Biology subjects

Cauzzo, S.

Publications and source records attributed to Cauzzo, S..

4 recordsLinked to original sources

bioRxiv2025

Chemosensitive brainstem and diencephalic components in breath-hold fMRI

ObjectiveThe knowledge on breathing control and central chemoreception, key subcortical functions involved in several neuropathologies, is still mainly based on animal studies. In humans, functional MRI (fMRI) offers the needed spatio-temporal resolution and non-invasiveness, but the lack of specific tools and preprocessing solutions hinders its use in brainstem studies. We hereby propose an original fMRI analysis pipeline aimed at unravelling central chemoreception mechanisms, by integrating acquisition, spatial coregistration, noise removal and a novel data-driven analysis solution to compare network activation levels across tasks or conditions in fMRI. ApproachNovel analysis methodologies are integrated with the optimization of known preprocessing approaches to physiological noise correction and brainstem-focused coregistration. We couple independent components of fMRI data, separately estimated from healthy subjects during Free Breathing (FB) and Breath Hold (BH), by means of spatial correlation. We then identify statistically significant differences between BH and FB in CO2-dependent components by means of voxel-wise comparisons of components percent signal change. Components were localized using the Brainstem Navigator Atlas for enhancing network interpretability. Main ResultsUsing the pipeline we characterized CO2-related BOLD oscillations within the central control system of breathing. We corroborated the primary chemoreceptive role of medullary raphe in healthy subjects. We observed that BH over-activated ascending sensory-motor projections through the postero-lateral thalamus, descending projections through the putamen, and peripheral sensations entry points in the dorsal medulla. We highlighted the role of latero-dorsal tegmentum in the response to hypercapnia-induced aversive effects. SignificanceOur method allows to non-invasively locate primary chemoreception and related arousal triggers, characterizing alterations and therefore fostering the identification of therapeutic targets in abnormal breathing. Moreover, the proposed strategy addresses the issues of inter-task comparison among homologous independent sources, of their characterization and interpretation. Its extension could benefit all similarly challenging brainstem-focused studies, including those on Parkinsons and Alzheimers diseases.

bioengineering↗

bioRxiv2023

Integrating brainstem and cortical functional architectures

The brainstem is a fundamental component of the central nervous system yet it is typically excluded from in vivo human brain mapping efforts, precluding a complete understanding of how the brainstem influences cortical function. Here we use high-resolution 7 Tesla fMRI to derive a functional connectome encompassing cortex as well as 58 brainstem nuclei spanning the midbrain, pons and medulla. We identify a compact set of integrative hubs in the brainstem with widespread connectivity with cerebral cortex. Patterns of connectivity between brainstem and cerebral cortex manifest as multiple emergent phenomena including neurophysiological oscillatory rhythms, patterns of cognitive functional specialization, and the unimodal-transmodal functional hierarchy. This persistent alignment between cortical functional topographies and brainstem nuclei is shaped by the spatial arrangement of multiple neurotransmitter receptors and transporters. We replicate all findings using 3 Tesla data from the same participants. Collectively, we find that multiple organizational features of cortical activity can be traced back to the brainstem.

neuroscience↗

bioRxiv2021

Functional connectome of brainstem nuclei involved in autonomic, limbic, pain and sensory processing in living humans from 7 Tesla resting state fMRI

Despite remarkable advances in mapping the functional connectivity of the cortex, the functional connectivity of subcortical regions is understudied in living humans. This is the case for brainstem nuclei that control vital processes, such as autonomic, limbic, nociceptive and sensory functions. This is because of the lack of precise brainstem nuclei localization, of adequate sensitivity and resolution in the deepest brain regions, as well as of optimized processing for the brainstem. To close the gap between the cortex and the brainstem, on 20 healthy subjects, we computed a correlation-based functional connectome of 15 brainstem nuclei involved in autonomic, limbic, nociceptive, and sensory function (superior and inferior colliculi, ventral tegmental area-parabrachial pigmented nucleus complex, microcellular tegmental nucleus-prabigeminal nucleus complex, lateral and medial parabrachial nuclei, vestibular and superior olivary complex, superior and inferior medullary reticular formation, viscerosensory motor nucleus, raphe magnus, pallidus, and obscurus, and parvicellular reticular nucleus - alpha part) with the rest of the brain. Specifically, we exploited 1.1mm isotropic resolution 7 Tesla resting-state fMRI, ad-hoc coregistration and physiological noise correction strategies, and a recently developed probabilistic template of brainstem nuclei. Further, we used 2.5mm isotropic resolution resting-state fMRI data acquired on a 3 Tesla scanner to assess the translatability of our results to conventional datasets. We report highly consistent correlation coefficients across subjects, confirming available literature on autonomic, limbic, nociceptive and sensory pathways, as well as high interconnectivity within the central autonomic network and the vestibular network. Interestingly, our results showed evidence of vestibulo-autonomic interactions in line with previous work. Comparison of 7 Tesla and 3 Tesla findings showed high translatability of results to conventional settings for brainstem-cortical connectivity and good yet weaker translatability for brainstem-brainstem connectivity. The brainstem functional connectome might bring new insight in the understanding of autonomic, limbic, nociceptive and sensory function in health and disease.

neuroscience↗

bioRxiv2021

Functional connectome of arousal and motor brainstem nuclei in living humans by 7 Tesla resting-state fMRI

Brainstem nuclei play a pivotal role in many functions, such as arousal and motor control. Nevertheless, the connectivity of arousal and motor brainstem nuclei is understudied in living humans due to the limited sensitivity and spatial resolution of conventional imaging, and to the lack of atlases of these deep tiny regions of the brain. For a holistic comprehension of sleep, arousal and associated motor processes, we investigated in 20 healthy subjects the resting-state functional connectivity of 18 arousal and motor brainstem nuclei in living humans. To do so, we used high spatial-resolution 7 Tesla resting-state fMRI, as well as a recently developed in-vivo probabilistic atlas of these nuclei in stereotactic space. Further, we verified the translatability of our brainstem connectome approach to conventional (e.g. 3 Tesla) fMRI. Arousal brainstem nuclei displayed high interconnectivity, as well as connectivity to the thalamus, hypothalamus, basal forebrain and frontal cortex, in line with animal studies and as expected for arousal regions. Motor brainstem nuclei showed expected connectivity to the cerebellum, basal ganglia and motor cortex, as well as high interconnectivity. Comparison of 3 Tesla to 7 Tesla connectivity results indicated good translatability of our brainstem connectome approach to conventional fMRI, especially for cortical and subcortical (non-brainstem) targets and to a lesser extent for brainstem targets. The functional connectome of 18 arousal and motor brainstem nuclei with the rest of the brain might provide a better understanding of arousal, sleep and accompanying motor function in living humans in health and disease.

neuroscience↗