RESUMO
Recent investigation of a constitutively active ADAMTS13 variant (caADAMTS13) in murine models of acute ischaemic stroke (AIS) have revealed a potential anti-inflammatory mechanism of action contributing to its protective effect. However, it remains unclear whether these observations are a direct result of VWF proteolysis by caADAMTS13. We have implemented state of the art in vitro assays of neutrophil rolling and transmigration to quantify the impact of caADAMTS13 on these processes. Moreover, we have tested caADAMTS13 in two in vivo assays of neutrophil migration to confirm the impact of the treatment on the neutrophil response to sterile inflammation. Neutrophil rolling, over an interleukin-1ß stimulated hCMEC/D3 monolayer, is directly inhibited by caADAMTS13, reducing the proportion of neutrophils rolling to 9.5 ± 3.8â¯% compared to 18.0 ± 4.5â¯% in untreated controls. Similarly, neutrophil transmigration recorded in real-time, was significantly suppressed in the presence of caADAMTS13 which reduced the number of migration events to a level like that in unstimulated controls (18.0 ± 4.5 and 15.8 ± 7.5 cells/mm2/h, respectively). Brain tissue from mice undergoing experimental focal cerebral ischaemia has indicated the inhibition of this process by caADAMTS13. This is supported by caADAMTS13's ability to reduce neutrophil migration into the peritoneal cavity in an ischaemia-independent model of sterile inflammation, with the VWF-dependent mechanism by which this occurs being confirmed using a second experimental stroke model. These findings will be an important consideration in the further development of caADAMTS13 as a potential therapy for AIS and other thromboinflammatory pathologies, including cardiovascular disease.
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The endothelial glycocalyx is an integral component of the brain vascular barrier. Visualizing its structure in vivo is essential to understand its physiological and pathophysiological mechanisms. Here, we present a surgical protocol for chronic cranial window implantation in mice, alongside the use of multiphoton microscopy tools to image the cortical vasculature. We describe steps for cranial window implantation, intravenous injection of fluorescent markers, and intravital imaging. We then detail a technique to quantify glycocalyx thickness using Imaris image analysis software. For complete details on the use and execution of this protocol, please refer to Gray et al. (2023).1.
Assuntos
Barreira Hematoencefálica , Glicocálix , Camundongos , Animais , Glicocálix/química , Crânio , Microscopia Intravital/métodos , CorantesRESUMO
The deficit in cerebral blood flow (CBF) seen in patients with hypertension-induced vascular dementia is increasingly viewed as a therapeutic target for disease-modifying therapy. Progress is limited, however, due to uncertainty surrounding the mechanisms through which elevated blood pressure reduces CBF. To investigate this, we used the BPH/2 mouse, a polygenic model of hypertension. At 8 mo of age, hypertensive mice exhibited reduced CBF and cognitive impairment, mimicking the human presentation of vascular dementia. Small cerebral resistance arteries that run across the surface of the brain (pial arteries) showed enhanced pressure-induced constriction due to diminished activity of large-conductance Ca2+-activated K+ (BK) channels-key vasodilatory ion channels of cerebral vascular smooth muscle cells. Activation of BK channels by transient intracellular Ca2+ signals from the sarcoplasmic reticulum (SR), termed Ca2+ sparks, leads to hyperpolarization and vasodilation. Combining patch-clamp electrophysiology, high-speed confocal imaging, and proximity ligation assays, we demonstrated that this vasodilatory mechanism is uncoupled in hypertensive mice, an effect attributable to physical separation of the plasma membrane from the SR rather than altered properties of BK channels or Ca2+ sparks, which remained intact. This pathogenic mechanism is responsible for the observed increase in constriction and can now be targeted as a possible avenue for restoring healthy CBF in vascular dementia.
