Temporal lobe

颞叶
  • 文章类型: Journal Article
    人类大脑的语言网络在额叶下皮层和上/中颞叶皮层具有核心组成部分,在大多数人的左半球占主导地位。这些新皮质区域的功能专业化和相互连通性可能反映在它们的分子和细胞谱中。皮层区域之间的兴奋连接根据层特定的模式出现并神经支配。这里,我们从核心语言网络区域的人类死后皮质组织样本中生成了一个基因表达数据集,使用空间转录组学区分皮质层的基因表达。将这些数据与现有的单细胞表达数据整合,确定了56个基因,这些基因显示了额叶和颞叶语言皮层之间的层状表达谱差异,以及II/III层和/或V/VI层兴奋性神经元的上调。根据大规模全基因组筛查的数据,这56个基因中的DNA变异显示了与左半球额叶和颞叶语言皮层之间结构连接的个体间变异的集合水平关联,以及与大脑相关的障碍阅读障碍和精神分裂症,这些障碍通常涉及受影响的语言。这些发现将层状基因表达的特定区域模式确定为大脑语言网络的特征。
    The language network of the human brain has core components in the inferior frontal cortex and superior/middle temporal cortex, with left-hemisphere dominance in most people. Functional specialization and interconnectivity of these neocortical regions is likely to be reflected in their molecular and cellular profiles. Excitatory connections between cortical regions arise and innervate according to layer-specific patterns. Here, we generated a gene expression dataset from human postmortem cortical tissue samples from core language network regions, using spatial transcriptomics to discriminate gene expression across cortical layers. Integration of these data with existing single-cell expression data identified 56 genes that showed differences in laminar expression profiles between the frontal and temporal language cortex together with upregulation in layer II/III and/or layer V/VI excitatory neurons. Based on data from large-scale genome-wide screening in the population, DNA variants within these 56 genes showed set-level associations with interindividual variation in structural connectivity between the left-hemisphere frontal and temporal language cortex, and with the brain-related disorders dyslexia and schizophrenia which often involve affected language. These findings identify region-specific patterns of laminar gene expression as a feature of the brain\'s language network.
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  • 文章类型: Journal Article
    颞叶前叶(ATL)的功能重要性在两个活跃的,尽管没有联系的文献-(i)面部识别和(ii)语义记忆。要生成ATL的统一帐户,我们测试了每个文献的预测,并检查了双边和单边ATL损伤对人脸识别的影响,人的知识,和语义记忆。语义性痴呆(SD)导致双侧ATL萎缩的16人,17人单侧ATL切除颞叶癫痫(TLE;左=10,右=7),14个控件完成了评估感知面部匹配的任务,人的知识和一般的语义记忆。患有SD的人在所有语义任务中都受到损害,包括人的知识。尽管ATL的总损坏相应,单侧切除产生轻度损伤,左侧和右侧ATL切除术之间的差异最小。在SD和右侧TLE中,面部匹配性能得到了很大程度的保留,但略有降低。所有组都在面部匹配中显示熟悉效果;但是,它在SD和右TLE中减少,并且与所有参与者的项目特异性语义知识水平一致.我们提出了一个神经认知框架,借此ATL支持支持语义记忆的弹性双边表示系统,人的知识和面部识别。
    The functional importance of the anterior temporal lobes (ATLs) has come to prominence in two active, albeit unconnected literatures-(i) face recognition and (ii) semantic memory. To generate a unified account of the ATLs, we tested the predictions from each literature and examined the effects of bilateral versus unilateral ATL damage on face recognition, person knowledge, and semantic memory. Sixteen people with bilateral ATL atrophy from semantic dementia (SD), 17 people with unilateral ATL resection for temporal lobe epilepsy (TLE; left = 10, right = 7), and 14 controls completed tasks assessing perceptual face matching, person knowledge and general semantic memory. People with SD were impaired across all semantic tasks, including person knowledge. Despite commensurate total ATL damage, unilateral resection generated mild impairments, with minimal differences between left- and right-ATL resection. Face matching performance was largely preserved but slightly reduced in SD and right TLE. All groups displayed the familiarity effect in face matching; however, it was reduced in SD and right TLE and was aligned with the level of item-specific semantic knowledge in all participants. We propose a neurocognitive framework whereby the ATLs underpin a resilient bilateral representation system that supports semantic memory, person knowledge and face recognition.
