Biology subjects

Paulus, W.

Publications and source records attributed to Paulus, W..

11 recordsLinked to original sources

bioRxiv2025

Negative affective traits moderate transcranial direct current stimulation (tDCS) effects on memory

BackgroundThe cognitive effects of transcranial direct current stimulation (tDCS) show substantial inter-individual variability, emphasizing the need to identify moderators of responsiveness, with negative affectivity as a potential factor influencing both cognitive performance and tDCS outcomes. Here we examine if and how negative affectivity (depressiveness, anxiety, and stress level), conceptualized as both transient states and stable traits, moderates the effects of tDCS on working memory (WM) and associative memory (AM). MethodsWe pooled data from six sham-controlled experiments involving 144 healthy young adults (351 tDCS sessions) using within-subject crossover designs. Participants completed WM and AM tasks following active anodal tDCS or sham, as well as Depression, Anxiety, and Stress Scale (DASS-21) before each session. ResultsTrait-level, but not state-level, negative affectivity moderated WM. Individuals with higher levels of depression, anxiety, or stress demonstrated greater tDCS-induced WM gains. tDCS-induced AM benefits were consistent and unaffected by affective traits or states. ConclusionNegative affectivity may shape individual susceptibility to tDCS, increasing the potential for stimulation-induced improvement on tasks requiring significant executive control.

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bioRxiv2020

Inhibiting corticospinal excitability by entraining ongoing mu-alpha rhythm in motor cortex

AbstractsSensorimotor mu-alpha rhythm reflects the state of cortical excitability. Repetitive transcranial magnetic stimulation (rTMS) can modulate neural synchrony by inducing periodic electric fields (E-fields) in the cortical networks. We hypothesized that the increased synchronization of mu-alpha rhythm would inhibit the corticospinal excitability reflected by decreased motor evoked potentials (MEP). In seventeen healthy participants, we applied rhythmic, arrhythmic, and sham rTMS over the left M1. The stimulation intensity was individually adapted to 35 mV/mm using prospective E-field estimation. This intensity corresponded to ca. 40% of the resting motor threshold. We found that rhythmic rTMS increased the synchronization of mu-alpha rhythm, increased mu-alpha/beta power, and reduced MEPs. On the other hand, arrhythmic rTMS did not change the ongoing mu-alpha synchronization or MEPs, though it increased the alpha/beta power. We concluded that low intensity, rhythmic rTMS can synchronize mu-alpha rhythm and modulate the corticospinal excitability in M1. HighlightsO_LIWe studied the effect of rhythmic rTMS induced E-field at 35 mV/mm in the M1 C_LIO_LIProspective electric field modeling guided the individualized rTMS intensities C_LIO_LIRhyhtmic rTMS entrained mu-alpha rhythm and modulated mu-alpha/beta power C_LIO_LIArrhythmic rTMS did not synchronize ongoing activity though increased mu-alpha/beta power. C_LIO_LIRhythmic but not arrhythmic or sham rTMS inhibited the cortical excitability in M1 C_LI

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bioRxiv2020

Short-lived alpha power suppression induced by low-intensity arrhythmic rTMS

This study was conducted to provide a better understanding of the role of electric field strength in the production of aftereffects in resting state scalp electroencephalography by repetitive transcranial magnetic stimulation (rTMS) in humans. We conducted two separate experiments in which we applied rTMS over the left parietal-occipital region. Prospective electric field simulation guided the choice of the individual stimulation intensities. In the main experiment, 16 participants received rhythmic and arrhythmic rTMS bursts at between ca. 20 and 50 mv/mm peak absolute electric field intensities. In the control experiment, another group of 16 participants received sham rTMS. To characterize the aftereffects, we estimated the alpha power (8-14 Hz) changes recorded in the inter-burst intervals, i.e., from 0.2 to 10 seconds after rTMS. We found aftereffects lasting up to two seconds after stimulation with ca. 35 mV/mm. Relative to baseline, alpha power was significantly reduced by the arrhythmic protocol, while there was no significant change with the rhythmic protocol. However, we found no significant long-term, i.e., up to 10-second, differences between the rhythmic and arrhythmic stimulation, or between the rhythmic and sham protocols. Weak arrhythmic rTMS induced short-lived alpha suppression during the inter-burst intervals.

