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Bianciardi, M.

Publications and source records attributed to Bianciardi, M..

13 recordsLinked to original sources

Charting vulnerability of brainstem functional pathways in aging and prodromal synucleinopathy

The brainstem is vulnerable to aging and prodromal synucleinopathy, yet whether these processes disrupt shared or distinct functional pathways linking the brainstem to the cortex remains unknown. Using high-resolution 7-Tesla fMRI, we mapped connectivity between 58 brainstem nuclei and cortical regions in young adults, older adults and individuals with isolated REM sleep behavior disorder (iRBD), a prodromal synucleinopathy. Long-range brainstem-cortical connectivity weakened with aging and further in iRBD. However, the two conditions affected distinct systems: aging involved arousal- and cognition-related nuclei and association cortex, whereas iRBD involved sleep- and autonomic-related nuclei and extended to sensory-motor cortex. These alterations were associated with distinct neurophysiological, metabolic and neurotransmitter architectures and spatial transcriptomic signatures. Brainstem-cortical connectivity also followed the cortical unimodal-transmodal hierarchy, with reduced differentiation in aging. Independent 3-Tesla data reproduced the broader connectivity patterns. Together, our findings reveal shared and distinct multiscale patterns of brainstem pathway vulnerability in aging and prodromal synucleinopathy.

neuroscience↗

Structure-function coupling in the human brainstem

The nuclei of the brainstem fundamentally modulate neuronal activity throughout the central nervous system. Yet connectome reconstructions typically do not include the brainstem because it is notoriously difficult to image. As a result, the influence of the brainstem on structure-function coupling in the brain is unknown. Here we use high-resolution 7 Tesla magnetic resonance imaging (MRI) to reconstruct structural and functional brain connectomes encompassing cortex and 58 brainstem nuclei spanning the midbrain, pons, and medulla. We identify structural connectional profiles of individual brainstem nuclei to the cortex and find that they align with a spectrum of functions, spanning sensory and motor processing to higher-order cognition. Structural and functional connectivity in brainstem-augmented connectomes are positively correlated, and pairs of regions with direct anatomical projections display greater functional connectivity than pairs without. Structure-function coupling is heterogeneous across brainstem nuclei, with greatest coupling in both modulatory and relay nuclei. Collectively, this work presents an initial step towards understanding how the brainstem shapes structure-function relationships in the brain.

neuroscience↗

The neuroscience of highly stable, positive, and refined states of consciousness during jhana-type advanced concentration absorption meditation (ACAM-J)

Humans can experience a rich array of conscious experience, including highly stable, positive, and refined states of non-ordinary perception that can be elicited through advanced meditation. Here, we present the first group-level, ultra-high-field (7T) fMRI study of jhana advanced concentration absorption meditation (ACAM-J). We combined local (regional homogeneity), mesoscale (connectivity gradients), and global (geometric eigenmodes) human brain mapping with diverse and detailed phenomenology, meditative traits, behaviorally assessed cognitive functions, and extensive publicly available psychobehavioral affinity maps. Across eight successive states of ACAM-J, we observed reproducible neural trajectories marked by anterior-to-posterior reorganization, flattening of cortical hierarchies, nonlinear reconfiguration of global harmonics, and tight coupling between brain metrics and equanimity, attentional stability, and behavior. Neurosynth decoding further associate ACAM-J with reduced suffering-related processes and more with attentional monitoring. These findings suggest ACAM-J is a distinct, structured mode of awareness that persists despite radically reduced narrative thought and sensory content. Our findings also inform boundary conditions for current models of consciousness. More broadly, this research indicates that advanced meditation is a powerful framework for understanding psychological transformation, and for potential new opportunities for supporting human well-being and flourishing.

