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Bezgin, G.

Publications and source records attributed to Bezgin, G..

11 recordsLinked to original sources

Modeling Individualized Adolescent Mental Health through a Multifactorial Causal Framework to Identify Potential Intervention Strategies

Associations between psychopathology, cognition, and personality are well established. However, these associations unfold within a broader developmental context shaped by brain maturation, environmental exposures and pubertal transitions, whose influences remain poorly understood. Here, we characterized how cognition and personality relate to adolescent mental health within this developmental context. Using data from the Adolescent Brain Cognitive Development Study (N = 4501), we simultaneously modeled 16610 brain structural, environmental, and pubertal measures to examine 165 behavioral pairs comprising cognitive and personality traits with mental health symptoms. Using an integrated analytic pipeline combining multifactorial mediation and longitudinal interaction-inclusive models, we evaluated whether developmental changes in cognition and personality relate to mental health at the individual level, and whether these associations vary across brain, environmental, and pubertal profiles. Most behavioral pairs showing significant mediation effects likewise exhibited significant longitudinal effects. These pairs were primarily influenced by neurobiological and environmental measures; cortical frontal and temporal regions relevant for cognitive control and emotional regulation as well as family and lifestyle contexts were most prominently implicated. Finally, after accounting for inter-individual heterogeneity, personality traits emerged as the main behavior associated with mental health. These findings characterize developmental associations linking cognition and personality with adolescent mental health, and show that these associations vary across brain, environmental, and pubertal profiles. The study advances understanding of behavioral development and provides a framework for identifying targets for psychopathology prevention.

neuroscience↗

MRI-based classifier to identify close-to-onset cases in C9orf72 genetic frontotemporal dementia

Predicting symptom onset in genetic frontotemporal dementia (FTD) is crucial for advancing targeted interventions and clinical trial design. Brain changes begin years before clinical symptoms emerge, making neuroimaging a strong candidate for onset prediction. However, FTD is highly heterogeneous, encompassing diverse molecular pathologies, affected brain networks, and symptom trajectories. This variability limits the predictive power of any single imaging biomarker and underscores the need for an integrative, multimodal approach to improve prediction accuracy and generalizability. We used machine learning to integrate diverse neuroimaging features, identifying a robust signature for risk stratification. We analyzed T1-weighted and T2-weighted MRI scans from 71 symptomatic C9orf72 carriers, 90 presymptomatic carriers, and 69 healthy controls from the GENFI cohort. We used FreeSurfer to measure cortical thickness and subcortical volumes, and BISON to quantify white matter hyperintensities (WMH). We applied Principal Component Analysis for dimensionality reduction and trained a random forest classifier to distinguish symptomatic carriers from controls. The model was subsequently applied to the presymptomatic cohort to identify individuals whose brain patterns resembled those of symptomatic cases, under the hypothesis that greater similarity indicated a higher risk of conversion. We validated the model with neuropsychological data and a two-year longitudinal follow-up. The classifier distinguished symptomatic C9orf72 carriers from controls with 87.0% accuracy. When applied to presymptomatic carriers, the model identified 21.1% of the cohort as having brain features comparable to those of symptomatic cases. This "high-risk group" showed significant neuropsychological weaknesses in executive function, language and social cognition compared to the non high-risk group. The model accurately predicted clinical conversion within a two-year period with 84.5% accuracy, a 70% sensitivity and a 93.3% negative predictive value. Our findings demonstrate the utility of a machine learning approach using multi-modal MRI to identify presymptomatic C9orf72 carriers at high risk of disease onset within the next two years. By capturing subtle neuroanatomical patterns associated with disease processes, this approach offers a promising method for stratifying genetic FTD carriers prior to symptom onset. Such predictive models could optimize patient selection in future clinical trials.

neuroscience↗

Inter-individual variability of neurotransmitter receptor and transporter density in the human brain

Neurotransmitter receptors guide the propagation of signals between brain regions. Mapping receptor distributions in the brain is therefore necessary for understanding how neurotransmitter systems mediate the link between brain structure and function. Normative receptor density can be estimated using group averages from Positron Emission Tomography (PET) imaging. However, the generalizability and reliability of group-average receptor maps depends on the inter-individual variability of receptor density, which is currently unknown. Here we collect group standard deviation brain maps of PET-estimated protein abundance for 12 different neurotransmitter receptors and transporters across 7 neurotransmitter systems, including dopamine, serotonin, acetylcholine, glutamate, GABA, cannabinoid, and opioid. We illustrate how cortical and subcortical inter-individual variability of receptor and transporter density varies across brain regions and across neurotransmitter systems. We complement inter-individual variability with inter-regional variability, and show that receptors that vary more across brain regions than across individuals also demonstrate greater out-of-sample spatial consistency. Altogether, this work quantifies how receptor systems vary in healthy individuals, and provides a means of assessing the generalizability of PET-derived receptor density quantification.

neuroscience↗

Whole-Brain Cell-Cell Interaction Axes Explaining Tissue Vulnerability Across the Neurodegenerative Spectrum