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bioRxiv2020

Selecting stimulation intensity in repetitive transcranial magnetic stimulation studies: A systematic review between 1991 and 2020

BackgroundRepetitive transcranial magnetic stimulation (rTMS) is an increasingly used, non-invasive brain stimulation technique in neuroscience research and clinical practice with a broad spectrum of suggested applications. Among other parameters, the choice of stimulus intensity and intracranial electric field strength substantially impact rTMS outcome. This review provides a systematic overview of the intensity selection approaches and stimulation intensities used in human rTMS studies. We also examined whether studies report sufficient information to reproduce stimulus intensities in basic science research models. Methods. We performed a systematic review by focusing on original studies published between 1991 and 2020. We included conventional (e.g., 1 Hz or 10 Hz) and patterned protocols (e.g., continuous or intermittent theta burst stimulation). We identified 3,784 articles in total, and we manually processed a representative portion (20%) of randomly selected articles. Results. The majority of the analyzed studies (90% of entries) used the motor threshold (MT) approach and stimulation intensities from 80 to 120% of the MT. For continuous and intermittent theta burst stimulation, the most frequent stimulation intensity was 80% of the active MT. Most studies (92% of entries) did not report sufficient information to reproduce the stimulation intensity. Only a minority of studies (1.03% of entries) estimated the rTMS-induced electric field strengths. Conclusion. We formulate easy-to-follow recommendations to help scientists and clinicians report relevant information on stimulation intensity. Future standardized reporting guidelines may facilitate the use of basic science approaches aiming at better understanding the molecular, cellular, and neuronal mechanisms of rTMS.

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bioRxiv2020

Two cortical representations of voice control are differentially involved in speech fluency

Recent studies have identified two distinct cortical representations of voice control in humans, the ventral and the dorsal laryngeal motor cortex. Strikingly, while persistent developmental stuttering has been linked to a white matter deficit in the ventral laryngeal motor cortex, intensive fluency shaping intervention modulated the functional connectivity of the dorsal laryngeal motor cortical network. Currently, it is unknown whether the underlying structural network organization of these two laryngeal representations is distinct or differently shaped by stuttering intervention. Using probabilistic diffusion tractography in 22 individuals who stutter and participated in a fluency shaping intervention, in 18 individuals who stutter and did not participate in the intervention, and in 28 control participants, we here compare structural networks of the dorsal laryngeal motor cortex and the ventral laryngeal motor cortex and test intervention-related white matter changes. We show (i) that all participants have weaker ventral laryngeal motor cortex connections compared to the dorsal laryngeal motor cortex network, regardless of speech fluency, (ii) connections of the ventral laryngeal motor cortex were stronger in fluent speakers, (iii) the connectivity profile of the ventral laryngeal motor cortex predicted stuttering severity, (iv) but the ventral laryngeal motor cortex network is resistant to a fluency shaping intervention. Our findings substantiate a weaker structural organization of the ventral laryngeal motor cortical network in developmental stuttering and imply that assisted recovery supports neural compensation rather than normalization. Moreover, the resulting dissociation provides evidence for functionally segregated roles of the ventral laryngeal motor cortical and dorsal laryngeal motor cortical networks.

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bioRxiv2020

Fluent speech: neural basis of sensorimotor plasticity in developmental stuttering

Fluency-shaping enhances the speech fluency of persons who stutter, yet underlying conditions and neuroplasticity-related mechanisms are largely unknown. While speech production-related brain activity in stuttering is well studied, it is unclear whether therapy repairs networks of altered sensorimotor integration, imprecise neural timing and sequencing, faulty error monitoring, or insufficient speech planning. Here, we tested the impact of one-year fluency-shaping therapy on resting-state fMRI connectivity within sets of brain regions subserving these speech functions. We analyzed resting-state data of 22 patients who participated in a fluency-shaping program, 18 patients not participating in therapy, and 28 fluent control participants, measured one year apart. Improved fluency was accompanied by an increased synchronization within the sensorimotor integration network. Specifically, two connections were strengthened; the left inferior frontal gyrus showed increased connectivity with the precentral gyrus at the representation of the left laryngeal motor cortex, and the left inferior frontal gyrus showed increased connectivity with the right superior temporal gyrus. Thus, therapy-associated neural remediation was based on a strengthened integration of the command-to-execution pathway together with an increased auditory-to-motor coupling. Since we investigated task-free brain activity, we assume that our findings are not biased to network activity involved in compensation but represent long-term focal neuroplasticity effects.

