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Garza-Villarreal, E. A.

Publications and source records attributed to Garza-Villarreal, E. A..

At least 19 recordsLinked to original sources

Early life stress alters lifespan trajectories of amygdala development: a cross-species model of amygdala burnout

Early-life stress is associated with alterations in amygdala volume, but findings vary across studies and species. Rodent models typically report increased amygdala volume, whereas human studies often find reductions or mixed effects. We propose the amygdala burnout hypothesis, which suggests that early-life stress alters amygdala developmental trajectories, producing initial volumetric increases that are followed by reductions later in life. To test this hypothesis, we examined amygdala development across rodent and human cohorts spanning adolescence to older adulthood. In rodents, chronic stress was associated with increased amygdala nuclei volumes during adolescence. Comparable increases were observed in adolescents from the IMAGEN consortium, with evidence of a dose-dependent association between childhood stress and amygdala developmental trajectories. In contrast, analyses of older adults from the UK Biobank revealed reduced bilateral amygdala volume associated with early-life stress. Together, these findings support a developmental model that reconciles previously conflicting observations across species and age groups. Early-life stress is associated with alterations in amygdala volume, but findings vary across studies and species. Rodent models typically report increased amygdala volume, whereas human studies often find reductions or mixed effects. We propose the amygdala burnout hypothesis, which suggests that early-life stress alters amygdala developmental trajectories, producing initial volumetric increases that are followed by reductions later in life. To test this hypothesis, we examined amygdala development across rodent and human cohorts spanning adolescence to older adulthood. In rodents, chronic stress was associated with increased amygdala nuclei volumes during adolescence. Comparable increases were observed in adolescents from the IMAGEN consortium, with evidence of a dose-dependent association between childhood stress and amygdala developmental trajectories. In contrast, analyses of older adults from the UK Biobank revealed reduced bilateral amygdala volume associated with early-life stress. Together, these findings support a developmental model that reconciles previously conflicting observations across species and age groups.

neuroscience↗

Cerebellar structural and functional alterations during morphine self-administration are associated with motivation and disrupted goal-directed actions in male Wistar rats

Opioid addiction is characterized by a strong motivational drive to obtain the drug, traditionally attributed to neuroadaptations within mesocorticolimbic reward circuits. Increasing evidence suggests that opioid-induced plasticity extends beyond these pathways, implicating the cerebellum in addiction, although its contribution to drug seeking remains poorly defined. Here, we hypothesized that morphine self-administration would induce cerebellum-associated behavioral alterations alongside structural and functional remodeling. Male Wistar rats (N = 27) were trained to self-administer morphine (0.1 mg/kg/infusion) or saline under fixed-ratio (FR1, 3 h/day, 20 days) and progressive-ratio (PR 9-4, 6 h/day, 25 days) schedules. Behavioral assessments included open field, elevated plus maze, novel object recognition, and Morris water maze tasks. Structural and functional magnetic resonance imaging was acquired longitudinally using a 7T scanner. Morphine self-administering rats showed a progressive increase in infusions and motivation. Exploratory activity increased without affecting anxiety-like behavior or recognition memory. In the Morris water maze, spatial learning was preserved; however, rats exhibited increased Whishaws error (path complexity) and a shift from serial to disorganized navigation strategies, indicating impaired movement sequencing. We also found cerebellar volume changes in Crus1, 7Cb, and 8Cb that were accompanied by altered cerebello-cerebral functional connectivity with insular, striatal, hippocampal, motor, and reticular networks. Multivariate analysis further suggested a brain-behavior covariance pattern in which motivational measures showed the strongest contribution, involving a distributed structural network including the cerebellum and insular cortex. These findings indicate that morphine self-administration preserves drug-seeking motivation while disrupting the organization of goal-directed actions, alongside cerebellar remodeling and altered cerebello-cerebral coupling.

neuroscience↗

Along-Tract Microstructural Alterations Associated with Stimulant Misuse Localized using Diffusion MRI Tractometry

