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Blanke, O.

Publications and source records attributed to Blanke, O..

At least 19 recordsLinked to original sources

Nondual mindfulness meditation alters self representation and brain connectome in expert meditators

Nonduality is a foundational but conceptually elusive notion across several contemplative traditions. Nondual traditions challenge the assumption that a subject-object structure characteristic of ordinary experience is an intrinsic feature of conscious awareness. However, little remains known about the neurocognitive mechanisms associated with such experiential state. Here, we investigated how Open Presence (OP) meditation, a form of non-dual mindfulness practice, modulates bodily self-representation and large-scale brain functional organization. We combined the Full-Body Illusion Experience (FBIE), a virtual reality paradigm manipulating bodily self-processing, with resting-state functional connectivity gradient analyses in expert meditators (>10,000 hours of practice) and meditation novices. We hypothesized that OP would attenuate bodily self susceptibility as measured by FBIE and increase large-scale integration of functional brain networks, consistent with prior findings linking reduced self-boundaries and ego-dissolution to increased connectome integration. Seventy-five participants (28 experts, 47 novices) underwent fMRI scanning during OP meditation. Brain network organization was assessed using connectivity gradients and network dispersion/ eccentricity metrics. Group differences were evaluated using bootstrap statistics and support vector classification. Compared with novices, expert practitioners showed reduced global network eccentricity during OP, particularly within dorsal attention, ventral attention, and frontoparietal networks, suggesting greater large-scale integration of functional networks. These neural patterns were positively correlated with FBIE self-report measures and negatively with cognitive defusion scores, a construct thought to reflect reduced self-grasping toward thoughts and mental contents. Together, these findings suggest that nondual meditation is associated with alterations in self-representation and increased large-scale functional integration, providing candidate neural markers of nondual awareness.

neuroscience↗

Re-membering: spontaneous reactivation of motor cortex during memory re-experiencing

Episodic autobiographical memory (EAM) relies on reactivations of cortical regions, originally engaged during event encoding. While reinstatement of auditory and visual regions during retrieval of external signals is well documented, reinstatement of motor regions, reflecting internal self-related signals from the persons body, remains unexplored. Here, we investigated motor reinstatement at both cortical and peripheral levels. Using mixed-reality, participants encoded lifelike episodes involving specific motor actions. The next day, they freely retrieved these episodes while undergoing fMRI (N=30) or EMG (N=23). fMRI results revealed lateralized, effector-specific reactivation in primary and supplementary motor cortices. Moreover, hippocampal-motor connectivity increased during retrieval, and activity in premotor and supplementary motor areas scaled with subjective re-experiencing ratings. EMG recordings further showed, during retrieval, sub-threshold activation of the muscle active during encoding. Together, these results provide evidence for cortical and peripheral motor reinstatement during the re-experiencing of past events, emphasizing the embodied nature of EAM.

neuroscience↗

Presence Hallucination Induction through Robotically Mediated Somatomotor Conflicts: a pooled analysis of 26 experiments

Hallucinations are significant symptoms in psychiatric and neurodegenerative diseases, that may indicate advanced disease progression or worse disease forms. They are also frequent in healthy individuals, especially elderly or bereaved. Despite their relevance, studying hallucinations in controlled laboratory conditions remains challenging given the limited procedures inducing clinically relevant hallucinations. We have previously developed a robotics-based protocol capable of inducing a specific clinically relevant hallucination, presence hallucination (PH), in both healthy individuals and patients. Using this approach, we have systematically investigated the sensitivity and intensity of PH-induction, as well as its effects on various sensory, behavioral and cognitive aspects. In the present study, we pooled individual-participant data from 26 in-house experiments (totaling 580 individuals) and conducted a Bayesian analysis to estimate effects and moderators of PH-induction. PH-induction was reliably induced with a medium effect-size, and individuals with schizotypal traits were more sensitive. Furthermore, we identified that PH-induction may not strongly depend on altered agency, but found a synergistic relationship between passivity and induced PH. Collectively these results elucidate the role of somatomotor processes in aberrant own body perceptions, advance understanding of psychosis, and provide powerful statistical priors for future studies.

neuroscience↗

Connectome-based brain fingerprints predict early cognitive decline in Parkinson's patients with minor hallucinations

