left (L), contralateral ear, so there is no overall response. (b) A binaural signal that favors the left, contralateral ear evokes a persistent inhibition in the DNLL (indicated by paler coloring), and the signal excites the right, contralateral IC. Inhibition at the DNLL is evoked by a glycinergic projection from the ipsilateral LSO and GABAergic inhibition from the opposite DNLL, as shown in Fig. 4. The excitation of the IC is through an excitatory projection from a lower monaural nucleus, shown here generically as coming from the cochlear nucleus. (c) The initial presentation of this binaural signal persistently inhibits the DNLL (indicated by paler coloring) but excites the IC, in the same way as shown in (b). When a trailing, binaural signal that favors the right (inhibitory) ear follows shortly thereafter, the IC neuron now responds to the trailing signal. The reason is that the first binaural signal generates persistent inhibition in the DNLL that deprives the IC cell of the inhibition that would be evoked by the trailing binaural signal if the trailing signal were presented alone. Thus, the weaker stimulus at the contralateral (left) ear evoked by the trailing signal is now free to drive the IC cell. (d) For IC neurons that are not innervated by the DNLL, initial signals do not change responses evoked by trailing signals. Whether the binaural signal is presented alone as in (a) or follows an initial signal as in (d), these neurons respond in virtually the same way to that binaural signal.

We tested and confirmed this hypothesis by presenting an initial and trailing sound while recording from IC cells in bats before and during reversible inactivation of the DNLL . In many IC cells, the reception of an initial signal `reconfigured the circuit' by persistently inhibiting the DNLL, thereby allowing the IC cell to respond to a trailing signal – a signal that inhibited the IC cell when presented by itself. In these cells, inactivating the DNLL by iontophoretic application of kynurenic acid (a broad spectrum blocker of glutamate-mediated transmission) relieved inhibition, and transformed that IC cell from one that was EI when the DNLL was functional into one that was monaural when the DNLL was inactivated. The reversible inactivation showed that the EI properties of these cells were created de novo in the IC, and that the DNLL provided the ipsilaterally evoked inhibition. In other IC cells, however, the initial signals had no effects on the responses evoked by the trailing signals; these cells responded to trailing signals as they did when the trailing signals were presented alone. Reversible inactivation of the DNLL had no influence on the EI properties of these cells, suggesting that the EI properties of these cells were formed in the LSO and imposed on their IC targets through an excitatory projection. Thus, the predictions of the hypothesis were confirmed both for IC cells that were innervated by the opposite DNLL and for EI cells that were not innervated by the opposite DNLL.

4. Functional relevance of emergent properties resulting from DNLL innervation

The demonstration that an initial signal can change the responsiveness of IC cells to a trailing signal suggests that the DNLL circuitry could contribute to a precedence-like effect. The precedence effect, or law of the first wavefront, was discovered in human psychophysical studies and is due to a mechanism that suppresses the directional information carried by echoes. It explains how, in a reverberant room, a listener can localize only the first sound and not the sequence of echoes reflected from the various surfaces and objects in the room. Precedence is classically demonstrated with two speakers, separated along the same plane in space. The speakers emit identical sounds but the sound from one speaker is presented a few milliseconds before the sound from the other speaker. Listeners hear a single composite sound, and perceive the composite sound as originating from the leading speaker. The second sound fuses with the first and contributes to the overall volume and timbre of the fused sound, but is not perceived as a separate sound nor does it influence the perceived location of the composite sound. If the interval between the first and second sounds exceeds an upper limit, the two sounds are no longer heard as a single sound but as two separate sounds in succession, each with a perceived location in space.

It is noteworthy that precedence is a widespread, if not universal, feature of auditory systems. Precedence has been found in insects, birds [55] and a variety of mammals. The effect is presumably a manifestation of mechanisms that could enhance the ability of an animal to focus on the primary or first sound in the midst of many sounds. Focus is achieved by localizing only the first sound and merging the percept of the first and trailing sounds, whereas sounds from other sources that are received after a certain interval would be resolved and localized.

The features of IC neurons produced by innervation from the DNLL described above could contribute to precedence. The argument is that the IIDs generated by a sound from a particular location generate a population response in which some cells are excited while others are inhibited. Presumably this population response is interpreted by the brain as a sound that came from a unique location. However, a trailing sound that emanates from a different location would generate a distorted population response that cannot be associated with a location. The distorted population response is evoked by the trailing sound because many EI cells that should be inhibited by that sound are, instead, excited by the trailing sound, owing to the persistent inhibition at the DNLL produced by the initial sound.

