Le syndrome du X fragile (SXF) est la première cause héréditaire de déficience intellectuelle et également la première cause monogénique d’autisme. Le SXF est causé par l'expansion de la répétition du nucléotide CGG sur le gène FMR1, ce qui empêche l’expression de la protéine FMRP. L’absence du FMRP mène à une altération du développement structurel et fonctionnel de la synapse, ce qui empêche la maturation des synapses induite par l’activité et l’élagage synaptique, qui sont essentiels pour le développement cérébral et cognitif. Nous avons investigué les potentiels reliés aux événements (PRE) évoqués par des stimulations fondamentales auditives et visuelles dans douze adolescents et jeunes adultes (10-22) atteints du SXF, ainsi que des participants contrôles appariés en âge chronologique et développemental. Les résultats indiquent un profil des PRE altéré, notamment l’augmentation de l’amplitude de N1 auditive, par rapport aux deux groupes contrôle, ainsi que l’augmentation des amplitudes de P2 et N2 auditifs et de la latence de N2 auditif. Chez les patients SXF, le traitement sensoriel semble être davantage perturbé qu’immature. En outre, la modalité auditive semble être plus perturbée que la modalité visuelle. En combinaison avec des résultats anatomique du cerveau, des mécanismes biochimiques et du comportement, nos résultats suggèrent une hyperexcitabilité du système nerveux dans le SXF. / We investigated early auditory and visual information processing in Fragile X Syndrome (FXS), the most common form of X-linked Intellectual Disability (ID) and the only known monogenetic cause of autism. FXS is caused by a trinucleotide repeat expansion in the FMR1 (‘Fragile X mental retardation 1’) gene, which prevents expression of the ‘fragile X mental retardation protein’ (FMRP). FMRP absence leads to altered structural and functional development of the synapse, while also preventing activity-based synapse maturation and synaptic pruning, which are essential for cerebral and cognitive development. We review the contribution of electrophysiological signal studies for the understanding of information processing in FXS and compare event-related potential (ERP) findings to those concerning other clinical populations that share symptoms with FXS. In our research project, we investigated ERPs evoked by basic auditory and visual stimulation in twelve adolescents and young adults (10-22) with FXS, as well as healthy chronological- and developmental- age matched controls. We found an altered ERP profile in FXS, including increased auditory N1 amplitude, relative to both control groups, as well as increased auditory P2 and N2 amplitudes and increased auditory N2 latencies. Rather than being immature, sensory processing appears to be specifically disrupted in FXS. Furthermore, the auditory modality seems to be more affected than the visual modality. In combination with brain anatomical, biochemical and behavioural findings, our results suggest a hyperexcitable nervous system in FXS.

Diese qualitative Studie untersucht den schulischen Alltag von drei Jungen mit Fragilem-X- Syndrom. Das Fragile-X-Syndrom ist die häufigste bekannte erbliche Ursache von geistiger Behinderung und wird mit einer Reihe von charakteristischen Eigenschaften assoziiert. Dazu zählen vor allem physische, kognitive und psychosoziale Merkmale. Mithilfe der Ethnografie mit teilnehmender Beobachtung im schulischen Umfeld der Schüler werden die Bedingungen herausgearbeitet, die das Fragile-X-Syndrom der Schüler „sichtbar“ machen. Diese Bedingungen sind vor allem durch den jeweiligen Kontext geprägt, welcher sich aus dem Ausmaß der Hilfestellungen, der Struktur der Anforderungen und der räumlichen und organisatorischen Gestaltung der Umgebung zusammensetzt. Menschen mit Fragilem-X-Syndrom dürfen nicht nur als Träger eines genetischen Syndroms angesehen werden, sondern auch als Mitglieder sozialer Gruppen und Gemeinschaften, an deren immanenten Regeln sie ihr Handeln ausrichten. Die institutionellen und sozialen Bedingungen auf der Ebene des Klassenraums mit seinen jeweiligen Teilnehmerinnen und Teilnehmern bilden die Grundlage für eine soziale Konstruktion des Fragilen-X- Syndroms in der Schule. Diese Annahme ist die Voraussetzung für einen Verstehensprozess, der das Syndrom nicht nur als Ursache einer Behinderung ansieht, sondern vielmehr die Handlungen und performativen Äußerungen der Schüler als individuellen, kompetenten Teil ihrer Kommunikation deutet. Das gegenseitige Verstehen führt dazu, dass die Bedingungen des Fragilen-X-Syndroms, der Verhaltensphänotyp des Schülers sowie die jeweilige soziale Umgebung, in