Individual variability in connectome organization offers a unique framework for capturing patient-specific alterations and advancing personalized models in medicine. Minor hallucinations (MH) affect up to 40% of Parkinsons disease (PD) patients and are early indicators of cognitive decline and dementia, hence crucial for early intervention. While previous studies focused on group-level differences, connectome-based brain fingerprinting enables deeper, individualized analysis of neural change. Applying this approach to PD patients with and without MH using resting-state fMRI, we show that each patient exhibited unique brain fingerprint, revealing rich quantifiable personalized features with medical relevance. MH-patients showed a loss of subject-specific features in brain networks linked to cognitive health, while somatosensory regions - typically less distinctive - became more prominent, emphasizing their role in MH pathogenesis. These differences enabled to identify - in an entirely data driven manner - patient-specific networks linked to early subclinical cognitive alterations, as well differential spatial fingerprinting organization linked to cortical densities of neurotransmitters. These findings reveal a distinct, patient-specific connectomic signature that differentiates PD patients with MH, uncovering early neural markers for precision medicine in PD.

neuroscience↗

Deep-learning models of the ascending proprioceptive pathway are subject to illusions

Proprioception is essential for perception and action. Like any other sense, proprioception is also subject to illusions. In this study, we model classic proprioceptive illusions in which tendon vibrations lead to biases in estimating the state of the body. We investigate these illusions with task-driven models that have been trained to infer the state of the body from distributed sensory muscle spindle inputs (primary and secondary afferents). Recent work has shown that such models exhibit representations similar to the neural code along the ascending proprioceptive pathway. Importantly, we did not train the models on illusion experiments and simulated muscle-tendon vibrations by considering their effect on primary afferents. Our results demonstrate that task-driven models are indeed susceptible to proprioceptive illusions, with the magnitude of the illusion depending on the vibration frequency. This work illustrates that primary afferents alone are sufficient to account for these classic illusions and provides a foundation for future theory-driven experiments.

neuroscience↗

Bodily perception links memory and self: a case study of an amnesic patient

Episodic autobiographical memory (EAM) is a building block of self-consciousness, involving recollection and subjective re-experiencing of personal past experiences. Any life episode is originally encoded by a subject within a body. This raises the possibility that memory encoding is shaped by bodily self-consciousness (BSC), a basic form of self-consciousness arising from the multisensory and sensorimotor perceptual signals from the body. Recent studies in healthy subjects showed that embodied encoding improves EAM, with the involvement of the hippocampus. However, there are only few imaging studies to date, hippocampal data are not consistent, and the role of hippocampal damage is not understood. We investigated how different BSC states during encoding, modulate later EAM retrieval, in a patient with severe amnesia caused by rare bilateral hippocampal damage. We performed three separate behavioral experiments using immersive virtual reality. The patient showed consistently more difficulties recollecting information encoded in embodied vs. disembodied states, particularly when asked to recall her perspective experienced at encoding. These results contrasted with the usual beneficial effect of BSC on EAM, and significantly differed from controls. These data provide consistent evidence that BSC impacts encoding and later reliving, and shows that the hippocampus is not just a critical structure for EAM, but also for effects of embodiment on memory. Additional fMRI data extend these findings by revealing that hippocampal-parietal connectivity mediates BSC-EAM coupling. Our findings plead for an important role of BSC in EAM, mediated by the hippocampus and its connectivity, leading to embodied memories that are experienced as belonging to the self. HighlightsO_LIWe studied a patient with memory deficits caused by bilateral hippocampal atrophy C_LIO_LIMultisensory stimulation modulated embodiment during episode encoding C_LIO_LIAcross three studies the patient showed stronger memory deficits for embodied episodes C_LIO_LIMultisensory bodily perception impacts bodily self-consciousness and episodic memory C_LIO_LIOur findings link the bodily self to episodic memory and the hippocampus C_LI