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bioRxiv2020

Iceberg or cut off - how adults who stutter articulate fluent-sounding utterances

Whether fluent-sounding utterances of adults who stutter (AWS) are normally articulated is unclear. We asked 15 AWS and 17 matched adults who do not stutter (ANS) to utter the pseudoword "natscheitideut" 15 times in a 3 T MRI scanner while recording real-time MRI videos at 55 frames per per second in a mid-sagittal plane. All stuttered or otherwise dysfluent runs were discarded. We used sophisticated analyses to model the movement of the tip of the tongue, lips and velum. We observed reproducible movement patterns of the inner and outer articulators which were similar in both groups. Speech duration was similar in both groups and decreased over repetitions, more so in ANS than in AWS. The variability of the movement patterns of tongue, lips and velum decreased over repetitions. The extent of variability decrease was similar in both groups. Across all participants, this repetition effect on movement variability for the lips and the tip of the tongue was less pronounced in severely as compared to mildly stuttering individuals. We conclude that there is no major difference in the movement patterns of a fluent-sounding utterance in both groups. This encourages studies looking at state rather than trait markers of speech dysfluency.

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bioRxiv2019

Wider pulses and higher intensities increase efficiency of high frequency rTMS

IntroductionHigh frequency repetitive transcranial magnetic stimulation induces excitation when applied to the motor cortex as reflected by the increase MEP amplitudes after the stimulation. The effects differ according to pulse width, probably due to higher content of energy in the wider pulses and their ability to cause wider activation in comparison to shorter pulse shapes. Here we focus on the aftereffects generated with high frequency controllable pulse TMS (cTMS) with different pulse widths. ObjectivesTo investigate the influence of pulse energy by using different stimulation intensities and pulse widths on the excitatory plastic aftereffects of high frequency (HF) rTMS. MethodsUsing a controllable pulse stimulator TMS (cTMS), we stimulated the hand motor cortex with 5 Hz rTMS applying 1200 bidirectional pulses with the main component widths of 80, 100 and 120 microseconds. 14 healthy subjects were initially investigated for six randomized sessions first with 80% RMT for anterior-posterior (AP) and posterior-anterior (PA). Then three more sessions using same pulse widths were added for 90% RMT anterior-posterior (AP). Results80% HF rTMS did not produce any significant excitation in either AP or PA direction. 90% RMT AP stimulation with 100 and 120 microsecond-wide pulses were more excitatory, when compared to the 80 microsecond-wide pulses. We also found a correlation between the individual pulse energy and the plastic outcome of each session. ConclusionsHF rTMS with wider pulses is more effective in producing excitatory aftereffects, an effect that correlated with the higher energy content of wider pulses and higher intensity. SignificanceThe findings here suggest that wider pulses are capable of inducing more excitation, a fact that could contribute to better results in future clinical studies performed with wider pulses.

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bioRxiv2019

Intermittent theta burst stimulation at personalized targets reduces the functional connectivity of the default mode network in healthy subjects