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Demência Vascular , Hipertensão , Camundongos , Humanos , Animais , Canais de Potássio Ativados por Cálcio de Condutância Alta/metabolismo , Demência Vascular/etiologia , Demência Vascular/metabolismo , Músculo Liso Vascular/metabolismo , Artérias Cerebrais/metabolismo , Sinalização do Cálcio/fisiologia , Cálcio/metabolismoRESUMO
Leukocyte recruitment from the vasculature into tissues is a crucial component of the immune system but is also key to inflammatory disease. Chemokines are central to this process but have yet to be therapeutically targeted during inflammation due to a lack of mechanistic understanding. Specifically, CXCL4 (Platelet Factor 4, PF4) has no established receptor that explains its function. Here, we use biophysical, in vitro, and in vivo techniques to determine the mechanism underlying CXCL4-mediated leukocyte recruitment. We demonstrate that CXCL4 binds to glycosaminoglycan (GAG) sugars on proteoglycans within the endothelial extracellular matrix, resulting in increased adhesion of leukocytes to the vasculature, increased vascular permeability, and non-specific recruitment of a range of leukocytes. Furthermore, GAG sulfation confers selectivity onto chemokine localization. These findings present mechanistic insights into chemokine biology and provide future therapeutic targets.
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Fator Plaquetário 4 , Proteoglicanas , Fator Plaquetário 4/metabolismo , Receptores de Quimiocinas , Quimiocinas/metabolismo , Glicosaminoglicanos , Matriz Extracelular/metabolismoRESUMO
The blood-brain barrier (BBB) is the interface between the central nervous system and systemic circulation. It tightly regulates what enters and is removed from the brain parenchyma and is fundamental in maintaining brain homeostasis. Increasingly, the BBB is recognised as having a significant role in numerous neurological disorders, ranging from acute disorders (traumatic brain injury, stroke, seizures) to chronic neurodegeneration (Alzheimer's disease, vascular dementia, small vessel disease). Numerous approaches have been developed to study the BBB in vitro, in vivo, and ex vivo. The complex multicellular structure and effects of disease are difficult to recreate accurately in vitro, and functional aspects of the BBB cannot be easily studied ex vivo. As such, the value of in vivo methods to study the intact BBB cannot be overstated. This review discusses the structure and function of the BBB and how these are affected in diseases. It then discusses in depth several established and novel methods for imaging the BBB in vivo, with a focus on MRI, nuclear imaging, and high-resolution intravital fluorescence microscopy.
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Doença de Alzheimer , Acidente Vascular Cerebral , Humanos , Barreira Hematoencefálica/diagnóstico por imagem , Encéfalo/irrigação sanguínea , Transporte BiológicoRESUMO
Microglia, resident brain immune cells, are critical in orchestrating responses to central nervous system (CNS) injury. Many microglial functions, such as phagocytosis, motility and chemotaxis, are suggested to rely on chloride channels, including the volume-regulated anion channel (VRAC), but studies to date have relied on the use of pharmacological tools with limited specificity. VRAC has also been proposed as a drug target for acute CNS injury, and its role in microglial function is of considerable interest for developing CNS therapeutics. This study aimed to definitively confirm the contribution of VRAC in microglia function by using conditional LRRC8A-knockout mice, which lacked the essential VRAC subunit LRRC8A in microglia. We demonstrated that while VRAC contributed to cell volume regulation, it had no effect on phagocytic activity, cell migration or P2YR12-dependent chemotaxis. Moreover, loss of microglial VRAC did not affect microglial morphology or the extent of ischemic damage following stroke. We conclude that VRAC does not critically regulate microglial responses to brain injury and could be targetable in other CNS cell types (e.g., astrocytes) without impeding microglial function. Our results also demonstrate a role for VRAC in cell volume regulation but show that VRAC is not involved in several major cellular functions that it was previously thought to regulate, and point to other, alternative mechanisms of chloride transport in innate immunity.