Diffusion brain MRI (dMRI) studies of substance use disorders have reported widespread but modest white matter (WM) microstructural alterations with limited anatomical specificity. Here, we applied segment-wise along-tract 3D tractometry to brain dMRI scans to localize fine-scale WM alterations associated with stimulant misuse using two complementary analytical frameworks: Bundle Analytics (BUAN) and Medial Tractography Analysis (MeTA). We analyzed 3D profiles of widely-used diffusion metrics across 33 major WM bundles in independent cohorts of cocaine (74 cases;58 controls) and amphetamine (22 cases;18 controls) users, testing the statistical associations with brain microstructure of pooled stimulant effects, substance-specific effects, and direct comparisons between stimulant classes. Segment-wise analyses revealed focal differences localized to specific tract segments rather than uniform differences along entire bundles. In pooled stimulant misuse, convergent findings across analysis pipelines were localized to hippocampal pathways and were consistent with altered microstructural organization. Amphetamines misuse showed a broader pattern of segment-wise differences across commissural, projection, and association pathways, involving altered axonal organization. No robust segment-wise differences were detected for cocaine misuse or between stimulant classes. These results show that WM alterations are spatially localized and reproducible across tractometry frameworks, highlighting the value of along-tract 3D mapping for improving anatomical specificity in addiction neuroimaging.

neuroscience↗

First vs recurrent episode symptomatology in Major Depressive Disorder and its relation to brain function and structure: a network approach.

AbstractO_ST_ABSBackground.C_ST_ABSMajor Depressive Disorder (MDD) is a prevalent psychiatric disorder. At least half of the patients who recover from a first depressive episode, will experience a relapse. Therefore, understanding the underlying mechanisms supporting relapse is a clinical urgency that could be informed by studying complex brain-behavior associations. Here, we investigated how the relationships between depressive symptomatology and regional brain characteristics differed between people with first depressive episode vs recurrent depression. Methods.We used REST-meta-MDD data from the DIRECT consortium. We focused on comparing global and local network properties between first (n=239) and recurrent episode (n=179) on: (i) symptom network, (ii) brain structural (VBM) and functional networks (ALFF, ReHO), and (iii) integrated symptoms network and brain characteristics using the psychopathology and multimodal network approach. Results.Symptom network analysis showed high values of strength centrality for "Insomnia: Early Hours of the Morning" and "General somatic symptoms" at recurrence compared to the first episode. Also, differences in global strength in the integrated symptom-brain network (measured with ReHo metric) (S=2.09 p= 0.042). Finally, we found the edge of specific symptom-brain links, including insomnia and somatic symptoms-, to differ between the first episode and recurrence. Conclusions.For symptom networks, local but not global properties differentiated first from recurrent episode MDD, with specially stronger relations of insomnia and somatic symptoms in recurrent episode depression. For integrated symptom-brain networks, global strength of the network reflecting regional functional integrity (ReHO) was related to recurrence. This suggests that symptoms have relevance for understanding the complex brain-symptom relations underpinning recurrence of depression.

neuroscience↗

Morphine self-administration induces region-specific brain volume changes and microglial phenotypic alterations without affecting neuronal density in male Wistar rats

