Biology subjects

Akkad, H.

Publications and source records attributed to Akkad, H..

4 recordsLinked to original sources

bioRxiv2026

Theta phase and theta-gamma coupling organise the spoken language network

Speech production requires rapid coordination of conceptual and lexical processes across distributed cortical networks, yet the neurophysiological mechanisms enabling this coordination remain poorly understood. Oscillatory coupling has emerged as a candidate mechanism for coordinating neural activity across spatial scales. Here, we used whole-head magnetoencephalography during overt picture naming to test how phase and phase-amplitude coupling organise neural dynamics preceding articulation. We show that theta (4-8 Hz) phase coupling increases within two functionally distinct networks: a ventral occipito-temporal network supporting object recognition and a medial fronto-temporal network supporting semantic-lexical retrieval. These networks converged in the right fusiform gyrus beyond chance levels, identifying a candidate integration hub. In parallel, whole-brain analysis of theta-gamma (4-8 Hz, 40-100 Hz) phase-amplitude coupling revealed selective increases in the left inferior frontal and fusiform gyri during picture naming relative to control. Mixed-effects modelling further showed that coupling in the left fusiform correlates with trial-level response times during naming but not control trials. Together, these findings reveal the oscillatory mechanisms that implement known functional specialisation in the spoken language network; theta phase coupling coordinates distributed recognition and retrieval streams, while theta-gamma coupling modulates local computations within core word production nodes. By defining an oscillatory framework for real-time speech production, this work advances mechanistic understanding of the spoken language network and identifies frequency- and region-specific targets for neuromodulation of language production disorders. HighlightsO_LIDistinct oscillatory mechanisms support distributed and local language production processes C_LIO_LITheta phase-coupling distinguishes object recognition and word retrieval networks C_LIO_LITheta-gamma coupling increases locally in core language regions C_LIO_LIIncreases in theta-gamma coupling scale with trial-by-trial naming speed C_LI

neuroscience↗

bioRxiv2021

Mapping language and non-language cognitive deficits in post-stroke anomic aphasia

While language impairment is the defining symptom of aphasia, the co-occurrence of non-language cognitive deficits and their importance in predicting rehabilitation and recovery outcomes is well documented. Despite this, people with aphasia (PWA) are rarely tested on assessments of higher order cognitive functions, making it difficult for studies to associate these functions with a consistent lesion correlate. Contrary to classic models of speech and language, cumulative evidence shows that Brocas area and surrounding regions in the left inferior frontal cortex (LIFC) are involved in, but not specific to, speech production - suggesting that these regions may be involved in higher-level cognitive functions that support language production. A better understanding of language processing in the context of other domain general cognitive functions is essential for improving aphasia treatments. This study aimed to explore the brain-behaviour relationships between tests of individual cognitive skill and language abilities in people with post-stroke aphasia, with a focus on language production deficits and their associated lesion correlates. We predicted our analysis would reveal a latent (non-language specific) cognitive component, that would be driven by damage to LIFC. We analysed the behavioural and neural correlates of an extensive battery of language and non-language cognitive tests in a sample of thirty-six adults with long-term speech production deficits from post-stroke aphasia. All participants were anomic, with relatively intact speech comprehension and no apraxia of speech. The behavioural variables were analysed using Principal Component Analysis and their neural correlates were estimated using Voxel-Based Correlational Morphology. A significant number of anomic adults showed impaired performance on tests of non-language specific cognitive function. The variance underlying behavioural performance was best captured by four orthogonal components, two higher-order cognitive components (executive functions and verbal working memory) and two linguistic processing components (phonology and semantics). Brain-behaviour relationships revealed separable neural correlates for each component in line with previous studies and an executive functions correlate in the left inferior frontal cortex (LIFC). Our findings suggest that in adults with chronic post-stroke language production deficits (anomia), higher-level cognitive functions explain more of the variance in language function than classical models of the condition imply. Additionally, lesions to the LIFC, including Brocas area, were associated with executive (dys)function, independent of language abilities, suggesting that lesions to this area are associated with non-language specific higher-level cognitive functions that support speech production. These findings support contemporary models of speech production that place language processing within the context of domain-general perception, action and conceptual knowledge.

neuroscience↗

bioRxiv2021

Lesion site and therapy time predict responses to a therapy for anomia after stroke: a prognostic model development study

BACKGROUNDStroke is a leading cause of disability, and language impairments (aphasia) after stroke are both common and particularly feared. Most stroke survivors with aphasia exhibit anomia (difficulties with naming common objects), but while many therapeutic interventions for anomia have been proposed, treatment effects are typically much larger in some patients than others. Here, we asked whether that variation might be more systematic, and even predictable, than previously thought. METHODS18 patients, each at least 6 months after left hemisphere stroke, engaged in a computerised treatment for their anomia over a 6 week period. Using only: (a) the patients initial accuracy when naming (to-be) trained items; (b) the hours of therapy that they devoted to the therapy; and (c) whole-brain lesion location data, derived from structural MRI; we developed Partial Least Squares regression models to predict the patients improvements on treated items, and tested them in cross-validation. RESULTSSomewhat surprisingly, the best model included only lesion location data and the hours of therapy undertaken. In cross-validation, this model significantly out-performed the null model, in which the prediction for each patient was simply the mean treatment effect of the group. This model also made promisingly accurate predictions in absolute terms: the correlation between empirical and predicted treatment response was 0.62 (95%CI: 0.27, 0.95). DISCUSSIONOur results indicate that individuals variation in response to anomia treatment are, at least somewhat, systematic and predictable, from the interaction between where and how much lesion damage they have suffered, and the time they devoted to the therapy.

neuroscience↗

bioRxiv2019

Increasing motor skill acquisition by driving theta-gamma coupling

Skill learning is a fundamental adaptive process, but the mechanisms remain poorly understood. Hippocampal learning is closely associated with gamma activity, which is amplitude-modulated by the phase of underlying theta activity. Whether such nested activity patterns also underpin skill acquisition in non-hippocampal tasks is unknown. Here we addressed this question by using transcranial alternating current stimulation (tACS) over sensorimotor cortex to modulate theta-gamma activity during motor skill acquisition, as an exemplar of a non-hippocampal-dependent task. We demonstrated, and then replicated, a significant improvement in skill acquisition with theta-gamma tACS, which outlasted the stimulation by an hour. Our results suggest that theta-gamma activity may be a common mechanism for learning across the brain and provides a putative novel intervention for optimising functional improvements in response to training or therapy.

neuroscience↗