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Microglia , Acidente Vascular Cerebral , Animais , Tamanho Celular , Transporte de Íons , Proteínas de Membrana/metabolismo , Camundongos , Microglia/metabolismoRESUMO
Advances in our understanding of ADAMTS13 structure, and the conformation changes required for full activity, have rejuvenated the possibility of its use as a thrombolytic therapy. We have tested a novel Ala1144Val ADAMTS13 variant (constitutively active [ca] ADAMTS13) that exhibits constitutive activity, characterized using in vitro assays of ADAMTS13 activity, and greatly enhanced thrombolytic activity in 2 murine models of ischemic stroke, the distal FeCl3 middle cerebral artery occlusion (MCAo) model and transient middle cerebral artery occlusion (tMCAO) with systemic inflammation and ischemia/reperfusion injury. The primary measure of efficacy in both models was restoration of regional cerebral blood flow (rCBF) to the MCA territory, which was determined using laser speckle contrast imaging. The caADAMTS13 variant exhibited a constitutively active conformation and a fivefold enhanced activity against fluorescence resonance energy transfer substrate von Willebrand factor 73 (FRETS-VWF73) compared with wild-type (wt) ADAMTS13. Moreover, caADAMTS13 inhibited VWF-mediated platelet capture at subphysiological concentrations and enhanced t-PA/plasmin lysis of fibrin(ogen), neither of which were observed with wtADAMTS13. Significant restoration of rCBF and reduced lesion volume was observed in animals treated with caADAMTS13. When administered 1 hour after FeCl3 MCAo, the caADAMTS13 variant significantly reduced residual VWF and fibrin deposits in the MCA, platelet aggregate formation, and neutrophil recruitment. When administered 4 hours after reperfusion in the tMCAo model, the caADAMTS13 variant induced a significant dissolution of platelet aggregates and a reduction in the resulting tissue hypoperfusion. The caADAMTS13 variant represents a potentially viable therapeutic option for the treatment of acute ischemic stroke, among other thrombotic indications, due to its enhanced in vitro and in vivo activities that result from its constitutively active conformation.
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AVC Isquêmico , Acidente Vascular Cerebral , Proteína ADAMTS13/genética , Animais , Anti-Inflamatórios/uso terapêutico , Fibrina , Fibrinolíticos/uso terapêutico , Infarto da Artéria Cerebral Média/patologia , Camundongos , Acidente Vascular Cerebral/tratamento farmacológico , Fator de von Willebrand/uso terapêuticoRESUMO
Hypertension is a leading risk factor for death and dependency after ischaemic stroke. However, administering anti-hypertensive medications post-stroke remains contentious with concerns regarding deleterious effects on cerebral blood flow and infarct expansion. This study sought to determine the effect of glyceryl trinitrate (GTN) treatment in both lissencephalic and gyrencephalic pre-clinical stroke models. Merino sheep underwent middle cerebral artery occlusion (MCAO) followed by GTN or control patch administration (0.2 mg/h). Monitoring of numerous physiologically relevant measures over 24 h showed that GTN administration was associated with decreased intracranial pressure, infarct volume, cerebral oedema and midline shift compared to vehicle treatment (p < 0.05). No significant changes in blood pressure or cerebral perfusion pressure were observed. Using optical imaging spectroscopy and laser speckle imaging, the effect of varying doses of GTN (0.69-50 µg/h) on cerebral blood flow and tissue oxygenation was examined in mice. No consistent effect was found. Additional mice undergoing MCAO followed by GTN administration (doses varying from 0-60 µg/h) also showed no improvement in infarct volume or neurological score within 24 h post-stroke. GTN administration significantly improved numerous stroke-related physiological outcomes in sheep but was ineffective in mice. This suggests that, whilst GTN administration could potentially benefit patients, further research into mechanisms of action are required.
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Circulação Cerebrovascular/efeitos dos fármacos , AVC Isquêmico/tratamento farmacológico , Nitroglicerina/farmacologia , Animais , Feminino , AVC Isquêmico/fisiopatologia , Masculino , Camundongos , OvinosRESUMO
Human infants are "wired" to respond to social information, an important capacity for survival. The ability to discriminate vocal emotion in others is likely to play a key role in successful social interactions with caregivers, which facilitate the rapid social-communicative development that infants typically undergo in the latter half of their first year. Infants have voice-sensitive brain regions that have been shown previously to be responsive to emotional prosody by 7 months. This study aimed to investigate the developmental trajectory of vocal emotion processing in temporal regions using functional near-infrared spectroscopy (fNIRS) to measure brain sensitivity to angry, happy, and neutral vocalizations in the same infant at 6, 9, and 12 months. We found significant and increasing temporal cortical activation in response to vocal emotional stimuli over the three time points, suggesting consistent enhanced responses for happy compared to angry vocalizations, and vocal anger sensitivity is developing incrementally. The findings suggest that the neural processing of angry and happy prosody may follow distinct developmental pathways and is gradually "tuned" to become specialized between 6 and 12 months. This first longitudinal study of vocal emotion brain processing between 6 and 12 months highlights the need for more research to understand what drives typical and atypical social cognitive development across infancy and for follow-up into the second year.
