Double dissociation of the roles of the left and right prefrontal cortices in anticipatory regulation of action

The role of dlPFC laterality in the expression and regulation of anxiety

Anxiety disorders are the most common mental health disorder. Therefore, elucidating brain mechanisms implicated in anxiety disorders is important avenue for developing novel treatments and improving care. The dorsolateral prefrontal cortex (dlPFC) is thought to be critically involved in working memory processes (i.e. maintenance, manipulation, suppression, etc.). In addition, there is evidence that this region is involved in anxiety regulation. However, it is unclear how working memory related dlPFC processes contribute to anxiety regulation. Furthermore, we know that laterality plays an important role in working memory related dlPFC processing, however there is no current model of dlPFC mediated anxiety regulation that accounts for potential laterality effects. To address this gap, we propose a potential framework where the dlPFC contributes to emotion regulation via working memory processing. According to this framework, working memory is a fundamental process executed by the dlPFC. However, the domain of content differs across the left and right dlPFC, with the left dlPFC sensitive to primarily verbal content, and the right dlPFC sensitive to primarily non-verbal (affective content). Critically, working memory processes allow for both the retention and suppression of affective information in working memory and the overall net effect of processing on mood will depend on the balance of retention and suppression, the valence of the information being processed (positive vs. negative), and the domain of the information (verbal vs. non-verbal). If accurate, the proposed framework predicts that effects of neuromodulation targeting the dlPFC may be dependent upon the context during which the stimulation is presented. This article is part of the Special Issue on 'Fear, Anxiety and PTSD'.

Taxonomic and thematic semantic relationships in picture naming as revealed by Laplacian-transformed event-related potentials

Semantically related concepts co-activate when we speak. Prior research reported both behavioral interference and facilitation due to co-activation during picture naming. Different word relationships may account for some of this discrepancy. Taxonomically related words (e.g., WOLF-DOG) have been associated with semantic interference; thematically related words (e.g., BONE-DOG) have been associated with facilitation. Although these different semantic relationships have been associated with opposite behavioral outcomes, electrophysiological studies have found inconsistent effects on event-related potentials. We conducted a picture-word interference electroencephalography experiment to examine word retrieval dynamics in these different semantic relationships. Importantly, we used traditional monopolar analysis as well as Laplacian transformation allowing us to examine spatially deblurred event-related components. Both analyses revealed greater negativity (150-250 ms) for unrelated than related taxonomic pairs, though more restricted in space for thematic pairs. Critically, Laplacian analyses revealed a larger negative-going component in the 300 to 500 ms time window in taxonomically related versus unrelated pairs which were restricted to a left frontal recording site. In parallel, an opposite effect was found in the same time window but localized to a left parietal site. Finding these opposite effects in the same time window was feasible thanks to the use of the Laplacian transformation and suggests that frontal control processes are concurrently engaged with cascading effects of the spread of activation through semantically related representations.

The Dynamics of Language Network Interactions in Lexical Selection: An Intracranial EEG Study

Speaking in sentences requires selection from contextually determined lexical representations. Although posterior temporal cortex (PTC) and Broca's areas play important roles in storage and selection, respectively, of lexical representations, there has been no direct evidence for physiological interactions between these areas on time scales typical of lexical selection. Using intracranial recordings of cortical population activity indexed by high-gamma power (70-150 Hz) modulations, we studied the causal dynamics of cortical language networks while epilepsy surgery patients performed a sentence completion task in which the number of potential lexical responses was systematically varied. Prior to completion of sentences with more response possibilities, Broca's area was not only more active, but also exhibited more local network interactions with and greater top-down influences on PTC, consistent with activation of, and competition between, more lexical representations. These findings provide the most direct experimental support yet for network dynamics playing a role in lexical selection among competing alternatives during speech production.

Neural Underpinnings of Proactive Interference in Working Memory: Evidence From Patients With Unilateral Lesions

Proactive interference in working memory refers to the fact that memory of past experiences can interfere with the ability to hold new information in working memory. The left inferior frontal gyrus (LIFG) has been proposed to play an important role in resolving proactive interference in working memory. However, the role of white matter pathways and other cortical regions has been less investigated. Here we investigated proactive interference in working memory using the Recent Probes Test (RPT) in 15 stroke patients with unilateral chronic lesions in left (n = 7) or right (n = 2) prefrontal cortex (PFC), or left temporal cortex (n = 6). We examined the impact of lesions in both gray and white matter regions on the size of the proactive interference effect. We found that patients with left PFC lesions performed worse overall, but the proactive interference effect in this patient group was comparable to that of patients with right PFC lesions, temporal lobe lesions, and controls. Interestingly, the size of the interference effect was significantly correlated with the degree of damage in the extreme/external capsule and marginally correlated with the degree of damage in the inferior frontal occipital fasciculus (IFOF). These findings suggests that ventral white matter pathways connecting the LIFG to left posterior regions play a role in resolving proactive interference in working memory. This effect was particularly evident in one patient with a very large interference effect (>3 SDs above controls) who had mostly spared LIFG, but virtually absent ventral white matter pathways (i.e., passing through the extreme/external capsules and IFOF). This case study further supports the idea that the role of the LIFG in resolving interference in working memory is dependent on connectivity with posterior regions via ventral white matter pathways.

