Motor functions of the Broca's region

Broca's region in the dominant cerebral hemisphere is known to mediate the production of language but also contributes to comprehension. This region evolved only in humans and is constituted of Brodmann's areas 44 and 45 in the inferior frontal gyrus. There is, however, evidence that Broca's region overlaps, at least in part, with the ventral premotor cortex. We summarize the evidence that the motor related part of Broca's area is localized in the opercular portion of the inferior frontal cortex, mainly in area 44 of Brodmann. According to our own data, there seems to be a homology between Brodmann area 44 in humans and the monkey area F5. The non-language related motor functions of Broca's region comprise complex hand movements, associative sensorimotor learning and sensorimotor integration. Brodmann's area 44 is also a part of a specialized parieto-premotor network and interacts significantly with the neighboring premotor areas.     

The mirror neuron system and action recognition

Mirror neurons, first described in the rostral part of monkey ventral premotor cortex (area F5), discharge both when the animal performs a goal-directed hand action and when it observes another individual performing the same or a similar action. More recently, in the same area mirror neurons responding to the observation of mouth actions have been also found. In humans, through an fMRI study, it has been shown that the observation of actions performed with the hand, the mouth and the foot leads to the activation of different sectors of Broca's area and premotor cortex, according to the effector involved in the observed action, following a somatotopic pattern which resembles the classical motor cortex homunculus. These results strongly support the existence of an execution-observation matching system (mirror neuron system). It has been proposed that this system is involved in action recognition. Experimental evidence in favor of this hypothesis both in the monkey and humans are shortly reviewed.     

Monetary rewards influence retrieval orientations

Reward anticipation during learning is known to support memory formation, but its role in retrieval processes is so far unclear. Retrieval orientations, as a reflection of controlled retrieval processing, are one aspect of retrieval that might be modulated by reward. These processes can be measured using the event-related potentials (ERPs) elicited by retrieval cues from tasks with different retrieval requirements, such as via changes in the class of targeted memory information. To determine whether retrieval orientations of this kind are modulated by reward during learning, we investigated the effects of high and low reward expectancy on the ERP correlates of retrieval orientation in two separate experiments. The reward manipulation at study in Experiment 1 was associated with later memory performance, whereas in Experiment 2, reward was directly linked to accuracy in the study task. In both studies, the participants encoded mixed lists of pictures and words preceded by high- or low-reward cues. After 24?h, they performed a recognition memory exclusion task, with words as the test items. In addition to a previously reported material-specific effect of retrieval orientation, a frontally distributed, reward-associated retrieval orientation effect was found in both experiments. These findings suggest that reward motivation during learning leads to the adoption of a reward-associated retrieval orientation to support the retrieval of highly motivational information. Thus, ERP retrieval orientation effects not only reflect retrieval processes related to the sought-for materials, but also relate to the reward conditions with which items were combined during encoding.     

Age-differential effects on updating cue information: Evidence from event-related potentials

Recent models on cognitive aging consider the ability to maintain and update context information to be a key source of age-related impairments in various cognitive tasks (Braver & Barch in Neuroscience & Biobehavioral Reviews, 26: 809–817, 2002). Context updating has been investigated with a modified AX-continuous-performance task by comparing performance and brain activity between context-dependent trials (i.e., correct responses require updating of the preceding cue information) and context-independent trials (i.e., correct responses are independent of cue information). We used an event-related potential (ERP) approach to identify sources of age differences in context processing in the early and late processing of cue information. Our behavioral data showed longer latencies and higher error rates on context-dependent than on context-independent trials for older than for younger adults, suggesting age-related impairments in context updating. The ERP data revealed larger P3b amplitudes for context-dependent than for context-independent trials only in younger adults. In contrast, in older adults, P3b amplitudes were more evenly distributed across the scalp and did not differ between context conditions. Interestingly, older but not younger adults were sensitive to changes of cue identity, as indicated by larger P3b amplitudes on cue-change than on cue-repeat trials, irrespective of the actual context condition. We also found a larger CNV on context-dependent than on context-independent trials, reflecting active maintenance of context information and response preparation. The age-differential effects in the P3b suggest that both younger and older adults were engaged in updating task-relevant information, but relied on different information: Whereas younger participants indeed relied on context cues to update and reconfigure the task settings, older adults relied on changes in cue identity, irrespective of context information.     

Anarchic-hand syndrome: ERP reflections of lost control over the right hemisphere

In patients with the callosal type of anarchic-hand syndrome, the left hand often does not act as intended and counteracts the right hand. Reports are scarce about the underlying neurophysiological mechanisms. We report the case G.H. who developed the syndrome after infarction of the left arteria pericallosa. It has been suggested that the syndrome arises out of lacking inhibition from the dominant left hemisphere on the right hemisphere. Yet, in tests of spatial intelligence G.H. performed much better with his “anarchic” left hand than with his dominant right hand, similar to observations commonly reported in split-brain patients. Left-right manual choice responses and event-related EEG potentials to laterally presented stimuli were measured. Asymmetries were evident in G.H.’s behavior and EEG potentials, different from age-matched healthy participants (n = 11). His right-hand responses were fast and unaffected by incompatibility with stimulus location, whereas his left-hand responses were variable and accompanied by a large negative central-midline EEG potential, probably reflecting efforts in initiating the response. G.H.’s visual N1 component peaked earlier and was larger at the right than the left side of the scalp, and the P3 component was distinctly reduced at the right side. Both features occurred independent of side of stimulus presentation and side of responding hand. The effort indicated by the midline negativity and the asymmetrically reduced P3 might directly reflect G.H.’s lack of control on his right hemisphere’s processing. The faster visual processing of the right hemisphere suggested by the N1 asymmetry might contribute to “anarchic” processing, making the right hemisphere process stimuli before control impulses exert their effect. These neurophysiological results tend to support the split-brain account which assumes that the syndrome arises by the lack of communication between hemispheres that act according to their respective competences.     

All gifts large and small: toward an understanding of the ethics of pharmaceutical industry gift-giving

Much attention has been focused in recent years on the ethical acceptability of physicians receiving gifts from drug companies. Professional guidelines recognize industry gifts as a conflict of interest and establish thresholds prohibiting the exchange of large gifts while expressly allowing for the exchange of small gifts such as pens, note pads, and coffee. Considerable evidence from the social sciences suggests that gifts of negligible value can influence the behavior of the recipient in ways the recipient does not always realize. Policies and guidelines that rely on arbitrary value limits for gift-giving or receipt should be reevaluated.