5. Concluding comments

The circuitry linking the LSO, DNLL and IC can serve as a model for a more general understanding of how the integration of incoming information creates complex, but biologically meaningful, properties within the IC. Although the variety of response transformations that occur in the IC is far larger than described here for EI cells, we now have a better understanding of roles played by innervation from the DNLL for binaural processing. The significance of this is that it creates emergent properties in the IC, properties that are not possessed by LSO neurons or by IC cells that are not innervated by the DNLL. One property, but probably not the only one, is a change in the binaural responsiveness of the IC cell – a change produced by the reception of an earlier sound, the IID of which is strongly excitatory to the IC cell. Additionally, this emergent property occurs not only in de novo IC cells but also in all IC cells that have binaural properties shaped by projections from the DNLL.

Previously, we raised the question of why the shifts in IIDmi were constructed through circuit interactions rather than an exuberance of axonal branches from LSO cells with positive IIDmi. One dividend of constructing IC cells with inhibition from the DNLL, including those with shifted IIDmi, is that those cells would also express the emergent property described earlier in this review – a property they would not possess if their IIDmi were entirely imposed upon them from LSO projections or were constructed from ipsilateral inhibitory projections from other sources.

We thank Eric Bauer for his helpful comments. Our work is supported by NIH grant DC 00268.






TRADITIONAL CHINESE MEDICINE

Gastric relaxation by acupuncture has a somatosympathetic mechanism
T. Takahashi, Veterans Administration Medical Center

"Acupuncture has been used to treat gastrointestinal symptoms in China for more than 3000 years. However, the mechanism of the beneficial effects of acupuncture remains unknown. Strain gauge transducers were implanted on the serosal surface of the stomach to record circular muscle contractions in thiobutabarbital anesthetized rats," researchers in the United States report.

"Acupuncture on the right lower abdomen caused a transient relaxation of the stomach. Acupuncture induced gastric relaxations were abolished by guanethidine, propranolol, splanchnic ganglionectomy, spinal cord transection, and spinomedullary transection. In contrast, N-G-nitro-L-arginine, phentolamine, truncal vagotomy, and pontomedullary transection had no effect. Acupuncture increased the number of c-Fos immunopositive cells at the ventrolateral medulla (VLM)," wrote H. Tada and colleagues, Veterans Administration Medical Center.

"It is concluded that acupuncture induced gastric relaxations are mediated via the somatosympathetic reflex. Its afferent limb is composed of abdominal cutaneous and muscle afferent nerves. Its efferent limb is the gastric sympathetic nerve and the reflex center is within the medulla. VLM neurons may play an important role in mediating this reflex," the researchers concluded.

Tada and colleagues published their study in Digestive Diseases and Sciences (Neural mechanism of acupuncture-induced gastric relaxations in rats. Digest Dis Sci, 2003;48(1):59-68).



Acupuncture Entering the Mainstream
By  Star Lawrence
WebMD Medical News

Once thought of as quackery and scoffed at, acupuncture is making it's way from alternative to mainstream medicine.

Acupuncture -- the 2,500-year-old mainstay treatment of traditional Chinese medicine popularized in the West when President Nixon checked it out in China -- was initially regarded by the medical establishment as fringe therapy, right up there with voodoo and snake juice cocktails.

Now, the U.S. National Institutes of Health and the World Health Organization smile on certain uses of acupuncture; it is part of the array of therapies offered at the famed Memorial-Sloan Kettering Cancer Center and other well-known hospitals offering an integrative approach; and is often routinely added to a massage or trip to the orthopaedist or chiropractor. A million people use acupuncture each year, according to the NIH (half of all adults in the United States use some form of complementary or alternative therapy).

"Explained classically," says Peter J. Degnan, MD, adjunct assistant professor of community and family medicine at Dartmouth Medical College in Portsmouth, N.H., "the body contains a life force the Chinese call "chi," which we have translated to mean energy, though it is more than that. When the chi is in proper balance and flow, one has a sense of optimal wellness and health. Disturbance in the chi, on the other hand, results in ailments, such as pain and allergies."

Pain and allergies are just the beginning of the conditions for which acupuncture is offered. A study done at Cornell University shows that treatment with acupuncture can increase fertility in women by reducing stress and increasing blood flow to the reproductive organs (similar claims have been made with respect to erectile dysfunction). The technique also holds promise for helping people kick cocaine, according to one study from Yale University.

A recent study published in the Journal of Contemporary Pediatrics shows that despite children's legendary fear of needles, about half of the youngsters who submitted to acupuncture said they achieved significant pain relief and found the experience pleasant. (Acupuncture needles are very thin, not chunky like a needle used for an injection, and most people cannot feel them being inserted.)

Scientific Evidence

The researc