The Role of Executive Functions in Object- and Action-Naming among Older Adults

Background/Study Context: Lexical retrieval abilities and executive function skills decline with age. The extent to which these processes might be interdependent remains unknown. The aim of the current study was to examine whether individual differences in three executive functions (shifting, fluency, and inhibition) predicted naming performance in older adults. Methods: The sample included 264 adults aged 55-84. Six measures of executive functions were combined to make three executive function composites scores. Lexical retrieval performance was measured by accuracy and response time on two tasks: object naming and action naming. We conducted a series of multiple regressions to test whether executive function performance predicts naming abilities in older adults. Results: We found that different executive functions predicted naming speed and accuracy. Shifting predicted naming accuracy for both object and action naming while fluency predicted response times on both tests as well as object naming accuracy, after controlling for education, gender, age, working memory span, and speed of processing in all regressions. Interestingly, inhibition did not contribute to naming accuracy or response times on either task. Conclusion: The findings support the notion that preservation of some executive functions contributes to successful naming in older adults and that different executive functions are associated with naming speed and accuracy.

Dissociation among preserved resistance to proactive interference and impaired behavioral inhibition in a patient with bilateral lesions in the inferior frontal gyrus: A single-case study

Inhibition is not a unitary construct, as different inhibition-related functions have been disentangled. The present single-case study compares performance of a patient with bilateral lesions in the inferior frontal gyrus (IFG) and anterior insula to healthy age-matched controls in different inhibition-related tasks. Particular focus was on the resolution of proactive interference that is supposed to rely on bilateral IFG and anterior insula. Two working memory tasks previously proven sensitive to deficits in proactive interference (recent-probes, n-back) and two tasks measuring behavioral inhibition (verb generation task, Stroop task) were administered. Against expectations, the patient did not show any deficits in measures of proactive interference. However, compared to controls, she demonstrated considerably reduced performance in both measures of behavioral inhibition, thus resulting in a classical dissociation between proactive interference and behavioral inhibition. Although performance improved during the chronic phase post stroke, the overall pattern of a classical dissociation between proactive interference and behavioral inhibition remained stable across time. Taken together, the present data support the role of the IFG in inhibition-related functions, but a direct relationship between lesions in the IFG and difficulties in resolution of proactive interference could not be corroborated.

Lexical selection with competing distractors: Evidence from left temporal lobe lesions

According to the competition account of lexical selection in word production, conceptually driven word retrieval involves the activation of a set of candidate words in left temporal cortex and competitive selection of the intended word from this set, regulated by frontal cortical mechanisms. However, the relative contribution of these brain regions to competitive lexical selection is uncertain. In the present study, five patients with left prefrontal cortex lesions (overlapping in ventral and dorsal lateral cortex), eight patients with left lateral temporal cortex lesions (overlapping in middle temporal gyrus), and 13 matched controls performed a picture-word interference task. Distractor words were semantically related or unrelated to the picture, or the name of the picture (congruent condition). Semantic interference (related vs. unrelated), tapping into competitive lexical selection, was examined. An overall semantic interference effect was observed for the control and left-temporal groups separately. The left-frontal patients did not show a reliable semantic interference effect as a group. The left-temporal patients had increased semantic interference in the error rates relative to controls. Error distribution analyses indicated that these patients had more hesitant responses for the related than for the unrelated condition. We propose that left middle temporal lesions affect the lexical activation component, making lexical selection more susceptible to errors.

Uncovering the association between fatigue and fatigability in multiple sclerosis using cognitive control

BACKGROUND

Fatigue and cognitive dysfunction are two common symptoms experienced by patients with multiple sclerosis (MS). The relationship between subjective and objective fatigue (fatigability) in MS is poorly understood. Cognitive control tasks might be more conducive to fatigability and more likely to show associations between subjective and objective cognitive fatigue in MS.

OBJECTIVE

To study the association between objective fatigability, as induced by a cognitive control task called the Blocked Cyclic Naming Task (BCNT), subjective fatigue and baseline cognitive functioning in patients with MS.

METHODS

Twenty-one patients with MS completed baseline questions about their disease, the Montreal Cognitive Assessment (MoCA) battery and self-reported questionnaires on trait fatigue, sleep and depression. Disability was captured using the expanded disability status scale (EDSS). Participants then performed the BCNT and were asked about their level of state momentary fatigue before and after the BCNT. The BCNT consists of several blocks of either related or unrelated pictures that participants name as quickly as possible. The pictures cycled 4 times in each block and the difference in the response times (RTs) between related and unrelated blocks was captured. Data were analyzed using repeated measures analysis of variance and Pearson correlations.

