Paolo Capotosto

Alzheimer's disease (AD) is the most frequent neurodegenerative disorder and cause of dementia along with aging. It is characterized by a pathological extracellular accumulation of amyloid-beta peptides that affects excitatory and inhibitory synaptic transmission. It also triggers aberrant patterns of neuronal circuit activity at the network level. Growing evidence shows that AD targets cortical neuronal networks related to cognitive functions including episodic memory and visuospatial attention. This is partially reflected by the abnormal mechanisms of cortical neural synchronization and coupling that generate resting state electroencephalographic (EEG) rhythms. The cortical neural synchronization is typically indexed by EEG power density. The EEG coupling between electrode pairs probes functional (inter-relatedness of EEG signals) and effective (casual effect from one over another electrode) connectivity. The former is typically indexed by EEG spectral coherence (linear) or sy...

A large amount of evidence suggests an involvement of the right hemisphere in lexical-semantic processing, but its specific contribution compared to the left hemisphere is not entirely clear. The present study investigated the contribution of both hemispheres to the semantic categorization process of words referring to typical and atypical exemplars. Transcranial Magnetic Stimulation (TMS) was used to interfere with the online activity of Wernicke's area and its right homologue during a verbal category membership task. The TMS delayed the responses to typical member nouns compared to the control condition, over both areas of interest. On the contrary, a delay in the responses to atypical member nouns was observed only when the right Wernicke's area was stimulated. Overall, these results indicate that while both hemispheres are involved in the categorization of typical exemplars, the right hemisphere specifically contributes to semantic categorization of atypical ones.

The authors delineated the time evolution of alpha event-related desynchronization over human frontal, parietal, and primary sensorimotor areas during the expectancy of a go/no-go task. The main issue under investigation was whether anticipatory processes impinged upon cortical areas in sequential or parallel mode. Compared with the control condition, in the experimental condition there was an Alpha 1 desynchronization over the central midline, an Alpha 2 desynchronization increasing over primary sensorimotor areas, and an Alpha 3 desynchronization increasing in parallel over bilateral primary sensorimotor areas. These processes had different temporal features. Results disclose an anticipatory activity of central midline areas and primary sensorimotor areas in both parallel and sequential modes. This reflects an adaptive, energy-consuming strategy rather than an economic waiting for the go stimulus.

We tested whether cortical activation anticipating painful stimuli is reduced more by integrative processes on somatosensory painful and motor information relative to the same hand than when that information refers to different hands. In 3 conditions, visual warning stimuli were followed by visual target stimuli associated with an electrical painful stimulation at left index finger. In the Pain (control) condition, no task was required after the target stimuli. In the "Pain + ipsilateral movement" condition, the subjects had to perform a movement of the left index finger. In the "Pain + contralateral movement" condition, they had to perform a movement of the right index finger. Meanwhile, electroencephalographic data were recorded (n = 18) from 128 scalp electrodes. Off line, these data were spatially enhanced by surface Laplacian transformation. Sensorimotor cortical activation before the painful stimulation was probed by the percentage power reduction of alpha rhythms at approximately 8 to 12 Hz (event-related desynchronization, ERD). Results showed that the subjects perceived a lower stimulus intensity in both "Pain + ipsilateral" and "Pain + contralateral" conditions compared with the control "Pain" condition. Furthermore, wide anticipatory alpha ERD (approximately 10-12 Hz) was lower in amplitude in the "Pain…

Pain sensation is characterized by multiple features that allow to differentiate pricking, burning, aching, stinging, and electrical shock. These features are sub-served by neural pathways that might give flexibility and selectivity to the cerebral anticipatory processes. In this line, the present high-resolution electroencephalography (EEG) study tested the hypothesis that the anticipatory cortical processes are stronger for painful thermal (biologically relevant) than electrical ("artificial") stimuli with similar intensity. EEG data (128 electrodes) were recorded in normal subjects during the expectancy of painful electrical or laser stimuli (visual omitted stimulus paradigm; interval between two painful stimuli: 16s), delivered over the median nerve region of the right arm (nonpainful stimuli as controls). After each stimulus, the subject reported the perceived stimulus intensity. Surface Laplacian estimation of the EEG data spatially enhanced the anticipatory stimulus-preceding negativity (SPN), which reflects motivational relevance of the stimulus. Subjects perceived no difference in the intensity of the electrical versus laser stimuli in both painful and nonpainful conditions. However, the anticipatory SPN appeared over large scalp regions before painful laser but not electrical stimulation. The same was true for the nonpainful stimulations. The present results suggest that the motivational anticipatory cortical processes are induced by nonpainful and painful biologically/ecologically relevant laser stimuli rather than by "artificial" electrical stimuli with similar intensity.

It is well known that scalp potentials evoked by nonpainful visual and auditory stimuli are enhanced in amplitude when preceded by pre-stimulus low-amplitude alpha rhythms. This study tested the hypothesis that the same holds for the amplitude of vertex N2-P2 potentials evoked by brief noxious laser stimuli, an issue of interest for clinical perspective. EEG data were recorded in 10 subjects from 30 electrodes during laser noxious stimulation. The artifact-free vertex N2-P2 complex was spatially enhanced by surface Laplacian transformation. Pre-stimulus alpha power was computed at three alpha sub-bands according to subject's individual alpha frequency peak (i.e. about 6-8Hz for alpha 1, 8-10Hz for alpha 2 and 10-12Hz for alpha 3 sub-band). Individual EEG single trials were divided in two sub-groups. The strong-alpha sub-group (high band power) included halfway of all EEG single trials, namely those having the highest pre-stimulus alpha power. Weak-alpha sub-group (low band power) included the remaining trials. Averaging procedure provided laser evoked potentials for both trial sub-groups. No significant effect was found for alpha 1 and alpha 2 sub-bands. Conversely, compared to strong-alpha 3 sub-group, weak-alpha 3 sub-group showed vertex N2-P2 potentials having significantly higher amplitude (p<0.05). These results extend to the later phases of pain processing systems the notion that generation mechanisms of pre-stimulus alpha rhythms and (laser) evoked potentials are intrinsically related and subjected to fluctuating "noise". That "noise" could explain the trial-by-trial variability of laser evoked potentials and perception.

