Biology subjects

Stampacchia, S.

Publications and source records attributed to Stampacchia, S..

5 recordsLinked to original sources

bioRxiv2025

Connectome-based brain fingerprints predict early cognitive decline in Parkinson's patients with minor hallucinations

Individual variability in connectome organization offers a unique framework for capturing patient-specific alterations and advancing personalized models in medicine. Minor hallucinations (MH) affect up to 40% of Parkinsons disease (PD) patients and are early indicators of cognitive decline and dementia, hence crucial for early intervention. While previous studies focused on group-level differences, connectome-based brain fingerprinting enables deeper, individualized analysis of neural change. Applying this approach to PD patients with and without MH using resting-state fMRI, we show that each patient exhibited unique brain fingerprint, revealing rich quantifiable personalized features with medical relevance. MH-patients showed a loss of subject-specific features in brain networks linked to cognitive health, while somatosensory regions - typically less distinctive - became more prominent, emphasizing their role in MH pathogenesis. These differences enabled to identify - in an entirely data driven manner - patient-specific networks linked to early subclinical cognitive alterations, as well differential spatial fingerprinting organization linked to cortical densities of neurotransmitters. These findings reveal a distinct, patient-specific connectomic signature that differentiates PD patients with MH, uncovering early neural markers for precision medicine in PD.

neuroscience↗

bioRxiv2025

Bodily perception links memory and self: a case study of an amnesic patient

Episodic autobiographical memory (EAM) is a building block of self-consciousness, involving recollection and subjective re-experiencing of personal past experiences. Any life episode is originally encoded by a subject within a body. This raises the possibility that memory encoding is shaped by bodily self-consciousness (BSC), a basic form of self-consciousness arising from the multisensory and sensorimotor perceptual signals from the body. Recent studies in healthy subjects showed that embodied encoding improves EAM, with the involvement of the hippocampus. However, there are only few imaging studies to date, hippocampal data are not consistent, and the role of hippocampal damage is not understood. We investigated how different BSC states during encoding, modulate later EAM retrieval, in a patient with severe amnesia caused by rare bilateral hippocampal damage. We performed three separate behavioral experiments using immersive virtual reality. The patient showed consistently more difficulties recollecting information encoded in embodied vs. disembodied states, particularly when asked to recall her perspective experienced at encoding. These results contrasted with the usual beneficial effect of BSC on EAM, and significantly differed from controls. These data provide consistent evidence that BSC impacts encoding and later reliving, and shows that the hippocampus is not just a critical structure for EAM, but also for effects of embodiment on memory. Additional fMRI data extend these findings by revealing that hippocampal-parietal connectivity mediates BSC-EAM coupling. Our findings plead for an important role of BSC in EAM, mediated by the hippocampus and its connectivity, leading to embodied memories that are experienced as belonging to the self. HighlightsO_LIWe studied a patient with memory deficits caused by bilateral hippocampal atrophy C_LIO_LIMultisensory stimulation modulated embodiment during episode encoding C_LIO_LIAcross three studies the patient showed stronger memory deficits for embodied episodes C_LIO_LIMultisensory bodily perception impacts bodily self-consciousness and episodic memory C_LIO_LIOur findings link the bodily self to episodic memory and the hippocampus C_LI

neuroscience↗

bioRxiv2023

Embodiment in episodic memory through premotor-hippocampal coupling

Episodic memory (EM) allows us to remember and relieve past events and experiences, depending on cortical-hippocampal reinstatement involved during encoding. Although it has been claimed that EM is fundamental to establish a sense of self across time, this has never been shown experimentally. Here we combine immersive virtual reality and fMRI and report stronger hippocampal reinstatement for scenes encoded under preserved sense of self, reflecting later recall performance. We further link the sense of self to EM showing that hippocampal reinstatement is coupled with reinstatement in premotor cortex, a key sense of self region. We extend these findings in a severe amnesic patient (caused by bilateral hippocampal damage), whose memory and re-experiencing lacked the normal dependency on the sense of self. Premotor-hippocampal coupling in EM describes how the self at encoding is neurally reinstated during the retrieval of past episodes, enabling a sense of self across time. TeaserPremotor-hippocampal coupling reveals how the self is reinstated when retrieving past episodes.

neuroscience↗

bioRxiv2022

Fingerprinting of brain disease: Connectome identifiability in cognitive decline and neurodegeneration

In analogy to the friction ridges of a human finger, the functional connectivity patterns of the human brain can be used to identify a given individual from a population. In other words, functional connectivity patterns constitute a marker of human identity, or a brain fingerprint. Yet remarkably, very little is known about whether brain fingerprints are preserved in brain ageing and in the presence of cognitive decline due to Alzheimers disease (AD). Using fMRI data from two independent datasets of healthy and pathologically ageing subjects, here we show that individual functional connectivity profiles remain unique and highly heterogeneous across early and late stages of cognitive decline due to AD. Yet, the patterns of functional connectivity making subjects identifiable, change across health and disease, revealing a functional reconfiguration of the brain fingerprint. We observed a fingerprint change towards between-functional system connections when transitioning from healthy to dementia, and to lower-order cognitive functions in the earliest stages of the disease. These findings show that functional connectivity carries important individualised information to evaluate regional and network dysfunction in cognitive impairment and highlight the importance of switching the focus from group differences to individual variability when studying functional alterations in AD. The present data establish the foundation for clinical fingerprinting of brain diseases by showing that functional connectivity profiles maintain their uniqueness, yet go through functional reconfiguration, during cognitive decline. These results pave the way for a more personalised understanding of functional alterations during cognitive decline, moving towards brain fingerprinting in personalised medicine and treatment optimization during cognitive decline.

neuroscience↗

bioRxiv2021

Motivated semantic control: Exploring the effects of extrinsic reward and self-reference on semantic retrieval in semantic aphasia

Recent insights show increased motivation can benefit executive control, but this effect has not been explored in relation to semantic cognition. Patients with deficits of controlled semantic retrieval in the context of semantic aphasia (SA) after stroke may benefit from this approach since semantic control is considered an executive process. Deficits in this domain are partially distinct from domain-general deficits of cognitive control. We assessed the effect of both extrinsic and intrinsic motivation in healthy controls and semantic aphasia patients. Experiment 1 manipulated extrinsic reward using high or low levels of points for correct responses during a semantic association task. Experiment 2 manipulated the intrinsic value of items using self-reference; allocating pictures of items to the participant ( self) or researcher ( other) in a shopping game before people retrieved their semantic associations. These experiments revealed that patients, but not controls, showed better performance when given an extrinsic reward, consistent with the view that increased external motivation may help to ameliorate patients semantic control deficits. However, while self-reference was associated with better episodic memory, there was no effect on semantic retrieval. We conclude that semantic control deficits can be reduced when extrinsic rewards are anticipated; this enhanced motivational state is expected to support proactive control, for example, through the maintenance of task representations. It may be possible to harness this modulatory impact of reward to combat the control demands of semantic tasks in SA patients.

neuroscience↗