neuroscience↗

Chemosensitive brainstem and diencephalic components in breath-hold fMRI

ObjectiveThe knowledge on breathing control and central chemoreception, key subcortical functions involved in several neuropathologies, is still mainly based on animal studies. In humans, functional MRI (fMRI) offers the needed spatio-temporal resolution and non-invasiveness, but the lack of specific tools and preprocessing solutions hinders its use in brainstem studies. We hereby propose an original fMRI analysis pipeline aimed at unravelling central chemoreception mechanisms, by integrating acquisition, spatial coregistration, noise removal and a novel data-driven analysis solution to compare network activation levels across tasks or conditions in fMRI. ApproachNovel analysis methodologies are integrated with the optimization of known preprocessing approaches to physiological noise correction and brainstem-focused coregistration. We couple independent components of fMRI data, separately estimated from healthy subjects during Free Breathing (FB) and Breath Hold (BH), by means of spatial correlation. We then identify statistically significant differences between BH and FB in CO2-dependent components by means of voxel-wise comparisons of components percent signal change. Components were localized using the Brainstem Navigator Atlas for enhancing network interpretability. Main ResultsUsing the pipeline we characterized CO2-related BOLD oscillations within the central control system of breathing. We corroborated the primary chemoreceptive role of medullary raphe in healthy subjects. We observed that BH over-activated ascending sensory-motor projections through the postero-lateral thalamus, descending projections through the putamen, and peripheral sensations entry points in the dorsal medulla. We highlighted the role of latero-dorsal tegmentum in the response to hypercapnia-induced aversive effects. SignificanceOur method allows to non-invasively locate primary chemoreception and related arousal triggers, characterizing alterations and therefore fostering the identification of therapeutic targets in abnormal breathing. Moreover, the proposed strategy addresses the issues of inter-task comparison among homologous independent sources, of their characterization and interpretation. Its extension could benefit all similarly challenging brainstem-focused studies, including those on Parkinsons and Alzheimers diseases.

bioengineering↗

Integrating brainstem and cortical functional architectures

The brainstem is a fundamental component of the central nervous system yet it is typically excluded from in vivo human brain mapping efforts, precluding a complete understanding of how the brainstem influences cortical function. Here we use high-resolution 7 Tesla fMRI to derive a functional connectome encompassing cortex as well as 58 brainstem nuclei spanning the midbrain, pons and medulla. We identify a compact set of integrative hubs in the brainstem with widespread connectivity with cerebral cortex. Patterns of connectivity between brainstem and cerebral cortex manifest as multiple emergent phenomena including neurophysiological oscillatory rhythms, patterns of cognitive functional specialization, and the unimodal-transmodal functional hierarchy. This persistent alignment between cortical functional topographies and brainstem nuclei is shaped by the spatial arrangement of multiple neurotransmitter receptors and transporters. We replicate all findings using 3 Tesla data from the same participants. Collectively, we find that multiple organizational features of cortical activity can be traced back to the brainstem.

neuroscience↗

Cortical and subcortical mapping of the allostatic-interoceptive system in the human brain: replication and extension with 7 Tesla fMRI

The brain continuously anticipates the energetic needs of the body and prepares to meet those needs before they arise, called allostasis. In support of allostasis, the brain continually models the sensory state of the body, called interoception. We replicated and extended a large-scale system supporting allostasis and interoception in the human brain using ultra-high precision 7 Tesla functional magnetic resonance imaging (fMRI) (N = 90), improving the precision of subgenual and pregenual anterior cingulate topography combined with extensive brainstem nuclei mapping. We observed over 90% of the anatomical connections published in tract-tracing studies in non-human animals. The system also included regions of dense intrinsic connectivity broadly throughout the system, some of which were identified previously as part of the backbone of neural communication across the brain. These results strengthen previous evidence for a whole-brain system supporting the modeling and regulation of the internal milieu of the body.

neuroscience↗

Distinct spatial patterns of neural and physiology-related activity in the human periaqueductal grey during anticipatory social stress.

