Biology subjects

Bonanni, P.

Publications and source records attributed to Bonanni, P..

3 recordsLinked to original sources

bioRxiv2024

A worldwide ENIGMA study on epilepsy-related gray and white matter compromise across the adult lifespan

ObjectivesTemporal lobe epilepsy (TLE) is commonly associated with mesiotemporal pathology and widespread alterations of grey and white matter structures. Evidence supports a progressive condition although the temporal evolution of TLE is poorly defined. This ENIGMA-Epilepsy study utilized multimodal magnetic resonance imaging (MRI) data to investigate structural alterations in TLE patients across the adult lifespan. We charted both grey and white matter changes and explored the covariance of age-related alterations in both compartments. MethodsWe studied 769 TLE patients and 885 healthy controls across an age range of 17-73 years, from multiple international sites. To assess potentially non-linear lifespan changes in TLE, we harmonized data and combined median split assessments with cross-sectional sliding window analyses of grey and white matter age-related changes. Covariance analyses examined the coupling of grey and white matter lifespan curves. ResultsIn TLE, age was associated with a robust grey matter thickness/volume decline across a broad cortico-subcortical territory, extending beyond the mesiotemporal disease epicentre. White matter changes were also widespread across multiple tracts with peak effects in temporo-limbic fibers. While changes spanned the adult time window, changes accelerated in cortical thickness, subcortical volume, and fractional anisotropy (all decreased), and mean diffusivity (increased) after age 55 years. Covariance analyses revealed strong limbic associations between white matter tracts and subcortical structures with cortical regions. ConclusionsThis study highlights the profound impact of TLE on lifespan changes in grey and white matter structures, with an acceleration of aging-related processes in later decades of life. Our findings motivate future longitudinal studies across the lifespan and emphasize the importance of prompt diagnosis as well as intervention in patients.

neuroscience↗

bioRxiv2024

Excitation/Inhibition balance relates to cognitive function and gene expression in Temporal Lobe Epilepsy: an hdEEG assessment with aperiodic exponent

Patients with epilepsy are characterized by a dysregulation of excitation-inhibition balance (E/I). The assessment of E/I may inform clinicians during the diagnosis and therapy management, even though it is rarely performed. An accessible measure of the E/I of the brain represents a clinically relevant feature. Here we exploited the exponent of the aperiodic component of the power spectrum of EEG signal as a noninvasive and cost-effective proxy of the E/I balance. We recorded resting-state activity with high-density EEG from 65 patients with temporal lobe epilepsy (TLE) and 35 controls. We extracted the exponent of the aperiodic fit of the power spectrum from source-reconstructed EEG and tested differences between TLE and controls. Spearmans correlation was performed between the exponent and clinical variables (age of onset, epilepsy duration and neuropsychology) and cortical expression of epilepsy-related genes derived from Human Allen Brain Atlas. Patients with TLE showed a significantly larger exponent, corresponding to an inhibition directed E/I balance, in bilateral frontal and temporal regions. Lower E/I in the left entorhinal, and bilateral dorsolateral prefrontal cortices corresponded to a lower performance of short term verbal memory. Limited to TLE, we detected a significant correlation between the exponent and the cortical expression of GABRA1, GRIN2A, GABRD, GABRG2, KCNA2and PDYN. EEG aperiodic exponent maps the E/I balance non-invasively in patients with epilepsy and reveals a tight relationship between altered E/I patterns, cognition and genetics.

neuroscience↗

bioRxiv2023

Altered spread of large scale brain dynamics is influenced by cortical thickness organization in temporal lobe epilepsy: a MRI and hdEEG study

Temporal lobe epilepsy (TLE) is a brain network disorder characterized by alterations at both the structural and the functional level. It remains unclear how structure and function are related and whether this has any clinical relevance. In the present work, we adopted a novel methodological approach investigating how network structural features influence the large-scale dynamics. The functional network was defined by the spatio-temporal spreading of aperiodic bursts of activations (neuronal avalanches), as observed utilizing high-density electroencephalography (hdEEG) in TLE patients. The structural network was modeled as the region-based thickness covariance. Loosely speaking, we quantified the similarity of the cortical thickness of any two brain regions, both across groups, and at the individual level, the latter utilizing a novel approach to define the personalized covariance network (pCN). In order to compare the structural and functional networks (at the nodal level), we studied the correlation between the probability that a wave of activity would propagate from a source to a target region, and the similarity of the source region thickness as compared to other target brain regions. Building on the recent evidence that large-waves of activities pathologically spread through the epileptogenic network in TLE, also during resting state, we hypothesize that the structural cortical organization might influence such altered spatio-temporal dynamics. We observed a stable cluster of structure-function correlation in the bilateral limbic areas across subjects, highlighting group specific features for left, right and bilateral TLE. The involvement of contralateral areas was observed in unilateral TLE. We showed that in temporal lobe epilepsy alterations of structural and functional networks pair in the regions where seizures propagate and are linked to disease severity. In this study we leveraged on a well-defined model of neurological disease and pushed forward personalization approaches potentially useful in clinical practice. Finally, the methods developed here could be exploited to investigate the relationship between structure-function networks at subject level in other neurological conditions.

neuroscience↗