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Desenvolvimento Infantil , Emoções , Percepção da Fala/fisiologia , Feminino , Humanos , Lactente , Estudos Longitudinais , MasculinoRESUMO
The development of effective therapies for stroke continues to face repeated translational failures. Brain endothelial cells form paracellular and transcellular barriers to many blood-borne therapies, and the development of efficient delivery strategies is highly warranted. Here, in a mouse model of stroke, we show selective recruitment of clinically used liposomes into the ischemic brain that correlates with biphasic blood brain barrier (BBB) breakdown. Intravenous administration of liposomes into mice exposed to transient middle cerebral artery occlusion took place at early (0.5 and 4 h) and delayed (24 and 48 h) time points, covering different phases of BBB disruption after stroke. Using a combination of in vivo real-time imaging and histological analysis we show that selective liposomal brain accumulation coincides with biphasic enhancement in transcellular transport followed by a delayed impairment to the paracellular barrier. This process precedes neurological damage in the acute phase and maintains long-term liposomal colocalization within the neurovascular unit, which could have great potential for neuroprotection. Levels of liposomal uptake by glial cells are similarly selectively enhanced in the ischemic region late after experimental stroke (2-3 days), highlighting their potential for blocking delayed inflammatory responses or shifting the polarization of microglia/macrophages toward brain repair. These findings demonstrate the capability of liposomes to maximize selective translocation into the brain after stroke and identify two windows for therapeutic manipulation. This emphasizes the benefits of selective drug delivery for efficient tailoring of stroke treatments.
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Barreira Hematoencefálica/metabolismo , Lipossomos , Acidente Vascular Cerebral/metabolismo , Animais , Modelos Animais de Doenças , Sistemas de Liberação de Medicamentos , Infarto da Artéria Cerebral Média/metabolismo , Lipossomos/química , Lipossomos/farmacocinética , Lipossomos/farmacologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Transcitose/efeitos dos fármacosRESUMO
An early understanding of others' vocal emotions provides infants with a distinct advantage for eliciting appropriate care from caregivers and for navigating their social world. Consistent with this notion, an emerging literature suggests that a temporal cortical response to the prosody of emotional speech is observable in the first year of life. Furthermore, neural specialisation to vocal emotion in infancy may vary according to early experience. Neural sensitivity to emotional non-speech vocalisations was investigated in 29 six-month-old infants using near-infrared spectroscopy (fNIRS). Both angry and happy vocalisations evoked increased activation in the temporal cortices (relative to neutral and angry vocalisations respectively), and the strength of the angry minus neutral effect was positively associated with the degree of directiveness in the mothers' play interactions with their infant. This first fNIRS study of infant vocal emotion processing implicates bilateral temporal mechanisms similar to those found in adults and suggests that infants who experience more directive caregiving or social play may more strongly or preferentially process vocal anger by six months of age.
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Ira/fisiologia , Expressão Facial , Felicidade , Relações Mãe-Filho , Lobo Temporal/fisiologia , Voz/fisiologia , Adulto , Feminino , Humanos , Lactente , Masculino , Espectroscopia de Luz Próxima ao InfravermelhoRESUMO
Chronic consumption of diets high in fat leads to obesity and can negatively affect brain function. Rodents made obese by long-term maintenance on a high-fat diet have worse outcome after experimental stroke. High-fat consumption for only three days does not induce obesity but has rapid effects on the brain including memory impairment. However, the effect of brief periods of high-fat feeding or high-fat consumption in the absence of obesity on stroke is unknown. We therefore tested the effect of an acute period of high-fat feeding (three days) in C57B/6 mice on outcome after middle cerebral artery occlusion (MCAo). In contrast to a chronic high-fat diet (7.5 months), an acute high-fat diet had no effect on body weight, adipose tissue, lipid profile or inflammatory markers (in periphery and the brain). Three days of high-fat feeding impaired glucose tolerance, increased plasma glucose and insulin and brain expression of the glucose transporter GLUT-1. Ischaemic damage was increased (48%) in mice fed an acute high-fat diet, and was associated with a further reduction in GLUT-1 in the ischaemic hemisphere. These data demonstrate that only a brief period of high-fat consumption has a negative effect on glucose homeostasis and worsens outcome after ischaemic stroke.