Addiction to opioids, including morphine, is a major public health crisis in the U.S. It has been associated with brain volume changes in reward-related regions, neuronal death, and neuroinflammation. However, the link between structural changes and neuroinflammation is not well understood. In this study, we used operant conditioning to induce morphine self-administration in rats and examined brain volume and cellular changes, focusing on microglial phenotypes. Male Wistar rats were conditioned to morphine self-administration (0.01 mg/kg) for 20 days under a fixed-ratio 1 schedule. In vivo structural Magnetic Resonance Imaging (MRI) scans were conducted at the beginning and end of self-administration. Brains were stained for Iba1 and NeuN proteins, and confocal images were analyzed for cell counts and microglial morphology. We used Deformation-Based Morphometry for MRI volume analysis and Principal Component Analysis with K-means clustering for microglial phenotyping. Our results showed that morphine self-administration led to volume changes in addiction-related brain regions, including increased globus pallidus and decreased insular cortex volume. Additionally, morphine caused widespread neuroinflammation, evidenced by elevated microglial density in the caudate-putamen, dentate gyrus, globus pallidus, and insular cortex, without affecting neuron counts. Finally, we observed region-specific variations in microglial phenotypes, suggesting region-specific neuroinflammatory roles. In conclusion, our study shows that morphine self-administration induces structural and microglial changes in addiction-related brain regions without neuronal loss, highlighting the role of neuroinflammation in opioid-induced adaptations. The variability in microglial phenotypes underscores their complexity, emphasizing the need to study their progression in addiction and their potential as therapeutic targets.

neuroscience↗

The effect of chronic stress and chronic alcohol intake on behavior, brain structure, and functional connectivity in a rat model

Pathological chronic stress is stress exceeding the organisms ability to cope physiologically, which may act as a risk factor in the onset and relapse of alcohol use disorder. Chronic- restraint stress (CRS) and ethanol intake are independently known to induce changes in brain structure and function, however, their combined effects on neurodevelopment over long periods of time remains largely unexplored. We conducted an in vivo longitudinal rat model with three main goals. 1) to determine if chronic stress increases ethanol intake; 2) to determine the effect of chronic- stress and ethanol intake in behavioral measures, brain structure, and function; and 3) to investigate the effect of sex. This observational study included Wistar rats assigned to four groups: 1) ethanol consumption (EtOH+/CRS-), 2) stress exposure (EtOH-/CRS+), 3) both ethanol and stress exposure (EtOH+/CRS+), and 4) control group (EtOH-/CRS-). Our results showed that chronic stress did not affect ethanol intake but led to reduced body weight gain, elevated corticosterone levels, and impaired recognition memory. Structural MRI revealed that both exposures produced additive brain volume changes in regions such as the olfactory bulb, orbitofrontal cortex, caudate-putamen, hippocampus, and cerebellum. Functional connectivity analysis using network-based statistics identified disrupted cortical-subcortical connections. Results found here were sex-dependent in terms of volumetric changes (higher effects on males) and functional connectivity (higher effects on females). Findings suggest sex-dependent mechanisms where both chronic- ethanol intake and stress affect brain plasticity during neurodevelopment. Understanding these region-specific vulnerabilities is crucial for addressing alcohol use disorders and stress-related neuropathology. O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=173 SRC="FIGDIR/small/638122v1_ufig1.gif" ALT="Figure 1"> View larger version (50K): org.highwire.dtl.DTLVardef@27094dorg.highwire.dtl.DTLVardef@d3b8faorg.highwire.dtl.DTLVardef@155deeorg.highwire.dtl.DTLVardef@c9bb7b_HPS_FORMAT_FIGEXP M_FIG O_FLOATNOGraphical abstractC_FLOATNO Created with bioRender C_FIG

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Improved classification of alcohol intake groups in the Intermittent-Access Two-Bottle choice rat model using a latent class linear mixed model

Alcohol use disorder (AUD) is a major public health problem in which preclinical models allow the study of AUD development, comorbidities and possible new treatments. The intermittent access two-bottle choice (IA2BC) model is a validated preclinical model for studying alcohol intake patterns similar to those present in AUD in human clinical studies. Typically, the mean/median of overall alcohol intake or the last drinking sessions is used as a threshold to divide groups of animals into high or low alcohol consumers. However, it would be more statistically valuable to stratify the groups using the full consumption data from all drinking sessions. In this study, we aimed to evaluate the effectiveness of using the time series data of all drinking sessions to stratify the population into high or low alcohol consumption groups, using a latent class linear mixed model (LCLMM). We compared LCLMM to traditional classification methods: percentiles, k-means clustering, and hierarchical clustering, and used simulations to compare accuracy between methods. Our results demonstrated that LCLMM outperforms other approaches, achieving superior accuracy (0.94) in identifying consumption patterns. By considering the entire trajectory of alcohol intake, LCLMM provides a more robust and nuanced characterization of high and low alcohol consumers. We advocate for the adoption of longitudinal statistical models in substance use disorder research, both in human studies and preclinical investigations, as they hold promise for enhancing population stratification and refining treatment strategies.

