Writing errors and anosognosia in amyotrophic lateral sclerosis with dementia

Amyotrophic lateral sclerosis (ALS) with dementia (ALS-D) is known to exhibit characteristics of frontotemporal dementia. However, in clinical situations, it is often difficult to evaluate their cognitive functions because of impaired voluntary speech and physical disabilities. In order to identify characteristic and diagnostic cognitive symptoms of relatively advanced ALS-D patients, we retrospectively reviewed the clinical features of seven cases of clinically definitive ALS who had dementia, impaired voluntary speech, and physical disability. Their medical records showed that six out of seven patients made writing errors, and all of the patients demonstrated anosognosia. The writing errors consisted of paragraphia such as substitution, omission, or syntactic errors with individual differences in error types. Dissociation between kana and kanji were also observed. Anosognosia was evaluated by a self-rating scale with which the patients and the medical staff evaluated the patient's physical ability; the results indicated a large discrepancy between the evaluation by the patients and the medical staff. We emphasize that aphasic writing errors have been underestimated, particularly in ALS-D patients with impaired voluntary speech. We also reported that anosognosia was the most important and quantifiable symptom in ALS-D. The relationship between writing errors and anosognosia should be investigated further.     

A link between stress and depression: shifts in the balance between the kynurenine and serotonin pathways of tryptophan metabolism and the etiology and pathophysiology of depression

Alteration of tryptophan (TRP) metabolism elicited by proinflammatory cytokines has gained attention as a new concept to explain the etiological and pathophysiological mechanisms of major depression. The kynurenine (KYN) pathway, which is initiated by indoleamine 2,3-dioxygenase (IDO), is the main TRP metabolic pathway. It shares TRP with the serotonin (5-HT) pathway. Proinflammatory cytokines induce IDO under stress, promote the KYN pathway, deprive the 5-HT pathway of TRP, and reduce 5-HT synthesis. The resultant decrease in 5-HT production may relate to the monoamine hypothesis of major depression. Furthermore, metabolites of the KYN pathway have neurotoxic/neuroprotective activities; 3-hydroxykynurenine and quinolinic acid are neurotoxic, whereas kynurenic acid is neuroprotective. The hippocampal atrophy that appears in chronic depression may be associated with imbalances in neurotoxic/neuroprotective activities. Because proinflammatory cytokines also activate the hypothalamo-pituitary-adrenal (HPA) axis, these imbalances may inhibit the hippocampal negative feedback system. Thus, changes in the TRP metabolism may also relate to the HPA axis-hyperactivity hypothesis of major depression. In this article, we review the changes in TRP metabolism by proinflammatory cytokines under stress, which is assumed to be a risk factor for major depression, and the relationship between physiological risk factors for major depression and proinflammatory cytokines.     

Critical roles of mecamylamine-sensitive mushroom body neurons in insect olfactory learning

In insects, cholinergic neurons are thought to transmit olfactory conditioned stimulus (CS) to the sites for associating the CS with unconditioned stimulus (US), but the types of acetylcholine (ACh) receptor used by neurons participating in the association have not been determined. In cockroaches, a type of nicotinic ACh receptor specifically antagonized by mecamylamine (MEC) has been characterized. Here we investigated the roles of neurons possessing MEC-sensitive ACh receptors (MEC-sensitive neurons) in olfactory conditioning of salivation, monitored by changes in activities of salivary neurons, in cockroaches. Local and bilateral microinjection of MEC into each of the three olfactory centers, antennal lobes, calyces of the mushroom bodies and lateral protocerebra, impaired olfactory responses of salivary neurons, indicating that MEC-sensitive neurons in all olfactory centers participate in pathways mediating olfactory responses of salivary neurons. Conditioning of olfactory CS with sucrose US was impaired by injection of MEC into the antennal lobes or calyces, i.e., conditioned responses were absent even after recovery from MEC injection, suggesting that the CS-US association occurs in MEC-sensitive neurons in calyces (most probably Kenyon cells) or in neurons in downstream pathways. In contrast, conditioned responses appeared after recovery from MEC injection into the lateral protocerebra, suggesting that MEC-sensitive neurons in the lateral protocerebra are downstream of the association sites. Since lateral protocerebra are major termination areas of mushroom body efferent neurons, we suggest that input synapses of MEC-sensitive Kenyon cells, or their output synapses upon mushroom body efferent neurons, are the sites for CS-US association for conditioning of salivation.     

