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Wellstein, K. V.

Publications and source records attributed to Wellstein, K. V..

4 recordsLinked to original sources

Differences in layer-specific activation of the insula during interoceptive vs. exteroceptive attention

Attention modulates the relative weighting of information and plays a critical role in modern theories of perception. While its role in exteroceptionthe perception of the external environmenthas been extensively studied, attentional processes in interoception, the perception of bodily states, are less well understood. In this study, we exploited high-field (7 Tesla) functional magnetic resonance imaging and concurrent field monitoring to investigate interoceptive attention at the level of cortical layers during a heartbeat attention task. Voxel-wise analyses reveal increased activity in the bilateral dorsal mid-insula during interoceptive attention (attending to ones heartbeat) compared to exteroceptive attention (attending to auditory white noise). Layer-specific analyses further demonstrate that this difference in activity is significantly higher in upper compared to lower cortical layers. This activation pattern persists after accounting for potential vascular artifacts through a deconvolution analysis with a physiological point spread function (PSF). To our knowledge, these findings represent the first empirical demonstration of layer-specific processes during interoceptive attention in human cortex. They may prove useful to inform and constrain theories of computational principles and physiological implementation of interoception.

neuroscience↗

Serotonin Reduces Belief Stickiness

Serotonin fosters cognitive flexibility, but how, exactly, remains unclear. We show that serotonin reduces belief stickiness: the tendency to get "stuck" in a belief about the state of the world despite incoming contradicting evidence. Participants performed a task assessing belief stickiness in a randomized, double-blind, placebo-controlled study using a single dose of the selective serotonin reuptake inhibitor (SSRI) escitalopram. In the escitalopram group, higher escitalopram plasma levels reduced belief stickiness more, resulting in better inference about the state of the world. Moreover, participants with sufficiently high escitalopram plasma levels had less belief stickiness, and therefore better state inference, than participants on placebo. Exaggerated belief stickiness is exemplified by obsessions: "sticky" thoughts that persist despite contradicting evidence. Indeed, participants with more obsessions had greater belief stickiness, and therefore worse state inference. The opposite relations of escitalopram and obsessions with belief stickiness may explain the therapeutic effect of SSRIs in obsessive-compulsive disorder.

neuroscience↗

Auditory mismatch responses are differentially sensitive to changes in muscarinic acetylcholine versus dopamine receptor function

The auditory mismatch negativity (MMN) has been proposed as a biomarker of NMDA receptor (NMDAR) dysfunction in schizophrenia. Pathophysiological theories suggest that such dysfunction might be partially caused by aberrant interactions of different modulatory neurotransmitters with NMDARs, which could explain heterogeneity among patients with schizophrenia and their treatment response. Understanding the differential impact of different neuromodulators on readouts of NMDAR function is therefore of high clinical relevance. Here, we report results from two studies (N=81 each) which systematically tested whether the MMN is sensitive to diminishing and enhancing cholinergic vs. dopaminergic function. Both studies used a double-blind, placebo-controlled between-subject design and monitored individual drug plasma levels. Using a novel variant of the auditory oddball paradigm, we contrasted phases with stable versus volatile probabilities of tone switches. In the first study, we found that the muscarinic acetylcholine receptor antagonist biperiden reduced and/or delayed mismatch responses, particularly during stable phases of the experiment, whereas this effect was absent for amisulpride, a dopamine D2/D3 receptor antagonist. The direct comparison between biperiden and amisulpride indicated a significant drug x mismatch interaction. In the second study, neither elevating acetylcholine nor dopamine levels via administration of galantamine and levodopa, respectively, exerted significant effects on MMN. Overall, our results indicate differential sensitivity of the MMN to changes in cholinergic (muscarinic) versus dopaminergic receptor function. This finding may prove useful for developments of future tools for predicting individual treatment responses in disorders that show abnormal MMN, such as schizophrenia.

neuroscience↗

Focus of attention modulates the heartbeat evoked potential

Theoretical frameworks such as predictive coding suggest that the perception of the body and world - interoception and exteroception - involve intertwined processes of inference, learning, and prediction. In this framework, attention is thought to gate the influence of sensory information on perception. In contrast to exteroception, there is limited evidence for purely attentional effects on interoception. Here, we empirically tested if attentional focus modulates cortical processing of single heartbeats, using a newly-developed experimental paradigm to probe purely attentional differences between exteroceptive and interoceptive conditions in the heartbeat evoked potential (HEP). We found that the HEP is significantly higher during interoceptive compared to exteroceptive attention, in a time window of 520-580ms after the R-peak. Furthermore, this effect predicted self-report measures of autonomic system reactivity. This study thus provides direct evidence that the HEP is modulated by attention and supports recent interpretations of the HEP as a neural correlate of interoceptive prediction errors.

neuroscience↗