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Concha, L.

Publications and source records attributed to Concha, L..

At least 19 recordsLinked to original sources

RADIAL AND TANGENTIAL FIBER COMPONENTS IN HUMAN SUPERFICIAL WHITE MATTER AND THEIR ASSOCIATIONS WITH MACROSCALE FUNCTION

The superficial white matter (SWM), a thin layer of white matter beneath the cortex, contains a complex arrangement of short- and long-range fiber systems that support communication between cortical regions. These fiber populations include subcortical U-shaped fibers (U-fibers) that predominantly follow a tangential trajectory along the gray matter-white matter interface and long-range fibers that extend more radially through the deeper white matter to connect distant cortical regions. Here, we developed a surface-based framework to dissociate radial and tangential fiber components within the human SWM and investigated their microstructural properties and functional relevance using in-vivo high-field MRI. These components were quantified using apparent fiber density (AFD), fractional anisotropy (FA), and mean diffusivity (MD). We further contextualized SWM fiber architecture by examining depth-dependent microstructural profiles and their relationship with normative patterns of cortical organization and hierarchical specialization. The anatomical assessment of the proposed fiber orientation separation was supported by tractography-based bundle analyses, while the anatomical accuracy of tractography reconstructions was confirmed through comparison with post-mortem white matter dissection data. To assess their functional relevance, the fiber predominance map derived from radial and tangential AFD was related to spatial patterns of functional variability across the cortex. Regions with greater radially oriented fiber contribution exhibited more gradual changes in functional similarity across geodesic distance, whereas tangentially oriented fiber-enriched regions showed more rapid local functional differentiation. These findings reveal distinct structural and functional signatures of radial and tangential SWM fiber components and provide a framework for investigating their contributions to cortical organization and functional specialization. SIGNIFICANCE STATEMENTThe human cerebral cortex is organized into specialized regions that support diverse functions, but the structural principles underlying this organization remain incompletely understood. The superficial white matter (SWM), a thin layer of white matter beneath the cortex, contains intermingled short- and long-range fiber systems that support communication between cortical regions. However, these fiber populations have remained difficult to characterize because they are closely intertwined within the SWM. By developing a reproducible framework for mapping and quantifying distinct SWM fiber systems, this work provides a foundation for systematic investigation of this complex compartment. Integration of multimodal datasets, together with open sharing of analytical tools and standardized features, promotes transparency, reproducibility, enabling future studies of how superficial connectivity supports brain organization.

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FUNCTIONAL FRAGMENTATION AND STRUCTURAL DRIVERS OF THALAMO-CORTICAL CIRCUITS IN TEMPORAL LOBE EPILEPSY

AO_SCPLOWBSTRACTC_SCPLOWO_ST_ABSObjectiveC_ST_ABSIn temporal lobe epilepsy (TLE), the thalamus acts as a nexus in a pathophysiological network that implicates mesiotemporal, subcortical, and neocortical regions. Studying a large multimodal and multicentre dataset, we profiled thalamic, hippocampal, and neocortical functional connectivity (FC), assessed structural mediators, and examined clinical associations. MethodsWe studied resting-state FC alongside structural and diffusion MRI data in 250 unilateral TLE patients and 259 healthy controls, with measures aggregated across four independent datasets. Data were processed using open-access neuroinformatics workflows and analyzed at a subregional level to maximize anatomical precision. Statistical analysis and mediation models assessed between-group FC changes, structural contributors, and clinical correlations. ResultsCompared to controls, TLE patients presented with reduced thalamo-cortical FC, which was most marked in mesiotemporal, fronto-central, and occipital regions. Thalamo-hippocampal FC was also reduced, with effects seen in all CA subfields. In the thalamus, FC reductions peaked in the ventral posterior nucleus when considering neocortical target regions and in the mediodorsal nucleus when considering hippocampal target regions. While ipsilateral hippocampal volume and diffusion changes mediated thalamo-hippocampal FC, thalamo-cortical FC appeared decoupled from structural alterations. Findings were consistent in left and right TLE patients, in patients with short and long disease duration, and across imaging sites, suggesting that thalamo-cortical FC imbalances are a consistent signature of TLE. Conversely, thalamo-hippocampal FC was elevated in patients with focal-to-bilateral-tonic-clonic seizures and FC alterations were more marked in the subgroup of operated patients that became seizure-free after surgery. ConclusionOur multi-site findings demonstrate marked thalamic circuit fragmentation in TLE. Ipsilateral findings robustly showed subdivision-specific effects, which point to both mesiotemporal co-lateralization as well as broader system-level involvement. Mediation analyses furthermore confirmed a key role of hippocampal pathology in disrupted thalamo-hippocampal connectivity in TLE, while broader thalamo-cortical fragmentation becomes increasingly independent of mesiotemporal compromise. Critically, thalamic FC represents a network substrate for seizure generalization and can serve as a prognostic indicator for surgical outcome. These results underscore the contribution of the thalamus as a hub in macroscale dysfunction in TLE.