einen angemessenen Kontext gesetzt werden können. Erst dadurch kann der Schulalltag erfolgreich gestaltet und ein Scheitern des Schülers minimiert werden. / This qualitative research project examines the everyday life of three boys with Fragile X syndrome in their special education classrooms. Fragile X syndrome is the leading inherited cause of intellectual disability and is associated with a specific behavioral phenotype and cognitive and physical characteristics. Utilizing ethnographic participant observation, the specific context in which the Fragile X syndrome becomes “visible” will be analyzed. This context is mainly shaped by the institutional and social conditions on the level of the classroom with its participants (peers and educators). Individuals with Fragile X syndrome need to be viewed not only as living under a genetic condition, but as members of social groups and communities who act in relation to socially and culturally ordered expectations. The understanding of the students’ performative acts as part of their communication abilities can initiate the understanding of the behavioral phenotype within its context. This understanding of Fragile X syndrome as a social category may lead to a successful organization of everyday school life.

L'objectif de ce projet est l’étude de la plasticité des circuits corticaux dans le contexte de l'apprentissage des souris « sauvages » et modèles du syndrome de l’X fragile. Des études sur l'efficacité de la combinaison d'enregistrement des potentiels de champ locaux extracellulaires avec la stimulation laser UV (LSPS) pour cartographier les réseaux ont été réalisées. Nous avons trouvé des enregistrements de champs extracellulaires qui pourraient être utilisés pour détecter les réponses synaptiques évoquées par LSPS. Nos résultats indiquent une méthode alternative pour obtenir des cartes complètes de réseaux intracorticaux excitateurs. Ensuite, nous avons développé un paradigme d'apprentissage associatif sensoriel et étudié ses effets sur les réseaux intracorticaux excitateurs du cortex baril. Ex vivo un affaiblissement des projections excitatrices entre les couches 4 et 2/3 qui dans les colonnes de vibrisses C a été observée. Enfin, nous avons utilisé ces mêmes approches dans une souris modèle du syndrome de l'X fragile (FXS). Pour étudier les liens entre les déficits sensoriels, l'apprentissage associatif et les altérations fonctionnelles des réseaux sensoriels, nous avons utilisé un modèle de souris mutantes dans lequel la pathologie FXS était ciblée sur la couche 4 du cortex somatosensoriel. Il a été constaté que les souris WT présentaient une dépression similaire, alors qu'elle était absente FXS. En conclusion, les études sur les mutants sensoriels de type sauvage ont mis en lumière les conséquences de l'apprentissage sur les réseaux corticaux sensoriels et les liens entre la plasticité des réseaux corticaux sensoriels et les capacités cognitives. / The aim of this project is to study the plasticity of the cortical circuits in the context of the learning of wild type mice and models of Fragile X Syndrome. First, investigations into the efficacy of recording combination of extracellular local field potentials with UV laser stimulation (LSPS) to map networks were performed. We found extracellular field records could be used to detect the synaptic responses evoked by LSPS. Our results indicate an alternative method for obtaining complete maps of excitatory intracortical networks. Next, we developed a sensory associative learning paradigm and studied its effects on excitatory intracortical networks the barrel cortex. Ex vivo a weakening of the excitatory projections between layers 4 and 2/3 which in the columns of vibrissae C was observed and declined function of the speed of the behavioural response. Finally, we used these same approaches in a Fragile X Syndrome (FXS) model mouse. To study the links between sensory deficits, associative learning, and functional alterations of sensory networks, we used a model of mutant mice in which the FXS pathology was targeted to the layer 4 of the somatosensory cortex. Our hypotheses were that behavioural conditioning would change the cortical sensory circuits of the FXS sensory mutant and that the abnormal plasticity of these circuits would in turn affect the performance. It was found the WT mice exhibited a similar depression, whereas it was absent FXS. In conclusion, wild type mouse and FXS sensory mutant studies shed light on the consequences of learning on sensory cortical networks and on the links between plasticity of sensory cortical networks and cognitive abilities.

