Visual cortical γ-aminobutyric acid and perceptual suppression in amblyopia.

In amblyopia, abnormal visual experience during development leads to an enduring loss of visual acuity in adulthood. Physiological studies in animal models suggest that intracortical GABAergic inhibition may mediate visual deficits in amblyopia. To better understand the relationship between visual cortical γ-aminobutyric acid (GABA) and perceptual suppression in persons with amblyopia (PWA), we employed magnetic resonance spectroscopy (MRS) to quantify GABA levels in both PWA and normally-sighted persons (NSP). In the same individuals, we obtained psychophysical measures of perceptual suppression for a variety of ocular configurations. In PWA, we found a robust negative correlation between the depth of amblyopia (the difference in visual acuity between the amblyopic and non-amblyopic eyes) and GABA concentration that was specific to visual cortex and was not observed in a sensorimotor cortical control region. Moreover, lower levels of visual cortical GABA were associated with weaker perceptual suppression of the fellow eye by the amblyopic eye and stronger suppression of the amblyopic eye by the fellow eye. Taken together, our findings provide evidence that intracortical GABAergic inhibition is an important component of the pathology of human amblyopia and suggest possible therapeutic interventions to restore vision in the amblyopic eye through enhancement of visual cortical GABAergic signaling in PWA.

Cognitive Flexibility Improves Memory for Delayed Intentions.

The ability to delay the execution of a goal until the appropriate time, prospective memory (PM), can be supported by the following two different cognitive control strategies: proactive control involving working memory maintenance of the goal and active monitoring of the environment; or reactive control relying on timely retrieval of goal information from episodic memory. Certain situations tend to favor each strategy, but the manner in which individuals adjust their strategy in response to changes in the environment is unknown. Across two experiments, human participants performed a delayed-recognition PM task embedded in an ongoing visual search task that fluctuated in difficulty. A control strategy was identified from moment to moment using reaction time costs and fMRI measures of goal maintenance. We found that people fluidly modified control strategies in accordance with changes in task demands (e.g., shifting toward proactive control when task difficulty decreased). This cognitive flexibility proved adaptive as it was associated with improved PM performance.