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Biomedical subjects

N Bruneau

Publications and source records attributed to N Bruneau.

At least 55 records · Page 3Linked to original sources

[Significance of clinical and biological markers in autistic syndromes in children].

Several biological theories were proposed to explain symptoms of childhood autism in terms of monoamine metabolic dysfunction. Clinical, electrophysiological and biochemical markers which support the dopaminergic hypothesis will be given in this paper. A factorial analysis, performed on the 'behavior summarized evaluation' (BSE, scoring behavioral data), exhibits a first component corresponding to the autistic DSM III criteria, and also shows that the disturbances of attention and perception belonged to this component. So, as well as communication, selective attention, perception and gestures, usually considered as regulated by the dopaminergic system are deeply modified and appeared as primary symptoms in autistic syndromes. Many electrophysiological data recorded in autistic children suggest both faulty modulation of sensory input and deficiency in dealing with sensory cross-modal association which have been related to a dysfunctioning of the dopaminergic system. Elevated homovanillic acid levels, the main dopamine metabolite, have been attributed to a reduced re-uptake of dopamine related to a 'longer occupation' of the receptors which is in agreement with the electrophysiological 'sensory overload'. The relationships found between these markers are discussed. Such an approach would contribute to a better understanding of the underlying mechanism of autism.

Autistic Disorder↗

[High-amplitude auditory evoked potentials as a function of the intensity of stimulation. Relation to dopaminergic metabolism].

Relationships between augmenting/reducing (aug/red) in auditory modality and dopaminergic metabolism were investigated in young normal adults. Auditory evoked potentials (AEP) to tones (750 Hz, 200 msec) varying from 50 to 80 sB SPL were recorded at Cz and Fz sites. Individual differences in dopaminergic metabolism were estimated by assaying homovanillic acid levels in urines (u-HVA). The slopes values of P1, N1 and P2 amplitude changes with increasing stimulus intensities were used to evaluate the relationships between aug/red and u-HVA levels. The results of this study showed significant negative correlations between the aug/red of the N1 component recorded at Fz site and the u-HVA concentrations: the higher the aug/red slopes (augmenting tendency), the lower the u-HVA levels. In fact, the main result was that this finding was in accordance with previous ones relating aug/red to HVA when assayed in cerebrospinal fluid (CSF). Our data also showed that in further studies on auditory aug/red, the interest should be focused on the N1 component at Fz site.

Acoustic Stimulation↗

Frontal auditory-evoked potential augmenting-reducing and urinary homovanillic acid.

Relationships between augmenting-reducing (Aug/Red) in auditory modality and dopaminergic metabolism were investigated in young adults with respect to sex. The slope values of evoked potential amplitude changes with increasing intensities were used to evaluate Aug/Red both at Cz and Fz for each of the five components: P1, N1, P2, P1N1, N1P2. The greatest slopes (Aug) were found in females. Individual differences in dopaminergic metabolism were estimated by assaying free and conjugated forms of homovanillic acid (HVA) in urines. HVA excretion rates were significantly more variable in males than in females. Relationships between Aug/Red and HVA levels were only found in males. The lower the Aug/Red slopes recorded at Fz site for the N1 component (weak augmenter or reducer responses), the higher the urinary HVA level and particularly the conjugated forms of HVA. These results are of interest for further applications in psychopathology.

Adult↗

Frontal auditory evoked potentials and augmenting-reducing.

Auditory evoked potentials (AEPs) to tones (750 Hz--200 msec) ranging from 50 to 80 dB SPL were studied at Cz and Fz leads in 29 normal adults (15 males) ranging in age from 20 to 22. Peak-to-trough amplitudes were measured for the P1-N1 and the N1-P2 wave forms as well as baseline (500 msec prestimulus)-to-peak amplitudes for each component, i.e., P1, N1 and P2. Amplitudes were examined as a function of intensity and electrode location. Cz-Fz amplitude differences increased with increasing stimulus intensity, the differentiating peak being the N1 component. An overall reducing phenomenon was found at Fz in the 70-80 dB range whereas an augmenting effect was observed at Cz for these intensities. The augmenting/reducing groups defined by analysis of individual amplitude-intensity patterns were different whether we considered Fz or Cz results: Fz reducers were more numerous than Cz reducers. These results on prominent reducing at the frontal level were examined in relation to the data concerning the modulatory function of the frontal cortex on auditory EPs. Implications were drawn for the role of the frontal cortex in cortical augmenting-reducing.