Disrupted cell-cell communication represents a fundamental mechanism underlying neurodegeneration, yet how specific intercellular signaling patterns relate to regional brain vulnerability remains poorly understood. Here, we map whole-brain intercellular interaction networks and their spatial correspondence with tissue damage across 13 neurodegenerative conditions, including early- and late-onset Alzheimers disease, presenilin-1 mutations, clinical and pathological subtypes of frontotemporal lobar degeneration, Parkinsons disease, dementia with Lewy bodies, and amyotrophic lateral sclerosis. By integrating multiregional single-nucleus and bulk RNA-seq data with curated cell-cell interaction databases and structural MRI, we reconstruct over 1,000 whole-brain maps of ligand-receptor interactions and quantify their associations with regional atrophy patterns. Multivariate analysis identifies three dominant axes of intercellular communication that explain regional vulnerability to neurodegeneration. Notably, the first axis involves neuron-astrocyte-microglia interactions, explaining atrophy patterns shared by frontotemporal lobar degeneration and Alzheimers disease subtypes. Two complementary axes involving neurons, endothelial cells, and astrocytes explain patterns specific to mutations in PS1 and Parkinsons disease. Importantly, validation in an independent post-mortem cohort (N = 375) confirms that late-onset Alzheimers disease-associated cell-cell interactions predict observed frontal cortex atrophy. These results establish a systematic framework linking local intercellular communication networks to spatial patterns of neurodegeneration, revealing both shared and disease-specific molecular pathways that drive regional brain vulnerability and identifying cellular interaction targets for precision therapeutic interventions.

neuroscience↗

Association between Adolescent Brain Morphometry and Cognitive Function: Insights from a Cross-Sectional Analysis of ABCD Data from 9 to 15 Years Old

Significant changes occur in brain structure and cognitive abilities during adolescence. Investigating their association can provide insight into brain-based cognitive development, yet previous studies were limited by narrow brain measures, small samples, and lacking focus on age-related variation. Here, we analyzed a large cohort (N = 8,534, age 9-15) from the Adolescent Brain Cognitive Development dataset. Using structural MRI and diffusion imaging, we derived 16 regional structural measures and integrated them via morphometric similarity networks to characterize 16,563 regional, connectivity, and hub features. We applied large-scale computational models to investigate their associations with performance on seven cognitive subtests and general intelligence (g), as well as age-related changes. Brain areas most strongly associated with cognitive ability also showed the greatest age-related variability in these associations, located primarily in the frontal, temporal, and occipital lobes. Structural MRI measures exhibited stronger associations with cognition and greater age-related variability than diffusion-derived metrics, while global hub measures showed stronger and more variable associations than local measures. Overall, our study provides a comprehensive and reliable understanding of brain structure-cognition associations during adolescence.

neuroscience↗

Translation of monosynaptic circuits underlying amygdala fMRI neurofeedback training

BackgroundfMRI neurofeedback targeting the amygdala is a promising therapeutical tool in psychiatry. It induces resting-state functional connectivity (rsFC) changes between the amygdala and regions of the salience and default mode networks (SN and DMN, respectively). We hypothesize these rsFC changes happen on the amygdalas underlying anatomical circuits. MethodsWe used the coordinates from regions of interest (ROIs) from studies showing pre-to-post-neurofeedback changes in rsFC with the left amygdala. Using a cross-species brain parcellation, we identified the homologous locations in non-human primates. We injected bidirectional tracers in the amygdala of adult macaques and used bright- and dark-field microscopy to identify cells and axon terminals in each ROI. We also performed additional injections in specific ROIs to validate the results following amygdala injections and delineate potential disynaptic pathways. Finally, we used high-resolution diffusion MRI data from four post-mortem macaque brains and one in vivo human brain to translate our findings to the neuroimaging domain. ResultsThe amygdala had significant monosynaptic connections with all the SN and DMN ipsilateral ROIs. Amygdala connections with the DMN contralateral ROIs are disynaptic through the hippocampus and parahippocampal gyrus. Diffusion MRI in both species benefitted from using the ground-truth tracer data to validate its findings, as we identified false-negative ipsilateral and false-positive contralateral connectivity results. ConclusionsAmygdala neurofeedback modulates the SN and DMN through monosynaptic connections and disynaptic pathways - including hippocampal structures involved in the neurofeedback task. Neurofeedback may be a tool for rapid modulation and reinforcement of these anatomical connections, leading to clinical improvement.

neuroscience↗

Transcriptomic signatures of Abeta- and tau-induced neuronal dysfunction reveal inflammatory processes at the core of Alzheimer's disease pathophysiology