It is well known that synchronization of cortical neurons is modulated ("gating") by the chronological interaction between somatosensory and sensorimotor events. This study tested the hypothesis that the anticipatory processes for this interaction increase the synchronization of cortical neurons as revealed by negative event-related potentials (contingent negative variation, CNV). High-resolution electroencephalographic data (128 electrodes) were recorded in 14 subjects. In the "sensorimotor interaction" condition, the subjects were waiting for a galvanic somatosensory stimulation at the left hand concomitant with a Go or NoGo stimulus (50% of Go trials triggering right hand movements). In the control condition, the Go/NoGo stimulus followed the somatosensory stimulation of 1.5s. The electroencephalographic data were spatially enhanced by surface Laplacian estimation. In the control condition, the CNV was observed only in the foreperiod between the somatosensory stimulation and Go/NoGo task (i.e. no CNV before the somatosensory stimuli). It was spatially localized in the primary sensorimotor area contralateral to the possible motor response. In the "sensorimotor interaction" condition, the CNV preceded the concomitant somatosensory stimulation and Go/NoGo task and was distributed to the frontocentral midline other than the contralateral sensorimotor area. These results suggest that the anticipatory processes for sensorimotor interactions increase the synchronization of cortical neurons in the frontocentral midline, possibly due to mechanisms sub-serving top-down attentional processes.

It has been shown that concomitant painful stimulation and simple movement at the same hand is related to decreased anticipatory alpha event-related desynchronization (ERD) and reduced pain intensity, possibly due to the interference between somatosensory and motor information processing (Babiloni et al. [6]). Here, we tested the hypothesis that such interference also affects motor performance during sequential movements. Visual warning stimuli were followed by imperative stimuli associated to electrical painful stimulation at left or right middle finger; imperative stimuli triggered motor sequences with right index finger. Electroencephalographic data (N=10, 128 electrodes) were spatially enhanced by surface Laplacian transformation. Cortical activity as revealed by the alpha event-related desynchronization (ERD) was compared in "Pain+ipsilateral movement" condition (movements and painful stimuli performed at the right hand) vs. "Pain+contralateral movement" condition (painful stimuli at left hand and movements performed at the right hand). Results showed that compared with the "Pain+contralateral movement" condition, the "Pain+ipsilateral movement" condition induced lower anticipatory alpha ERD (about 10-12 Hz) in left sensorimotor area, lower subjective pain rate, and delayed movement initiation at the group level. These findings suggest that anticipatory alpha rhythms may underlie cortical preparatory sensorimotor processes preceding somatosensory painful and the initiation of sequential motor events occurring at unilateral or bilateral hand.

In the present high-resolution electroencephalographic (EEG) study, an omitted-stimulus paradigm induced a strong expectancy for a predictable painful stimulation (nonpainful in the control condition). During the expectancy of pain, concurrent cognitive demands were superimposed. The aim was to investigate the effects on primary sensorimotor and central midline areas of the competition among concurrent attentional processes related to cognition and pain expectancy, as indexed by behavioral performance and EEG data. A main issue was whether cognitive performance decreases, due to a re-allocation of attentional resources on primary sensorimotor and midline areas for the anticipation of pain. Behavioral results showed no differences in the cognitive (working memory) performance during the expectancy of nonpainful versus painful stimulations. In parallel, anticipatory event-related potentials (ERPs) were negligible in line with a low emotional reactivity/alertness as revealed by heart rate deceleration (HRD), skin conductance response (SCR), and low-band (6-10Hz) alpha EEG oscillations. In contrast, high-band alpha EEG oscillations (10-12Hz) over the contralateral primary sensorimotor cortex decreased more during the expectancy of painful compared to nonpainful stimuli, in line with an increased anticipatory preparation of the somatosensory channel. These findings provide further evidence on the fact that attentional processes at the basis of cognition can be defended by the anticipation of pain, at least when the incoming painful stimuli are repetitive and predictable. This happens even if the brain increases preparatory processes of the specific sensory channel to be targeted by the painful stimulus.

This high-resolution electroencephalographic (EEG) study on alpha event-related desynchronization (ERD) evaluated whether anticipatory activity precedes a sensorimotor interaction induced by concomitant painful stimuli and sensorimotor demand. An omitted-stimulus paradigm induced the expectancy of the painful stimulation at the left hand. In the experimental condition, the painful stimulation was associated with a visual go/no-go task triggering right-hand movements. Two control conditions manipulated the painful sensorimotor interaction variable. Compared with the control conditions, the expectancy of the painful sensorimotor interaction increased the high-band alpha EEG oscillations over the right primary sensorimotor cortex contralateral to the nociceptive stimuli and, to a lesser extent, over the centroparietal midline. These findings suggest that concomitant painful stimuli and simple sensorimotor go/no-go demands affect anticipatory activity as revealed by alpha ERD.