Periaqueductal gray (PAG) columns mediate affective experience, physiological regulation, and survival-related behavior; yet, only 7T imaging can resolve these small structures in humans. In a social stress task, participants prepared a speech, and we observed (a) bilateral ventrolateral PAG activity, relative to baseline, and (b) distinct spatial patterns of correlation between PAG activity and physiological response (i.e., cardiac interbeat interval, reparation rate, and tonic electrodermal activity).

neuroscience↗

7-Tesla evidence for columnar and rostral--caudal organization of the human periaqueductal grey response in the absence of threat: a working memory study

The periaqueductal gray (PAG) is a small midbrain structure that surrounds the cerebral aqueduct, regulates brain-body communication, and is often studied for its role in "fight-or-flight" and "freezing" responses to threat. We used ultra-high field 7-Tesla fMRI to resolve the PAG in humans and distinguish it from the cerebral aqueduct, examining its in vivo function in humans during a working memory task (N = 87). Relative to baseline fixation, both mild and moderate task-elicited cognitive demands elicited bilateral BOLD increases in ventrolateral PAG (vlPAG), a region previously observed to show increased activity during anticipated painful threat in both non-human and human animals. The present task posed only the most minimal (if any) "threat". The mild-demand condition involved a task easier than remembering a phone number, elicited a heart rate decrease relative to baseline, yet nonetheless elicited a bilateral vlPAG response. Across PAG voxels, BOLD signal intensity correlated with changes in physiological reactivity (relative to baseline) and showed some evidence of spatial organization along the rostral-caudal axis. These findings suggest that the PAG may have a broader role in coordinating brain--body communication during a minimally to moderately demanding task, even in the absence of threat.

neuroscience↗

The role of human superior colliculus in affective experiences during visual and somatosensory stimulation

The superior colliculus is often studied for its role in visually guided behaviors, but research in non-human animals indicates it is a midbrain hub for processing sensory information from multiple domains, including interoception (which is associated with affect). We used ultra-high field 7-Tesla fMRI to extend this work to humans, modeling superior colliculus BOLD signal intensity during visual or somatosensory stimulation (N = 40 in each sensory modality), both under aversive and neutral affective intensity. As hypothesized, the superior colliculus showed increased BOLD signal intensity in the dorsal and ventral subregions during visual and somatosensory stimulation, respectively. The entire superior colliculus also showed increased BOLD signal intensity during aversive compared to neural conditions. The superior colliculus BOLD signal intensity also correlated with a preregistered set of brain regions involved in visual, somatosensory, and interoceptive processing.

neuroscience↗

Layer-dependent activity in the human superior colliculus during working memory

We examined the superior colliculus (SC) with ultra-high resolution 7-Tesla fMRI during an N-back working memory task. We observed both increased BOLD signal intensity and functional connectivity that followed a layer-dependent pattern predicted from anatomical connections between SC and other brain structures important for visual processing, motor control, and executive function. Our results highlight a role for the human SC in cognitive functions that usually associated with the cerebral cortex.

neuroscience↗

Functional connectome of brainstem nuclei involved in autonomic, limbic, pain and sensory processing in living humans from 7 Tesla resting state fMRI

Despite remarkable advances in mapping the functional connectivity of the cortex, the functional connectivity of subcortical regions is understudied in living humans. This is the case for brainstem nuclei that control vital processes, such as autonomic, limbic, nociceptive and sensory functions. This is because of the lack of precise brainstem nuclei localization, of adequate sensitivity and resolution in the deepest brain regions, as well as of optimized processing for the brainstem. To close the gap between the cortex and the brainstem, on 20 healthy subjects, we computed a correlation-based functional connectome of 15 brainstem nuclei involved in autonomic, limbic, nociceptive, and sensory function (superior and inferior colliculi, ventral tegmental area-parabrachial pigmented nucleus complex, microcellular tegmental nucleus-prabigeminal nucleus complex, lateral and medial parabrachial nuclei, vestibular and superior olivary complex, superior and inferior medullary reticular formation, viscerosensory motor nucleus, raphe magnus, pallidus, and obscurus, and parvicellular reticular nucleus - alpha part) with the rest of the brain. Specifically, we exploited 1.1mm isotropic resolution 7 Tesla resting-state fMRI, ad-hoc coregistration and physiological noise correction strategies, and a recently developed probabilistic template of brainstem nuclei. Further, we used 2.5mm isotropic resolution resting-state fMRI data acquired on a 3 Tesla scanner to assess the translatability of our results to conventional datasets. We report highly consistent correlation coefficients across subjects, confirming available literature on autonomic, limbic, nociceptive and sensory pathways, as well as high interconnectivity within the central autonomic network and the vestibular network. Interestingly, our results showed evidence of vestibulo-autonomic interactions in line with previous work. Comparison of 7 Tesla and 3 Tesla findings showed high translatability of results to conventional settings for brainstem-cortical connectivity and good yet weaker translatability for brainstem-brainstem connectivity. The brainstem functional connectome might bring new insight in the understanding of autonomic, limbic, nociceptive and sensory function in health and disease.

