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Pruessner, J. C.

Publications and source records attributed to Pruessner, J. C..

3 recordsLinked to original sources

Differential upregulation of metabolic demands and functional integration of the default mode network during stress

Psychosocial stress engages coordinated physiological and neural responses that enable adaptation to environmental challenges. However, maladaptive stress and reduced resilience are major risk factors for psychiatric and neurodegenerative disorders. As the brains metabolic response to stress remains largely unexplored, we used simultaneous [18F]FDG PET/MRI during performance of the Montreal Imaging Stress Task to assess cerebral glucose metabolism, BOLD activation and functional connectivity. On top of activation in relation to cognitive processing, psychosocial stress specifically recruits the posterior cingulate cortex (PCC) with increased glucose metabolism and attenuated BOLD deactivations. This was accompanied by reduced PCC integration within the default mode network and increased influence onto frontoparietal and dorsal attention networks. Moreover, individuals exhibiting an endocrine stress response showed lower resilience scores, failed to downregulate anterior cingulate cortex (ACC) metabolism during stress, and displayed an inverse relationship between ACC glucose metabolism and anterior insula functional connectivity. Together, these results demonstrate that acute psychosocial stress induces coordinated alterations in brain metabolism and large-scale network organization. Our findings show that metabolic imaging provides complementary information, revealing stress-related brain responses not captured by hemodynamics alone, thereby providing a multimodal framework for understanding human stress processing and individual vulnerability to stress-related psychiatric disorders.

neuroscience↗

Effects of sex and gonadal hormones on manually segmented hypothalamic and pituitary gland volumes in young healthy adults

The hypothalamus and pituitary regulate, amongst other functions, third order endocrine systems, and their volumes have been associated with normal and pathological outcomes. Yet, there are very few studies that examine their combined structural variations in vivo. This is due, in part, to their small size and a lack of comprehensive image segmentation protocols. In the current project we acquired high-resolution T1- (1mm isotropic) and T2-weighted (0.4mm in plane resolution) 3T magnetic resonance images (MRI) of the hypothalamus and pituitary gland, as well as salivary estradiol and testosterone from 31 (17M, 14F) young healthy adults. Women reported oral contraceptive use. Image preprocessing included non-uniformity correction, signal intensity normalization and standard stereotaxic space registration. We applied a comprehensive manual segmentation protocol of the whole hypothalamus, with detailed segmentation of the pituitary stalk, the anterior and posterior pituitary gland, and the posterior bright spot. We also propose a novel medial-lateral hypothalamic parcellation into medial preoptic, periventricular (PVN), and lateral hypothalamic regions. The protocol yielded good inter- (range: 0.78-0.92) and intra-rater (range: 0.79-0.94) Dice kappa overlap coefficients. We detected sex differences of the whole hypothalamus and each hemisphere, and a trend for the right preoptic region to be larger in males than in females, with a moderate effect size. Sex differences were maintained or enhanced when covarying for estradiol, but not when covarying for testosterone. In addition, testosterone was associated with the volume of the PVN, but only in women. In summary, these results suggest that there are morphometric differences at the level of the pituitary and hypothalamus that are likely driven by central regulation of gonadal hormones. The here described protocol allows the structural investigation of neuroendocrine effects in the central nervous system.

neuroscience↗

Family history and APOE4 risk for Alzheimer’s Disease impact the neural correlates of episodic memory by early midlife

Episodic memory impairment is a consistent, pronounced deficit in pre-clinical stages of late-onset Alzheimers disease (AD). Individuals with risk factors for AD exhibit altered brain function several decades prior to the onset of AD-related symptoms. In the current event-related fMRI study of spatial context memory we tested the hypothesis that middle-aged adults (MA; 40-58yrs) with a family history of late onset AD (MA+FH), or a combined +FH and apolipoprotein E {varepsilon}4 allele risk factors for AD (MA+FH+APOE4), will exhibit differences in encoding and retrieval-related brain activity, compared to - FH-APOE4 MA controls. We also hypothesized that the two at-risk MA groups will exhibit distinct patterns of correlation between brain activity and memory performance, compared to controls. To test these hypotheses we conducted multivariate task, and behavior, partial least squares analysis of fMRI data obtained during successful context encoding and retrieval. Our results indicate that even though there were no significant group differences in context memory performance, there were significant differences in brain activity and brain-behavior correlations involving hippocampus, left angular gyrus, cingulate, and precuneus in MA with AD risk factors, compared to controls. In addition, we observed that brain activity and brain-behavior correlations in anterior-medial PFC and in ventral visual cortex differentiated the two MA risk groups from each other, and from MAcontrols. This is the first study to show that there are differences in the brain areas engaged during context memory encoding and retrieval in middle-aged adults with +FH and +APOE-4 risk factors for late onset AD, compared to controls.

neuroscience↗