Salimpour Yousef, Anderson William S
Functional Neurosurgery Laboratory, Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, United States.
Front Neurosci. 2019 Feb 21;13:125. doi: 10.3389/fnins.2019.00125. eCollection 2019.
Synchronous, rhythmic changes in the membrane polarization of neurons form oscillations in local field potentials. It is hypothesized that high-frequency brain oscillations reflect local cortical information processing, and low-frequency brain oscillations project information flow across larger cortical networks. This provides complex forms of information transmission due to interactions between oscillations at different frequency bands, which can be rendered with cross-frequency coupling (CFC) metrics. Phase-amplitude coupling (PAC) is one of the most common representations of the CFC. PAC reflects the coupling of the phase of oscillations in a specific frequency band to the amplitude of oscillations in another frequency band. In a normal brain, PAC accompanies multi-item working memory in the hippocampus, and changes in PAC have been associated with diseases such as schizophrenia, obsessive-compulsive disorder (OCD), Alzheimer disease (AD), epilepsy, and Parkinson's disease (PD). The purpose of this article is to explore CFC across the central nervous system and demonstrate its correlation to neurological disorders. Results from previously published studies are reviewed to explore the significant role of CFC in large neuronal network communication and its abnormal behavior in neurological disease. Specifically, the association of effective treatment in PD such as dopaminergic medication and deep brain stimulation with PAC changes is described. Lastly, CFC analysis of the electrocorticographic (ECoG) signals recorded from the motor cortex of a Parkinson's disease patient and the parahippocampal gyrus of an epilepsy patient are demonstrated. This information taken together illuminates possible roles of CFC in the nervous system and its potential as a therapeutic target in disease states. This will require new neural interface technologies such as phase-dependent stimulation triggered by PAC changes, for the accurate recording, monitoring, and modulation of the CFC signal.
神经元膜极化的同步、节律性变化形成了局部场电位的振荡。据推测,高频脑振荡反映局部皮质信息处理,而低频脑振荡投射跨更大皮质网络的信息流。由于不同频段振荡之间的相互作用,这提供了复杂的信息传输形式,可用交叉频率耦合(CFC)指标来呈现。相位-振幅耦合(PAC)是CFC最常见的表现形式之一。PAC反映特定频段振荡的相位与另一频段振荡的振幅之间的耦合。在正常大脑中,PAC伴随着海马体中的多项目工作记忆,并且PAC的变化与精神分裂症、强迫症(OCD)、阿尔茨海默病(AD)、癫痫和帕金森病(PD)等疾病相关。本文的目的是探索整个中枢神经系统的CFC,并证明其与神经系统疾病的相关性。回顾先前发表的研究结果,以探讨CFC在大型神经元网络通信中的重要作用及其在神经疾病中的异常表现。具体而言,描述了帕金森病中有效治疗如多巴胺能药物和深部脑刺激与PAC变化的关联。最后,展示了对一名帕金森病患者运动皮质和一名癫痫患者海马旁回记录的皮质脑电图(ECoG)信号的CFC分析。综合这些信息阐明了CFC在神经系统中的可能作用及其作为疾病状态治疗靶点的潜力。这将需要新的神经接口技术,如由PAC变化触发的相位依赖性刺激,用于准确记录、监测和调制CFC信号。