Biology subjects

Nigri, A.

Publications and source records attributed to Nigri, A..

7 recordsLinked to original sources

bioRxiv2026

Brain digital twins reveal network changes in congenital and slowly progressive cerebellar ataxias

Cerebellar ataxias are a rare group of disorders manifesting with motor incoordination and cognitive-affective deficits of variable severity. Although neurogenetic has revealed multiple mutations, the study of ataxias still relies on clinical evaluation, while the underlying neural network changes remain unclear. It has been argued that the less severe symptoms in congenital (like Joubert syndrome, JS) than in slowly progressive (SP) ataxias reflect a different interplay of alteration and compensation but direct evidence is still lacking. Moreover, it is unclear why, in front of a wide heterogeneity of molecular alterations, SPs show common clinical symptoms. To address these questions, we created brain digital twins for each participant by combining volumetry, graph theory analysis of structural and functional connectivity, and dynamical simulations using the virtual brain. We studied 8 JS (3 females, 21{+/-}6years), 8 SP (3 females, 20{+/-}5years) and 11 healthy controls (HC; 5 females, 21{+/-}2years).Volumetry quantified atrophy, graph metrics (centrality, segregation and integration) characterized topology, and neural dynamical simulations estimated excitation/inhibition balance, providing anatomo-physiological parameters within the somatomotor (SMN) and ventral attention (VAN) networks. Anatomo-physiological parameters were correlated with clinical/neuropsychological scores, and unsupervised clustering was applied to assess whether network features can discriminate between JS and SP beyond clinical classification. MRI morphometry confirmed selective vermis reduction in JS and a widespread cerebellar atrophy in SP compared to HC. In both ataxia groups, SMN and VAN showed reduced volume and structural connectivity but with different patterns of topological and dynamical alterations. In the SMN of SP, reduced centrality and excitation/inhibition balance depressed information transfer through the network. In the VAN of JS, reduced centrality, segregation, and integration, were detrimental but coexisted with a higher number of functional core nodes and an increased large-scale excitatory coupling, supporting compensatory reorganisation in extracerebellar nodes. Clustering confirmed that SMN better differentiates SP, whereas VAN better clusters JS. Importantly, anatomo-physiological parameters of network volume, topology, and dynamics correlated with patients motor and cognitive performance. In conclusion, primary cerebellar damage secondarily impacts large-scale brain networks, altered in both ataxia groups but compensated only in JS. Similar clinical symptoms in SP reflects the similarity of network changes, while differential involvement of SMN and VAN in JS and SP reflects the connectivity pattern of the lesioned areas inside these large-scale brain circuits. Importantly, anatomo-physiological parameters are sufficient to explain individual motor and cognitive performance, offering a basis for improved patient profiling and personalized therapies.

neuroscience↗

bioRxiv2024

The Pattern and Staging of Brain Atrophy in Spinocerebellar Ataxia Type 2 (SCA2): MRI Volumetrics from ENIGMA-Ataxia

ObjectiveSpinocerebellar ataxia type 2 (SCA2) is a rare, inherited neurodegenerative disease characterised by progressive deterioration in both motor coordination and cognitive function. Atrophy of the cerebellum, brainstem, and spinal cord are core features of SCA2, however the evolution and pattern of whole-brain atrophy in SCA2 remain unclear. We undertook a multi-site, structural magnetic resonance imaging (MRI) study to comprehensively characterize the neurodegeneration profile of SCA2. MethodsVoxel-based morphometry analyses of 110 participants with SCA2 and 128 controls were undertaken to assess groupwise differences in whole-brain volume. Correlations with clinical severity and genotype, and cross-sectional profiling of atrophy patterns at different disease stages, were also performed. ResultsAtrophy in SCA2 relative to controls was greatest (Cohens d>2.5) in the cerebellar white matter (WM), middle cerebellar peduncle, pons, and corticospinal tract. Very large effects (d>1.5) were also evident in the superior cerebellar, inferior cerebellar, and cerebral peduncles. In cerebellar grey matter (GM), large effects (d>0.8) mapped to areas related to both motor coordination and cognitive tasks. Strong correlations (|r|>0.4) between volume and disease severity largely mirrored these groupwise outcomes. Stratification by disease severity showed a degeneration pattern beginning in cerebellar and pontine WM in pre-clinical subjects; spreading to the cerebellar GM and cerebro-cerebellar/corticospinal WM tracts; then finally involving the thalamus, striatum, and cortex in severe stages. InterpretationThe magnitude and pattern of brain atrophy evolves over the course of SCA2, with widespread, non-uniform involvement across the brainstem, cerebellar tracts, and cerebellar cortex; and late involvement of the cerebral cortex and striatum.