<p><a></a><a>The visual system is capable of interpreting immense sensory complexity, allowing us to quickly identify behaviorally relevant stimuli in the environment. It performs this task with a hierarchical organization that works to detect, relay, and integrate visual stimulus features into an interpretable form. To understand the complexities of this system, visual neuroscientists have benefited from the many advantages of using mice as visual models. Despite their poor visual acuity, these animals possess surprisingly complex visual systems, and have been instrumental in understanding how visual features are processed in the primary visual cortex (V1). However, a growing body of literature has shown that primary sensory areas like V1 are capable of more than basic feature detection, but can express neural activity patterns related to learning, memory, categorization, and prediction. </a></p> <p>Visual experience fundamentally changes the encoding and perception of visual stimuli at many scales, and allows us to become familiar with environmental cues. However, the neural processes that govern visual familiarity are poorly understood. By exposing awake mice to repetitively presented visual stimuli over several days, we observed the emergence of low frequency oscillations in the primary visual cortex (V1). The oscillations emerged in population level responses known as visually evoked potentials (VEPs), as well as single-unit responses, and were not observed before the perceptual experience had occurred. They were also not evoked by novel visual stimuli, suggesting that they represent a new form of visual familiarity in the form of low frequency oscillations. The oscillations also required the muscarinic acetylcholine receptors (mAChRs) for their induction and expression, highlighting the importance of the cholinergic system in this learning and memory-based phenomenon. Ongoing visually evoked oscillations were also shown to increase the VEP amplitude of incoming visual stimuli if the stimuli were presented at the high excitability phase of the oscillations, demonstrating how neural activity with unique temporal dynamics can be used to influence visual processing.</p> <p>Given the necessity of perceptual experience for the strong expression of these oscillations and their dependence on the cholinergic system, it was clear we had discovered a phenomenon grounded in visual learning or memory. To further validate this, we characterized this response in a mouse model of Fragile X syndrome (FX), the most common inherited form of autism and a condition with known visual perceptual learning deficits. Using a multifaceted experimental approach, a number of neurophysiological differences were found in the oscillations displayed in FX mice. Extracellular recordings revealed shorter durations and lower power oscillatory activity in FX mice. Furthermore, we found that the frequency of peak oscillatory activity was significantly decreased in FX mice, demonstrating a unique temporal neural impairment not previously reported in FX. In collaboration with Dr. Christopher J. Quinn at Purdue, we performed functional connectivity analysis on the extracellularly recorded spikes from WT and FX mice. This analysis revealed significant impairments in functional connections from multiple layers in FX mice after the perceptual experience; some of which were validated by another graduate student (Qiuyu Wu) using Channelrhodopsin-2 assisted circuit mapping (CRACM). Together, these results shed new light on how visual stimulus familiarity is differentially encoded in FX via persistent oscillations, and allowed us to identify impairments in cross layer connectivity that may underlie these differences. </p> <p>Finally, we asked whether these oscillations are observable in other brain areas or are intrinsic to V1. Furthermore, we sought to determine if the oscillating unit populations in V1 possess uniform firing dynamics, or contribute differentially to the population level response. By performing paired recordings, we did not find prominent oscillatory activity in two visual thalamic nuclei (dLGN and LP) or a nonvisual area (RSC) connected to V1, suggesting the oscillations may not propagate with similar dynamics via cortico-thalamic connections or retrosplenial connections, <a>but may either be uniquely distributed across the visual hierarchy or predominantly</a> restricted to V1. Using K-means clustering on a large population of oscillating units in V1, we found unique temporal profiles of visually evoked responses, demonstrating distinct contributions of different unit sub-populations to the oscillation response dynamics.</p>