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Sex-related structural alterations across common epilepsies: a worldwide ENIGMA study

Epilepsy is characterized by widespread structural brain alterations extending beyond the epileptic zone, involving both cortical and subcortical regions. Importantly, the clinical manifestation of epilepsy, including seizure types, psychiatric comorbidities, and treatment responses, has been shown to differ between sexes. However, sex differences in structural alterations in epilepsy have been seldomly reported in neuroimaging studies, partly due to limited sample sizes and single-center designs. Here, we systematically investigated sex differences in common epilepsies and their related clinical variables using structural neuroimaging biomarkers in an international multi-center cohort of 1,253 epilepsy patients and 1,077 healthy controls. We studied cortical thickness and subcortical volume in two types of epilepsy: temporal lobe epilepsy (TLE) and genetic generalized epilepsy (GGE). Both male and female patients with TLE showed widespread cortical and subcortical thinning compared with controls. In GGE, when compared separately to controls, male patients showed only subtle structural alterations, whereas female patients exhibited more widespread structural alterations. Sex-stratified analyses revealed some variation in the extent and distribution of cortical thickness and subcortical volume alterations between male and female patients in both epilepsy cohorts. Yet, we did not find significant sex-by-diagnosis interaction effects in TLE and GGE. Similarly, no significant interaction effects were observed between sex and age of onset or disease duration in either patient group. Overall, although we observed some differences in regional cortical thickness and subcortical volume between male and female patients with epilepsy, we did not find significant sex-by-diagnosis interactions. Our findings indicate that sex differences in behavioral and clinical outcomes of epilepsy may involve biological or functional processes that require further investigation.

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In vivo longitudinal mapping of brain iron accumulation after pilocarpine-induced status epilepticus

Ferroptosis is a form of non-apoptotic cell death in which iron catalyzes the formation of reactive oxygen species, leading to lipid peroxidation. Experimentally, this process has recently been associated with seizures based on the increased levels of specific markers (4-hydroxynonenal and malondialdehyde) in the brain and plasma. Clinically, iron deposits have been identified in resected tissue from patients with refractory temporal lobe epilepsy. Quantitative susceptibility mapping (QSM) offers an opportunity to detect these accumulations in vivo. In this study, we investigated how pilocarpine-induced status epilepticus contributes to the generation of iron deposits in diverse cerebral regions and whether QSM can detect these deposits longitudinally. We scanned 14 animals (n=10 experimental; n=4 control) at five different time points (pre-status epilepticus induction and 1, 7, 14, 21 days post-induction) using QSM. We identified iron deposits in the caudate putamen, hippocampus, thalamus, and primary somatosensory cortex of experimental animals, which is consistent with histological findings. The initial size of the hippocampal iron deposits significantly increased over the following weeks. None of these effects was observed in the control animals. The presence of cerebral iron depositions in an animal model of pilocarpine-induced status epilepticus suggests that ferroptosis may be involved in the onset, development, and progression of spontaneous recurrent seizures. Furthermore, non-invasive, longitudinal in vivo mapping of brain iron deposits could be a potential imaging marker in neurological disorders such as epilepsy. Future experiments will be required to determine the origin of the iron and avoid its progressive accumulation. Graphical Abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=70 SRC="FIGDIR/small/712677v1_ufig1.gif" ALT="Figure 1"> View larger version (36K): org.highwire.dtl.DTLVardef@14abf67org.highwire.dtl.DTLVardef@5c08fborg.highwire.dtl.DTLVardef@51c40forg.highwire.dtl.DTLVardef@1eb5f9_HPS_FORMAT_FIGEXP M_FIG C_FIG

