Non-competitive antagonists of the glutamate N-methyl-D-aspartate receptor (NMDAR) induce a broad range of schizophrenia-like symptoms in humans. Consequently hypothesis has emerged suggesting that glutamate or NMDAR hypofunction may occur in schizophrenia. The NMDAR is localised at dendritic spines of neurons and is embedded in a multi-protein complex called the post-synaptic density (PSD). The biochemical composition of the postsynaptic membrane and the structure of dendritic spines are continuously modulated by glutamatergic synaptic activity. The activity-dependent interaction between glutamate receptors and proteins of the PSD stimulate intracellular signalling pathways underlying learning and memory processes. These may be disturbed in schizophrenia. In the present study we hypothesised that molecules of the PSD may be disturbed in expression in the premotor cortex of patients with schizophrenia. Postmortem premotor cortex from patients with schizophrenia, major depressive disorder, bipolar disorder and healthy controls were processed for PSD extraction and purification. Protein expression of the PSD fraction was assessed using co-immunoprecipitation (co-IP) and Western blotting (WB) methods. The expression of NMDAR subunit NR2A, PSD-95, Ca2+/calmodulin-dependent protein kinase II subunit β (CaMKIIβ) and truncated isoform of the tropomyosin receptor kinase type B (TrkB-T1) were significantly reduced in schizophrenia. A significant decrease in the expression of NR2A was also observed in patients with major depressive disorder relative to controls. A decrease in the abundance of key PSD proteins in schizophrenia provides strong evidence that PSD function and possibly synaptic plasticity may be disturbed in the premotor cortex in the disease. There may also be more subtle disturbances in PSD function in major depressive disorder.

No description available.

While physical rehabilitation facilitates some recovery, it is uncommon for patients to recover completely from stroke. Cell based therapies derived from stem cells have produced promising results in enhancing recovery in pre-clinical studies, but the mechanism is not yet completely understood. We previously evaluated human umbilical tissue-derived cells (hUTC) in our non-human primate model of cortical injury, limited to the hand area of primary motor cortex. hUTC treatment, injected intravenously 24 hours after injury, resulted in significantly greater recovery of fine motor function compared to treatment with vehicle. Based on these striking findings, in the current study, we investigated the hypothesis that hUTC treatment leads to functional recovery through reducing cytotoxic responses and enhancing neurorestorative processes following cortical injury. Brain sections were assessed using histological techniques to quantify perilesional oxidative damage, hemosiderin accumulation, microglial activation, Betz cell number, synaptic density, and astrocytic complexity. Brain sections outside of the primary area of injury were also assessed for microglial activation in white matter pathways, cell activation through c-Fos in premotor cortices, and neurogenesis in neurogenic niches. Finally, blood samples from throughout the recovery period and CSF samples from 16 weeks after injury were analyzed for BDNF levels. In the perilesional area, hUTC treatment was associated with lower oxidative damage and hemosiderin accumulation, but not with a difference in microglial activation. hUTC also resulted in a trend toward higher astrocyte complexity and synaptic density in the lesion area, but no difference in ipsilesional Betz cell number. Further, hUTC treatment led to more microglia in white matter pathways, higher c-Fos activation in ventral premotor cortex, and a trend toward higher neurogenesis in the hippocampus. Finally, BDNF levels were higher in blood with hUTC treatment one week after injury, but there was no change beyond one week in blood serum or in CSF, when compared with vehicle. Taken together, these results suggest that hUTC treatment modulates immune responses, limits perilesional damage and cell death, enables neuroplasticity and reorganization, and enhances acute neurotrophic factor secretion. While many cell therapies are currently undergoing clinical trials, this study advances our understanding of the mechanism of cell based therapies.

The Lateral Prefrontal Cortex (LPFC) and the Dorsal Premotor cortex (PMd) are two cortical structures that are involved in cognitive processes such as motor planning and decision-making. The LPFC is extensively connected to sensory, somatosensory, and motor cortices that help it control several cognitive functions [for review, see: (Tanji & Hoshi, 2008)]. Similarly, the PMd can integrate information from the prefrontal and motor cortex, acting as a link, in action planning and decision making [for review, see: (Hoshi & Tanji, 2007)]. Therefore, it is important to study the cortical pathways between these areas because of their common role in processing and selecting relevant information in tasks requiring decision-making. Using neural tract-tracing, immunolabeling and microscopy in rhesus monkeys (M. mulatta), we assessed the distribution and layer-specific organization of projection neurons from LPFC area 46 and PMd area 6 directed to the LPFC area 9. Our study revealed that projection neurons to area 9 were found originating from upper (L2-3) and deep (L5-6) layers of both areas, but with a slight upper layer bias. We found that the LPFC area 46 had a higher density of projection neurons directed to LPFC area 9 compared to the PMd area 6. Additionally, our data also revealed laminar differences in the perisomatic parvalbumin (PV) inhibitory inputs onto area 9 projection neurons, which were dependent on area of origin. Within ventral LPFC area 46, perisomatic PV+ inhibitory inputs onto upper layer projection neurons to area 9 was greater than those onto deep layer projection neurons. The opposite pattern was found for PMd area 6DR, where perisomatic PV+ inhibition onto deep layer projection neurons to area 9 was greater than those onto upper layer neurons. These findings provide additional insights into the layer-specific organization of prefrontal and premotor pathways that play an important role in action planning and decision-making.