Adult↗

[Relation between auditory evoked potentials (presence, amplitude) during sound and light conditioning and levels of dopamine derivatives in infantile autism].

The aim of this study was to study the relationships between conditioned AEPs and homovanillic acid (HVA) levels in autistic children (A, 9 boys, average age 6.3) compared to normal children (9 boys, average age 6.5) and to mentally retarded children (MR, 9 boys, average age 6.1) without any autistic behavior. AEPs were recorded at Cz and Oz during two sessions. The auditory stimulus (S) was first presented alone (habituation); the visual stimulus (L) was then presented 800 msec after S (conditioning). S was again presented alone (extinction). Urinary HVA dosage was performed on samples of urine taken after a 48-h tyrosine-free diet. Conditioning induced enhancement of AEPs. Latencies and amplitudes were smaller in autistic children. AEP presence was smaller in patients than in normal children and smaller in MR than in A children. Urinary HVA level was higher in patients and higher in the MR group than in the A group. A negative correlation between HVA level and Cz AEP presence was observed. Results showing higher Cz AEP variability and higher HVA level in MR than in autistic children tend to lead us to consider that both syndromes are related to common neurological dysfunctionings rather than indicating autistic syndrome behavioral specificity.

Attention Deficit Disorder with Hyperactivity↗

[Frontal evoked potentials and sensitivity to methylphenidate. Individual differences].

Auditory evoked potentials (AEPs) were recorded from 2 sites (Cz and Fz) on 17 subjects while awake. Five sound intensities were used (40-50-60-70-80 dB). Regression slopes relating AEP amplitude (N1-P2 component) to stimulus intensity were used to describe augmentation or reduction (A/R) of amplitude with increasing intensity. The individual differences thereby obtained have been related with the individual responsiveness to methylphenidate (MPD) measured by the modifications of polygraphic sleep parameters after absorption of this substance. The sleep parameters were recorded under 3 conditions: N1, night of habituation; N2, reference night (placebo); N3, night after 20 mg of methylphenidate (MPD); nights 2 and 3 consisted of a double blind cross-over. For the placebo condition, the lower the A/R slope while awake (and particularly the Fz slope), the higher the sleep efficiency, with scarcity of nocturnal awakening and precocity of the morning awakening. Individual differences concerning MPD responsiveness measured with sleep parameter modifications are significantly correlated with the frontal A/R slopes: the wakefulness effect of MPD increases as the frontal A/R slope weakens while a paradoxal drowsiness effect is observed at the other extreme (frontal augmenters). Moreover, sleep modifications due to the first night effect show similarities with those due to MPD and are correlated in the same way with frontal A/R slopes.

Adult↗

6-Hydroxydopamine lesions of dopaminergic A10 neurons. Long-term effects on the urinary excretion of free and conjugated catecholamines and their metabolites in the rat.

Free and conjugated catecholamines (dopamine, noradrenaline, adrenaline) and their methoxylated and/or deaminated metabolites were studied in rat urine after the bilateral destruction of the A10 dopaminergic cell group. Two months after the lesion, dopamine (DA) loss reached 91% in the nucleus accumbens, and was greater than 80% in olfactory tubercles, lateral septum and frontal cortex. At the same time urinary conjugated dihydroxyphenylacetic acid (DOPAC) was decreased by 45% whilst homovanillic acid (HVA) was increased only in its sulfated form (+62%). In contrast, no changes were observed in the free and conjugated forms of urinary DA, 3-methoxytyramine noradrenaline, normetanephrine, adrenaline, vanylmandelic acid, 3-methoxy-4-hydroxyphenylglycol and in the free forms of DOPAC and HVA. The present report confirms and extends our previous findings on the relationships between central dopaminergic activity and urinary deaminated metabolites of DA in the rat. It emphasizes the interest of urinary assays which could provide in vivo information on CNS functions.