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Connectome-wide mega-analysis identifies a reproducible functional network signature of temporal lobe epilepsy

Resting-state functional magnetic resonance imaging (MRI) studies have reported abnormal intrinsic functional connectivity (FC) across distributed circuits in patients with temporal lobe epilepsy (TLE), indicating a system-level impact of the disorder. However, findings remain inconsistent due to limited sample sizes and methodological heterogeneity, leaving the structural determinants and clinical relevance of FC alterations unresolved. To identify a robust and reproducible FC signature, we conducted a data-driven, connectome-wide mega-analysis in a large multicentre cohort of 652 participants (297 TLE, 73 disease controls, and 282 healthy controls) with multimodal 3T MRI and deep clinical phenotyping. We identified convergent FC reconfigurations at both group and individual levels that preferentially involved densely connected hubs, manifesting as hyperconnectivity in frontoparietal association systems and hypoconnectivity in temporal and paralimbic systems. Integrating structural cortical wiring features further revealed that these extensive alterations were constrained by corticocortical proximity, microstructural similarity, and white matter connectivity. Clinically, the FC phenotype tracked symptom burden and disease progression, informed postsurgical seizure outcome, and distinguished TLE from other focal epilepsies. Collectively, these findings systematically delineate a neurobiologically grounded, hub-centric pattern of intrinsic network disruption in TLE, anchored in temporolimbic and adjacent transmodal systems, with potential utility for individualized phenotypic stratification and outcome prognostication.

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Analysis of cortical dysplasias using b-tensor encoding diffusion MRI in an animal model

Cortical dysplasias are malformations of cortical development characterized by disorganization of the cyto- and myeloarchitecture of the neocortex. They are a common cause of epilepsy and their diagnosis through conventional imaging can often be challenging, hindering surgical treatments. Diffusion-weighted magnetic resonance imaging (dMRI) has the ability to infer tissue properties at the microscopic scale, making it a promising technique for detection of cortical dysplasias. This study aims to assess the microarchitecture of the cerebral cortex in a murine model of cortical dysplasia using diffusion-weighted magnetic resonance imaging (dMRI) acquired with b-tensor encoding. Pregnant Sprague-Dawley rats were administered either carmustine (BCNU) or saline solution on day 15 of gestation. Their offspring were imaged at 120 days of age using a 7 tesla scanner, acquiring diffusion-sensitive images with b-tensor encoding. Images were processed with Q-space trajectory imaging with positivity constraints (QTI+) to derive various metrics along a curvilinear coordinate system across the neocortex. After scanning, the brains were processed for immunofluorescence and histological examinations. Experimental animals exhibited a significant reduction of microscopic fractional anisotropy ({micro}FA) and anisotropic kurtosis (Ka) in the middle and lateral cortical layers compared to the control animals. Immunofluorescence and histological analysis showed decreased and dysorganized myelinated fibers, and an increase of glial processes in BCNU-treated animals. Given the applicability of b-tensor encoding in clinical scanners, this approach holds promise for improving detection of focal cortical dysplasias in patients with epilepsy.