Understanding the mechanisms by which transcranial magnetic stimulation protocols exert changes in the default mode network (DMN) is paramount to develop therapeutically more effective approaches in the future. A full session (3000 pulses) of 10 Hz repetitive transcranial magnetic stimulation (HF-rTMS) reduces the functional connectivity (FC) of the DMN and the subgenual anterior cingulate cortex but current understanding of the effects of a single session of intermittent theta burst stimulation (iTBS) on the DMN in healthy subjects is limited. To reduce the effects of inter-individual variability in functional architectures, we used a novel personalized target selection approach based on each subjects resting state fMRI for an unprecedented investigation into the effects of a single session (1800 pulses) of iTBS over the DMN in healthy controls. 26 healthy subjects participated in a double-blind, crossover, sham-controlled study. After iTBS to the personalized left dorsolateral prefrontal cortex (DLPFC) targets, we investigated the time lapse of effects in the DMN and its relationship to the harm avoidance (HA) personality trait measure (Temperament and Character Inventory/TCI). Approx. 25-30 minutes after stimulation, we observed reduced FC between the DMN and the rostral anterior cingulate cortex (rACC). About 45 minutes after stimulation the FC of rACC strongly decreased further, as did the FC of right anterior insula (rAI) with the DMN. We also report a positive correlation between the FC decrease in the rACC and the HA domain of TCI. Our results show how iTBS at personalized left-DLPFC targets reduces the FC between DMN and the rACC and rAI, regions typically described as nodes of the salience network. We find that HA scores can potentially predict iTBS response, as has been observed for HF-rTMS.

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bioRxiv2018

transcranial Direct Current Stimulation Studies Open Database (tDCS-OD)

Transcranial direct current stimulation (tDCS) is increasingly evaluated for a myriad of clinical indications and performance enhancement mainly related to cognitive and motor applications. As a result tDCS has been tested with diverse inclusion criteria and subject populations. tDCS is customized for applications by many factors, including stimulation dose (montage, current, time), associated training and subject inclusion/exclusion criteria. The rapid proliferation of applications, technological advancements and emerging scientific discoveries presents challenges to the organization and consolidation of tDCS data - which can lead to scientific, clinical and public confusions. In this paper, we develop a system to summarize and consolidate methodological aspects of tDCS, concentrating on study design and the physical parameters of the stimulation. We introduce a community-driven, open access database, where these parameters, including stimulation intensities, duration, electrode sizes, montages, and subject information, are noted for relevant tDCS publications. The transcranial Direct Current Stimulation Studies Open Database (tDCS-OD) (http://tdcsdatabase.com) will support constructive dialogue on research and clinical tDCS applications, critical evaluation of past work, and identification of promising protocols, while reducing ambiguity about stimulation methodology. The database design allows ongoing updates and editing, with transparent version control. At the moment, the database includes information about 56,613 tDCS sessions.

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bioRxiv2018

Resting state fMRI based target selection for personalized rTMS: stimulation over the left DLPFC temporarily alters the default mode network in healthy subjects

High frequency repetitive TMS (HF-rTMS) to the left dorsolateral prefrontal cortex (DLPFC) is an approved option for the treatment of depression, but there is also much variability in the resulting antidepressant response. This variability is believed to arise from various factors, an important one of which being the method by which rTMS is targeted to the optimal stimulation site in the left DLPFC. To more accurately target HF-rTMS at left DLPFC, we present a new method for target selection based on individual RS-fMRI data. We show in 23 healthy subjects that the new proposed method of target selection is reproducible and yields left DLPFC targets whose functional connectivity correlates more negatively with subgenual anterior cingulate cortex (sgACC) than targets based on standard MNI coordinates. Since previous work has highlighted higher negative connectivity with the sgACC as an important feature of targets for higher antidepressant effect of HF-rTMS, the targets selected by the new method can be expected to lead to a higher therapeutic response. Additionally, the mechanism of action of an entire single session of HF-rTMS (3000 pulses) in healthy subjects has not been reported. We show significant decreases in functional connectivity of the default mode network in sgACC and ventral striatum (vStr) regions, peaking at 27-32 minutes after stimulation. Also, we report a negative correlation between the magnitude of this decrease in the right sgACC and the harm avoidance domain measure from the Temperament and Character Inventory (TCI). This finding points towards the possibility of using the harm avoidance measure as a predictor of HF-rTMS response. In addition, the decreased functional connectivity of the default mode network in right nucleus accumbens (NAcc) correlates with a short-term decrease in self-rated negative emotions from the Positive and Negative Affect Schedule (PANAS) i.e. the lower the functional connectivity of right NAcc with the default mode network, the lower the reported perception of negative mood by the subjects. This suggests a mechanism by which changes induced by rTMS influence the perception of negative mood in recipients.

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