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Glicemia/metabolismo , Dieta Hiperlipídica/efeitos adversos , Homeostase , Acidente Vascular Cerebral/patologia , Animais , Intolerância à Glucose , Transportador de Glucose Tipo 1/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Fatores de TempoRESUMO
BACKGROUND: Neurovascular coupling describes the mechanism by which the energy and oxygen demand arising from neuronal activity is met by an increase in regional blood flow, known as the haemodynamic response. Interleukin 1 (IL-1) is a pro-inflammatory cytokine and an important mediator of neuronal injury, though mechanisms through which IL-1 exerts its effects in the brain are not fully understood. In this study, we set out to investigate if increased cerebral levels of IL-1 have a negative effect on the neurovascular coupling in the cortex in response to sensory stimulation. METHODS: We used two approaches to measure the neuronal activity and haemodynamic changes in the anaesthetised rat barrel somatosensory cortex in response to mechanical whisker stimulation, before and for 6 h after intra-striatal injection of interleukin-1ß or vehicle. First, we used two-dimensional optical imaging spectroscopy (2D-OIS) to measure the size of the functional haemodynamic response, indicated by changes of oxyhaemoglobin (HbO2) and total haemoglobin (HbT) concentration. In the same animals, immunostaining of immunoglobulin G and SJC-positive extravasated neutrophils was used to confirm the pro-inflammatory effects of interleukin-1ß (IL-1ß). Second, to examine the functional coupling between neuronal activity and the haemodynamic response, we used a 'Clark-style' electrode combined with a single sharp electrode to simultaneously record local tissue oxygenation (partial pressure oxygen, pO2) in layer IV/V of the stimulated barrel cortex and multi-unit activity (MUA) together with local field potentials (LFPs), respectively. RESULTS: 2D-OIS data revealed that the size of the haemodynamic response to mechanical whisker stimulation declined over the 6 h following IL-1ß injection whereas the vehicle group remained stable, significant differences being seen after 5 h. Moreover, the size of the transient increases of neuronal LFP activity in response to whisker stimulation decreased after IL-1ß injection, significant changes compared to vehicle being seen for gamma-band activity after 1 h and beta-band activity after 3 h. The amplitude of the functional pO2 response similarly decreased after 3 h post-IL-1ß injection, whereas IL-1ß had no significant effect on the peak of whisker-stimulation-induced MUA. The stimulation-evoked increases in gamma power and pO2 correlated significantly throughout the 6 h in the vehicle group, but such a correlation was not observed in the IL-1ß-injected group. CONCLUSIONS: We conclude that intra-striatal IL-1ß decouples cortical neuronal activity from its haemodynamic response. This finding may have implications for neurological conditions where IL-1ß plays a part, especially those involving reductions in cerebral blood flow (such as stroke).