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End-to-end evaluation of white matter microstructure of the visual pathway in asymmetric glaucoma

Diffusion magnetic resonance imaging is a non-invasive neuroimaging technique that enables in vivo evaluation of white matter microstructure, providing sensitivity to tissue abnormalities caused by disease. Glaucoma, the second leading cause of blindness worldwide, is characterized by progressive loss of retinal ganglion cells and axonal damage in the optic nerve, leading to degeneration along the entire visual pathway. This degeneration includes secondary effects on fiber crossings within the optic chiasm, which are challenging to characterize with conventional diffusion models. In this study, we evaluated 31 patients with asymmetric glaucoma and 31 healthy controls using advanced diffusion magnetic resonance imaging methods, including Diffusion Tensor Imaging, Constrained Spherical Deconvolution, multi-tensor fit via Multi-Resolution Discrete Search method, and Fixel-Based Analysis. We found significant differences of diffusion metrics in white matter tracts of the visual system, including the optic nerve, optic chiasm, optic tracts, and optic radiations. Moreover, diffusion metrics correlated with clinical ophthalmological parameters such as cup-to-disc ratio, visual field mean deviation, and retinal nerve fiber layer thickness. These findings support the use of advanced diffusion magnetic resonance imaging models as sensitive tools for detecting Wallerian degeneration and resolving complex white matter architecture in the human visual pathway, and demonstrate their utility to study other fiber-crossing regions throughout the brain.

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Cocaine use disorder is associated with lower brain state transition energy particularly in higher order and excitatory networks

Cocaine use disorder (CUD) detrimentally impacts personal health, social relationships, and economic opportunity. Here, we assess CUD-associated shifts in brain dynamics using Network Control Theory and examine how they align with previously identified changes in neurological systems and behavioral profiles of people with CUD. The SUDMEX CONN dataset consists of multi-modal MRI, cocaine use metrics, behavioral measures, and demographics of individuals with CUD (N=132, 71 CUD). We identified recurring brain activity states and used NCT to calculate the transition energy (TE) between pairs of states. ANCOVAs examined global and regional TE associations with drug use group (CUD vs controls (NC)), years of CUD, and risk-taking behaviors. We identified potential mechanisms driving the differences by correlating CUD-related regional TE effects with neurotransmitter/receptor systems. People with CUD had significantly lower global TE and default mode, dorsal attention and limbic network TE compared to non-user controls, particularly in regions enriched for noradrenaline and mu opioid receptors. Longer duration of CUD was associated with more decreased global TE, top-down TE, default mode, control and ventral attention network TE, and regional TE enriched for excitatory neurotransmitters and receptors. People with CUD needed to expend more global and top-down TE to perform better on a risk-taking task (the Iowa Gambling task), an effect which was not found in NCs. Our analysis of whole-brain activity dynamics provides a link between the effects of upstream glutamatergic excitotoxicity and/or opioid receptor dysfunction, and downstream weakening of inhibitory control that is central to CUD.

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Assessing the degree of cortical dislamination through electrical pattern analysis

Focal cortical dysplasia (FCD) is a leading cause of pharmacoresistant epilepsy in pediatric populations, although its contribution to epileptogenesis remains incompletely understood. Recent findings indicate that hyperexcitability might stem from peripheral areas that are not dysplastic, rather than from the malformation itself. However, consid-ering the significant variability associated with these malformations, it remains challenging to clarify whether this degree of disorganization contributes to changes in activity. In this study, we used the carmustine-induced animal model to investigate how varying degrees of cortical malformation influence neural dynamics. Local field potentials (LFP) were recorded using a multielectrode array (MEA) during both spontaneous activity and external perturbation. We developed a novel metric to quantify spatial heterogeneity in signal organization and evaluated its association with excitation-inhibition (E/I) balance. Our results reveal that alterations such as the aperiodic exponent value and the sparcity of clustering in signal classification are related to the extent and distribution of cortical abnormalities, underscoring the functional relevance of cytoarchitectural variability. This work advances the understanding of FCD-related network dysfunction and introduces analytical approaches with potential translational value for neuroscience research and pre-surgical evaluation.