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Dopamine dysregulation in Parkinson's disease flattens the pleasurable urge to move to musical rhythms

The pleasurable urge to move to music (PLUMM) elicits activity in motor and reward areas of the brain and is thought to be driven by predictive processes. Dopamine within motor and limbic cortico-striatal networks is implicated in the predictive processes underlying beat-based timing and music-induced pleasure, respectively. This suggests a central role of cortico-striatal dopamine in PLUMM. This study tested this hypothesis by comparing PLUMM in Parkinsons disease patients, healthy age-matched, and young controls. Participants listened to musical sequences with varying rhythmic and harmonic complexity (low, medium, high), and rated their experienced pleasure and urge to move to the rhythm. In line with previous results, healthy younger participants showed an inverted U-shaped relation between rhythmic complexity and ratings, with a preference for medium complexity rhythms, while age-matched controls showed a similar, but weaker, inverted U-shaped response. Conversely, PD patients showed a significantly flattened response for both the urge to move and pleasure. Crucially, this flattened response could not be attributed to differences in rhythm discrimination and did not reflect an overall decrease in ratings. Together, these results support the role of dopamine within cortico-striatal networks in the predictive processes that form the link between the perceptual processing of rhythmic patterns, and the affective and motor responses to rhythmic music.

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Focal electrical stimulation on an alcohol disorder model using MRI-compatible chronic neural monopolar carbon fiber electrodes.

Neuromodulation interventions, such as Deep Brain Stimulation (DBS) and repeated transcranial magnetic stimulation (rTMS), are proposed as possible new complementary therapies to treat substance use disorders (SUD) such as alcohol use disorder (AUD). It is hypothesized that neuromodulation may induce neural plasticity in the reward and frontostriatal systems via electrical field induction, possibly reducing symptoms. Preclinical self-administration rodent models of AUD may help us gain insight into the effects of neuromodulation therapies on different pathology, as well as the neural mechanisms behind the positive effects. DBS, or any type of brain stimulation using intracranial electrodes in rodents, would benefit from the use of MRI to study the longitudinal effects and mechanisms of stimulation as well as novel targets, as it is a non-invasive technique that allows the analysis of structural and functional changes in the brain. To do this, there is a need for MRI-compatible electrodes that allow for MRI acquisition with minimal distortion of the magnetic field. In this protocol, we present a method for the construction and surgery of chronically implantable monopolar carbon electrodes for use in rats. Unlike conventional electrodes, carbon electrodes are resistant to high temperatures, flexible, and generate fewer artifacts in MRI compared to conventional ones. We validated its use by using a focal electrical stimulation high-frequency (20 Hz) protocol that lasted ~10 sessions. We propose that this technique can also be used for the research of the neurophysiological bases of the neuromodulatory treatment in other preclinical substance use disorders (SUD) models.

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Social closeness modulates brain dynamics during distrust anticipation