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Corpo Estriado/efeitos dos fármacos , Ritmo Gama/efeitos dos fármacos , Hemodinâmica/efeitos dos fármacos , Interleucina-1beta/farmacologia , Oxigênio/administração & dosagem , Córtex Somatossensorial/fisiologia , Análise de Variância , Animais , Circulação Cerebrovascular/fisiologia , Ritmo Gama/fisiologia , Hemodinâmica/fisiologia , Hemoglobinas/metabolismo , Imunoglobulina G/metabolismo , Masculino , Neutrófilos/metabolismo , Oxiemoglobinas/metabolismo , Estimulação Física , Ratos , Córtex Somatossensorial/efeitos dos fármacos , Análise Espectral , Vibrissas/inervaçãoRESUMO
Cerebral blood flow and oxygenation in the first few hours after reperfusion following ischemic stroke are critical for therapeutic interventions but are not well understood. We investigate changes in oxyhemoglobin (HbO2) concentration in the cortex during and after ischemic stroke, using multispectral optical imaging in anesthetized mice, a remote filament to induce either 30 minute middle cerebral artery occlusion (MCAo), sham surgery or anesthesia alone. Immunohistochemistry establishes cortical injury and correlates the severity of damage with the change of oxygen perfusion. All groups were imaged for 6 hours after MCAo or sham surgery. Oxygenation maps were calculated using a pathlength scaling algorithm. The MCAo group shows a significant drop in HbO2 during occlusion and an initial increase after reperfusion. Over the subsequent 6 hours HbO2 concentrations decline to levels below those observed during stroke. Platelets, activated microglia, interleukin-1α, evidence of BBB breakdown and neuronal stress increase within the stroked hemisphere and correlate with the severity of the delayed reperfusion deficit but not with the ΔHbO2 during stroke. Despite initial restoration of HbO2 after 30 min MCAo there is a delayed compromise that coincides with inflammation and could be a target for improved stroke outcome after thrombolysis.
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Barreira Hematoencefálica/fisiopatologia , Circulação Cerebrovascular , Reperfusão , Acidente Vascular Cerebral/fisiopatologia , Animais , Plaquetas/metabolismo , Barreira Hematoencefálica/metabolismo , Barreira Hematoencefálica/patologia , Infarto da Artéria Cerebral Média/metabolismo , Infarto da Artéria Cerebral Média/patologia , Infarto da Artéria Cerebral Média/fisiopatologia , Inflamação/metabolismo , Inflamação/patologia , Inflamação/fisiopatologia , Interleucina-1alfa/metabolismo , Masculino , Camundongos , Microglia/metabolismo , Oxigênio , Acidente Vascular Cerebral/metabolismo , Acidente Vascular Cerebral/patologia , Fatores de TempoRESUMO
OBJECTIVES: Healthy aging is associated with a decline in visuospatial working memory. The nature of the changes leading to this decline in response of the eye and/or hand is still under debate. This study aims to establish whether impairments observed in performance on cognitive tasks are due to actual cognitive effects or are caused by motor-related eye-hand coordination. METHODS: We implemented a computerized version of the Corsi span task. The eye and touch responses of healthy young and older adults were recorded to a series of remembered targets on a screen. RESULTS: Results revealed differences in fixation strategies between the young and the old with increasing cognitive demand, which resulted in higher error rates in the older group. We observed increasing reaction times and durations between fixations and touches to targets, with increasing memory load and delays in both the eye and the hand in the older adults. DISCUSSION: Our results show that older adults have difficulty maintaining a "preparatory set" for durations longer than 5 s and with increases in memory load. Attentional differences cannot account for our results, and differences in age groups appear to be principally memory related. Older adults reveal poorer eye-hand coordination, which is further confounded by increasing delay and complexity.
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Envelhecimento/fisiologia , Transtornos Cognitivos/fisiopatologia , Movimentos Oculares/fisiologia , Mãos/fisiologia , Memória de Curto Prazo/fisiologia , Desempenho Psicomotor/fisiologia , Memória Espacial/fisiologia , Adulto , Fatores Etários , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto JovemRESUMO
Visual scenes can be readily decomposed into a variety of oriented components, the processing of which is vital for object segregation and recognition. In primate V1 and V2, most neurons have small spatio-temporal receptive fields responding selectively to oriented luminance contours (first order), while only a subgroup of neurons signal non-luminance defined contours (second order). So how is the orientation of second-order contours represented at the population level in macaque V1 and V2? Here we compared the population responses in macaque V1 and V2 to two types of second-order contour stimuli generated either by modulation of contrast or phase reversal with those to first-order contour stimuli. Using intrinsic signal optical imaging, we found that the orientation of second-order contour stimuli was represented invariantly in the orientation columns of both macaque V1 and V2. A physiologically constrained spatio-temporal energy model of V1 and V2 neuronal populations could reproduce all the recorded population responses. These findings suggest that, at the population level, the primate early visual system processes the orientation of second-order contours initially through a linear spatio-temporal filter mechanism. Our results of population responses to different second-order contour stimuli support the idea that the orientation maps in primate V1 and V2 can be described as a spatial-temporal energy map.