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  • 文章类型: Journal Article
    背景:精神病涉及思想内容的扭曲,这在一定程度上以异常的方式反映出来,即单词在语义上与语音中的话语联系在一起。我们试图探索这些语言异常是如何通过大脑语义网络中假定的电路级异常来实现的。
    方法:使用计算大语言模型,来自变压器(BERT)的双向编码器表示,我们量化了180个样本中给定单词序列(困惑)的上下文期望度,这些样本是从首发精神分裂症(FES)患者和年龄匹配的对照对3张图片的描述中获得的,父母的社会地位,和性,用7T超高场功能磁共振成像(fMRI)扫描。随后,困惑被用来参数化一个频谱动态因果模型(DCM)的有效连通性内(内在)和(外在)4个关键区域之间的语义网络在休息,即颞叶,额下回(IFG),颞中后回(MTG),还有角回.
    结果:我们包括60名参与者,包括30名FES患者和30名对照。我们在FES组中观察到更高的困惑,这表明通过先前的上下文,患者之间的言语是不可预测的。贝叶斯模型比较的结果表明,包括该组的DCM通过困惑相互作用最好地解释了神经活动的基本模式。我们观察到IFG内自我抑制有效连接的增加,以及pMTG内的自我抑制音调降低,在FES组。IFG中自我抑制音调的增加与IFG和后部MTG之间的区域间激发密切相关且呈正相关,而后部MTG的自我抑制与这种区域间激发呈负相关。
    结论:我们的设计在有选择地激活语义网络的任务期间没有解决语义网络中的连接问题,这可以证实这项静息状态fMRI研究的发现。此外,我们没有进行复制研究,理想情况下使用不同语言的语音。
    结论:作为对精神病中特殊言语的解释,这些结果指示了整个语义网络中调节信息流的兴奋-抑制性平衡的转变,仅限于以前与含义的执行控制特别相关的两个区域。基于我们将大型语言模型与因果连通性估计相结合的方法,我们认为语义控制的丧失是导致精神病混乱的潜在神经认知机制。
    BACKGROUND: Psychosis involves a distortion of thought content, which is partly reflected in anomalous ways in which words are semantically connected into utterances in speech. We sought to explore how these linguistic anomalies are realized through putative circuit-level abnormalities in the brain\'s semantic network.
    METHODS: Using a computational large-language model, Bidirectional Encoder Representations from Transformers (BERT), we quantified the contextual expectedness of a given word sequence (perplexity) across 180 samples obtained from descriptions of 3 pictures by patients with first-episode schizophrenia (FES) and controls matched for age, parental social status, and sex, scanned with 7 T ultra-high field functional magnetic resonance imaging (fMRI). Subsequently, perplexity was used to parametrize a spectral dynamic causal model (DCM) of the effective connectivity within (intrinsic) and between (extrinsic) 4 key regions of the semantic network at rest, namely the anterior temporal lobe, the inferior frontal gyrus (IFG), the posterior middle temporal gyrus (MTG), and the angular gyrus.
    RESULTS: We included 60 participants, including 30 patients with FES and 30 controls. We observed higher perplexity in the FES group, indicating that speech was less predictable by the preceding context among patients. Results of Bayesian model comparisons showed that a DCM including the group by perplexity interaction best explained the underlying patterns of neural activity. We observed an increase of self-inhibitory effective connectivity within the IFG, as well as reduced self-inhibitory tone within the pMTG, in the FES group. An increase in self-inhibitory tone in the IFG correlated strongly and positively with inter-regional excitation between the IFG and posterior MTG, while self-inhibition of the posterior MTG was negatively correlated with this interregional excitation.