neuroscience↗

bioRxiv2023

Structural and connectivity parameters reveal compensation patterns in young patients with non-progressive and slow-progressive cerebellar ataxia

IntroductionWithin Pediatric Cerebellar Ataxias (PCAs), patients with non-progressive ataxia (NonP) surprisingly show postural motor behavior comparable to that of healthy controls, differently to slow-progressive ataxia patients (SlowP). This difference may depend on the building of the compensatory strategies of the intact areas in NonP brain network. MethodsEleven PCAs patients were recruited: five with NonP and six with SlowP. We assessed volumetric and axonal bundles alterations with a multimodal approach to investigate the connections between basal ganglia and cerebellum as putative compensatory tracts. ResultsCerebellar lobules were smaller in SlowP patients. NonP patients showed a lower number of streamlines in the cerebello-thalamo-cortical tracts but a generalized higher integrity of white matter tracts connecting the cortex and the basal ganglia with the cerebellum. DiscussionThis work reveals that the axonal bundles connecting the cerebellum with basal ganglia and cortex demonstrate a higher integrity in NonP patients. This evidence highlights the importance of the cerebellum-basal ganglia connectivity to explain the different postural motor behavior of NonP and SlowP patients and support the compensatory role of basal ganglia in patients with stable cerebellar malformation.

neuroscience↗

bioRxiv2022

The central autonomic system revisited - convergent evidence for a regulatory role of the insular and midcingulate cortex from neuroimaging meta-analyses

The autonomic nervous system regulates dynamic body adaptations to internal and external environment changes. Capitalizing on two different algorithms (Analysis of Brain Coordinates and GingerALE) that differ in empirical assumptions, we scrutinized the meta-analytic convergence of human neuroimaging studies investigating the neural basis of peripheral autonomic signal processing. Among the selected studies, we identified 42 records reporting 44 different experiments and testing 792 healthy individuals. The results of the two different algorithms converge in identifying the bilateral dorsal anterior insula and midcingulate cortex as the critical areas of the central autonomic system (CAN). However, whereas the bilateral dorsal anterior insula appears to be involved in processing autonomic nervous system signals regardless of task type, activity in the midcingulate cortex appears to be primarily engaged in processing autonomic signals during cognitive tasks and task-free conditions. Applying an unbiased approach, we were able to identify a single functionally condition-independent circuit that supports CAN activity. Although partially overlapping with the salience network, this functional circuit includes, in addition to the bilateral insular cortex and midcingulate cortex, the bilateral inferior parietal lobules and small clusters in the bilateral middle frontal gyrus. Our results do not support the hypothesis of divergent pathways for the sympathetic and parasympathetic systems or a robust involvement of the default mode network, particularly during parasympathetic activity. However, these results may be due to the relatively low number of studies investigating the parasympathetic system (12%), making our results more consistent with the central processing network of sympathetic activity. Remarkably, the critical regions of the CAN observed in this meta-analysis are among the most reported co-activated areas in neuroimaging studies and have been repeatedly shown as being dysregulated across different mental and neurological disorders. This suggests that the central dynamic interaction maintaining bodily homeostasis reported in several brain imaging studies may be associated with increased autonomic nervous system engagement and that disruptions in this interplay may underpin unspecific pathological symptoms across mental and neurological disorders.

neuroscience↗

bioRxiv2019

EEG power spectra and subcortical pathology in chronic disorders of consciousness