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A unified imaging-histology framework for superficial white matter architecture studies in the human brain

The superficial white matter (SWM), immediately beneath the cortical mantle, is thought to play a major role in cortico-cortical connectivity as well as large-scale brain function. Yet, this compartment remains rarely studied due to its complex organization. Our objectives were to develop and disseminate a robust computational framework to study SWM organization based on 3D histology and high-field 7T MRI. Using data from the BigBrain and Ahead 3D histology initiatives, we first interrogated variations in cell staining intensities across different cortical regions and different SWM depths. These findings were then translated to in-vivo 7T quantitative myelin-sensitive MRI, including T1 relaxometry (T1 map) and magnetization transfer saturation (MTsat). As indicated by the statistical moments of the SWM intensity profiles, the first 2 mm below the cortico-subcortical boundary were characterized by high structural complexity. We quantified SWM microstructural variation using a non-linear dimensionality reduction method and examined the relationship of the resulting microstructural gradients with indices of cortical geometry, as well as structural and functional connectivity. Our results showed correlations between SWM microstructural gradients, as well as curvature and cortico-cortical functional connectivity. Our study provides novel insights into the organization of SWM in the human brain and underscores the potential of SWM mapping to advance fundamental and applied neuroscience research. HighlightsO_LIDeveloped an anatomy-based open science framework to study SWM organization based on 3D post-mortem histology and/or in-vivo high-field MRI C_LIO_LIThe first 2 mm into the white matter are characterized by high structural complexity C_LIO_LIInter-regional trends in SWM microstructural variation, which related to cortical geometry, as well as cortico-cortical connectivity C_LI

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Personalized Biomarkers of Multiscale Functional Alterations in Temporal Lobe Epilepsy

Temporal lobe epilepsy (TLE) presents with substantial inter-patient variability in clinical and neuroimaging manifestations. This multicenter study examined inter-individual differences in spatial patterns of intrinsic brain function in TLE using normative modeling at multiple spatial scales and evaluated the effectiveness of individual functional deviations for clinical diagnosis and postsurgical outcome prediction. We analyzed multimodal MRI data on 298 healthy controls, 282 TLE patients, and 45 disease controls with extratemporal epilepsy. Cortical function was profiled at local, regional, and global scales using brain signal variability, regional homogeneity, and node strength. We estimated patient-specific W-score maps to index deviations from normative metrics. Compared to healthy controls, patients with TLE showed considerable variations in patterns of functional alterations across the cortex, with the highest overlap in the ipsilateral mesiotemporal regions. Connectome-based simulation revealed the paralimbic and medial default mode regions as key disease epicenters. Functional changes were primarily underpinned by superficial white matter anomalies. Supervised pattern learning achieved classification AUCs of 0.76 for TLE versus disease controls, 0.74 for left versus right TLE, and 0.63 for seizure-free versus non-seizure-free TLE, with greater contralateral temporal functional deviations correlating with unfavorable postsurgical seizure outcome. Our findings reveal the heterogeneous impact of TLE on intrinsic cortical function. These biomarkers hold promise for clinical translation, guiding precision therapeutics and enhancing presurgical decision-making in TLE.

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Associations between epilepsy-related polygenic risk and brain morphology in childhood

AO_SCPLOWBSTRACTC_SCPLOWTemporal lobe epilepsy with hippocampal sclerosis (TLE-HS) is associated with a complex genetic architecture, but the translation from genetic risk factors to brain vulnerability remains unclear. Here, we examined associations between epilepsy-related polygenic risk scores for HS (PRS-HS) and brain structure in a large sample of neurotypical children, and correlated these signatures with case-control findings in in multicentric cohorts of patients with TLE-HS. Imaging-genetic analyses revealed PRS-related cortical thinning in temporo-parietal and fronto-central regions, strongly anchored to distinct functional and structural network epicentres. Compared to disease-related effects derived from epilepsy case-control cohorts, structural correlates of PRS-HS mirrored atrophy and epicentre patterns in patients with TLE-HS. By identifying a potential pathway between genetic vulnerability and disease mechanisms, our findings provide new insights into the genetic underpinnings of structural alterations in TLE-HS and highlight potential imaging-genetic biomarkers for early risk stratification and personalized interventions.