neuroscience↗

Motor Equivalence in Motor Awareness

Motor awareness (MA) describes the level of conscious access we have to the details of our movements and as such is critical to the feeling of control we maintain over our actions (sense of agency). Although our movements rely on specific sensorimotor transformations as well as distinct reference frames for the active body part, or effector, numerous studies report spatiotemporal thresholds of MA that are comparable across different effectors and tasks as well as supramodal. However, this has not been tested directly and there is currently no direct empirical support for effector-independent MA nor a description of a potentially shared underlying mechanisms. We therefore designed a goal-directed reaching paradigm that participants performed once with their upper-limbs, using a joystick, and once with their full body, by leaning and thereby displacing their center-of-mass. We assessed both MA and corrective movements for sensorimotor mismatches by providing either veridical feedback or introducing random spatial deviations. We hypothesized that changes in motor compensation and awareness, across effectors, with and without a concurrent cognitive load, would follow the same pattern of behavior if they relied on a shared underlying mechanism. Our results lend support for such an effector-independent mechanism, as we observed that MA was comparable across effectors: i) in un-deviated control trials with and without cognitive load, ii) in converging trials where the direction of the deviation corresponded to the direction of the target location, and iii) based on strongly correlated psychometric MA thresholds across effectors. At the same time, data from diverging trials, where the direction of the deviation opposed the direction of the target location, indicate that in case of conflicting information and increased kinematic task demands MA draws on effector-specific sensorimotor information, corresponding to performance differences between hand and full body movements observed in baseline blind-reaching versus visually guided reaching. Overall, our findings provide a direct link between low-level sensorimotor transformations and abstract motor representations and their role in MA, consolidating a gap in conceptual frameworks of the sense of agency.

animal behavior and cognition↗

Meditation in the third-person perspective modulates minimal self and heartbeat-evoked potentials

Experienced meditation practitioners often report altered states of their sense of self, including decentering and distancing the self from the body and ones current concerns. Altered states of the sense of self, such as disembodiment and distancing of the self from the body, have also been induced experimentally using virtual reality (VR) and linked neurally to heartbeat evoked potentials (HEPs). Whereas many studies investigated the related neural correlates of such decentering during meditation, none experimentally modulated the sense of self during meditation practice using VR nor determined the potentially associated behavioral changes of the sense of self. Here we determined HEPs and behavioral measures in 23 participants who performed a guided meditation practice in VR, either from a third-person (3PP) or first-person perspective (1PP) to modulate the sense of self. In the 3PP versus 1PP meditation condition, we report stronger sensations of detachment and disconnection, reduced salience of the perceived body boundary, and reduced self-identification with the body. HEP analysis revealed differential neural responses between conditions, characterized by a more negative HEP amplitude in the 3PP condition, associated with activation of the posterior cingulate cortex and medial prefrontal cortex. Leveraging a new VR-supported meditation platform and methods, these data link the sense of self in meditation practice to the neuroscience of the bodily self, based on subjective, behavioral, and neural measures.

neuroscience↗

Embodiment in episodic memory through premotor-hippocampal coupling

Episodic memory (EM) allows us to remember and relieve past events and experiences, depending on cortical-hippocampal reinstatement involved during encoding. Although it has been claimed that EM is fundamental to establish a sense of self across time, this has never been shown experimentally. Here we combine immersive virtual reality and fMRI and report stronger hippocampal reinstatement for scenes encoded under preserved sense of self, reflecting later recall performance. We further link the sense of self to EM showing that hippocampal reinstatement is coupled with reinstatement in premotor cortex, a key sense of self region. We extend these findings in a severe amnesic patient (caused by bilateral hippocampal damage), whose memory and re-experiencing lacked the normal dependency on the sense of self. Premotor-hippocampal coupling in EM describes how the self at encoding is neurally reinstated during the retrieval of past episodes, enabling a sense of self across time. TeaserPremotor-hippocampal coupling reveals how the self is reinstated when retrieving past episodes.

neuroscience↗

Changes in spatial self-consciousness elicit grid cell-like representation in entorhinal cortex

Grid cells in entorhinal cortex (EC) encode an individuals location in space and rely on environmental cues and multisensory bodily cues. Body-derived signals are also primary signals for the sense of self as the continuous application of visuo-tactile bodily stimuli elicits illusory drifts in perceived self-location. It is unknown whether illusory changes in self-location are sufficient to elicit grid cell like representation (GCLR) in EC and how this compares to GCLR during conventional virtual navigation. Our results show that illusory changes in perceived self-location (independent of changes in environmental navigation cues and explicit imagined navigation) evoke entorhinal GCLR, correlating in strength with the magnitude of perceived self-location, and characterized by similar grid orientation as during conventional virtual navigation. These data demonstrate that the same grid-like representation is recruited when navigating based on environmental, mainly visual cues, or when experiencing illusory forward drifts in self-location, driven by perceptual multisensory bodily cues.

neuroscience↗

Human primary motor cortex indexes the onset of subjective intention in brain-machine-interface mediated actions

