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Zazio, A.

Publications and source records attributed to Zazio, A..

9 recordsLinked to original sources

Cortical plasticity of the tactile mirror system in borderline personality disorder

Individuals with borderline personality disorder (BPD) show alterations in empathic abilities, potentially involving automatic simulation processes supported by mirror-like mechanisms in the somatosensory domain. Within the tactile mirror system (TaMS), observing touch on another persons body activates cortical regions involved in tactile perception, including the primary somatosensory cortex (S1). Although mirror-like alterations have been suggested in BPD, the underlying mechanisms of plasticity remain underexplored. Here, we used a cross-modal paired associative stimulation (cm-PAS) protocol to investigate the plasticity mechanisms of TaMS functioning in BPD. Twenty-four individuals with BPD and 24 healthy controls (HCs) were included. Empathic abilities were assessed using self-report questionnaires. Participants performed tactile acuity and visuo-tactile spatial congruity (VTSC) tasks before and after a cm-PAS protocol. During cm-PAS, images of a hand being touched were paired with transcranial magnetic stimulation over the S1. The effects of cm-PAS were assessed on tactile acuity, as an index of S1 activity, and VTSC performance, as an index of TaMS functioning. Preregistered analyses revealed that patients with BPD tended to have lower cognitive empathy than HCs, with no significant cm-PAS effects on tactile acuity or VTSC performance in HCs, precluding between-group comparisons of plasticity effects. Exploratory analyses were conducted to further investigate potential sources of variability in the effects of cm-PAS, as well as the relationship between cognitive empathy and visuo-tactile processing as measure of TaMS functioning. Preregistered Stage 1 protocol: https://osf.io/sqnwd (date of in-principle acceptance: 25/06/2023).

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How Acting Jointly Differs from Acting Side-by-Side: A Dual EEG Study

The distinction between acting jointly and acting side by side permeates our daily lives and is crucial for understanding the evolution and development of human sociality. While acting in parallel involves agents pursuing individual goals, acting jointly requires them to share a collective goal. Here, we used a dual electroencephalography (EEG) approach to explore the neural dynamics underlying joint and parallel action preparation. We recorded event-related potentials (ERPs) from 20 dyads while they had to transport an object in a video game, either jointly or in parallel, or individually. Both conditions were carefully matched for coordination demands and performance complexity, as confirmed by equal success rates. Our results revealed a distinctive pattern swap in ERPs during action preparation. In the early preparation phase, ERPs showed significantly higher amplitude during joint action than parallel action. This pattern reversed in the late preparation phase, with significantly reduced ERP amplitude in the joint compared to parallel action. Notably, the decrease in late ERPs correlated with higher reaction time (RT) variability in partners but not with participants own RT variability. The dynamic swap in neural activity suggests that different cognitive processes operate at distinct stages of action preparation. While initially sharing a collective goal may impose cognitive costs (reflected in higher early ERPs), this is offset by facilitated late action preparation, likely due to enhanced predictability of partners actions. Significance StatementOur study reveals distinct neural signatures differentiating joint from side-by-side actions. Through dual EEG recordings of twenty dyads performing complexity-matched tasks, we identified a distinctive "swap" in event-related potentials during action preparation. Joint actions initially showed higher early-phase amplitudes but significantly reduced late-phase amplitudes compared to parallel actions. Notably, this late-phase reduction correlated specifically with the variability of partners behavior. This suggests that sharing collective goals initially requires cognitive resources but facilitates action preparation through enhanced predictability of partners. These findings provide a neural framework for understanding the distinction between acting jointly and acting in parallel --a distinction that pervades our daily experiences and is crucial for understanding the development and evolution of human sociality.

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High-frequency sampling rate reduces TMS-pulse artifact duration but not decay artifact: implications for immediate TMS-EEG responses

In studies combining transcranial magnetic stimulation and electroencephalography (TMS-EEG), two artifacts appear instantly after the TMS pulse, i.e., the TMS-pulse Artifact and the Decay Artifact, and limit the possibility to measure immediate cortical excitability responses. High-frequency sampling rates in EEG recordings have shown promise in reducing artifact duration, allowing more rapid signal recovery, which is crucial for developing biomarkers for neuropsychiatric conditions. However, the features of early TMS-induced artifacts for sampling rates above 5000 Hz are still unclear. Here, we explored the duration of TMS artifacts in the first milliseconds after TMS to understand how they can be further reduced in future studies. We recorded from a phantom head model and from a simple electrical circuit with a sampling rate of 4800 Hz, 9600 Hz, and 19200 Hz and at three TMS intensities (40%, 70%, 100% of maximum stimulator output) in two commercial stimulators. Results showed an initial sharp TMS-pulse Artifact lasting less than 1 ms and decreasing in duration at higher sampling rates. However, the signal was back to baseline at about 2-3 ms due to the presence of a decay artifact that was evident even in optimal conditions of low impedance and mostly dependent on stimulation intensity. These results highlight the need to develop efficient ways to eliminate the decay artifact in order to measure immediate TMS responses.

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Stimulation parameters shape effective connectivity pathways: insights from microstate analysis on TMS-evoked potentials

Transcranial magnetic stimulation (TMS)-evoked potentials (TEPs) represent an innovative measure for examining brain connectivity and developing biomarkers of psychiatric conditions. Minimising TEP variability across studies and participants, which may stem from methodological choices, is therefore vital. By combining classic peak analysis and microstate investigation, we tested how TMS pulse waveform and current direction may affect effective connectivity when targeting the primary motor cortex (M1). We aim to disentangle whether changing these parameters affects the degree of activation of the same neural circuitry or may lead to changes in the pathways through which the induced activation spreads. Thirty-two healthy participants underwent a TMS-EEG experiment in which the pulse waveform (monophasic, biphasic) and current direction (posterior-anterior, anterior-posterior, latero-medial) were manipulated. We assessed the latency and amplitude of M1-TEP components and employed microstate analyses to test differences in topographies. Results revealed that TMS parameters strongly influenced M1-TEP components amplitude but had a weaker role over their latencies. Importantly, microstate analysis showed that the current direction in monophasic stimulations changed the pattern of evoked microstates at the early TEP latencies, as well as their duration and the overall amount of activated brain resources associated. This study shows that the current direction of monophasic pulses may modulate cortical sources contributing to TEP signals, activating neural populations and cortico-cortical paths more selectively. Biphasic stimulation reduces the variability associated with current direction and may be better suited when TMS targeting is blind to anatomical information.

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Immediate TMS-EEG responses reveal motor cortex excitability

BackgroundCombined transcranial magnetic stimulation and electroencephalography (TMS-EEG) is widely used to probe cortical excitability at the network level, but technical challenges have prevented its application to investigate local excitability of the stimulated area. A recent study revealed immediate TMS-evoked potentials (i-TEPs) after primary motor cortex (M1) stimulation, suggesting that it may represent a local response. Here, we aimed at testing if this activity is physiological in nature and what it represents. MethodsWe analyzed a TMS-EEG dataset from 28 healthy participants recorded at 9.6 kHz including two M1 stimulation conditions with opposite biphasic current directions. We localized the brain sources of i-TEPs, calculated the immediate TMS-related power (i-TRP) to distinguish between two oscillatory components that may contribute to i-TEPs, and investigated the relationship between i-TRP and motor-evoked potentials (MEPs). In an additional recording, we stimulated a control site evoking a muscular response to understand the contribution of the TMS-related muscle artifact. ResultsResults confirmed i-TEPs with similar characteristics as previously described. The i-TRP revealed strong activity in two ranges 600-800 Hz and 100-200 Hz; The former was positively associated with MEPs amplitude for both current direction conditions. Moreover, i-TEPs were localized in the precentral gyrus of the stimulated hemisphere and the muscular response generated by the control stimulation site differed from i-TEPs and i-TRP. DiscussionThese findings provide first evidence on the physiological nature of i-TEPs and i-TRP following M1 stimulation and that i-TRP represents a direct measure of excitability of the stimulated cortex.

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Investigating visuo-tactile mirror properties in Borderline Personality Disorder: a TMS-EEG study

Patients with Borderline Personality Disorder (pw-BPD) are characterized by lower levels of cognitive empathy compared to healthy controls (HCs), indicating difficulties in understanding others perspective. A candidate neural mechanism subtending empathic abilities is represented by the Tactile Mirror System (TaMS), which refers to mirror-like mechanisms in the somatosensory cortices. However, little is known about TaMS alterations in BPD, specifically in terms of brain connectivity within this network. Here, we aimed at providing novel insights on TaMS as neurophysiological candidate for BPD empathic deficits, with a special focus on TaMS connectivity by means of the combined use of transcranial magnetic stimulation and electroencephalography (TMS-EEG). Twenty pw-BPD and 20 HCs underwent a thorough investigation: we collected measures of empathic abilities obtained from self-report questionnaires, behavioral performance in a visuo-tactile spatial congruency task, and TMS-evoked potentials (TEPs) as effective connectivity indexes. In the TMS-EEG session, TMS was delivered over the right primary somatosensory cortex (S1) following the presentation of real touches and visual touches, while 74-channel EEG was continuously recorded. In the visuo-tactile spatial congruency task and the TMS-EEG recording, control conditions with visual touches on objects instead of body parts enabled to disentangle the involvement of TaMS from non-specific effects. The study is the first one employing TMS-EEG in pw-BPD and it has been preregistered before data collection. Consistent with previous findings, results show that pw-BPD reported significantly lower levels of cognitive empathy. Moreover, pw-BPD made significantly more errors than controls in the visuo-tactile spatial congruency task during visual touches on human body parts and not on objects. Finally, pw-BPD displayed a different connectivity pattern from S1-TEPs that was not specific for TaMS: they showed a lower P60 component during touch observation, as well as reduced amplitude of later TEPs responses (after [~]100 ms) during real touches. Overall, the present study shows behavioral evidence of TaMS impairment and a more general alteration in the connectivity pattern of the somatosensory network in pw-BPD.

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Reliability of M1-P15 as a cortical marker for transcallosal inhibition: a preregistered TMS-EEG study

BackgroundIn a recently published study combining transcranial magnetic stimulation and electroencephalography (TMS-EEG), we provided first evidence of M1-P15, an early component of TMS-evoked potentials, as a measure of transcallosal inhibition between motor cortices. However, considering the technical challenges of TMS-EEG recordings, further evidence is needed before M1-P15 can be considered a reliable index. ObjectiveHere, we aimed at validating M1-P15 as a cortical index of transcallosal inhibition, by replicating previous findings on its relationship with the ipsilateral silent period (iSP) and with performance in bimanual coordination. Moreover, we aimed at inducing a task-dependent modulation of transcallosal inhibition. MethodsA new sample of 32 healthy right-handed participants underwent behavioral motor tasks and TMS-EEG recording, in which left and right M1 were stimulated during bimanual tasks and during an iSP paradigm. Hypotheses and methods were preregistered before data collection. ResultsWe successfully replicated our previous findings on the positive relationship between M1-P15 amplitude and the iSP normalized area. However, we did not confirm the relationship between M1-P15 latency and bimanual coordination. Finally, we show a task-dependent modulation of M1-P15 amplitude, which was affected by the characteristics of the bimanual task the participants were performing, but not by the contralateral hand activity during the iSP paradigm. ConclusionsThe present results corroborate our previous findings in validating the M1-P15 as a reliable cortical marker of transcallosal inhibition, and provide novel evidence of its task-dependent modulation. Importantly, we demonstrate the feasibility of a preregistration approach in the TMS-EEG field to increase methodological rigor and transparency.

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Asymmetric transcallosal conduction delay leads to finer bimanual coordination

It has been theorized that hemispheric dominance and a more segregated information processing have evolved to overcome long conduction delay through the corpus callosum (TCD) but that this may still impact behavioral performance mostly in tasks requiring high timing accuracy. Nevertheless, a thorough understanding of the temporal features of interhemispheric communication is missing due to methodological shortcomings. Here, we show in the motor system that TCD can be measured from transcranial magnetic stimulation (TMS) -evoked potentials (TEPs): by integrating TEPs with diffusion tensor imaging (DTI) and peripheral measures of interhemispheric inhibition (i.e., the ipsilateral silent period-iSP), we show that P15 TEP component reflects TCD between motor areas. Importantly, we report that better bimanual coordination is achieved when TCD between motor areas is asymmetric. These results suggest that interhemispheric communication can be optimized through asymmetric connectivity, in which information transfer is faster from the dominant hemisphere to the non-dominant hemisphere.

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Modelling the effects of ongoing alpha activity on visual perception: the Oscillation-based Probability of Response

Substantial evidence has shown that ongoing neural activity significantly contributes to how the brain responds to upcoming stimuli. In visual perception, a considerable portion of trial-to-trial variability can be accounted for by prestimulus magneto/electroencephalographic (M/EEG) alpha oscillations, which play an inhibitory function by means of cross-frequency interactions with gamma-band oscillations. Despite the fundamental theories on the role of oscillations in perception and cognition, a clear theorization of the neural mechanisms underlying prestimulus activity effects that includes electrophysiological phenomena at different scales (e.g., local field potentials and macro-scale M/EEG) is still missing. Here, we present a model called the oscillation-based probability of response (OPR), which directly assesses the link between meso-scale neural mechanisms, macro-scale M/EEG, and behavioural outcome. The OPR model includes distinct meso-scale mechanisms through which alpha oscillations modulate M/EEG gamma activity, namely, by decreasing a) the amplitude and/or b) the degree of neural synchronization of gamma oscillations. Crucially, the OPR model makes specific predictions on the effects of these mechanisms on visual perception, as assessed through the psychometric function.\n\nSIGNIFICANCE STATEMENTThe oscillation-based probability of response (OPR) is grounded on a psychophysical approach focusing on the psychometric function estimation and may be highly informative in the study of ongoing brain activity because it provides a tool for distinguishing different neural mechanisms of alpha-driven modulation of sensory processing.

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