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Longitudinal Multi-Tensor Analysis of Neocortical Microstructure in an Animal Model of Cortical Dysplasia

The neocortex is a highly organized structure, with region-specific spatial patterns of cells and fibers constituting cyto- and myelo-architecture, respectively. These architectural features are modulated during neurodevelopment, aging, and disease. While invasive techniques have contributed significantly to our understanding of cortical patterning, the task remains challenging through non-invasive methods. Structural magnetic resonance imaging (MRI) has advanced to improve sensitivity in identifying cortical features, yet most methods focus on capturing macrostructural characteristics, often overlooking critical microscale components. Diffusion-weighted MRI (dMRI) offers an opportunity to extract quantitative information reflecting microstructural changes. Here we investigate how different dMRI modalities contribute to the detection of microstructural characteristics and whether per-bundle approaches can disentangle characteristics related to the orientational organization of the myelo- and cyto-architecture in an animal model of cortical dysplasia, a malformation of cortical development. We scanned 32 animals (n=16 experimental; n=16 control) at four different time points (30, 60, 120, and 150 post-natal days) using both structural and multi-shell diffusion-weighted MRI. All dMRI metrics were sampled using a 2D curvilinear system of coordinates as a common anatomical descriptor across animals. Per-bundle metrics were labeled according to their orientation with respect to the cortical surface, and analyzed separately. Experimental animals showed diffusion abnormalities of the tangential and radial fiber components in deeper cortical areas, consistent with histological findings of neuronal and fiber disorganization. The ability of dMRI to detect abnormalities in an animal model of cortical dysplasia is indicative of the clinical potential of advanced dMRI methods to study cortical microstructure in neurological disorders.

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Pharmaco-resistant temporal lobe epilepsy gradually perturbs the cortex-wide excitation-inhibition balance

AO_SCPLOWBSTRACTC_SCPLOWExcitation-inhibition (E/I) imbalance is theorized as a key mechanism in the pathophysiology of epilepsy, with a mounting body of previous research focusing on elucidating its cellular manifestations. However, there are limited studies into E/I imbalance at macroscale and its microcircuit-level mechanisms and clinical associations. In our current work, we computed the Hurst exponent--a previously validated index of the E/I ratio--from resting-state fMRI time series, and simulated microcircuit parameters using biophysical computational models. We found a broad reduction in the Hurst exponent in pharmaco-resistant temporal lobe epilepsy (TLE), indicative of a shift towards more excitable network dynamics. Connectome decoders pointed to temporolimbic and frontocentral areas as plausible network epicenters of E/I imbalance. Computational simulations further revealed that enhancing cortical excitability in patients likely reflected atypical increases in recurrent connection strength of local neuronal ensembles. Moreover, mixed cross-sectional and longitudinal analyses revealed heightened E/I elevation in patients with longer disease duration, more frequent electroclinical seizures and inter-ictal epileptic spikes, and worse cognitive functioning. Replicated in an independent dataset, our work provides compelling in-vivo evidence of a macroscale shift in E/I balance in TLE patients that undergoes progressive changes and underpins cognitive impairments, potentially informing treatment strategies targeting E/I mechanisms.

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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.

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Selective medial septum lesions in healthy rats induce longitudinal changes in microstructure of limbic regions, behavioral alterations, and increased susceptibility to status epilepticus