3,4-Dihydroxyphenylacetic Acid↗

Event-related potentials evoked by sensory stimulation in normal mentally retarded and autistic children.

Evoked potentials (EPs) and slow potentials (SPs) were recorded during two sessions of sound (S) and light (L) conditioning (habituation: S alone; conditioning: coupling of SL; extinction: S alone after SL series). 125 children from 0 to 15 were examined: 82 exhibited signs of autistic behaviour and/or mental retardation; 43 were normally adapted. Two studies were performed. The first was an analysis of relationships: 65 clinical characters were noted for each child with behaviour scales and psychometric tests, 88 electrophysiological data were measured on averaged tracings. The second compared with t and chi 2 square methods the electrophysiological data of 3 groups clinically defined for age and typical syndrome. Results of the two studies supplemented each other. From the clinical point of view 3 major groups appeared: (1) autism, (2) mental retardation, (3) normal adaptation. From an electrophysiological point of view 2 major groups could be defined: (1) few conditioned EPs with small amplitude, generalized conditioned SPs, small unconditioned EPs, generalized unconditioned SPs, conditioning 'to time'; (2) many conditioned EPs, many conditioned rhythmic potentials, absence of generalized SPs, many localized vertex negative SPs (CNVs), large unconditioned EPs, no conditioning to time. Some differences were observed in generalized SPs, small and positive in mentally retarded children, negative or positive in autistic children. EP and SP data clearly help to differentiate pathological groups from a normal group but are insufficient to distinguish the autistic from the mentally retarded children.

Adolescent↗

Event-related slow potentials evoked during ankle jerk conditioning in wakefulness and NREM sleep.

Slow cortical potentials related to the ankle jerk and to its conditioning were studied in 40 adults while awake and during NREM sleep. A weak sound (S) was used as conditioned stimulus, while the ankle jerk, evoked either by Achilles tendon percussion (P) or by electrical stimulation of the sciatic nerve (H), served as unconditioned or 'imperative' stimulus. During waking, responses to simple stimuli (S, P, H) were mostly negative. During S-P and S-H pairs, responses to S were mainly negative, resembling the CNV, while these to P or to H became mostly positive, like the CNV resolution or the positive phase of the motor potential. During NREM sleep, responses to simple as well as to paired stimuli showed mostly a biphasic (negative-positive) morphology resembling the K complex. The conditioned slow potential changes obtained by pairing a sound with the ankle jerk therefore seem to be abolished during NREM sleep. This absence of conditioning can be related to the absence of habituation during NREM sleep. In 35% of the cases, however, positive slow waves were evoked by paired sounds during sleep. The possible significance of these phenomena is discussed.

Adult↗

[Conditioning of slow electrocortical activity evoked by sensory stimulation and by a reflex movement in man].

Slow cerebral waves are recorded from 10 adults during an experiment consisting of the application of isolated or coupled sensorial stimulations, the weak sound occuring 880 msec prior to the strong light when coupled. Prior to coupling, the stimulations evoke on the vertex generally negative slow waves which would indicate an orientation reaction. After coupling, the responses to sound become constantly negative and are considered as waves described as "negative contingent variations". To the contrary, responses to light are inverted and become constantly positive. Such a phenomenon equally observed during experiments consisting of sound coupled to a reflex movement recalls the resolution of the negative contingent variation, the decision wave and the motor potentiel that accompanies the execution of voluntary movement, however here, it is produced during conditioning which does not require active motor participation by the subject. These results demonstrate that the simple coupling of two stimulations following the protocol developed by Pavlov provokes in man a complex collection of responses containing a motor component analogous to that which one observes in more elaborate experiments destined to prove the anticipation of the decision.

Achilles Tendon↗