The movement of internal facial features elicits 7 to 8‐month‐old infants' preference for face patterns

A preference for static face patterns is observed in newborns and disappears around 3 months after birth. A previous study has demonstrated that 5‐month‐old infants prefer schematic faces only when the internal features are moving, suggesting that face‐specific movement enhances infants' preference. The present study investigates the facilitative effect of the movement of internal facial features on infants' preference. To examine infants' preference, we used animated face patterns consisting of a head‐shaped contour and three disk blobs. The inner blobs expanded and contracted to represent the opening and closing of the eyes and mouth, and were constrained to open and close only in a biologically possible vertical direction resembling the facial muscle structure. We compared infants' preferential looking time for this vertically moving (VM) face pattern with their looking time for a horizontally moving (HM) face pattern in which blobs transformed at the same speed in a biologically impossible, horizontal direction. In Experiment 1, 7 to 8‐month‐olds preferred the VM to the HM, but 5 to 6‐month‐olds did not. However, the preference was diminished in both cases when the moving face patterns were presented without contour (Experiment 2). Our results suggest that internal facial features with vertical movements promote face preference in 7 to 8‐month‐olds. Copyright © 2011 John Wiley & Sons, Ltd.     

Angle illusion in a straight road

We report a new angle illusion observed when viewing a real scene involving a straight road. The scene portrays two white lines which outline a traffic lane on a road and converge to a vanishing point. In experiment 1, observers estimated the angle created by these converging lines in this scene or in its image projected onto a screen. Results showed strong underestimation of the angle, ie over 50% for observations of both the real scene and its projected image. Experiment 2 assessed how depth cues in projected images influence the angle illusion. Results showed that this angle illusion disappeared when scene information surrounding convergent lines was removed. In addition, the illusion was attenuated with projection of an inverted scene image. These findings are interpreted in terms of a misadoption of depth information in the processing of angle perception in a flat image; in turn, this induces a massive angle illusion.     

Hemodynamic and electrophysiological connectivity in the language system: Simultaneous near-infrared spectroscopy and electrocorticography recordings during cortical stimulation

We applied near-infrared spectroscopy (NIRS) and electrocorticography (ECoG) recordings during cortical stimulation to a temporal lobe epilepsy patient who underwent subdural electrode implantation. Using NIRS, changes in blood concentrations of oxyhemoglobin (HbO(2)) and deoxyhemoglobin (HbR) during cortical stimulation of the left language areas were measured in each hemisphere. NIRS revealed that 2Hz stimulation with 5mA produced no significant hemodynamic changes in either hemisphere. By contrast, 50Hz stimulation elicited significant increases in both HbO(2) and HbR at the stimulation site. Furthermore, with 50Hz stimulation of the left superior temporal gyrus, the increases in HbO(2) and HbR were observed not only at the stimulation site but also concurrently at the left inferior frontal gyrus. This suggests the existence of functional connectivity in the language system. The present study demonstrates that simultaneous NIRS and ECoG studies during cortical stimulation allow a novel analysis of cerebral connectivity.     

Roots of smile: a preterm neonates' study

Twenty-two preterm neonates were observed 1 h per neonate in the NICU. Ninety-five spontaneous smiles were recorded. Younger and smaller neonates showed more and longer spontaneous smiles than older and larger. The youngest neonate was 200 days from conception on the observational day. She was 511 g. This infant showed spontaneous smiles. The roots of spontaneous smiles are discussed.     

Thought-experiment intuitions and truth in fiction

What sorts of things are the intuitions generated via thought experiment? Timothy Williamson has responded to naturalistic skeptics by arguing that thought-experiment intuitions are judgments of ordinary counterfactuals. On this view, the intuition is naturalistically innocuous, but it has a contingent content and could be known at best a posteriori. We suggest an alternative to Williamson’s account, according to which we apprehend thought-experiment intuitions through our grasp on truth in fiction. On our view, intuitions like the Gettier intuition are necessarily true and knowable a priori. Our view, like Williamson’s, avoids naturalistic skepticism.     

Fos expression in CRF-containing neurons in the rat paraventricular nucleus after central administration of neuromedin U

We examined the effects of centrally administered neuromedin U (NMU) on corticotrophin-releasing factor (CRF)-containing neurons in the hypothalamic paraventricular nucleus (PVN) of rats, using double immunohistochemistry for CRF and Fos. Almost all CRF-containing neurons in the parvocellular divisions of the PVN expressed Fos-like immunoreactivity 90 min after intracerebroventricular administration of NMU (3 nmol/rat). This results suggest the possibility that central NMU may be involved in stress-induced activation of CRF-containing neurons in the PVN.     

Affective integration speeds trait processing

We investigated whether affective integration increases the speed of processing of personality trait knowledge. The fan effect was compared between cases where trait knowledge is stored with the affective value and cases where it is not stored with the affective value. 18 college students first memorized a set of traits about fictitious individuals and then made recognition judgments. In the 2 x 2 factorial repeated-measures design, the number of traits learned about a fictitious individual and whether those traits were integrated by a shared affective value were manipulated. The significant interaction showed that knowledge of personality trait with affective integration was processed quickly even if the particular person's memory had rich connections with traits.