Blood-brain barrier dysfunction in epilepsy: Time for translation
The neurovascular unit (NVU) consists of cerebral blood vessels, neurons, astrocytes, microglia, and pericytes. It plays a vital role in regulating blood flow and ensuring the proper functioning of neural circuits. Among other, this is made possible by the blood-brain barrier (BBB), which acts as both a physical and functional barrier. Previous studies have shown that dysfunction of the BBB is common in most neurological disorders and is associated with neural dysfunction. Our studies have demonstrated that BBB dysfunction results in the transformation of astrocytes through transforming growth factor beta (TGFβ) signaling. This leads to activation of the innate neuroinflammatory system, changes in the extracellular matrix, and pathological plasticity. These changes ultimately result in dysfunction of the cortical circuit, lower seizure threshold, and spontaneous seizures. Blocking TGFβ signaling and its associated pro-inflammatory pathway can prevent this cascade of events, reduces neuroinflammation, repairs BBB dysfunction, and prevents post-injury epilepsy, as shown in experimental rodents. To further understand and assess BBB integrity in human epilepsy, we developed a novel imaging technique that quantitatively measures BBB permeability. Our findings have confirmed that BBB dysfunction is common in patients with drug-resistant epilepsy and can assist in identifying the ictal-onset zone prior to surgery. Current clinical studies are ongoing to explore the potential of targeting BBB dysfunction as a novel treatment approach and investigate its role in drug resistance, the spread of seizures, and comorbidities associated with epilepsy.
Hearing in an acoustically varied world
In order for animals to thrive in their complex environments, their sensory systems must form representations of objects that are invariant to changes in some dimensions of their physical cues. For example, we can recognize a friend’s speech in a forest, a small office, and a cathedral, even though the sound reaching our ears will be very different in these three environments. I will discuss our recent experiments into how neurons in auditory cortex can form stable representations of sounds in this acoustically varied world. We began by using a normative computational model of hearing to examine how the brain may recognize a sound source across rooms with different levels of reverberation. The model predicted that reverberations can be removed from the original sound by delaying the inhibitory component of spectrotemporal receptive fields in the presence of stronger reverberation. Our electrophysiological recordings then confirmed that neurons in ferret auditory cortex apply this algorithm to adapt to different room sizes. Our results demonstrate that this neural process is dynamic and adaptive. These studies provide new insights into how we can recognize auditory objects even in highly reverberant environments, and direct further research questions about how reverb adaptation is implemented in the cortical circuit.