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Cooray, G.

Publications and source records attributed to Cooray, G..

4 recordsLinked to original sources

Topographic variation in neurotransmitter receptor densities explains differences in intracranial EEG spectra

Neurotransmitter receptor expression and neuronal population dynamics show regional variability across the human cortex. However, currently there is an explanatory gap regarding how cortical microarchitecture and mesoscopic electrophysiological signals are mechanistically related, limiting our ability to exploit these measures of brain (dys)function for improved treatments of brain disorder; e.g., epilepsy. To bridge this gap, we leveraged dynamic causal modelling (DCM) and fitted biophysically informed neural mass models to a normative set of intracranial EEG data. Subsequently, using a hierarchical Bayesian modelling approach, we evaluated whether model evidence improved when information about regional neurotransmitter receptor densities is provided. We then tested whether the inferred constraints -- furnished by receptor density -- generalise across different electrophysiological recording modalities. The neural mass models explained regionally specific intracranial EEG spectra accurately, when fitted independently. Incorporating prior information on receptor distributions, further improved model evidence, indicating that variability in receptor density explains some variance in cortical population dynamics. The output of this modelling provides a cortical atlas of neurobiologically informed intracortical synaptic connectivity parameters that can be used as empirical priors in future -- e.g., patient specific -- modelling, as demonstrated in a worked example (a single-subject mismatch negativity study). In summary, we show that molecular cortical characteristics (i.e., receptor densities) can be incorporated to improve generative, biophysically plausible models of coupled neuronal populations. This work can help to explain regional variations in human electrophysiology, may provide a methodological foundation to integrate multi-modal data, and might serve as a normative resource for future DCM studies of electrophysiology. Significance StatementUnderstanding the link between measures of brain function and their underlying molecular and synaptic constraints is essential for developing and validating personalised, pharmacological interventions. But despite increasing availability of detailed normative datasets of human brain structure and function -- across modalities and spatial scales -- translating between these remains challenging. Using two large normative datasets -- intracranial EEG recordings and autoradiographic receptor density distributions -- we demonstrate that generative models of these data can link structure to function. Specifically, we show that regional oscillatory neuronal population activity is shaped by the distribution of neurotransmitter receptors. This modelling furnishes an atlas of normative parameter values, which can provide neurobiologically informed priors for in-silico (e.g., Digital Twin) characterisation of normal and disordered brain functioning.

neuroscience↗

Interictal epileptiform discharges in focal epilepsy are preceded by a gradual increase in low-frequency oscillations

Epilepsy is characterized by recurrent seizures and may also have negative influence on cognitive function. In addition to ictal activity, the epileptic brain also gives rise to interictal epileptiform discharges (IEDs). These IEDs constitute the diagnostic hallmark of epilepsy, and have been linked to impaired memory formation and negative effects on neurodevelopment. The neurophysiological dynamics underlying IED generation seem to resemble those underlying seizure development. Understanding the neurophysiological characteristics surrounding and preceding IED development would hence provide valuable insights into the pathophysiology of the epileptic brain. In order to improve this understanding, we aimed to characterize the dynamical activity changes that occurs immediately prior to an IED onset. We used magnetoencephalography (MEG) recordings from nine focal epilepsy patients to characterize the oscillatory activity preceding IED onsets. Our results showed a systematic and gradual increase in oscillatory delta and theta band activity (1-4 Hz and 4-8 Hz, respectively) during this pre-IED interval, reaching a maximum power at IED onset. These results indicate that the pre-IED brain state is characterized by a gradual synchronization that culminates in the neuronal hypersynchronization underlying IEDs. We discuss how IED generation might resemble seizure development, where physiological brain activity similarly undergoes a gradual synchronization that terminates in seizure onset.

neuroscience↗

Detection of interictal epileptiform discharges:A comparison of on-scalp MEG and conventional MEGmeasurements

Magnetoencephalography (MEG) is an important part of epilepsy evaluations because of its unsurpassed ability to detect interictal epileptiform discharges (IEDs). This ability may be improved by next-generation MEG sensors, where sensors are placed directly on the scalp instead of in a fixed-size helmet, as in todays conventional MEG systems. In order to investigate the usefulness of on-scalp MEG measurements we performed the first-ever measurements of on-scalp MEG on an epilepsy patient. The measurement was conducted as a benchmarking study, with special focus on IED detection. An on-scalp high-temperature SQUID system was utilized alongside a conventional low-temperature "in-helmet" SQUID system. EEG was co-registered during both recordings. Visual inspection of IEDs in the raw on-scalp MEG data was unfeasible why a novel machine learning-based IED-detection algorithm was developed to guide IED detection in the on-scalp MEG data. A total of 24 IEDs were identified visually from the conventional in-helmet MEG session (of these, 16 were also seen in the EEG data; eight were detected only by MEG). The on-scalp MEG data contained a total of 47 probable IEDs of which 16 IEDs were co-registered by the EEG, and 31 IEDs were on-scalp MEG-unique IEDs found by the IED detection algorithm. We present a successful benchmarking study where on-scalp MEG are compared to conventional in-helmet MEG in a temporal lobe epilepsy patient. Our results demonstrate that on-scalp MEG measurements are feasible on epilepsy patients, and indicate that on-scalp MEG might capture IEDs not seen by other non-invasive modalities.

neuroscience↗

NMDA-receptor antibodies alter cortical microcircuit dynamics

NMDA-receptor antibodies (NMDAR-Ab) cause an autoimmune encephalitis with a diverse range of electroencephalographic (EEG) abnormalities. NMDAR-Ab are believed to disrupt receptor function, but how blocking this excitatory neurotransmitter can lead to paroxysmal EEG abnormalities - or even seizures - is poorly understood. Here, we show that NMDAR-Ab change intrinsic cortical connections and neuronal population dynamics to alter the spectral composition of spontaneous EEG activity, and predispose to paroxysmal EEG abnormalities. Based on local field potential recordings in a mouse model, we first validate a dynamic causal model of NMDAR-Ab effects on cortical microcircuitry. Using this model, we then identify the key synaptic parameters that best explain EEG paroxysms in paediatric patients with NMDAR-Ab encephalitis. Finally, we use the mouse model to show that NMDAR-Ab- related changes render microcircuitry critically susceptible to overt EEG paroxysms, when these key parameters are changed. These findings offer mechanistic insights into circuit-level dysfunction induced by NMDAR-Ab.

neuroscience↗