    CONCLUSIONS: Our design did not address connectivity in the semantic network during tasks that selectively activated the semantic network, which could corroborate findings from this resting-state fMRI study. Furthermore, we do not present a replication study, which would ideally use speech in a different language.
    CONCLUSIONS: As an explanation for peculiar speech in psychosis, these results index a shift in the excitatory-inhibitory balance regulating information flow across the semantic network, confined to 2 regions that were previously linked specifically to the executive control of meaning. Based on our approach of combining a large language model with causal connectivity estimates, we propose loss in semantic control as a potential neurocognitive mechanism contributing to disorganization in psychosis.
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  • 文章类型: Journal Article
    老年人的情景记忆是多种多样的,并且被认为依赖于突触或树突棘的数量。我们分析了来自宗教秩序研究和拉什记忆与衰老项目的128名老年人中的2157个神经元。通过最小绝对收缩和选择算子回归和嵌套模型交叉验证对55,521个个体树突棘进行分析,发现颞叶皮质中的树突棘头径,但不是运动前皮层,在包含β淀粉样蛋白斑块评分的模型中改进了对情景记忆性能的预测,神经原纤维缠结病理,和性爱。这些发现支持了新兴的假设,在颞叶皮层,突触强度比老年记忆的数量更重要。
    Episodic memory in older adults is varied and perceived to rely on numbers of synapses or dendritic spines. We analyzed 2157 neurons among 128 older individuals from the Religious Orders Study and Rush Memory and Aging Project. Analysis of 55,521 individual dendritic spines by least absolute shrinkage and selection operator regression and nested model cross-validation revealed that the dendritic spine head diameter in the temporal cortex, but not the premotor cortex, improved the prediction of episodic memory performance in models containing β amyloid plaque scores, neurofibrillary tangle pathology, and sex. These findings support the emerging hypothesis that, in the temporal cortex, synapse strength is more critical than quantity for memory in old age.
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  • 文章类型: Journal Article
    目的: 探讨颅内孤立性皮质静脉血栓形成(ICVT)的临床病理特征、诊断及鉴别诊断。 方法: 回顾性收集首都医科大学附属北京天坛医院颅内ICVT患者5例的临床症状、影像学表现、病理形态学特点以及治疗和随访情况。 结果: 5例颅内ICVT患者,男性2例,女性3例,年龄20~59岁。主要症状为头痛和症状性癫痫。颅脑磁共振成像检查显示,病变局限在颞叶或额叶,个别病例出现强化及周围脑水肿。实验室检查表现为血浆蛋白C活性降低、血脂增高、D-二聚体增高、促红细胞生成素增高等。病理镜下主要表现为ICVT和出血性脑梗死。梗死灶及周围神经元出现变性和核固缩。免疫组织化学染色显示血栓周围脑梗死灶边缘胶质细胞增生,梗死灶内轴索缺失。特殊染色清晰地勾勒出伴有血栓形成的皮质浅静脉结构。 结论: 颅内ICVT伴出血性脑梗死的诊断具有挑战性,需要联合实验室检查、影像学和病理形态学表现。.
