The perirhinal cortex (PRC) is a medial temporal lobe (MTL) structure known to be involved in assessing whether an object is familiar (i.e., meaningful) or novel. Recent evidence shows that the PRC is sensitive to the familiarity of both whole object configurations and their parts, and suggests the PRC may modulate part familiarity responses in V2. Here, using functional magnetic resonance imaging (fMRI), we investigated age-related decline in the PRC's sensitivity to part/configuration familiarity and assessed its functional connectivity to visual cortex in young and older adults. Participants categorized peripherally presented silhouettes as familiar ("real-world") or novel. Part/configuration familiarity was manipulated via three silhouette configurations: Familiar (parts/configurations familiar), Control Novel (parts/configurations novel), and Part-Rearranged Novel (parts familiar, configurations novel). "Real-world" judgments were less accurate than "novel" judgments, although accuracy did not differ between age groups. The fMRI data revealed differential neural activity, however: In young adults, a linear pattern of activation was observed in left hemisphere (LH) PRC, with Familiar > Control Novel > Part-Rearranged Novel. Older adults did not show this pattern, indicating age-related decline in the PRC's sensitivity to part/configuration familiarity. A functional connectivity analysis revealed a significant coupling between the PRC and V2 in the LH in young adults only. Older adults showed a linear pattern of activation in the temporopolar cortex (TPC), but no evidence of TPC-V2 connectivity. This is the first study to demonstrate age-related decline in the PRC's representations of part/configuration familiarity and its covariance with visual cortex.

Les troubles du spectre autistique (TSA) sont des troubles neurodéveloppementaux fortement héritables. En parallèle, la théorie de l'hypoconnectivité fronto – postérieure semble être au coeur de la physiopathologie des TSA. Afin de comprendre la contribution des facteurs de risque familiaux de ce trouble, nous avons conduit conjointement une étude de connectivité anatomique et fonctionnelle chez des parents non atteints de sujets atteints de TSA. Nous avons réalisé une étude de tractographie en cerveau entier afin de comparer les valeurs de l'anisotropie fractionnelle généralisée le long des principaux faisceaux de substance blanche chez 85 sujets adultes : 39 parents non atteints, 18 sujets atteints de TSA comparés à 28 sujets contrôles. Après avoir corrigé pour les tests multiples, nous avons mis en évidence une diminution significative de l'anisotropie fractionnelle généralisée le long du faisceau fronto- occipital inférieur bilatéral chez les parents non atteints, les sujets atteints de TSA en comparaison aux sujets contrôles. Afin de comprendre l'implication fonctionnelle de la dysconnectivité anatomique fronto – occipitale retrouvée en tractographie, nous avons calculé la connectivité fonctionnelle entre les régions fronto – occipitales selon les extrémités du faisceau frontal - occipital inférieur bilatéral. En comparaison à 28 sujets contrôles, nous avons ainsi observé une augmentation significative de la connectivité fonctionnelle fronto - occipitale chez 38 parents non atteints et chez 13 sujets atteints de TSA. Une étude de connectivité fonctionnelle en cerveau entier serait une perspective prometteuse quant à l'interprétation de l'augmentation de la connectivité fronto – occipitale observée. Les anomalies fronto – occipitales montrées chez les parents non atteints, les sujets atteints de TSA pourraient correspondre à la mise en évidence d'un endophénotype dans les TSA. / Autism Spectrum Disorder (ASD) are neurodevelopmental disorders highly heritable.In parallel, the underconnectivity theory of ASD assumes that fronto-posterior brain disconnectivity is at the core of its pathophysiology. Our goal was to assess long-range structural and functional connectivity in unaffected parents of subjects with ASD to better understand the contributions of familial factors to heightened risk of ASD. We performed a diffusion weighted imaging (DWI) based whole brain tractography to compare generalized fractional anisotropy (gFA) in the main deep long white matter tracts in 85 adults: 39 unaffected parents, 18 probands compared to 28 controls. After corrections for multiple comparisons, we identified a significant decrease in gFA in the bilateral inferior frontal occipital fasciculus (IFOF) in both probands with ASD and unaffected parents when compared to controls. To understand the functional implication of fronto – occipital anatomical disconnectivity, we assessed the functional connectivity between the regions linked by IFOF exhibiting significant alterations in gFA. We also showed that both probands and unaffected parents exhibited a significantly increased functional connectivity between the frontal and occipital regions linked by the IFOF. In order to better understand and extend this interesting results, to evaluate the global functional connectivity of our sample in order to be able to interpret the increase of fronto-occipital functional connectivity would be an important perspective. These findings highlight an altered fronto-occipital connectivity in subjects with ASD and unaffected parents suggesting that fronto-occipital disconnectivity may be an endophenotype of ASD.