Self-initiated behavior is accompanied by the experience of willing our actions. Here, we leverage the unique opportunity to examine the full intentional chain - from will (W) to action (A) to environmental effects (E) - in a tetraplegic person fitted with a primary motor cortex (M1) brain machine interface (BMI) generating hand movements via neuromuscular electrical stimulation (NMES). This combined BMI-NMES approach allowed us to selectively manipulate each element of the intentional chain (W, A, and E) while performing extra-cellular recordings and probing subjective experience. Our results reveal single-cell, multi-unit, and population-level dynamics in human M1 that encode W and may predict its subjective onset. Further, we show that the proficiency of a neural decoder in M1 reflects the degree of W-A binding, tracking the participants subjective experience of intention in (near) real time. These results point to M1 as a critical node in forming the subjective experience of intention and demonstrate the relevance of intention-related signals for translational neuroprosthetics.

neuroscience↗

Digital-robotic markers for hallucinations in Parkinson's disease

Hallucinations are frequent non-motor symptoms in Parkinsons disease (PD) associated with dementia and higher mortality. Despite their high clinical relevance, current assessments of hallucinations are based on verbal self-reports and interviews that are limited by important biases. Here, we used virtual reality (VR), robotics, and digital online technology to quantify presence hallucination (PH) in laboratory and home-based settings. We establish that elevated numerosity estimation of digital humans in VR is a digital marker for experimentally induced PH in healthy participants, as confirmed across several control conditions and analyses. We translated the digital marker (numerosity estimation) to an online procedure that 170 PD patients carried out remotely at their homes, revealing that PD patients with disease-related PH (but not control PD patients) showed higher numerosity estimation. Numerosity estimation enables quantitative monitoring of hallucinations, is an easy-to-use unobtrusive online method, reaching people far away from medical centers, translating neuroscientific findings using robotics and VR, to patients homes without specific equipment or trained staff.

neuroscience↗

Real-world body orientation impacts virtual navigation experience and performance

Most human navigation studies in MRI rely on virtual navigation. However, the necessary supine position in MRI makes it fundamentally different from daily ecological navigation. Nonetheless, until now, no study has assessed whether differences in physical body orientation (BO) affect participants experienced BO during virtual navigation. Here, combining an immersive virtual reality (VR) navigation task with subjective BO measures and implicit behavioral measures, we demonstrate that physical BO (either standing or supine) modulated experienced BO. Also, we show that standing upright BO is preferred during spatial navigation: participants were more likely to experience a standing BO and were better at spatial navigation when standing upright. Importantly, we report that showing a supine virtual agent reduces the conflict between the preferred BO and physical supine BO. Our study provides critical, but missing, information regarding experienced BO during virtual navigation, which should be considered cautiously when designing navigation studies, especially in MRI. Visual Abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=99 SRC="FIGDIR/small/527966v1_ufig1.gif" ALT="Figure 1"> View larger version (19K): org.highwire.dtl.DTLVardef@7a4df0org.highwire.dtl.DTLVardef@192f0d7org.highwire.dtl.DTLVardef@1ba37org.highwire.dtl.DTLVardef@168866c_HPS_FORMAT_FIGEXP M_FIG C_FIG

neuroscience↗

Subcortical correlates of consciousness with human single neuron recordings

Subcortical brain structures such as the subthalamic nucleus or the thalamus are involved in regulating motor and cognitive behavior. However, their contribution to perceptual consciousness is still unclear, due to the inherent difficulties of recording subcortical neuronal activity in humans. Here, we asked neurological patients undergoing surgery for deep brain stimulation to detect weak vibrotactile stimuli applied on their hand while recording single neuron activity from the tip of a microelectrode. We isolated putative single neurons in the subthalamic nucleus and thalamus. A significant proportion of neurons modulated their activity while participants were expecting a stimulus. We found that the firing rate of 23% of these neurons differed between detected and undetected stimuli. Our results provide direct neurophysiological evidence of the involvement of the subthalamic nucleus and the thalamus for the detection of vibrotactile stimuli, thereby calling for a less cortico-centric view of the neural correlates of consciousness.

neuroscience↗

Robotically-induced auditory-verbal hallucinations: combining self-monitoring and strong perceptual priors