No description available.

No description available.

Le travail présenté dans cette thèse porte sur le rôle du cortex prémoteur dorsal (PMd) au sujet de la prise de décision (sélection d’une action parmis nombreux choix) et l'orientation visuelle des mouvements du bras. L’ouvrage décrit des expériences électrophysiologiques chez le singe éveillé (Macaca mulatta) permettant d’adresser une fraction importante des prédictions proposées par l'hypothèse des affordances concurrentes (Cisek, 2006; Cisek, 2007a). Cette hypothèse suggère que le choix de toute action est l’issue d'une concurrence entre les représentations internes des exigences et des atouts de chacune des options présentées (affordances; Gibson, 1979). Un intérêt particulier est donné au traitement de l'information spatiale et la valeur des options (expected value, EV) dans la prise de décisions. La première étude (article 1) explore la façon dont PMd reflète ces deux paramètres dans la période délai ainsi que de leur intéraction. La deuxième étude (article 2) explore le mécanisme de décision de façon plus détaillée et étend les résultats au cortex prémoteur ventral (PMv). Cette étude porte également sur la représentation spatiale et l’EV dans une perspective d'apprentissage. Dans un environnement nouveau les paramètres spatiaux des actions semblent être présents en tout temps dans PMd, malgré que la représentation de l’EV apparaît uniquement lorsque les animaux commencent à prendre des décisions éclairées au sujet de la valeur des options disponibles. La troisième étude (article 3) explore la façon dont PMd est impliqué aux “changements d'esprit“ dans un procès de décision. Cette étude décrit comment la sélection d’une action est mise à jour à la suite d'une instruction de mouvement (GO signal). I II Les résultats principaux des études sont reproduits par un modèle computationnel (Cisek, 2006) suggérant que la prise de décision entre plusieurs actions alternatives peux se faire par voie d’un mécanisme de concurrence (biased competition) qui aurait lieu dans la même région qui spécifie les actions. / This thesis examines the role of the dorsal premotor cortex (PMd) in the process of decision making (action selection) and visual guidance of arm movements. The work describes electrophysiological experiments conducted in awake monkeys (Macaca mulatta) and tests a number of important predictions suggested by the affordance competition hypothesis (Cisek, 2006; Cisek, 2007a). This hypothesis suggests that decisions can be viewed as the result of a competition between internal representations of conflicting demands and opportunities for actions or affordances (Gibson, 1979). Specific interest is given to the interaction between spatial information and expected value (EV) in a proposed affordance competition mechanism for action selection. The first study presented (article 1) explores how EV is represented during the delay period in PMd. This study also describes how this area reflects the spatial metrics of the options and examines the interaction between value and spatial information. The second study (article 2) explores the mechanism of action selection in more detail and extends the results to ventral premotor cortex (PMv). This study also addresses the nature of value and spatial representations from a learning perspective. In a novel environment the spatial metrics of the actions seem to be invariably present in PMd, meanwhile EV representations appear only once the animals make behaviorally informed decisions about the value of the available options. The third study (article 3) explores how PMd is involved in “changes of mind” in which action selection is updated following a movement instruction (GO signal). III IV The major findings in all these studies are reproduced by a computational model (Cisek, 2006) suggesting that decisions between actions can be made through a biased competition process that takes place in the same region that specifies the actions.