Le cortex insulaire est le cinquième lobe du cerveau en charge de l'intégration de nombreuses fonctions cognitives, sous-tendues par une organisation cytoarchitectonique etune connectivité aussi riche que complexe. Ce travail vise à évaluer la connectivité fonctionnelle insulaire du cerveau humain par le biais de stimulation électrique intra-cérébrale et de potentiels évoqués cortico-corticaux (PECC) réalisés chez des patients explorés en stéréoélectroencéphalographie (SEEG) pour une épilepsie partielle réfractaire. Nous avons développé un protocole automatisé permettant destimuler successivement l’ensemble des bipoles d’enregistrement intracérébraux (deux plots contigus d’une même électrode) disponibles chez les patients explorés en SEEG. Deux sériesde 20 stimulations monophasiques d’une durée unitaire de 1 ms et d’une intentisté de 1 mA, étaient délivrés à une fréquence de 0,2 Hz au niveau de chaque bipole (105 en moyenne,produisant un total d’environ 11.000 PECC par patient). Un premier travail a consisté dans lamise au point d’une méthode fiable d’analyse statistique objective des PECC significatifs, encomplement de l’analyse visuelle, sur un échantillon de 33017 enregistrements chez trois patients. L’analyse a porté sur les quatre fenêtres temporelles post-stimulation suivantes: 10-100 ms, 100-300 ms, 300-500 ms, 500-1000 ms. La seconde partie de notre thèse a appliquéces méthodes à l’étude des connections intra-insulaires sur un échantillon de10 patients présentant au moins deux éléctrodes intra-insulaires. La dernière partie de notre travail s’est intéressé aux efférences insulaires sur un échantillon de 11 patients. L’étude des PECC apporte des éléments de connectivité fonctionnelle derésolution spatiale et temporelle inégalée, complémentaires de ceux découlant des techniquesde neuroimagerie. La gestion complexe du volume de données à gérer pour chaque patientpeut être résolu par des procédures d’analyse statistiques automatisée de sensibilité etspécificité satisfaisante. Le pattern des connections intra- et extra-insulaires révélé par cetteapproche permet une meilleure compréhension de la physiologie de l’insula chez l’Homme etdes modalités de propagations des décharges épileptiques impliquant ce lobe. / The insular cortex is the fifth lobe of the brain and is in charge of the integration of many cognitive functions, underpinned by a rich cytoarchitectonic organization and a complex connectivity. Our work aims to evaluate the insular functional connectivity of the human brain using intracerebral electrical stimulation and recording of cortico-cortical evoked potentials (CCEPs) in patients investigated with stereoelectroencephalography (SEEG) for refractory partial epilepsy. We first developed an automated protocol to stimulate successively all intracerebral recorded bipoles (two contiguous leads of the same electrode) available in patients undergoing SEEG. Two sets of 20 monophasic stimulation of 1 ms duration and 1mA intensity were delivered at a frequency of 0.2 Hz at each bipole (105 on average, producing a total of about 11,000 recordings per patient). We then develop a reliable and objective statistical method to detect significant CCEPs as a complement to visual analysis, and validate this approach on a sample of 33017 recordings in three patients. The analysis was performed over four distinct post-stimulus epochs: 10-100 ms, 100-300 ms, 300-500 ms, 500-1000 ms. In the second part of our thesis, we applied these methods to the study of intrainsular connections on a sample of 10 patients with at least two intra-insular electrodes. The last part of our work used the same approach to investigate insular efferents in a sample of 11 patients. The study of CCEPs provides novel and important findings regarding the human brain functional connectivity, with unmatched spatial and temporal resolutions as compared to neuroimaging techniques. The complex management of large volume of data in each patient can be solved by automated statistical analysis procedures with satisfactory sensitivity and specificity. The pattern of connections within and outside the insula revealed by this approach provides a better understanding of the physiology of the Human insula as well as of the propagation of epileptic discharges involving this lobe.