Septo-hippocampal pathway is crucial for physiological functions and is involved in epilepsy. Its clinical monitoring during epileptogenesis is complicated. We aim to evaluate tissue changes after lesioning the medial septum of normal rats and assess how the depletion of specific neuronal populations alters the animals behavior and susceptibility to establishing a pilocarpine-induced status epilepticus. A total of 64 young-adult male Sprague-Dawley rats were injected into the medial septum with vehicle or saporins (GAT1 or 192-IgG for GABAergic or cholinergic depletion, respectively; n=16 per group). Thirty-two animals were used for diffusion tensor imaging (DTI); they were scanned before surgery and 14 and 49 days post-injection. Fractional anisotropy and apparent diffusion coefficient were evaluated in the fimbria, dorsal hippocampus, ventral hippocampus, dorso-medial thalamus and amygdala. Between scans 2 and 3, animals were submitted to the elevated plus-maze, open-field test, rotarod test, Y-maze and water-maze. Timm, toluidine and Nissl staining were used to analyze tissue alterations. Twenty-four different animals received pilocarpine to evaluate the latency and severity of the status epilepticus two weeks after surgery. Eight animals were only used to evaluate the extent of neuronal damage inflicted on the medial septum one week after the molecular surgery. Progressive changes in DTI parameters in both the white and gray matter structures of the four evaluated groups were observed. Behaviorally, the GAT1-saporin injection impacted spatial memory formation, while 192-IgG-saporin triggered anxiety-like behaviors. Histologically, the GABAergic toxin also induced aberrant mossy fiber sprouting, tissue damage and neuronal death. Regarding the pilocarpine-induced status epilepticus, this agent provoked an increased mortality rate. Selective septo-hippocampal modulation impacts the integrity of limbic regions crucial for certain behavioral skills and could represent a precursor for epilepsy development. Significance statementThe medial septum is believed to be involved in epilepsy. However, whether and how defects in the integrity of each neuronal subpopulation conforming this structure affect gray and white matter structures remains unclear. Here we examine whether the injection of vehicle or partially-selective saporins into medial septum of normal rats play a role in the integrity of specific brain regions relevant to memory formation, anxiety-like behaviors, and susceptibility to status epilepticus induction and survival. We find that lesioning the medial septum GABAergic or cholinergic neurons can represent a precursor for behavioral deficits or epilepsy development. Therefore, these results strongly support the idea that modulation of medial septum can be a potential target to improve cognition or reduce seizure frequency.

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Atypical connectome topography and signal flow in temporal lobe epilepsy

Temporal lobe epilepsy (TLE) is one of the most common pharmaco-resistant epilepsies in adults. While hippocampal pathology is the hallmark of this condition, emerging evidence indicates that brain alterations extend beyond the mesiotemporal epicenter and affect macroscale brain function and cognition. We studied macroscale functional reorganization in TLE, explored structural substrates, and examined cognitive associations. We investigated a multisite cohort of 95 patients with pharmaco-resistant TLE and 95 healthy controls using state-of-the-art multimodal 3T magnetic resonance imaging (MRI). We quantified macroscale functional topographic organization using connectome dimensionality reduction techniques and estimated directional functional flow using generative models of effective connectivity. We observed atypical functional topographies in patients with TLE relative to controls, manifesting as reduced functional differentiation between sensory/motor networks and transmodal systems such as the default mode network, with peak alterations in bilateral temporal and ventromedial prefrontal cortices. TLE-related topographic changes were consistent in all three included sites and reflected reductions in hierarchical flow patterns between cortical systems. Integration of parallel multimodal MRI data indicated that these findings were independent of TLE-related cortical grey matter atrophy, but mediated by microstructural alterations in the superficial white matter immediately beneath the cortex. The magnitude of functional perturbations was robustly associated with behavioral markers of memory function. Overall, this work provides converging evidence for macroscale functional imbalances, contributing microstructural alterations, and their associations with cognitive dysfunction in TLE.

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The neurovascular unit of capillary blood vessels in the rat nervous system. A rapid-Golgi electron microscopic study.

We describe a pericapillary organ in the rat forebrain and cerebellar cortex. It consists of series of tripartite synapses enveloped by astrocytic endfeet linked to the capillary wall by synaptic extensions. Reciprocal specializations of the pericyte-capillary blood vessel with such specialized synapses suggests a mechanoreceptor role. In Golgi impregnated and 3D reconstructions of cerebral cortex and thalamus, series of tripartite synapses appear sequentially ordered in a tributary dendrite paralleled by synaptic outgrowths termed here golf club-like extensions apposed to a longitudinal crest from the capillary basal lamina. To facilitate identification of principal cell dendrites and arriving axons to these putative mechanosensory structures, we utilized the cerebellar cortex since it has a well known organization and observed that afferent fibers and interneurons display interactions with the capillary wall. Afferent mossy fiber rosettes and ascending granule cell axons and dendrites define pericapillary on passage interactions surrounded by endfeet. The ability of such structures to modulate synaptic transmission is supported by the presence of mRNA of the mechanosensitive channel Piezo 1 in the mossy fiber rosettes, pyramidal isocortical and thalamic neurons. This suggests that ascending impulses to the cerebellar and cortical targets are presynaptically modulated by the reciprocal interaction with the mechanosensory pericapillary organ.

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