Molecular mechanisms enabling pathology-induced neuronal dysfunction in Alzheimers disease (AD) remain elusive. Here, we use mechanistic computational models to infer the combined influence of PET-measured A{beta} and tau burdens on fMRI-derived neuronal activity and to subsequently identify the transcriptomic spatial correlates of AD pathophysiology. Our results reveal overrepresented genes and biological processes that participate in synaptic degeneration and interact with A{beta} and tau deposits. Furthermore, we confirmed the central role of the immune system and neuroinflammatory pathways within AD pathogenesis; microglia were significantly enriched in the gene set associated with A{beta} and tau synergistic influences on neuronal activity. Lastly, our computational approach unveiled drug candidates with the potential to halt or reduce the observed pathological effects on neuronal activity, including existing medication for cancer, immune disorders, and cardiovascular diseases, many currently under clinical evaluation in AD. Overall, these findings support the notion that the AD brain experiences functional changes intricately associated with a diverse spectrum of molecular processes.

neuroscience↗

Revealing the combined roles of Abeta and tau in Alzheimer's disease via a pathophysiological activity decoder

Neuronal dysfunction and cognitive deterioration in Alzheimers disease (AD) are likely caused by multiple pathophysiological factors. However, evidence in humans remains scarce, necessitating improved non-invasive techniques and integrative mechanistic models. Here, we introduce personalized brain activity models incorporating functional MRI, amyloid-{beta} (A{beta}) and tau-PET from AD-related participants (N=132). Within the model assumptions, electrophysiological activity is mediated by toxic protein deposition. Our integrative subject-specific approach uncovers key patho-mechanistic interactions, including synergistic A{beta} and tau effects on cognitive impairment and neuronal excitability increases with disease progression. The data-derived neuronal excitability values strongly predict clinically relevant AD plasma biomarker concentrations (p-tau217, p-tau231, p-tau181, GFAP). Furthermore, our results reproduce hallmark AD electrophysiological alterations (theta band activity enhancement and alpha reductions) which occur with A{beta}-positivity and after limbic tau involvement. Microglial activation influences on neuronal activity are less definitive, potentially due to neuroimaging limitations in mapping neuroprotective vs detrimental phenotypes. Mechanistic brain activity models can further clarify intricate neurodegenerative processes and accelerate preventive/treatment interventions.

neuroscience↗

Mapping neurotransmitter systems to the structural and functional organization of the human neocortex

Neurotransmitter receptors support the propagation of signals in the human brain. How receptor systems are situated within macroscale neuroanatomy and how they shape emergent function remains poorly understood, and there exists no comprehensive atlas of receptors. Here we collate positron emission tomography data from >1 200 healthy individuals to construct a whole-brain 3-D normative atlas of 19 receptors and transporters across 9 different neurotransmitter systems. We find that receptor profiles align with structural connectivity and mediate function, including neurophysiological oscillatory dynamics and resting state hemodynamic functional connectivity. Using the Neurosynth cognitive atlas, we uncover a topographic gradient of overlapping receptor distributions that separates extrinsic and intrinsic psychological processes. Finally, we find both expected and novel associations between receptor distributions and cortical thinning patterns across 13 disorders. We replicate all findings in an independently collected autoradiography dataset. This work demonstrates how chemoarchitecture shapes brain structure and function, providing a new direction for studying multi-scale brain organization.

neuroscience↗

A sub+ cortical fMRI-based surface parcellation

Both the cortex and the subcortical structures are organized into a large number of distinct areas reflecting functional and cytoarchitectonic differences. Mapping these areas is of fundamental importance to neuroscience. A central obstacle to this task is the inaccuracy associated with mapping results from individuals into a common space. The vast individual differences in morphology pose a serious problem for volumetric registration. Surface-based approaches fare substantially better, but have thus far been used only for cortical parcellation. We extend this surface-based approach to include also the subcortical deep gray-matter structures. Using the life-span data from the Enhanced Nathan Klein Institute - Rockland Sample, comprised of data from 590 individuals from 6 to 85 years of age, we generate a functional parcellation of both the cortical and subcortical surfaces. To assess this extended parcellation, we show that our extended functional parcellation provides greater homogeneity of functional connectivity patterns than do arbitrary parcellations matching in the number and size of parcels. We also show that our subcortical parcels align with known subnuclei. Further, we show that this parcellation is appropriate for use with data from other modalities; we generate cortical and subcortical white/gray contrast measures for this same dataset, and draw on the fact that areal differences are evident in the relation of white/gray contrast to age, to sex, to brain volume, and to interactions of these terms; we show that our extended functional parcellation provides an improved fit to the complexity of the life-span changes in the white/gray contrast data compared to arbitrary parcellations matching in the number and size of parcels. We provide our extended functional parcellation for the use of the neuroimaging community.

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A macaque connectome for large-scale network simulations in TheVirtualBrain

Models of large-scale brain networks that are informed by the underlying anatomical connectivity contribute to our understanding of the mapping between the structure of the brain and its dynamical function. Connectome-based modelling is a promising approach to a more comprehensive understanding of brain function across spatial and temporal scales, but it must be constrained by multi-scale empirical data from animal models. Here we describe the construction of a macaque connectome for whole-cortex simulations in TheVirtualBrain, an open-source simulation platform. We take advantage of available axonal tract-tracing datasets and enhance the existing connectome data using diffusion-based tractography in macaques. We illustrate the utility of the connectome as an extension of TheVirtualBrain by simulating resting-state BOLD-fMRI data and fitting it to empirical resting-state data.

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