neuroscience↗

Functional connectome of arousal and motor brainstem nuclei in living humans by 7 Tesla resting-state fMRI

Brainstem nuclei play a pivotal role in many functions, such as arousal and motor control. Nevertheless, the connectivity of arousal and motor brainstem nuclei is understudied in living humans due to the limited sensitivity and spatial resolution of conventional imaging, and to the lack of atlases of these deep tiny regions of the brain. For a holistic comprehension of sleep, arousal and associated motor processes, we investigated in 20 healthy subjects the resting-state functional connectivity of 18 arousal and motor brainstem nuclei in living humans. To do so, we used high spatial-resolution 7 Tesla resting-state fMRI, as well as a recently developed in-vivo probabilistic atlas of these nuclei in stereotactic space. Further, we verified the translatability of our brainstem connectome approach to conventional (e.g. 3 Tesla) fMRI. Arousal brainstem nuclei displayed high interconnectivity, as well as connectivity to the thalamus, hypothalamus, basal forebrain and frontal cortex, in line with animal studies and as expected for arousal regions. Motor brainstem nuclei showed expected connectivity to the cerebellum, basal ganglia and motor cortex, as well as high interconnectivity. Comparison of 3 Tesla to 7 Tesla connectivity results indicated good translatability of our brainstem connectome approach to conventional fMRI, especially for cortical and subcortical (non-brainstem) targets and to a lesser extent for brainstem targets. The functional connectome of 18 arousal and motor brainstem nuclei with the rest of the brain might provide a better understanding of arousal, sleep and accompanying motor function in living humans in health and disease.

neuroscience↗

Probabilistic atlas of the lateral parabrachial nucleus, medial parabrachial nucleus, vestibular nuclei complex and medullary viscero-sensory-motor nuclei complex in living humans from 7 Tesla MRI

The lateral parabrachial nucleus, medial parabrachial nucleus, vestibular nuclei complex and medullary viscero-sensory-motor nuclei complex (the latter including among others the solitary nucleus, vagus nerve nucleus, and hypoglossal nucleus) are anatomically and functionally connected brainstem gray-matter structures that convey signals across multiple modalities between the brain and the spinal cord to regulate vital bodily functions. It is remarkably difficult to precisely extrapolate the location of these nuclei from ex vivo atlases to conventional 3 Tesla in vivo images; thus, a probabilistic brainstem atlas in stereotaxic neuroimaging space in living humans is needed. We delineated these nuclei using single-subject high contrast 1.1 mm isotropic resolution 7 Tesla MRI images. After precise coregistration of nuclei labels to stereotaxic space, we generated a probabilistic atlas of their anatomical locations. Finally, we validated the nuclei labels in the atlas by assessing their inter-rater agreement, consistency across subjects and volumes. We also performed a preliminary comparison of their location and microstructural properties to histologic sections of a postmortem human brainstem specimen. In future, the resulting probabilistic atlas of these brainstem nuclei in stereotaxic space may assist researchers and clinicians in evaluating autonomic, vestibular and viscero-sensory-motor nuclei structure, function and connectivity in living humans using conventional 3 Tesla MRI scanners.

neuroscience↗