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  • 文章类型: Journal Article
    情感体验可以深刻地影响我们对世界的概念模型,修改我们如何表示和记住许多信息,甚至间接地与过去所经历的信息相关联。然而,新的情感体验如何在预先存在的语义知识结构中渗透和传播(例如,类别)未知。我们在功能磁共振成像(n=35)中使用了改良的厌恶性感觉预处理范式,以调查威胁记忆是否与预先建立的类别相结合以改变整个类别的表示。我们观察到杏仁核中概念相关项目的代表性有选择性但短暂的变化,内侧前额叶皮质,和枕颞叶皮层后的威胁条件为一个简单的线索(几何形状)预先与不同的,但相关,一组类别样本。这些代表性的变化在海马和周围皮层中持续超过24小时。在威胁条件化期间重新激活语义类别,结合海马或内侧前额叶皮层的激活,在测试中可以预测随后的杏仁核对新类别成员的反应性。这为在线将情感体验整合到语义类别中提供了证据,然后促进威胁泛化。行为上,通过代理选择性和追溯性地增强了识别记忆,并增加了与威胁间接相关的语义类别的感知典型性。这些发现详细说明了一条复杂的路线,通过该路线,新的情感学习可以通过修改随着时间的推移而建立并作为概念知识存储在内存中的语义结构来推广。
    Emotional experiences can profoundly impact our conceptual model of the world, modifying how we represent and remember a host of information even indirectly associated with that experienced in the past. Yet, how a new emotional experience infiltrates and spreads across pre-existing semantic knowledge structures (e.g., categories) is unknown. We used a modified aversive sensory preconditioning paradigm in fMRI (n = 35) to investigate whether threat memories integrate with a pre-established category to alter the representation of the entire category. We observed selective but transient changes in the representation of conceptually related items in the amygdala, medial prefrontal cortex, and occipitotemporal cortex following threat conditioning to a simple cue (geometric shape) pre-associated with a different, but related, set of category exemplars. These representational changes persisted beyond 24 h in the hippocampus and perirhinal cortex. Reactivation of the semantic category during threat conditioning, combined with activation of the hippocampus or medial prefrontal cortex, was predictive of subsequent amygdala reactivity toward novel category members at test. This provides evidence for online integration of emotional experiences into semantic categories, which then promotes threat generalization. Behaviorally, threat conditioning by proxy selectively and retroactively enhanced recognition memory and increased the perceived typicality of the semantic category indirectly associated with threat. These findings detail a complex route through which new emotional learning generalizes by modifying semantic structures built up over time and stored in memory as conceptual knowledge.
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  • 文章类型: Journal Article
    名词和动词是语言的基本语法组成部分。一个关键问题是在大脑中是否以及在何处表示名词-动词划分。以前的研究主要使用单变量分析来研究这个问题。然而,单变量分析中激活脑区的解释可能与一般认知过程和/或混杂变量相混淆.我们通过对具有不同可想象性水平的汉语名词和动词进行部分表示相似性分析(RSA)来解决这些局限性。要求参与者在进行功能磁共振成像时完成1回语法类探针(GCP;显式测量)和1回单词探针(WP;隐式测量)任务。RSA结果表明,在消除了潜在的混杂变量后,左后颞中回(LpMTG)的激活模式与GCP任务中的语法类别代表性差异矩阵显着相关。此外,LpMTG与动词激活的额叶-顶叶区域不重叠名词或任务效果(CRP与WP)在单变量分析中。这些结果强调了LpMTG在区分名词和动词而不是一般认知过程中的作用。
    Nouns and verbs are fundamental grammatical building blocks of languages. A key question is whether and where the noun-verb division was represented in the brain. Previous studies mainly used univariate analyses to examine this issue. However, the interpretation of activated brain regions in univariate analyses may be confounded with general cognitive processing and/or confounding variables. We addressed these limitations by using partial representation similarity analysis (RSA) of Chinese nouns and verbs with different levels of imageability. Participants were asked to complete the 1-back grammatical class probe (GCP; an explicit measure) and the 1-back word probe (WP; an implicit measure) tasks while undergoing functional magnetic resonance imaging. RSA results showed that the activation pattern in the left posterior middle temporal gyrus (LpMTG) was significantly correlated with the grammatical class representational dissimilarity matrix in the GCP task after eliminating the potential confounding variables. Moreover, the LpMTG did not overlap with the frontal-parietal regions that were activated by verbs vs. nouns or the task effect (CRP vs. WP) in univariate analyses. These results highlight the role of LpMTG in distinguishing nouns from verbs rather than general cognitive processing.