Anticipation of trust from a partner with high social closeness generates the preconditions for cooperative and reciprocal interactions to occur. However, if there is uncertainty in the interaction because the partner is a stranger or because the person has mistrusted us on another occasion, an aversive experience is generated. Hence, low social closeness or mistrust makes people keep track of the others behavior. In case of experiencing deviations from social norms, the person will monitor the intentions of the partner and update their priors regarding their social preferences. The anterior insula (AIns) seems to be sensitive to these social norm violations in functional magnetic resonance imaging (fMRI) experiments, however, the monitoring of partners with different levels of social closeness has not been investigated. In our study we wanted to find the brain regions related to (dis)trust anticipation from partners who differ in their level of social closeness. For this, we designed an experiment in which participants played an economic decision game with three people (trustors): A computer, a stranger, and a real friend. We covertly manipulated their decisions in the game so that they unexpectedly distrusted our participants. Using task-fMRI, our whole-brain analysis found that the AIns was active during the anticipation of the decisions from human partners (humans vs computer), but not during anticipation between high and low social closeness (friend vs stranger). However, using a psychophysiological interaction analysis, we found increases in functional coupling between the AIns and regions in the "mentalizing" network (such as temporal regions and parieto-occipital cortices) during trust anticipation between a high versus low social closeness partner. These results suggest that there may be a modulation of the AIns activity, specifically for high social closeness trustors, by regions that encode the intentions underlying the truster behavior.

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The Dorsolateral Prefrontal Cortex Presents Structural Variations Associated with Empathic Capacity in Psychotherapists

Empathic capacity has been shown to be correlated with brain structural variations, such as cortical thickness. Since psychotherapists have a constant demand to modulate their empathic response, in this study we compared cortical thickness between a group of psychotherapists and a control group at prefrontal and cingulate brain regions, and investigated how this is correlated with their empathic skills. Eighteen psychotherapists and eighteen healthy controls underwent 3-Tesla MRI scanning and completed empathy-related psychometric assessments. Cortical thickness (CT) measures were estimated for each participant. We evaluated how these measures differed between groups, and if they were associated with individual empathy-related scores in a series of regions of interest. Our analysis shows that psychotherapists display a significantly greater CT at a region in the left dorsolateral prefrontal cortex (dlPFC; p < 0.05, FDR corrected). Moreover, psychotherapists CT in this region is correlated with the tendency to feel empathically concerned for others (p < 0.01, FDR corrected). This finding is relevant because the dlPFC region participates strongly in the cognitive components of the empathic response, such as emotion regulation and perspective-taking processes. Thus, our findings support the idea that empathic capacity is reflected by brain structural variations while also studying for the first time a sample of subjects for whom empathic responding is crucial in their profession.

neuroscience↗

MRI- and histologically derived neuroanatomical atlas of the Ambystoma mexicanum (axolotl)

Amphibians are an important vertebrate model system to understand anatomy, genetics and physiology. Importantly, the brain and spinal cord of adult urodels (salamanders) have an incredible regeneration capacity, contrary to anurans (frogs) and the rest of adult vertebrates. Among these amphibians, the axolotl (Ambystoma mexicanum) has gained most attention because of the surge in the understanding of CNS regeneration and the recent sequencing of its whole genome. However, a complete comprehension of the brain anatomy is not available. In the present study we created a magnetic resonance imaging atlas of the in vivo neuroanatomy of the juvenile axolotl brain. This is the first MRI atlas for this species and includes 3 levels: 1) 80 regions of interest (ROIs); 2) a division of the brain according to the embryological origin of the neural tube, and 3) left and right hemispheres. Additionally, we localized the myelin rich regions of the juvenile brain. The atlas, the template that the atlas was derived from, and a masking file, can be found on Zenodo at DOI: 10.5281/zenodo.4311937. This MRI brain atlas aims to be an important tool for future research of the axolotl brain and that of other amphibians.