<div>The visual system is responsible for processing visual input, inferring its environmental causes, and assessing its behavioral significance that eventually relates to visual perception and guides animal behavior. There is emerging evidence that visual perception does not simply mirror the outside world but is heavily influenced by contextual information. Specifically, context might refer to the sensory, cognitive, and/or behavioral cues that help to assess the behavioral relevance of image features. One of the most famous examples of such behavior is visual or optical illusions. These illusions contain sensory cues that induce a subjective percept that is not aligned with the physical nature of the stimulation, which, in turn, suggests that a visual system is not a passive filter of the outside world but rather an active inference machine.</div><div>Such robust behavior of the visual system is achieved through intricate neural computations spanning several brain regions that allow dynamic visual processing. Despite the numerous attempts to gain insight into those computations, it has been challenging to decipher the circuit-level implementation of contextual processing due to technological limitations. These questions are of great importance not only for basic research purposes but also for gaining deeper insight into neurodevelopmental disorders that are characterized by altered sensory experiences. Recent advances in genetic engineering and neurotechnology made the mouse an attractive model to study the visual system and enabled other researchers and us to gain unprecedented cellular and circuit-level insights into neural mechanisms underlying contextual processing.</div><div>We first investigated how familiarity modifies the neural representation of stimuli in the mouse primary visual cortex (V1). Using silicon probe recordings and pupillometry, we probed neural activity in naive mice and after animals were exposed to the same stimulus over the course of several days. We have discovered that familiar stimuli evoke low-frequency oscillations in V1. Importantly, those oscillations were specific to the spatial frequency content of the familiar stimulus. To further validate our findings, we investigated how this novel form of visual learning is represented in serotonin-transporter (SERT) deficient mice. These transgenic animals have been previously found to have various neurophysiological alterations. We found that SERT-deficient animals showed longer oscillatory spiking activity and impaired cortical tuning after visual learning. Taken together, we discovered a novel phenomenon of familiarity-evoked oscillations in V1 and utilized it to reveal altered perceptual learning in SERT-deficient mice.</div><div>16</div><div>Next, we investigated how spatial context influences sensory processing. Visual illusions provide a great opportunity to investigate spatial contextual modulation in early visual areas. Leveraging behavioral training, high-density silicon probe recordings, and optogenetics, we provided evidence for an interplay of feedforward and feedback pathways during illusory processing in V1. We first designed an operant behavioral task to investigate illusory perception in mice. Kanizsa illusory contours paradigm was then adapted from primate studies to mouse V1 to elucidate neural correlates of illusory responses in V1. These experiments provided behavioral and neurophysiological evidence for illusory perception in mice. Using optogenetics, we then showed that suppression of the lateromedial area inhibits illusory responses in mouse V1. Taken together, we demonstrated illusory responses in mice and their dependence on the top-down feedback from higher-order visual areas.</div><div>Finally, we investigated how temporal context modulates neural responses by combining silicon probe recordings and a novel visual oddball paradigm that utilizes spatial frequency filtered stimuli. Our work extended prior oddball studies by investigating how adaptation and novelty processing depends on the tuning properties of neurons and their laminar position. Furthermore, given that reduced adaptation and sensory hypersensitivity are one of the hallmarks of altered sensory experiences in autism, we investigated the effects of temporal context on visual processing in V1 of a mouse model of fragile X syndrome (FX), a leading monogenetic cause of autism. We first showed that adaptation was modulated by tuning properties of neurons in both genotypes, however, it was more confined to neurons preferring the adapted feature in FX mice. Oddball responses, on the other hand, were modulated by the laminar position of the neurons in WT with the strongest novelty responses in superficial layers, however, they were uniformly distributed across the cortical column in FX animals. Lastly, we observed differential processing of omission responses in FX vs. WT mice. Overall, our findings suggest that reduced adaptation and increased oddball processing might contribute to altered perceptual experiences in FX and autism.</div>