Convergent findings have elucidated the regions involved in semantic cognition. The anterior temporal lobes (ATL) act as a hub for multimodal semantic processing alongside modality-specific ‘spoke’ regions. In addition, areas of inferior parietal, posterior temporal and frontal cortex are necessary for semantic cognition. However, many questions remain. Little is known about the timing of the ATL or how distributed regions interact in order to perform semantic processing. In order to gain knowledge of the precise spatial and temporal dynamics of the ATL and semantic cognition network, a series of studies was performed. Chapter 3 investigated the time at which the ATL is necessary for a semantic judgement using chronometric TMS. The ATL was found to be necessary for semantic cognition from 400ms post-stimuli presentation. This is known to be a critical time for semantic processing. Processing of items presented in different modalities converges around this time. This supports the role of the ATL in multimodal semantic cognition. Chapter 4 used offline repetitive TMS to investigate the role of ATL subregions and posterior temporal cortex in semantic and phonological processing. However, no significant TMS effects were demonstrated. Chapter 5 employed dual echo fMRI to assess how different types of semantic relationships are instantiated within the brain. Association (spatially and temporally co-occurring concepts) and conceptual similarity (concepts sharing features) were shown to rely on the same cortical regions. This provides evidence against theories suggesting separate representational hubs for these different relationship types. Instead it supports the reliance of both relationship types on the ATL hub. These two kinds of relationship may be more similar than previously thought, with the hub-and-spoke model able to explain both. The semantic network identified here included ATL, posterior temporal, frontal and ventral parietal cortex. This network of semantic regions was shown to be interconnected in Chapter 6 during a semantic task (using a psychophysiological interaction analysis) and during rest (using a seed-based functional connectivity analysis). Differential connectivity was identified between the ventral ATL (to multimodal semantic regions) and the aSTG (to language-related regions). The semantic network overlapped with the default mode network (DMN) and involved regions previously found to constitute the frontoparietal network (FPN).Emergent questions related to the overlap between previously identified network and the semantic network were addressed with preliminary independent component analyses in Chapter 7. This showed the dynamic connectivity of the ATL in task and rest. The semantic network was found to be distinct from but overlapping with the DMN and FPN. The role of this network in semantic cognition was confirmed, whereas the DMN was not found to relate to semantic processing. The anterior DMN component appeared semantic based on activity alone, suggesting prior results relating the DMN to semantic cognition fail to take the dynamic connectivity of the regions in to account. The left FPN overlapped with semantic control regions but appeared to relate to more general control processes. When assessed with dual echo fMRI, the ATL appears to be highly connected in a dynamic fashion and may be an important region currently under-represented within studies of the connectome. Overall, these studies add to the hub-and-spoke model of semantic cognition, elucidating the types of relationship involved, how regions interact and the precise temporal and spatial dynamics of these areas.

No description available.

Over the last 20 years, there has been increasing research on the negative effects of discrimination on the mental and physical health of people of color. As mental health has an important relationship with the functional connectivity of brain networks, it is vital to further understand this. One way to measure functional brain connectivity is by observing the activity of the brain’s resting state networks (RSN) while a participant is at rest. Previous studies investigating connectivity have demonstrated a relationship between altered connectivity of RSNs and neuropsychiatric disorders, including Alzheimer’s disease, depression, and anxiety. The RSN of interest in this analysis is the salience network (SN). This network, anchored in the anterior insula and dorsal anterior cingulate cortex, is involved in the responses to “salient” stimuli that are infrequent in space or time, compete for an individual’s attention, and are surprising or emotionally engaging, such as an act of discrimination. The aim of this study was to use a seed-based correlation analysis to examine the relationship between perceived discrimination and the functional connectivity of the SN in black and white participants and to evaluate the differences in SN functional connectivity between black and white participants. Resting state functional connectivity was measured by using the functional magnetic resonance imaging (fMRI) data collected from 18 healthy older adults partaking in two different studies investigating aging, cognition, and the accompanying changes in neuroanatomy. The Analysis of Functional NeuroImages (AFNI) software was used to examine the correlations in activation in the primary nodes of the SN with activation in clusters in the other primary nodes. Perceived discrimination was measured using the Experiences of Discrimination Scale (EOD), a self-report measuring the frequency of instances of discrimination and the perceived reason behind the discrimination. Preliminary results from this analysis demonstrated that black participants, when compared to the white participants, demonstrated greater functional connectivity between the left and right insula and decreased functional connectivity between the right anterior cingulate cortex and the right insula. Black participants demonstrated a positive association between perceived overall discrimination and functional connectivity between the right and left insula and a negative association between perceived overall discrimination and functional connectivity between the right anterior cingulate cortex and the left insula. The white participants demonstrated a negative association between perceived overall discrimination and functional connectivity between the left and the right insula. Considering the inability for these results to survive correction for multiple comparisons, a larger sample size is necessary to obtain true statistical significance. Although existing research has implicated functional connectivity changes in the regions of the salience network in populations experiencing social exclusion, anxiety, and depression, further analyses are necessary to expand the limited research available regarding the effects of overall and race-based discrimination on the resting state functional connectivity of neural networks involved in emotional processing.

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第22828号 / 医博第4667号 / 新制||医||1047(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 村井 俊哉, 教授 古川 壽亮, 教授 高橋 淳 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

京都大学 / 0048 / 新制・論文博士 / 博士(医学) / 乙第13387号 / 論医博第2219号 / 新制||医||1048(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 溝脇 尚志, 教授 髙橋 良輔, 教授 渡邉 大 / 学位規則第4条第2項該当 / Doctor of Medical Science / Kyoto University / DFAM

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第22885号 / 医博第4679号 / 新制||医||1048(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 伊佐 正, 教授 古川 壽亮, 教授 高橋 淳 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

京都大学 / 新制・課程博士 / 博士(医学) / 甲第23069号 / 医博第4696号 / 新制||医||1049(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 髙橋 良輔, 教授 林 康紀, 教授 渡邉 大 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM