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Biomedical subjects

G E Alexander

Publications and source records attributed to G E Alexander.

At least 73 records · Page 4Linked to original sources

Basal ganglia-thalamocortical circuits: their role in control of movements.

The motor circuitry of the basal ganglia is organized in parallel with basal ganglia circuits involved in oculomotor, associative, and limbic functions. These circuits comprise reentrant pathways that originate in various neocortical domains and pass through the basal ganglia before returning, by way of the thalamus, to select portions of the frontal lobe. Recent progress in characterizing the anatomy and physiology of these pathways has provided new insights into the pathophysiology of basal ganglia-related movement disorders and enhanced our understanding of the normal role of the basal ganglia in movement control and adaptive motor behavior.

Animals↗

Inverse relationship between education and parietotemporal perfusion deficit in Alzheimer's disease.

A higher prevalence of dementia in individuals with fewer years of education has suggested that education may protect against Alzheimer's disease (AD). We tested whether individuals with more years of education have a more advanced AD before it is clinically evident. As a measure of pathophysiological severity, we quantified regional cerebral blood flow (rCBF), by the 133Xenon inhalation technique; a specific pattern of flow reduction in the parietotemporal cortex corresponds to AD pathology. In 3 groups of patients with probable AD, matched for clinical measures of dementia severity but with varying levels of education, whole-cortex mean flows were comparable. However, the parietotemporal perfusion deficit was significantly greater in the group with the highest level of education, indicating that AD was more advanced in this group. We conclude that education or its covariates or both may provide a reserve that compensates for the neuropathological changes of AD and delays the onset of its clinical manifestations.

Alzheimer Disease↗

Functional architecture of basal ganglia circuits: neural substrates of parallel processing.

Concepts of basal ganglia organization have changed markedly over the past decade, due to significant advances in our understanding of the anatomy, physiology and pharmacology of these structures. Independent evidence from each of these fields has reinforced a growing perception that the functional architecture of the basal ganglia is essentially parallel in nature, regardless of the perspective from which these structures are viewed. This represents a significant departure from earlier concepts of basal ganglia organization, which generally emphasized the serial aspects of their connectivity. Current evidence suggests that the basal ganglia are organized into several structurally and functionally distinct 'circuits' that link cortex, basal ganglia and thalamus, with each circuit focused on a different portion of the frontal lobe. In this review, Garrett Alexander and Michael Crutcher, using the basal ganglia 'motor' circuit as the principal example, discuss recent evidence indicating that a parallel functional architecture may also be characteristic of the organization within each individual circuit.

Animals↗

Preparation for movement: neural representations of intended direction in three motor areas of the monkey.

1. The purpose of this study was to compare the functional properties of neurons in three interrelated motor areas that have been implicated in the planning and execution of visually guided limb movements. All three structures, the supplementary motor area (SMA), primary motor cortex (MC), and the putamen, are components of the basal ganglia-thalamocortical "motor circuit." The focus of this report is on neuronal activity related to the preparation for movement. 2. Five rhesus monkeys were trained to perform a visuomotor step-tracking task in which elbow movements were made both with and without prior instruction concerning the direction of the forthcoming movement. To dissociate the direction of preparatory set (and limb movement) from the task-related patterns of tonic (and phasic) muscular activation, some trials included the application of a constant torque load that either opposed or assisted the movements required by the behavioral paradigm. Single-cell activity was recorded from the arm regions of the SMA, MC, and putamen contralateral to the working arm. 3. A total of 741 task-related neurons were studied, including 222 within the SMA, 202 within MC, and 317 within the putamen. Each area contained substantial proportions of neurons that manifested preparatory activity, i.e., cells that showed task-related changes in discharge rate during the postinstruction (preparatory) interval. The SMA contained a larger proportion of such cells (55%) than did MC (37%) or the putamen (33%). The proportion of cells showing only preparatory activity was threefold greater in the SMA (32%) than in MC (11%). In all three areas, cells that showed only preparatory activity tended to be located more rostrally than cells with movement-related activity. Within the arm region of the SMA, the distribution of sites from which movements were evoked by microstimulation showed just the opposite tendency: i.e., microexcitable sites were largely confined to the caudal half of this region. 4. The majority of cells with task-related preparatory activity showed selective activation in anticipation of elbow movements in a particular direction (SMA, 86%; MC, 87%; putamen, 78%), and in most cases the preparatory activity was found to be independent of the loading conditions (80% in SMA, 83% in MC, and 84% in putamen).(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Movement-related neuronal activity selectively coding either direction or muscle pattern in three motor areas of the monkey.

1. Movement-related neuronal activity in the supplementary motor area (SMA), primary motor cortex (MC), and putamen was studied in monkeys performing a visuomotor tracking task designed to determine 1) the extent to which neuronal activity in each of these areas represented the direction of visually guided arm movements versus the pattern of muscle activity required to achieve those movements and 2) the relative timing of different types of movement-related activity in these three motor areas. 2. A total of 455 movement-related neurons in the three motor areas were tested with a behavioral paradigm, which dissociated the direction of visually guided elbow movements from the accompanying pattern of muscular activity by the application of opposing and assisting torque loads. The movement-related activity described in this report was collected in the same animals performing the same behavioral paradigm used to study preparatory activity described in the preceding paper. Of the total sample, 87 neurons were located within the arm region of the SMA, 150 within the arm region of the MC, and 218 within the arm region of the putamen. 3. Movement-related cells were classified as "directional" if they showed an increase in discharge rate predominantly or exclusively during movements in one direction and did not have significant static or dynamic load effects. A cell was classified as "muscle-like" if its directional movement-related activity was associated with static and/or dynamic load effects whose pattern was similar to that of flexors or extensors of the forearm. Both directional and muscle-like cells were found in all three motor areas. The largest proportion of directional cells was located in the putamen (52%), with significantly smaller proportions in the SMA (38%) and MC (41%). Conversely, a smaller proportion of muscle-like cells was seen in the putamen (24%) than in the SMA (41%) or MC (36%). 4. The time of onset of movement-related discharge relative to the onset of movement ("lead time") was computed for each cell. On average, SMA neurons discharged significantly earlier (SMA lead times 47 +/- 8 ms, mean +/- SE) than those in MC (23 +/- 6 ms), which in turn were earlier than those in putamen (-33 +/- 6 ms). However, the degree of overlap of the distributions of lead times for the three areas was extensive.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Neural representations of the target (goal) of visually guided arm movements in three motor areas of the monkey.

1. This study was designed to determine whether the supplementary motor area (SMA), the primary motor cortex (MC), and the putamen, all of which are components of the basal ganglia-thalamocortical "motor circuit," contain neural representations of the target or goal of a movement, independent of specific features of the movement itself. Four rhesus monkeys were trained to perform two visuomotor delayed step-tracking tasks in which the subject used a cursor to track targets on a display screen by making flexion and extension movements of the elbow. Single-cell activity was recorded from the SMA, MC, and putamen while the monkeys performed the two tasks. In the Standard task, the cursor and the forearm moved in the same direction. The Cursor/Limb Inversion task was identical to the Standard task except that there was an inverse relationship between the directions of movement of the forearm and cursor. Together, these tasks dissociated the spatial features of the target or goal of the movement from those of the movement itself. Both tasks also included features that made it possible to distinguish neuronal activity related to the preparation for movement from that related to movement execution. A total of 554 directionally selective, task-related neurons were tested with both tasks (SMA, 207; MC, 198; putamen, 149). 2. Two types of directionally selective preparatory activity were seen in each motor area. Cells with target-dependent preparatory activity showed selective discharge prior to all preplanned movements of the cursor toward one of the side targets (right or left), irrespective of whether the limb movement involved extension or flexion of the elbow. Comparable proportions of target-dependent preparatory cells were seen in the SMA (36%), MC (40%), and putamen (38%). Cells with limb-dependent preparatory activity showed selective discharge prior to all preplanned elbow movements in a particular direction (extension or flexion), irrespective of whether the target to which the cursor was moved was located on the right or left side of the display. The SMA contained a higher proportion of limb-dependent preparatory cells (40%) than either MC (15%) or putamen (9%). 3. Two types of directionally selective movement-related activity were also seen in each motor area.(ABSTRACT TRUNCATED AT 400 WORDS)

Action Potentials↗

Basal ganglia-thalamocortical circuits: parallel substrates for motor, oculomotor, "prefrontal" and "limbic" functions.

The central theme of the "segregated circuits" hypothesis is that structural convergence and functional integration occurs within, rather than between, each of the identified circuits. Admittedly, the anatomical evidence upon which this scheme is based remains incomplete. The hypothesis continues to be predicated largely on comparisons of anterograde and retrograde labeling studies carried out in different sets of animals. Only in the case of the "motor" circuit has evidence for the continuity of the loop been demonstrated directly in individual subjects; for the other circuits, such continuity is inferred from comparisons of data on different components of each circuit obtained in separate experiments. Because of the marked compression of pathways leading from cortex through basal ganglia to thalamus, comparisons of projection topography across experimental subjects may be hazardous. Definitive tests of the hypothesis of maintained segregation await additional double- and multiple-label tract-tracing experiments wherein the continuity of one circuit, or the segregation of adjacent circuits, can be examined directly in individual subjects. It is worthy of note, however, that the few studies to date that have employed this methodology have generated results consistent with the segregated circuits hypothesis. Moreover, single cell recordings in behaving animals have shown striking preservation of functional specificity at the level of individual neurons throughout the "motor" and "oculomotor" circuits. It is difficult to imagine how such functional specificity could be maintained in the absence of strict topographic specificity within the sequential projections that comprise these two circuits. This is not to say, however, that we expect the internal structure of functional channels (e.g., the "arm" channel within the "motor" circuit) to have cable-like, point-to-point topography. When the grain of analysis is sufficiently fine, anatomical studies have shown repeatedly that the terminal fields of internuclear projections (e.g., to striatum, pallidum, nigra, thalamus, etc.) often appear patchy and highly divergent, suggesting that neighboring groups of projection cells tend to influence interdigitating clusters of postsynaptic neurons. While more intricate and complex than simple point-to-point topography, however, this type arrangement should also be capable of maintaining functional specificity. As discussed briefly above, it is not yet clear to what extent the inputs to the "motor" circuit from the different precentral motor fields (e.g., MC, SMA, APA) are integrated in their passage through the circuit. It now appears that at the level of the putamen such inputs remain segregated.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Selective neuronal discharge in monkey putamen reflects intended direction of planned limb movements.

Single cell activity was recorded from the putamen in rhesus monkeys (Macaca mulatta) performing limb movements made both with and without a preceding preparatory "set" concerning the impending direction of movement. The monkeys were trained to perform an elbow step-tracking task, each trial of which required the subject to make two sequential movements that were virtually identical in terms of their direction, amplitude, velocity and muscle pattern. The first movement was preceded by a foreperiod, the "pre-instruction" period, during which the monkey could not predict the direction (flexion/extension) of the forthcoming movement. The second movement was also preceded by a variable foreperiod, the "post-instruction" period, but during this interval the monkey was aware of the impending direction of movement because it was always required to match that of the first movement. To dissociate the directions of motor set (and limb movement) from the patterns of tonic (and phasic) muscular activation associated with task performance, some trials included the application of torque loads that either opposed or assisted the movements required by the behavioral paradigm. Two principal forms of task-related activity were observed among the 232 putamen neurons (all located within the region of arm representation) whose discharge patterns showed significant relations to one or more features of the behavioral paradigm. "Movement-related" neurons (178/232, 76.7%) discharged selectively in association with either flexion or extension movements of the elbow. "Set-related" neurons (47/232, 20.3%) manifested sustained, selective changes in discharge throughout the post-instruction period, while the monkey was required to maintain a preparatory set concerning the impending direction of movement. Extensive limb and axial EMG recordings showed no evidence of task-related activity patterns comparable to those that characterized the set-related neurons, and scleral search coil recordings showed no relationship between set-related neuronal activity and either the direction of gaze or the direction and timing of eye movements during task performance. Only a small percentage (7/232, 3.0%) of the task-related neurons showed both movement- and set-related activity. In most cases (37/47, 79%), set-related activity was directionally selective, with the magnitude of discharge reflecting the impending direction of movement.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Evidence of an immunopathogenic basis for central nervous system disease in primary Sjögren's syndrome.

The pathogenesis of central nervous system complications in primary Sjögren's syndrome (CNS-SS) is unknown. In order to determine whether patients with active CNS-SS have cerebrospinal fluid (CSF) abnormalities indicative of CNS inflammation, CSF analyses from 30 patients with active CNS-SS (SSA) were contrasted with those from 20 SS patients without CNS involvement (SSI) and 20 patients with systemic lupus erythematosus and active CNS disease (SLEA). Elevations of total protein concentration, IgG concentration, IgG to total protein ratio, and IgG index were observed in patients with SSA, but not in those with SSI. Agarose gel electrophoresis results were abnormal, with 1 or more bands, in 25 of 29 SSA patients (86%), but in only 3 of 18 SSI patients (17%). Similar, but less striking, CSF abnormalities were seen in a minority of SLEA patients. Fifteen SSA patients (50%) had transient, mild-to-moderate CSF pleocytosis, while only 1 SSI patient and 2 SLEA patients had similar findings. Cytologic findings were abnormal in 18 SSA patients (60%); these included atypical mononuclear cells, lymphoblastoid cells, and plasma cells. The presence of immunocompetent cells and evidence for the intrathecal synthesis of IgG within the CSF of SSA, but not SSI, patients provide diagnostic parameters which are indicative of active disease and which can be monitored serially during therapy.

Central Nervous System Diseases↗

Primary Sjögren's syndrome with central nervous system disease mimicking multiple sclerosis.

Central nervous system involvement has occurred in approximately 20% of patients with primary Sjögren's syndrome evaluated at our institution. Characteristically, the neurologic dysfunction is multifocal, involving both the brain and spinal cord, and is recurrent over time. We present the features of 20 patients with primary Sjögren's syndrome and central nervous system involvement whose neurologic findings, evoked potential abnormalities, and cerebrospinal fluid profiles (elevated IgG indices, oligoclonal bands on agarose gel electrophoresis, and mild pleocytosis with reactive lymphoid cells) closely resembled those of multiple sclerosis. In fact, multiple sclerosis was considered the most likely diagnosis in each of these patients before diagnosis of Sjögren's syndrome, and each patient met criteria for definite multiple sclerosis. The clinical effects of corticosteroid treatment during episodes of acute neurologic dysfunction appeared to be beneficial in these patients.

Adult↗

Microstimulation of the primate neostriatum. I. Physiological properties of striatal microexcitable zones.

Microstimulation was carried out at over 1,250 sites in the putamen in four unanesthetized rhesus monkeys. At numerous sites, microstimulation resulted in movements of individual body parts including leg, arm, and face. Microstimulation-evoked limb movements were invariably contralateral to the stimulating electrode. In nearly all instances, the response at threshold was restricted to or maximal about a single joint. A small percentage of stimulation-evoked axial and orofacial movements were bilateral. The same motor response was frequently evoked over distances of up to 1,200 micron along a single penetration, suggesting that a relatively homogeneous motor-response zone underlies the observed micro-stimulation effects. We have designated these presumptive functional units striatal microexcitable zones (SMZ). The boundaries of adjacent SMZ involved in different movements frequently appeared to overlap. Amplitude, velocity, and acceleration of microstimulation-evoked elbow movements were assessed quantitatively. With increasing stimulus current, each of these parameters increased monotonically until saturation occurred. The spread of intrastriatal microstimulation currents was found to be comparable to that reported for motor cortex. The effective radius of 40-microA putamen microstimulation currents was estimated to be approximately 150 micron. This effectively rules out the possibility of current spread to the internal capsule. Microstimulation effects were abolished by fiber-sparing lesions produced by microinjections of the neurotoxin ibotenic acid. Moreover, chronaxie measurements in putamen (327 +/- 47 microseconds) were significantly higher than for capsular stimulation (150 +/- 32 microseconds). These observations are consistent with the proposal that movements evoked by putamen microstimulation resulted from activation of putamen output neurons. On the other hand, a possible contribution from the antidromic activation of corticostriate afferent terminals or axons cannot be excluded.

Animals↗

Microstimulation of the primate neostriatum. II. Somatotopic organization of striatal microexcitable zones and their relation to neuronal response properties.

Sensorimotor response properties of neostriatal neurons were characterized in conjunction with assessments of the motor effects of intrastriatal microstimulation in unanesthetized rhesus monkeys. Neuronal activity and microexcitability were assessed at 250- to 500-micron intervals and, in some cases, at 25- to 100-micron intervals. The results are based on the functional characterization of 878 putamen and 224 caudate neurons and analysis of the effects of microstimulation at each of these recording sites. Recording/stimulation sites were located between stereotaxic planes A6 and A22 in 81 microelectrode tracks from three monkeys. A total of 443 (50.4%) putamen neurons showed discrete responses to the sensorimotor examination. Of neurons with sensorimotor responses, 232 (52.4%) showed increased rates of discharge in relation to both active and passive movements of specific body parts. An additional 193 (43.6%) cells increased their rates of discharge only during the monkey's active movements of specific body parts. The remaining 18 (4.0%) cells appeared to respond exclusively to passive somatosensory stimulation. The sensorimotor response areas of putamen neurons ranged in size from an entire limb to a single joint. Putamen neurons were somatotopically organized throughout the rostrocaudal extent of the nucleus. Neurons with sensorimotor response areas involving the leg were located in the dorsolateral putamen, those with orofacial representations were located ventromedially, and those with arm representations were located in an intermediate position. Microstimulation evoked discrete movements of individual body parts at 21.6% of the 878 putamen sites. Over 95% (181/190) of the effective sites were located within the central half of the rostrocaudal extent of the putamen, between stereotaxic planes A10 and A17. The pattern of somatotopic organization revealed by microstimulation was the same as that derived from sensorimotor response properties of putamen neurons. Moreover, a close correspondence was observed between the movements evoked from a given SMZ and the functional properties of local neurons. In contrast to the results obtained in the putamen, none of the 224 stimulation sites in the caudate nucleus was microexcitable, and only 17 (7.6%) of the caudate neurons had definable sensorimotor response properties. This is consistent with the view that the primate putamen, by virtue of its anatomic connections with the sensorimotor and premotor cortical fields, is more directly involved in motor functions, whereas the caudate nucleus, by virtue of its connections with cortical "association" areas, is involved in more complex behavioral functions.

Animals↗

Functional organization of the basal ganglia: contributions of single-cell recording studies.

Studies of single-cell discharge in the basal ganglia of behaving primates have revealed: characteristic patterns of spontaneous discharge in the striatum, external (GPe) and internal (GPi) globus pallidus, pars reticulata and pars compacta of the substantia nigra, and the subthalamic nucleus (STN); phasic changes in neural discharge in relation to movements of specific body parts (e.g. leg, arm, neck, face); short-latency (sensory) neural responses to passive joint rotation; a somatotopic organization of movement-related neurons in GPe, GPi, and STN; a clustering of functionally similar neurons in the putamen and globus pallidus; greater representation of the proximal than of the distal portion of the limb; changes in neural activity in reaction-time tasks, suggesting a greater role of the basal ganglia in the execution than in the initiation of movement in this paradigm; a clear relation of neuronal activity to direction, amplitude (?velocity) of movement, and force; a preferential relation of neural activity to the direction of movement, rather than to the pattern of muscular activity. Some of these findings suggest that the basal ganglia may play a role in the control of movement parameters rather than (or independent of) the pattern of muscular activity. Loss of basal ganglia output related to amplitude may account for the bradykinesia in Parkinson's disease. The presence of somatotopic organization in the putamen and globus pallidus, together with known topographic striopallidal connections, suggests that segregated, parallel cortico-subcortical loops subserve 'motor' and 'complex' functions.

Animals↗

Role of basal ganglia in limb movements.

Recent anatomic and physiologic studies have shed new light on the functional organization of the basal ganglia and their role in movement. The basal ganglia receive topographically organized input from the entire neocortex. Influences from sensorimotor and "association" cortices appear to remain segregated in the basal ganglia. The concept of segregated parallel subcortical loops subserving "motor" and "complex" functions is discussed. Recent neurophysiologic studies in behaving primates suggest that basal ganglia output plays a role in controlling the direction and amplitude of movement but is not primarily involved in the initiation of limb movement or selection of specific muscles. These studies are generally consistent with data from patients with Parkinson's disease, which likewise indicates a deficit in the programming of movement amplitude in step-tracking tasks, with little or no change in reaction-time or pattern of muscular activity.

Animals↗

Congenic autoimmune murine models of central nervous system disease in connective tissue disorders.

Congenic mice of the MRL/Mp strain spontaneously develop an autoimmune connective tissue disease that shares immunological and histopathological features with systemic lupus erythematosus, rheumatoid arthritis, and Sjögren's syndrome. The autoimmune disorder in these mice is accelerated markedly by the recessive gene lpr. By 6 months of age, MRL/Mp-lpr/lpr mice developed prominent mononuclear cell infiltrates restricted to the choroid plexus and meninges, whereas congeneric MRL/Mp- +/+ mice (which lack the lpr gene) showed delayed but widespread inflammatory infiltrates involving cerebral vessels and meninges, with sparing of the choroid plexus. These distinctive patterns of cerebral inflammation, which are comparable in many respects to those seen in human connective tissue disease, provide some of the first animal models of relevant central nervous system histopathological processes associated with underlying connective tissue disease.

Animals↗

Aseptic meningoencephalitis in primary Sjögren's syndrome.

The clinical features and CSF characteristics of five patients with primary Sjögren's syndrome (SS) and associated aseptic meningoencephalitis (AME) are described. Episodes of AME were recurrent in four patients. Viral, fungal, and bacterial cultures were uniformly negative. Plasma cells were observed in the CSF but not in the blood of three patients. The CSF IgG:albumin index was elevated, suggesting intrathecal synthesis of IgG in each of the four patients tested; each patient had either one or two broad bands with the mobility of IgG on CSF agarose electrophoresis. These observations are consistent with current understanding of SS as a polyclonal gammopathy associated with the multifocal proliferation of B lymphocytes and plasma cells.

Adult↗