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Sensibilidades de Contraste/fisiologia , Percepção de Forma/fisiologia , Macaca mulatta/fisiologia , Córtex Visual/fisiologia , Percepção Visual/fisiologia , Animais , Mapeamento Encefálico , Sinais (Psicologia) , Iluminação , Masculino , Neurônios/citologia , Neurônios/fisiologia , Imagem Óptica , Estimulação Luminosa , Córtex Visual/anatomia & histologiaRESUMO
PURPOSE: To investigate the relationship between neuroretinal rim (NRR) differential light absorption (DLA, a measure of spectral absorption properties) and visual field (VF) sensitivity in primary open-angle glaucoma (POAG). METHODS: Patients diagnosed with (n = 22) or suspected of having (n = 7) POAG were imaged with a multispectral system incorporating a modified digital fundus camera, 250-W tungsten-halogen lamp, and fast-tuneable liquid crystal filter. Five images were captured sequentially within 1.0 second at wavelengths selected according to absorption properties of hemoglobin (range, 570-610 nm), and a Beer-Lambert law model was used to produce DLA maps of residual NRR from the images. Patients also underwent VF testing. Differences in NRR DLA in vertically opposing 180° and 45° sectors either side of the horizontal midline were compared with corresponding differences in VF sensitivity on both decibel and linear scales by Spearman's rank correlation. RESULTS: The decibel VF sensitivity scale showed significant relationships between superior-inferior NRR DLA difference and sensitivity differences between corresponding VF areas in 180° NRR sectors (Spearman ρ = 0.68; P < 0.0001), superior-/inferior-temporal 45° NRR sectors (ρ = 0.57; P < 0.002), and superior-/inferior-nasal 45° NRR sectors (ρ = 0.59; P < 0.001). Using the linear VF sensitivity scale significant relationships were found for 180° NRR sectors (ρ = 0.62; P < 0.0002) and superior-inferior-nasal 45° NRR sectors (ρ = 0.53; P < 0.002). No significant difference was found between correlations using the linear or decibel VF sensitivity scales. CONCLUSIONS: Residual NRR DLA is related to VF sensitivity in POAG. Multispectral imaging may provide clinically important information for the assessment and management of POAG.
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Glaucoma de Ângulo Aberto/fisiopatologia , Luz , Fotografação/métodos , Testes de Campo Visual/métodos , Campos Visuais/fisiologia , Idoso , Idoso de 80 Anos ou mais , Humanos , Lasers , Pessoa de Meia-Idade , Modelos Biológicos , Disco Óptico/patologia , Disco Óptico/fisiologia , Fotografação/instrumentação , Células Ganglionares da Retina/patologia , Células Ganglionares da Retina/fisiologia , Limiar Sensorial/fisiologia , Testes de Campo Visual/instrumentaçãoRESUMO
PURPOSE: To correlate in vivo spatial and spectral morphologic changes of short- to long-pulse 532 nm Nd:YAG retinal laser lesions using Fourier-domain optical coherence tomography (FD OCT), autofluorescence (AF), fluorescein angiography (FA), and multispectral imaging. METHODS: Ten eyes with treatment-naive preproliferative or proliferative diabetic retinopathy were studied. A titration grid of laser burns at 20, 100, and 200 milliseconds was applied to the nasal retina and laser fluence titrated to produce four grades of laser lesion visibility: subvisible (SV), barely visible (BV, light-gray), threshold (TH, gray-white), and suprathreshold (ST, white). The AF, FA, FD-OCT, and multispectral imaging were performed 1 week before laser, and 1 hour, 4 weeks, and 3 and 6 months post-laser. Multispectral imaging measured relative tissue oxygen concentration. RESULTS: Laser burn visibility and lesion size increased in a linear relationship according to fixed fluence levels. At fixed pulse durations, there was a semilogarithmic increase in lesion size over 6 months. At 20 milliseconds, all grades of laser lesion were reduced significantly in size after 6 months: SV, 51%; BV, 54%; TH, 49%; and ST, 50% (P < 0.001), with retinal pigment epithelial proliferation and photoreceptor infilling. At 20 milliseconds, there was healing of photoreceptor inner segment/outer segment junction layers compared with 100- and 200-millisecond lesions. Significant increases in mean tissue oxygenation (range, four to six units) within the laser titration area and in oxygen concentration across the laser lesions (P < 0.01) were detected at 6 months. CONCLUSIONS: For patients undergoing therapeutic laser, there may be improved tissue oxygenation, higher predictability of burn morphology, and more spatial localization of healing responses of burns at 20 milliseconds compared with longer pulse durations over time.