neuroscience↗

Subcortical Atlas of the Rhesus Macaque (SARM) for Magnetic Resonance Imaging

Digitized neuroanatomical atlases are crucial for localizing brain structures and analyzing functional networks identified by magnetic resonance imaging (MRI). To aid in MRI data analysis, we have created a comprehensive parcellation of the rhesus macaque subcortex using a high-resolution ex vivo structural imaging scan. The structural scan and its parcellation were warped to the updated NIMH Macaque Template (NMT v2), an in vivo population template, where the parcellation was refined to produce the Subcortical Atlas of the Rhesus Macaque (SARM). The subcortical parcellation and nomenclature reflect those of the 4th edition of the Rhesus Monkey Brain in Stereotaxic Coordinates (RMBSC4; Paxinos et al., in preparation). The SARM features six parcellation levels, arranged hierarchically from fine regions-of-interest (ROIs) to broader composite regions, suited for fMRI studies. As a test, we ran a functional localizer for the dorsal lateral geniculate (DLG) nucleus in three macaques and found significant fMRI activation in this atlas region. The SARM has been made openly available to the neuroimaging community and can easily be used with common MR data processing software, such as AFNI, where the atlas can be embedded into the software alongside cortical macaque atlases. HighlightsO_LIWe present the Subcortical Atlas of the Rhesus Macaque (SARM). C_LIO_LISARM provides a neuroanatomical reference frame for neuroimaging analysis. C_LIO_LIThe entire subcortex is mapped, including the thalamus, basal ganglia, and brainstem. C_LIO_LIROIs are grouped hierarchically, making SARM useful at multiple spatial resolutions. C_LIO_LISARM is in the NMT v2 template space and complements the CHARM atlas for the cortex. C_LI

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Gray and white matter morphology in substance use disorders: A neuroimaging systematic review and meta-analysis.

Substance use disorders (SUDs) are characterized by a compulsion to seek and consume one or more substances of abuse, with a perceived loss of control and negative emotional state. Repeated use of a substance results in synaptic and morphological changes, secondary to toxicity and SUD pathology in the dopamine striato-thalamo-cortical and limbic pathways. These neuroadaptations seem to vary between studies, which could be related to divergent effects of substances, consumption severity or other unknown factors. We therefore identified studies investigating the effects of SUDs using volumetric whole-brain voxel-based morphometry (VBM) in gray (GM) and white matter (WM). We performed a systematic review and meta-analysis of VBM studies using the anatomic likelihood estimation (ALE) method implemented in GingerALE (PROSPERO pre-registration CRD42017071222). Fifty studies met inclusion criteria and were included in the final quantitative meta-analysis, with a total of 538 foci, 88 experiments and 4370 participants. We found convergence and divergence in brain regions and volume effects (higher vs lower volume) in GM and WM depending on the severity of consumption pattern and type of substance. Convergent pathology was evident across substances in GM of the insula, anterior cingulate cortex, putamen, and thalamus, and in WM of the thalamic radiation and internal capsule bundle. Divergent pathology between occasional use (cortical pathology) and addiction (cortical-subcortical pathology) provides evidence of a possible top-down neuroadaptation. Our findings indicate distinctive brain morphometry alterations in SUDs, which may inform our understanding of disease progression and ultimately therapeutic approaches.

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Effects of childhood maltreatment on social cognition and brain functional connectivity in borderline personality disorder patients

Borderline personality disorder (BPD) is a chronic condition characterized by high levels of impulsivity, affective instability, and difficulty to establish and manage interpersonal relationships. This paper assessed differences in performance on social cognitive paradigms (MASC, RMTE) and how it related to child abuse. Specifically, it evaluated the relationship between performance on cognitive paradigms and baseline brain connectivity in patients with BPD, compared to healthy controls.\n\nBPD patients had higher levels of childhood maltreatment, increased impulsivity and aggression, and more dissociative symptoms than control subjects. For the sexual abuse subdimension, there were no differences between the BPD and the control groups, but there was a negative correlation between MASC scores and total childhood maltreatment levels, as well as between physical abuse, physical negligence, and MASC. Both groups showed that the higher the level of childhood maltreatment, the lower the performance on the MASC social cognitive test. Further, in the BPD group, there was hypoconnectivity between the structures responsible for emotion regulation and social cognitive responses that have been described as part of the frontolimbic circuitry. The more serious the child abuse, the lower the connectivity.

neuroscience↗

Patterns of reduced cortical thickness and striatum pathological morphology in cocaine addiction.