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    这是随机的,交叉,假对照研究探索了源监测的神经基础,与精神分裂症有关的关键认知过程。左颞上回(STG)和背外侧前额叶(DLPFC)是重点区域。30名没有神经或心理障碍的参与者接受了离线假手术和主动tDCS会话,并采用针对左侧STG和DLPFC的特定电极蒙太奇。源监控任务,现实监控(Hear-Imagine),内部源监控(Say-Imagine),和外部源监控(虚拟-真实)进行管理。使用Graphpad版本10.1.0进行配对t检验和估计统计。Benjamini-Hochberg程序用于控制多重假设检验中的错误发现率。观察到内部源监视任务的显着改善(p=0.001,Cohen'sd=0.97),但现实监测任务表现出适度的改善(p=0.02,科恩的d=0.44)。该研究提供了对健康个体源监测的神经机制的见解,并提出了tDCS作为治疗干预,为完善tDCS方案和开发个性化方法以解决精神分裂症源监测缺陷的未来研究奠定基础。
    This randomised, crossover, sham-controlled study explored the neural basis of source-monitoring, a crucial cognitive process implicated in schizophrenia. Left superior temporal gyrus (STG) and dorsolateral prefrontal cortex (DLPFC) were the key focus areas. Thirty participants without neurological or psychological disorders underwent offline sham and active tDCS sessions with specific electrode montage targeting the left STG and DLPFC. Source-monitoring tasks, reality monitoring (Hear-Imagine), internal source-monitoring (Say-Imagine), and external source monitoring (Virtual-Real) were administered. Paired t-test and estimation statistics was performed with Graphpad version 10.1.0. The Benjamini-Hochberg procedure was employed to control the false discovery rate in multiple hypothesis testing. A significant improvement in internal source monitoring tasks (p = 0.001, Cohen\'s d = 0.97) was observed, but reality monitoring tasks demonstrated moderate improvement (p = 0.02, Cohen\'s d = 0.44). The study provides insights into the neural mechanisms of source monitoring in healthy individuals and proposes tDCS as a therapeutic intervention, laying the foundation for future studies to refine tDCS protocols and develop individualized approaches to address source monitoring deficits in schizophrenia.
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  • 文章类型: Case Reports
    背景:弹性癫痫(GS)是一种罕见的癫痫类型,最常见于下丘脑错构瘤患者。它很少与其他类型的脑损伤有关。这种特殊类型的癫痫相对罕见,与其他脑部病变的联系很少。颞叶软化症主要由脑梗塞或脑出血引起,会导致癫痫发作.我们报道了一名患有颞叶软化症的女性的GS病例,这是文献中首次报道的。
    方法:一位73岁的女性,诊断为GS的病例,在演讲前一个月出现重复刻板的笑声,每天发生多次,每次持续5-15秒。脑电图显示在右颞区可见局灶性癫痫发作。增强磁共振成像头显示右颞叶软化。患者开始每天服用左乙拉西坦。患者表示他们已经完全康复,并且在日常生活中没有经历任何反复或刻板的笑声。即使经过一年的随访,这些结果仍然保持一致。
    结论:GS可由颞叶软化症引起,这是一种罕见但潜在严重的情况。本案的结果表明颞叶在GS发生中的重要性。
    BACKGROUND: Gelastic seizure (GS) is a rare type of epilepsy that most commonly appears in patients with hypothalamic hamartoma. It is rarely associated with other types of brain damage. This particular type of epilepsy is relatively rare and has few links to other brain lesions. Temporal lobe malacia is mostly caused by cerebral infarction or cerebral hemorrhage, which can lead to seizures. We report a case of GS in a woman with temporal lobe malacia which was reported for the first time in the literature.
    METHODS: A 73-year-old female, diagnosed case of GS, presented with repetitive stereotyped laughter a month prior to presentation, happening multiple times daily and with each time lasting for 5-15s. Electroencephalogram displayed a focal seizure seen in the right temporal region. Magnetic resonance imaging head with contrast showed a right temporal lobe malacia. The patient was started on levetiracetam daily. The patient indicated that they had fully recovered and were not experiencing any recurrent or stereotyped laughter during their daily routines. These results remained consistent even after a one-year follow-up period.
    CONCLUSIONS: GS can be caused by temporal lobe malacia, which is an uncommon but potentially grave condition. The outcome of this present case exhibited the importance of the temporal lobe in the genesis of GS.
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