ObjectiveTo determine (i) the association between long-term impairment of consciousness after severe brain injury, spontaneous brain oscillations, and underlying subcortical damage, and (ii) whether such data can be used to aid patient diagnosis, a process known to be susceptible to high error rates. MethodsCross-sectional observational sample of 116 patients with a disorder of consciousness secondary to brain injury, collected prospectively at a tertiary center between 2011 and 2013. Multimodal analyses relating clinical measures of impairment, electroencephalographic measures of spontaneous brain activity, and magnetic resonance imaging data of subcortical atrophy were conducted in 2018. ResultsIn the final analyzed sample of 61 patients, systematic associations were found between electroencephalographic power spectra and subcortical damage. Specifically, the ratio of beta-to-delta relative power was negatively associated with greater atrophy in regions of the bilateral thalamus and globus pallidus (both left > right) previously shown to be preferentially atrophied in chronic disorders of consciousness. Power spectrum total density was also negatively associated with widespread atrophy in regions of the left globus pallidus, right caudate, and in brainstem. Furthermore, we showed that the combination of demographics, encephalographic, and imaging data in an analytic framework can be employed to aid behavioral diagnosis. ConclusionsThese results ground, for the first time, electroencephalographic presentation detected with routine clinical techniques in the underlying brain pathology of disorders of consciousness and demonstrate how multimodal combination of clinical, electroencephalographic, and imaging data can be employed in potentially mitigating the high rates of misdiagnosis typical of this patient cohort. Search termsdisorders of consciousness, subcortical pathology, EEG, MRI.

neuroscience↗

bioRxiv2019

Stereotactic electroencephalography in humans reveals multisensory signal in early visual and auditory cortices

Unequivocally demonstrating the presence of multisensory signals at the earliest stages of cortical processing remains challenging in humans. In our study, we relied on the unique spatio-temporal resolution provided by intracranial stereotactic electroencephalographic (SEEG) recordings in patients with drug-resistant epilepsy to characterize the signal extracted from early visual (calcarine and pericalcarine) and auditory (Heschls gyrus and planum temporale) regions during a simple audio-visual oddball task. We provide evidences that both cross-modal responses (visual responses in auditory cortex or the reverse) and multisensory processing (alteration of the unimodal responses during bimodal stimulation) can be observed in intracranial event-related potentials (iERPs) and in power modulations of oscillatory activity at different temporal scales within the first 150 ms after stimulus onset. The temporal profiles of the iERPs are compatible with the hypothesis that MSI occurs by means of direct pathways linking early visual and auditory regions. Our data indicate, moreover, that MSI mainly relies on modulations of the low-frequency bands (foremost the theta band in the auditory cortex and the alpha band in the visual cortex), suggesting the involvement of feedback pathways between the two sensory regions. Remarkably, we also observed high-gamma power modulations by sounds in the early visual cortex, thus suggesting the presence of neuronal populations involved in auditory processing in the calcarine and pericalcarine region in humans.

neuroscience↗

bioRxiv2018

Different neural networks for conceptual retrieval in sighted and blind reveal the experiential bases of knowledge.

We investigated the experiential bases of knowledge by asking whether people that perceive the world in a different way also show a different neurobiology of concepts. We characterized the brain activity of early-blind and sighted individuals during a conceptual retrieval task in which participants rated the perceptual similarity between color and action concepts evoked by spoken words. Adaptation analysis showed that word-pairs referring to perceptually similar colors (e.g., red-orange) or actions (e.g., run-jump) led to repetition-suppression in occipital visual regions in the sighted, regions that are known to encode visual features of objects and events, independently of their category. Early blind showed instead adaptation for similar concepts in language-related regions, but not in occipital cortices. Further analysis contrasting the two categories (color and action), independently of item similarity, activated category-sensitive regions in the pMTG (for actions) and the precuneus (for color) in both sighted and blind. These two regions, however, showed a different connectivity profile as a function of visual deprivation, increasing task-dependent connectivity with reorganized occipital regions in the early blind. Overall, our results show that visual deprivation changes the neural bases of conceptual retrieval, which is partially grounded in sensorimotor experience.\n\nSignificance StatementDo people with different sensory experience conceive the world differently? We tested whether conceptual knowledge builds on sensory experience by looking at the neurobiology of concepts in early blind individuals. Participants in fMRI heard pairs of words referring to colors (e.g., green-blue) or actions (e.g., jump-run) and rated their perceptual similarity. Perceptual similarity of colors and actions was represented in occipital visual regions in the sighted, but in language-related regions in the blind. Occipital regions in the blind, albeit not encoding perceptual similarity, were however recruited during conceptual retrieval, working in concert with classic semantic hubs such as the Precuneus and the lpMTG. Overall, visual deprivation changes the neural bases of conceptual processing, which is partially grounded in sensorimotor experience.

neuroscience↗