Dans les suites d'un accident vasculaire moteur (AVC), il existe une réorganisation des cartes de représentation corticale des territoires musculaires pouvant intéresser aussi bien le cortex moteur primaire (CMP) que le cortex prémoteur (CPM) de l'hémisphère cérébral atteint. La contribution de ces deux aires à la plasticité corticale post-AVC est loin d'être bien définie. Notre objectif était d'étudier les modifications de cartographie corticale motrice, notamment au niveau du CMP et du CPM, et leur implication dans la récupération fonctionnelle post-AVC. Dans ce but nous avons utilisé une technique de stimulation magnétique transcrânienne (SMT) guidée par l'imagerie (neuronaviguée). Les limites anatomiques des aires corticales et l'existence de repères anatomiques fiables dans différentes régions d'intérêts ont été définies dans un premier temps. Puis nous avons établi la cartographie normale des représentations corticales motrices dans un groupe de sujets sains, notamment au moyen de cartes « probabilistes » d'obtention de réponses motrices à la SMT qui prennent en compte les variabilités interindividuelles. Nous avons ensuite étudié les modifications de ces représentations dans un groupe de patients ayant des séquelles de lésion vasculaire des régions corticales motrices. Enfin, nous avons effectué un travail prospectif de suivi cartographique d'un groupe de patients ayant présenté un AVC moteur. Dans cette dernière partie, l'analyse des données cliniques et de SMT obtenues à la phase aigüe et à trois mois de l'AVC nous a permis de caractériser les modifications anatomo-fonctionnelles corticales qui accompagnent la régression du déficit moteur, supportant en particulier le rôle central du CMP de l'hémisphère lésé. En conclusion, nous proposons des modèles d'organisation neuronale expliquant le fonctionnement du cortex moteur chez le sujet sain ainsi que la récupération motrice après une lésion partielle du CMP. / Following stroke, reorganization of the motor cortical maps takes places and involves both the primary motor cortex (M1) and the premotor cortex (PMC) on the affected hemisphere. The relative contribution of each of these two cortical areas in the process of post-stroke plasticity and motor recovery remains uncertain. The present project was designed to study the cortical changes that follow a motor stroke, namely those involving M1 and the PMC, and their implications for motor recovery. For this purpose we used MRI-guided (neuronavigated) transcranial magnetic stimulation (TMS). First, we defined the anatomical limits of the cortical areas and the reliable cortical landmarks within each region of interest. We then defined a normal motor map in a group of healthy subjects. Our “probabilistic” map was based on the probability of obtaining motor responses in a given area and therefore accounted for inter-subject variability of motor representations. Thereafter we studied the modifications of the motor cortical representations in a group of patients having recovered from a motor stroke. Finally, we prospectively followed a group of patients presenting with a motor stroke. By comparing the neurophysiological and clinical data at admission and three months later, we were able to characterize the anatomo-functional cortical changes that accompany motor recovery following stroke. Our results are consistent with a major role of M1 in motor recovery. To conclude, we propose a model of how the motor cortex works in healthy subjects and during post-stroke recovery process.

Le travail présenté dans cette thèse porte sur le rôle du cortex prémoteur dorsal (PMd) au sujet de la prise de décision (sélection d’une action parmis nombreux choix) et l'orientation visuelle des mouvements du bras. L’ouvrage décrit des expériences électrophysiologiques chez le singe éveillé (Macaca mulatta) permettant d’adresser une fraction importante des prédictions proposées par l'hypothèse des affordances concurrentes (Cisek, 2006; Cisek, 2007a). Cette hypothèse suggère que le choix de toute action est l’issue d'une concurrence entre les représentations internes des exigences et des atouts de chacune des options présentées (affordances; Gibson, 1979). Un intérêt particulier est donné au traitement de l'information spatiale et la valeur des options (expected value, EV) dans la prise de décisions. La première étude (article 1) explore la façon dont PMd reflète ces deux paramètres dans la période délai ainsi que de leur intéraction. La deuxième étude (article 2) explore le mécanisme de décision de façon plus détaillée et étend les résultats au cortex prémoteur ventral (PMv). Cette étude porte également sur la représentation spatiale et l’EV dans une perspective d'apprentissage. Dans un environnement nouveau les paramètres spatiaux des actions semblent être présents en tout temps dans PMd, malgré que la représentation de l’EV apparaît uniquement lorsque les animaux commencent à prendre des décisions éclairées au sujet de la valeur des options disponibles. La troisième étude (article 3) explore la façon dont PMd est impliqué aux “changements d'esprit“ dans un procès de décision. Cette étude décrit comment la sélection d’une action est mise à jour à la suite d'une instruction de mouvement (GO signal). I II Les résultats principaux des études sont reproduits par un modèle computationnel (Cisek, 2006) suggérant que la prise de décision entre plusieurs actions alternatives peux se faire par voie d’un mécanisme de concurrence (biased competition) qui aurait lieu dans la même région qui spécifie les actions. / This thesis examines the role of the dorsal premotor cortex (PMd) in the process of decision making (action selection) and visual guidance of arm movements. The work describes electrophysiological experiments conducted in awake monkeys (Macaca mulatta) and tests a number of important predictions suggested by the affordance competition hypothesis (Cisek, 2006; Cisek, 2007a). This hypothesis suggests that decisions can be viewed as the result of a competition between internal representations of conflicting demands and opportunities for actions or affordances (Gibson, 1979). Specific interest is given to the interaction between spatial information and expected value (EV) in a proposed affordance competition mechanism for action selection. The first study presented (article 1) explores how EV is represented during the delay period in PMd. This study also describes how this area reflects the spatial metrics of the options and examines the interaction between value and spatial information. The second study (article 2) explores the mechanism of action selection in more detail and extends the results to ventral premotor cortex (PMv). This study also addresses the nature of value and spatial representations from a learning perspective. In a novel environment the spatial metrics of the actions seem to be invariably present in PMd, meanwhile EV representations appear only once the animals make behaviorally informed decisions about the value of the available options. The third study (article 3) explores how PMd is involved in “changes of mind” in which action selection is updated following a movement instruction (GO signal). III IV The major findings in all these studies are reproduced by a computational model (Cisek, 2006) suggesting that decisions between actions can be made through a biased competition process that takes place in the same region that specifies the actions.

No description available.