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Grâce aux progrès de la génétique moléculaire qui ont permis d’identifier de nouveaux gènes de déficience intellectuelle liée à l’X, il nous a été possible de travailler sur des groupes homogènes de malades présentant une mutation dans le même gène. Nous avons d’une part, pu mettre en évidence un dysfonctionnement du circuit cérébello-thalamo-préfrontal grâce à une étude en IRM morphométrique réalisée chez des patients ayant une mutation dans le gène Rab-GDI. D’autre part, nous avons identifié un phénotype tout à fait spécifique lié aux mutations du gène ARX, tant clinique que neuropsychologique, et cinématique, associant une atteinte très particulière de la motricité distale des membres supérieurs et du langage. La préhension des patients est pathognomonique, avec une préférence pour la pince pouce-majeur, une difficulté accrue pour l’utilisation du bord cubital de la main, et un trouble de la pronosupination. Sur le plan neuroanatomique, il existe une diminution de volume des noyaux gris centraux et des épaisseurs corticales des régions contrôlant la motricité, bien corrélées au paramètres de cinématique. Enfin, nous avons exploré les stratégies de raisonnement des patients déficients intellectuels atteints du syndrome de l’X fragile, d’une mutation du gène ARX ou de trisomie 21 en élaborant un paradigme de raisonnement visuel analogique issu des matrices de Raven. Nous en avons établi la trajectoire développementale. Les stratégies utilisées par les patients (étude en eyetracking) sont différentes de celles des contrôles y compris de même âge mental, avec un défaut d’inhibition majeur, encore plus franc chez les patients X fragiles que ceux porteurs de trisomie 21 / Thanks to progress in molecular genetics, that allowed identification of new genes responsible for X linked intellectual disability, we studied on homogeneous groups of patients presenting with a mutation in one or the other gene. In the first section, we showed dysfunction of cerebello-thalamo-prefrontal networks, thanks to morphological MRI study performed on patients with a mutation in the Rab-GDI gene. In the second section, we highlighted a very specific phenotype related to ARX gene mutations, clinically, neuropsychologically, and kinematically, with a very peculiar impairment of upper limbs distal motricity, and language disorder. Patients hand-grip is pathognomonic, with a preference for the middle finger instead of the index for the grip of object, major impairment of fourth finger use, and lack of pronation movements. Neuroimaging study showed decreased volume of basal ganglia, and cortical thickness of motor regions, well correlated to kinematic parameters. In the third section, we explored reasoning strategies in three groups of patients with intellectual deficiency: fragile X, ARX mutated and Down syndrome patients and controls (both chronological and mental age-matched subjects). We notably elaborated a visual analogical reasoning paradigm, inspired from Raven’s matrices. We established a developmental trajectory of this paradigm. The strategy used by patients (eyetracking study) was different from the one used by controls, with a huge lack of inhibition, even greater for fragile X patients than for Down syndrome patients

La trisomie 21 (T21), le Syndrome X Fragile (SXF), la Sclérose tubéreuse de Bourneville (STB) et les mutations SYNGAP1 sont causés par des dysfonctionnements des voies moléculaires qui entraînent notamment un déséquilibre dans l’excitation et l’inhibition de l’activité neuronale qui aurait des impacts sur le développement et le fonctionnement du cerveau. Toutefois, il est difficile de faire le pont entre les déséquilibres moléculaires observés dans les modèles animaux et les particularités structurelles, fonctionnelles et cognitives observées dans ces syndromes chez l’humain. À notre connaissance, peu d’études ont comparé différents syndromes génétiques sur les processus sensoriels, l’apprentissage de base ou encore leurs caractéristiques comportementales en utilisant des paradigmes similaires et translationnels, permettant de mieux comprendre leurs particularités. Le premier volet de cette thèse vise à identifier si l’activité électroencéphalographique serait un biomarqueur adéquat représentant les altérations neurobiologiques tant des processus sensoriels que d’apprentissage chez les humains présentant ces syndromes. L’étude #1 avait comme objectif de décrire le traitement sensoriel auditif, comme il s’agit d’un processus élémentaire, et ce, chez les mutations SYNGAP1 qui représentent une condition génétique encore peu étudiée chez l’humain. Les résultats ont d’ailleurs permis d’identifier une diminution de la synchronisation de phase et une augmentation de la puissance dans la bande gamma qui distinguent cette condition génétique