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Retinopatia Diabética/diagnóstico , Retinopatia Diabética/cirurgia , Fotocoagulação a Laser , Lasers de Estado Sólido/uso terapêutico , Retina/patologia , Tomografia de Coerência Óptica , Adulto , Retinopatia Diabética/metabolismo , Angiofluoresceinografia , Seguimentos , Análise de Fourier , Hemoglobinas Glicadas/metabolismo , Humanos , Pessoa de Meia-Idade , Oftalmoscopia , Oxigênio/metabolismo , Consumo de Oxigênio , Projetos Piloto , Retina/metabolismoRESUMO
In the primate visual system, areas V1 and V2 distribute information they receive from the retina to all higher cortical areas, sorting this information into dorsal and ventral streams. Therefore, knowledge of the organization of projections between V1 and V2 is crucial to understand how the cortex processes visual information. In primates, parallel output pathways from V1 project to distinct V2 stripes. The traditional tripartite division of V1-to-V2 projections was recently replaced by a bipartite scheme, in which thin stripes receive V1 inputs from blob columns, and thick and pale stripes receive common input from interblob columns. Here, we demonstrate that thick and pale stripes, instead, receive spatially segregated V1 inputs and that the interblob is partitioned into two compartments: the middle of the interblob projecting to pale stripes and the blob/interblob border region projecting to thick stripes. Double-labeling experiments further demonstrate that V1 cells project to either thick or pale stripes, but rarely to both. We also find laminar specialization of V1 outputs, with layer 4B contributing projections mainly to thick stripes, and no projections to one set of pale stripes. These laminar differences suggest different contribution of magno, parvo, and konio inputs to each V1 output pathway. These results provide a new foundation for parallel processing models of the visual system by demonstrating four V1-to-V2 pathways: blob columns-to-thin stripes, blob/interblob border columns-to-thick stripes, interblob columns-to-pale(lateral) stripes, layer 2/3-4A interblobs-to-pale(medial) stripes.
Assuntos
Complexo IV da Cadeia de Transporte de Elétrons/metabolismo , Córtex Visual/anatomia & histologia , Córtex Visual/metabolismo , Animais , Callithrix , Feminino , Processamento de Imagem Assistida por Computador , Masculino , Modelos Neurológicos , Vias Neurais/anatomia & histologia , Vias Neurais/metabolismo , Marcadores do Trato Nervoso , Córtex Visual/enzimologiaRESUMO
Functional brain imaging methods are prone to contamination from global vascular artefacts. A variety of methods have been proposed to help segment functional from non-specific changes. Here we quantify the improvement in the signal to noise ratio (SNR) of functional maps, derived from intrinsic optical imaging studies of macaque visual cortex, through the application of Extended Spatial Decorrelation (ESD). The resulting independent component maps and their corresponding time courses reveal for the first time a fast vascular component in the haemodynamic response. ESD is a blind source separation algorithm that utilises spatial statistical features in brain images to separate the recorded mixed sources into independent components. We have investigated differential and single condition experiments using a variety of visual stimuli. To calculate the improvement of the SNR in decibel (dB) we back project separated components onto the original single trial data and analyse the corresponding Fourier spectrum. The application of ESD improved SNR in the functional brain maps from 0.52 to 16.88 dB on differential imaging data and from 1.69 to 12.83 dB in the case of single condition experiments. Analysing the independent components further we found that they can separate different functional compartments of the cortical vasculature. Some of the components, classified as arterial through slit spectroscopy, revealed a strong fast response to the stimulus onset/offset starting approximately 0.2 s after the change of the stimulus and reaching a peak after approximately 0.4 s. This fast haemodynamic response raises new questions concerning the spatial specificity of the so-called "initial dip".