Department of Psychiatry, Columbia University Medical Center, New York, NY, USA.
Schizophrenia Research Division, Nathan Kline Institute for Psychiatric Research, Orangeburg, NY, USA.
Adv Neurobiol. 2024;40:119-141. doi: 10.1007/978-3-031-69491-2_5.
The development of new treatments for neuropsychiatric disorders requires the development of physiological measures that can accurately translate between preclinical animal models and clinical human studies. Neurophysiological measures, especially event-related potentials (ERP), provide effective physiological read-outs of the flow of information from primary sensory through higher-order associative brain regions and thus can be used to investigate mechanisms underlying cognitive impairments across neuropsychiatric disorders. Traditional "time-domain" event-related potentials (ERP) such as auditory P300 and mismatch negativity or visual P1 and face N170 are increasingly being used in clinical studies for patient stratification, outcome prediction, or target engagement. Nevertheless, time-domain approaches use only a small portion of the information inherent within the event-related EEG signal. Newer, time-frequency (TF-ERP) approaches provide additional information along with improved translational utility and may be especially useful in differentiating activity related to thalamocortical driver versus modulatory inputs, as well as detecting event-related modulations of ongoing EEG power. The utility of the TF-ERP approach may be further enhanced by using source-space analytic approaches, including newer Beamformer approaches which are sensitive to both power within identified brain regions and coherence between brain regions. In addition to supporting the development of novel pharmacological agents, such methods may be guiding personalized, high-definition neuro-modulatory intervention approaches.
神经精神疾病新疗法的开发需要开发能够在临床前动物模型和临床人类研究之间进行准确转换的生理测量方法。神经生理测量方法,特别是事件相关电位(ERP),提供了从初级感觉到高级联想脑区信息流的有效生理读数,因此可用于研究神经精神疾病中认知障碍的机制。传统的“时域”事件相关电位(ERP),如听觉 P300 和失匹配负波,或视觉 P1 和面孔 N170,越来越多地用于临床研究中的患者分层、预后预测或目标结合。然而,时域方法仅使用事件相关 EEG 信号中固有信息的一小部分。较新的时频(TF-ERP)方法提供了额外的信息,同时提高了翻译的实用性,并且可能特别有助于区分与丘脑皮质驱动输入与调制输入相关的活动,以及检测与事件相关的 EEG 功率调制。通过使用源空间分析方法,包括对已识别脑区的功率和脑区之间的相干性都敏感的新型波束形成器方法,TF-ERP 方法的实用性可以进一步提高。除了支持新型药理学药物的开发外,这些方法还可能指导个性化、高清晰度的神经调节干预方法。