tant des participants sans DI que de la T21. Toujours dans l’esprit d’identifier des biomarqueurs électroencéphalographiques, mais cette fois au niveau d’un processus cognitif de base, l’étude #2 avait pour objectif de comparer tous ces syndromes dans un paradigme de suppression neuronale (SN) afin de vérifier la présence de SN et de comparer l’apprentissage de base chez ces populations. Les résultats ont identifiés que la T21 et le SXF présentaient tous les deux un patron de SN et que le SXF présentait relativement une plus forte habituation indiquant des particularités spécifiques selon les syndromes. Le deuxième volet, davantage clinique, permet de comparer les profils comportementaux associés au fonctionnement adaptatif entre les syndromes et à décrire les pistes d’intervention existantes. L’étude #3 a notamment mis en évidence que le QI et les symptômes de TDAH sont associés au fonctionnement adaptatif auprès de ces différents syndromes dont le SXF et la STB. Cet article a aussi permis de décrire les profils comportementaux de ces mêmes conditions en révélant davantage de difficultés rapportées chez les individus présentant un SXF, alors que la T21 présentait moins de particularités cliniques au niveau comportemental. Enfin, l’article #4 a mis en lumière diverses interventions utilisées auprès de la population présentant une DI notamment des stratégies cognitivo-comportementales et compensatoires. Cette thèse permet donc de dresser un portrait spécifique de ces syndromes génétiques concernant leur signature électrophysiologique lors du traitement sensoriel et de l’apprentissage ainsi que sur le plan des comorbidités comportementales et de leur relation avec le fonctionnement adaptatif, pour ensuite aborder les interventions actuelles en DI. Les diverses particularités identifiées à plusieurs niveaux ont permis de générer des suggestions pouvant guider certaines interventions futures. / Down syndrome (DS), Fragile X syndrome (FXS), Tuberous sclerosis complex (TSC) and SYNGAP1 mutations are caused by dysfunctions of the molecular pathways which lead among others to an imbalance in excitation and inhibition of the neuronal activity that would impact the brain development and its functioning. However, it is difficult to directly bridge the gap between the molecular imbalances observed in animal models with the structural, functional and cognitive characteristics observed in human with these syndromes. To our knowledge, few studies have compared those different genetic syndromes on sensory processing, basic learning or on their behavioural issues using similar and translational paradigms then allowing a better understanding of their specificities. The first part of this thesis aims to identify whether electroencephalographic activity would be an adequate biomarker representing neurobiological alterations both in sensory processing and learning in humans with these syndromes. The goal of study #1 was to describe auditory sensory processing, as a very first basic process, in SYNGAP1 mutations being a genetic condition still little studied in humans. Results showed a decrease in phase synchronization and an increase in the power of gamma band which distinguish this genetic condition both from participants without ID and from DS. Still in order to identify electroencephalographic biomarkers, but this time at a basic cognitive level, study #2 aimed to compare all these syndromes in a repetition suppression (RS) paradigm in order to observe the presence of RS and compare basic learning in these populations. The results identified a RS pattern in both DS and FXS. FXS also exhibited relatively higher habituation then indicating specific features according to the syndrome. The second part, addressing clinical aspects, permits to compare the behavioural profiles associated with adaptive functioning between syndromes and to describe existing interventions on ID population. Study #3 notably highlighted that IQ and ADHD symptoms are associated with adaptive functioning especially in FXS and TSC. This article also made it possible to describe the behavioural profiles of these syndromes, revealing more difficulties reported in individuals with FXS, while DS presented fewer behavioural issues. Finally, article #4 highlighted various interventions used with ID population, notably cognitive-behavioural and compensatory strategies. This thesis therefore makes it possible to gain a better understanding of these genetic syndromes concerning their electrophysiological signature during sensory processing and learning as well as in terms of behavioural comorbidities and their relationship with adaptive functioning, to then address current ID interventions. These different syndromic particularities identified at several levels made it possible to generate suggestions that could guide future interventions in this field.