Inducing hallucinations under controlled experimental conditions in non-hallucinating individuals represents a novel research avenue oriented towards understanding complex hallucinatory phenomena, avoiding confounds observed in patients. Auditory-verbal hallucinations (AVH) are one of the most common and distressing psychotic symptoms, whose etiology remains largely unknown. Two prominent accounts portray AVH either as a deficit in auditory-verbal self-monitoring, or as a result of overly strong perceptual priors. In order to test both theoretical models and evaluate their potential integration, we developed a robotic procedure able to induce self-monitoring perturbations (consisting of sensorimotor conflicts between poking movements and corresponding tactile feedback) and a perceptual prior associated with otherness sensations (i.e., feeling the presence of a non-existing another person). Here, in two independent studies, we show that this robotic procedure led to AVH-like phenomena in healthy individuals, which was further associated with delusional ideation. Specifically, a condition with stronger sensorimotor conflicts induced more AVH-like sensations (self-monitoring), while, in the otherness-related experimental condition, there were more AVH-like sensations when participants were detecting other-voice stimuli, compared to detecting self-voice stimuli (strong-priors). By demonstrating an experimental procedure able to induce AVH-like sensations in non-hallucinating individuals, we shed new light on AVH phenomenology, thereby integrating self-monitoring and strong-priors accounts.

neuroscience↗

Theta oscillations and minor hallucinations in Parkinson's disease reveal decrease in frontal lobe functions and later cognitive decline

Cognitive decline and hallucinations are common and debilitating non-motor symptoms, occurring during later phases of Parkinsons disease (PD). Minor hallucinations (MH), appear at early phases and have been suggested to predict cognitive impairment in PD, however, this has not been well-established by clinical research. Here, we investigated whether non-demented PD patients with MH show altered brain oscillations and whether such MH-related electrophysiological changes are associated with cognitive impairments that increase over time. Combining model-driven EEG analysis with neuropsychiatric and neuropsychological examinations in 75 PD patients, we reveal enhanced frontal theta oscillations in PD patients suffering from MH and link these oscillatory changes with lower cognitive frontal-subcortical functions. Neuropsychological follow-up examinations five years later confirmed MH-specific theta oscillations and revealed a stronger decline in frontal-subcortical functions in MH-patients with stronger frontal theta alterations, defining an MH and theta oscillation-based early marker of a cognitive decline in PD.

neuroscience↗

EEG signature of breaks in embodiment in VR

The brain mechanism of embodiment in a virtual body has grown a scientific interest recently, with a particular focus on providing optimal virtual reality (VR) experiences. Disruptions from an embodied state to a less- or non-embodied state, denominated Breaks in Embodiment (BiE), are however rarely studied despite their importance for designing interactions in VR. Here we use electroencephalography (EEG) to monitor the brains reaction to a BiE, and investigate how this reaction depends on previous embodiment conditions. The experimental protocol consisted of two sequential steps; an induction step where participants were either embodied or non-embodied in an avatar, and a monitoring step where, in some cases, participants saw the avatars hand move while their hand remained still. Our results show the occurrence of error-related potentials linked to observation of the BiE event in the monitoring step. Importantly, this EEG signature shows amplified potentials following the non-embodied condition, which is indicative of an accumulation of errors across steps. These results provide neurophysiological indications on how progressive disruptions impact the expectation of embodiment for a virtual body.

neuroscience↗

Single neurons in thalamus and subthalamic nucleus process cardiac and respiratory signals in humans

Visceral signals are constantly processed by our central nervous system, enable homeostatic regulation, and influence perception, emotion, and cognition. While visceral processes at cortical level have been extensively studied using non-invasive imaging techniques, very few studies have investigated how this information is processed at the single neuron level, both in humans and animals. Subcortical regions, relaying signals from peripheral interoceptors to cortical structures, are particularly understudied and how visceral information is processed in thalamic and subthalamic structures remains largely unknown. Here, we took advantage of intraoperative microelectrode recordings in patients undergoing surgery for deep brain stimulation (DBS) to investigate the activity of single neurons related to cardiac and respiratory functions in three subcortical regions: Ventral Intermedius nucleus (Vim) and Ventral caudalis nucleus (Vc) of the thalamus, and subthalamic nucleus (STN). We report that the activity of a large portion of the recorded neurons (about 70%) was modulated by either the heartbeat, the cardiac inter-beat interval, or the respiration. These cardiac and respiratory response patterns varied largely across neurons both in terms of timing and their kind of modulation. We observed neurons with increases or decreases in firing rate in response to either the heartbeat or the inter-beat interval. Peaks of neural activity were found at different phases of the cardiac and respiratory cycles. Whereas most neurons only responded to one of the tested signals, a substantial proportion of these visceral neurons (30%) was responsive to more than one of the tested signals, underlining specialization and integration of cardiac and respiratory signals in STN and thalamic neurons. By extensively describing for the first time single unit activity related to cardiorespiratory function in thalamic and subthalamic neurons, our results highlight the major role of these subcortical regions in the processing of visceral signals.

neuroscience↗