Substance addiction is regarded as an important public health problem, perpetuated by fronto-striatal circuit pathology. A usual finding in neuroimaging human and murine studies is cortical thinning and lower volume when compared to healthy controls. In this study we wished to replicate cortical thinning findings and find if striatum morphology may explain the cortical pathology. For this we analyzed T1w neuroimaging data from an ongoing addiction Mexican dataset. This dataset includes cocaine addicts diagnosed by expert psychiatrists and healthy controls. For the analysis we used voxel-based morphometry, cortical thickness and volumetric analysis of the basal ganglia, and we correlated striatum volume with cortical thickness to find pathological patterns. Our group contrast showed cortical thinning and striatum volume differences in cocaine addicts correlated to their years of substance use, craving and age. Our correlation between striatum-cortex morphology showed higher significant correlations in healthy controls, not observed in cocaine addicts. The correlation between striatum volume and cortical thickness in healthy controls involved similar areas as those shown with less cortical thickness in cocaine addicts. We suggest that striatum morphological changes in addiction may explain the pattern of cortical thinning observed across several substances addiction studies.\n\nResearch Data Related to this SubmissionData set https://zenodo.org/record/1409808#.W5E3oCOZPIF Patterns of reduced cortical thickness and striatum pathological morphology in cocaine addiction\n\nThis dataset includes all the data and scripts needed to reproduce the analysis and results on the manuscript \"Patterns of reduced cortical thickness and striatum pathological morphology in cocaine addiction\" (link). The brain data is not raw, as T1w were not defaced. We will do so in the near future for version 2.0. Instead we include only the \"output/thickness\" files used in the final analysis. For the use of raw T1w images, please contact the main author EAGV.

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Borderline personality disorder with cocaine dependence: impulsivity, emotional dysregulation and amygdala functional connectivity

Objective: Borderline personality disorder (BPD) is present in 19% of cocaine dependence (CD) cases; however, this dual pathology (DP) is poorly understood. We assessed impulsivity, emotional dysregulation (ED) and amygdala functional connectivity in this DP.\n\nMethods. We recruited 69 participants divided into 4 groups: DP (n = 20), CD without BPD (n = 19), BPD without CD (n = 10) and healthy controls (HC, n = 20). We used self-reported instruments to measure impulsivity and ED. We acquired resting state fMRI and performed seed-based analyses of functional connectivity (FC) of bilateral amygdalas.\n\nResults. BPD and CD factors had opposing effects in impulsivity and ED, as well as on FC between left amygdala and medial prefrontal cortex. For the FC between right amygdala and left insula, the effect of having both disorders was additive, reducing FC strength. Significant FC clusters were correlated with impulsivity and ED.\n\nConclusions. In this preliminary study, we found that clinical scores of DP patients were closer to those of BPD without CD than to those of CD without BPD, while amygdala to medial prefrontal cortex FC patterns in DP patients were closer to HC than expected.

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Similar clinical improvement and maintenance after rTMS at 5 Hz using a simple vs. complex protocol in Alzheimer’s disease

BrackgroundCurrent treatments for Alzheimers disease (AD) have a limited clinical response and methods, such as repetitive transcranial magnetic stimulation (rTMS), are being studied as possible treatments for the clinical symptoms with positive results. However, there is still seldom information on the type of rTMS protocols that deliver the best clinical improvement in AD.\n\nObjetiveTo compare the clinical response between a simple stimulation protocol on the left dorsolateral prefrontal cortex (lDLPFC) against a complex protocol using six regions of interest.\n\nMethods19 participants were randomized to receive any of the protocols. The analysis of repeated measures evaluated the change.\n\nResultsBoth protocols were equally proficient at improving cognitive function, behavior and functionality after 3 weeks of treatment, and the effects were maintained for 4 weeks more without treatment.\n\nConclusionWe suggest rTMS on the lDLPFC could be enough to provide a clinical response, and the underlying mechanisms should be studied.

clinical trials↗