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Thirugnanasambandam, N.

Publications and source records attributed to Thirugnanasambandam, N..

3 recordsLinked to original sources

Effect of dopamine D2 blockade on behavioural and electrophysiological measures of inhibitory control

Inhibitory control is an essential executive function that encompasses both the stopping of an action in response to an unexpected stop signal (reactive response inhibition) and slowing of responses in anticipation of stopping (proactive response inhibition). Fronto-basal-ganglia circuits are thought to differentially contribute to response inhibition, with the indirect pathway implicated in proactive inhibition. Given the high expression of dopamine D2 receptors in the indirect pathway, pharmacological blockade of D2 receptors is expected to impact proactive inhibition, as indicated by response times on Go trials. The current study aimed to investigate this experimentally and study the effect of 600 mg of sulpiride, a D2 receptor antagonist, on behavioural and electrophysiological measures of proactive and reactive inhibition in humans. Human participants (N=24) completed an anticipated response version of the stop-signal task on either sulpiride or placebo in a double-blind within-subjects design. Sulpiride led to increased variability of Go response times and attenuation of the frontocentral negativity/readiness potential, considered to be a signature of proactive inhibition. In contrast, sulpiride had no effect on stop-signal reaction time or event-related potential components associated with reactive inhibition. These findings suggest that D2 receptor blockade selectively alters processes involved in proactive inhibition while leaving reactive inhibition unaffected, consistent with a key role for the indirect basal ganglia pathway in proactive response inhibition.

neuroscience↗

TMS-EEG Indices to Define Local Cortical Excitability Thresholds

IntroductionTranscranial magnetic stimulation (TMS) is widely employed to treat various psychiatric and neurological disorders. However, TMS protocols typically rely on generalizations, particularly in selecting stimulation intensities, leading to suboptimal and variable outcomes. Combining TMS with electroencephalography (EEG) offers a potential solution by allowing direct monitoring of stimulation effects. In this study, we investigate how features of the TMS-EEG signal change with intensity to identify thresholds implying qualitative shifts in the brain response. MethodsWe stimulated eight subjects at both the primary motor cortex (M1) and the pre-supplementary motor area (pre-SMA) with navigated TMS at 15 closely spaced intensities and measured TMS-evoked EEG responses (TMS-evoked potential, TEP) with 60 trials per intensity. TEP thresholds were identified with three methods: by selecting the intensity where the TEP peak-to-peak exceeds 6 V, or by fitting either piecewise-linear or sigmoid curves into the power spectral density (PSD) frequency components to identify nonlinear intensity behavior. ResultsThe identified TEP thresholds varied depending on subject, target, and identification method. In M1, the thresholds attained with the fixed-amplitude and piecewise PSD fit methods averaged around the motor threshold, and in pre-SMA around 120% of the motor threshold. The TEP thresholds yielded by the sigmoid fit method were higher in intensity, and least consistent between subjects. ConclusionsOur findings support the hypothesis that detectable changes in EEG patterns occur at specific TMS intensities. These results provide a basis for individualized stimulation dosing, potentially enhancing therapeutic efficacy and reliability. Future research should focus on refining these methods and validating their clinical applicability across diverse conditions and patient populations.

neuroscience↗

Multimodal Neuroimaging Reveals Distinct Characteristics of Levodopa-Induced Dyskinesias in de novo Parkinsons Disease Patients

Levodopa-induced dyskinesia (LID) is a significant treatment complication that affects a substantial proportion of Parkinsons disease (PD) patients. Our understanding of the neural basis of LID remains limited, partly due to the small sample sizes in existing neuroimaging studies. In this study, we utilized structural MRI data from the Parkinsons Progression Markers Initiative (PPMI) database, including de novo PD patients (104 non-dyskinetic for a least 3 years after diagnosis and 120 who developed dyskinesia) and 100 age- and sex-matched healthy controls. Additionally, we analyzed resting-state functional MRI data from a subset of these participants to investigate connectivity differences among the groups. Our analysis revealed no significant baseline volumetric differences between dyskinetic and non-dyskinetic PD patients. However, the thickness of frontal and sensorimotor cortices were significantly greater in dyskinetic patients. In the subcortical regions, vertex-based shape analysis identified localized surface growth in the left caudate and left pallidum, as well as surface morphology changes in the bilateral pallidum in dyskinetics. Resting-state functional connectivity analysis revealed stronger connectivity between the putamen, inferior frontal gyrus, and sensory cortex in dyskinetic PD patients compared to non-dyskinetics. These findings suggest that specific morphological and functional changes in the motor cortical-basal ganglia circuitry of de novo PD patients may predispose them to LID over time. Additionally, the altered functional connectivity patterns reinstate the role of the inferior frontal gyrus in the pathophysiology of dyskinesia and suggest that it might be a suitable target for neuromodulatory interventions, consistent with previous reports.

neuroscience↗