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Dopaminergic modulation and dosage effects on brain state dynamics and working memory component processes in Parkinson’s disease
Parkinson’s disease (PD) is primarily diagnosed through its characteristic motor deficits, yet it also encompasses progressive cognitive impairments that profoundly affect quality of life. While dopaminergic medications are routinely prescribed to manage motor symptoms in PD, their influence extends to cognitive functions as well. Here we investigate how dopaminergic medication influences aberrant brain circuit dynamics associated with encoding, maintenance and retrieval working memory (WM) task-phases processes. PD participants, both on and off dopaminergic medication, and healthy controls, performed a Sternberg WM task during fMRI scanning. We employ a Bayesian state-space computational model to delineate brain state dynamics related to different task phases. Importantly, a within-subject design allows us to examine individual differences in the effects of dopaminergic medication on brain circuit dynamics and task performance. We find that dopaminergic medication alters connectivity within prefrontal-basal ganglia-thalamic circuits, with changes correlating with enhanced task performance. Dopaminergic medication also restores engagement of task-phase-specific brain states, enhancing task performance. Critically, we identify an “inverted-U-shaped” relationship between medication dosage, brain state dynamics, and task performance. Our study provides valuable insights into the dynamic neural mechanisms underlying individual differences in dopamine treatment response in PD, paving the way for more personalized therapeutic strategies.
Self-reports map the landscape of task states derived from brain imaging
Psychological states influence our happiness and productivity; however, estimates of their impact have historically been assumed to be limited by the accuracy with which introspection can quantify them. Over the last two decades, studies have shown that introspective descriptions of psychological states correlate with objective indicators of cognition, including task performance and metrics of brain function, using techniques like functional magnetic resonance imaging (fMRI). Such evidence suggests it may be possible to quantify the mapping between self-reports of experience and objective representations of those states (e.g., those inferred from measures of brain activity). Here, we used machine learning to show that self-reported descriptions of experiences across tasks can reliably map the objective landscape of task states derived from brain activity. In our study, 194 participants provided descriptions of their psychological states while performing tasks for which the contribution of different brain systems was available from prior fMRI studies. We used machine learning to combine these reports with descriptions of brain function to form a ‘state-space’ that reliably predicted patterns of brain activity based solely on unseen descriptions of experience (N = 101). Our study demonstrates that introspective reports can share information with the objective task landscape inferred from brain activity.
Integrating single-cell RNA and T cell/B cell receptor sequencing with mass cytometry reveals dynamic trajectories of human peripheral immune cells from birth to old age
A comprehensive understanding of the evolution of the immune landscape in humans across the entire lifespan at single-cell transcriptional and protein levels, during development, maturation and senescence is currently lacking. We recruited a total of 220 healthy volunteers from the Shanghai Pudong Cohort (NCT05206643), spanning 13 age groups from 0 to over 90 years, and profiled their peripheral immune cells through single-cell RNA-sequencing coupled with single T cell and B cell receptor sequencing, high-throughput mass cytometry, bulk RNA-sequencing and flow cytometry validation experiments. We revealed that T cells were the most strongly affected by age and experienced the most intensive rewiring in cell–cell interactions during specific age. Different T cell subsets displayed different aging patterns in both transcriptomes and immune repertoires; examples included GNLY+CD8+ effector memory T cells, which exhibited the highest clonal expansion among all T cell subsets and displayed distinct functional signatures in children and the elderly; and CD8+ MAIT cells, which reached their peaks of relative abundance, clonal diversity and antibacterial capability in adolescents and then gradually tapered off. Interestingly, we identified and experimentally verified a previously unrecognized ‘cytotoxic’ B cell subset that was enriched in children. Finally, an immune age prediction model was developed based on lifecycle-wide single-cell data that can evaluate the immune status of healthy individuals and identify those with disturbed immune functions. Our work provides both valuable insights and resources for further understanding the aging of the immune system across the whole human lifespan.
A mechanics-informed machine learning framework for traumatic brain injury prediction in police and forensic investigations
Police forensic investigations are not immune to our society’s ubiquitous search for better predictive ability. In the particular and very topical case of Traumatic Brain Injury (TBI), police forensic investigations aim at evaluating whether a given impact or assault scenario led to the clinically observed TBI. This question is traditionally answered by means of forensic biomechanics and neurosurgical expertise which cannot provide a fully objective probabilistic measure. To this end, we propose here a numerical framework-based solution coupling biomechanical simulations of a variety of injurious impacts to machine learning training of police reports provided by the UK’s Thames Valley Police and the National Crime Agency’s National Injury Database. In this approach, the biomechanical predictions of mechanical metrics such as strain and stress distributions are interpreted by the machine learning model by additionally considering assault specific metadata to predict brain injury outcomes. The framework, only taking as input information typically available in police reports, reaches prediction accuracies exceeding 94% for skull fracture, 79% for loss of consciousness and intracranial haemorrhage, and is able to identify the best predictive features for each targeted injury. Overall, the proposed framework offers new avenues for the prediction, directly from police reports, of any TBI related symptom as required by forensic law enforcement investigations.
Array of micro-epidermal actuators for noninvasive pediatric flexible conductive hearing aids
Corrective surgeries and implantable aids are highly invasive for pediatric patients with conductive hearing loss. Flexible hearing aids are a noninvasive solution to address pediatric hearing loss. These aids generate vibrations on epidermal layer of skin behind the ear using micro-epidermal actuators to bypass the auditory canal. However, the major challenge is to generate a strong level of vibrations that can reach cochlea. Here, we designed, fabricated, and characterized arrays of micro-epidermal actuators to increase the vibration level from the flexible aids, improve frequency response and control the directionality of vibrations. Our human subject study showed that the flexible hearing aid with an array of actuators improved the hearing threshold by an average of 13.8 dB at 500 Hz, compared to a device with a single actuator. Also, the flexible aid with two actuators enhanced the hearing threshold by 30.5 dB at 1 kHz and 20.5 dB across 0.25–8 kHz versus unaided hearing.
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