RESULTS

MS participants' performance declined for the related, but not unrelated blocks. The difference in RTs between related and unrelated conditions increased with repetition across cycles (p < 0.001). Participants also showed objective fatigability with less repetition priming (p = 0.02) in the 4th quarter and with greater differences between related and unrelated conditions in the later part of the task. Objective fatigability was strongly associated with participants' assessment of their level of momentary state fatigue (r = 0.612, p = 0.007).

CONCLUSION

Using the appropriate tools, this study showed an association between subjective and objective cognitive fatigue in people with MS. The BCNT and cognitive control are useful tools in assessing patients with MS and should be explored in future, larger studies in this population.

To select or to wait? The importance of criterion setting in debates of competitive lexical selection

Competitive accounts of lexical selection propose that the activation of competitors slows down the selection of the target. Non-competitive accounts, on the other hand, posit that target response latencies are independent of the activation of competing items. In this paper, we propose a signal detection framework for lexical selection and show how a flexible selection criterion affects claims of competitive selection. Specifically, we review evidence from neurotypical and brain-damaged speakers and demonstrate that task goals and the state of the production system determine whether a competitive or a non-competitive selection profile arises. We end by arguing that there is conclusive evidence for a flexible criterion in lexical selection, and that integrating criterion shifts into models of language production is critical for evaluating theoretical claims regarding (non-)competitive selection.

Spatiotemporal dynamics of word retrieval in speech production revealed by cortical high-frequency band activity

Word retrieval is core to language production and relies on complementary processes: the rapid activation of lexical and conceptual representations and word selection, which chooses the correct word among semantically related competitors. Lexical and conceptual activation is measured by semantic priming. In contrast, word selection is indexed by semantic interference and is hampered in semantically homogeneous (HOM) contexts. We examined the spatiotemporal dynamics of these complementary processes in a picture naming task with blocks of semantically heterogeneous (HET) or HOM stimuli. We used electrocorticography data obtained from frontal and temporal cortices, permitting detailed spatiotemporal analysis of word retrieval processes. A semantic interference effect was observed with naming latencies longer in HOM versus HET blocks. Cortical response strength as indexed by high-frequency band (HFB) activity (70-150 Hz) amplitude revealed effects linked to lexical-semantic activation and word selection observed in widespread regions of the cortical mantle. Depending on the subsecond timing and cortical region, HFB indexed semantic interference (i.e., more activity in HOM than HET blocks) or semantic priming effects (i.e., more activity in HET than HOM blocks). These effects overlapped in time and space in the left posterior inferior temporal gyrus and the left prefrontal cortex. The data do not support a modular view of word retrieval in speech production but rather support substantial overlap of lexical-semantic activation and word selection mechanisms in the brain.

Lesions to the left lateral prefrontal cortex impair decision threshold adjustment for lexical selection

Patients with lesions in the left prefrontal cortex (PFC) have been shown to be impaired in lexical selection, especially when interference between semantically related alternatives is increased. To more deeply investigate which computational mechanisms may be impaired following left PFC damage due to stroke, a psychometric modelling approach is employed in which we assess the cognitive parameters of the patients from an evidence accumulation (sequential information sampling) modelling of their response data. We also compare the results to healthy speakers. Analysis of the cognitive parameters indicates an impairment of the PFC patients to appropriately adjust their decision threshold, in order to handle the increased item difficulty that is introduced by semantic interference. Also, the modelling contributes to other topics in psycholinguistic theory, in which specific effects are observed on the cognitive parameters according to item familiarization, and the opposing effects of priming (lower threshold) and semantic interference (lower drift) which are found to depend on repetition. These results are developed for the blocked-cyclic picture naming paradigm, in which pictures are presented within semantically homogeneous (HOM) or heterogeneous (HET) blocks, and are repeated several times per block. Overall, the results are in agreement with a role of the left PFC in adjusting the decision threshold for lexical selection in language production.

Distinct Effects of Lexical and Semantic Competition during Picture Naming in Younger Adults, Older Adults, and People with Aphasia

Producing a word requires selecting among a set of similar alternatives. When many semantically related items become activated, the difficulty of the selection process is increased. Experiment 1 tested naming of items with either multiple synonymous labels ("Alternate Names," e.g., gift/present) or closely semantically related but non-equivalent responses ("Near Semantic Neighbors," e.g., jam/jelly). Picture naming was fastest and most accurate for pictures with only one label ("High Name Agreement"), slower and less accurate in the Alternate Names condition, and slowest and least accurate in the Near Semantic Neighbors condition. These results suggest that selection mechanisms in picture naming operate at two distinct levels of processing: selecting between similar but non-equivalent names requires two selection processes (semantic and lexical), whereas selecting among equivalent names only requires one selection at the lexical level. Experiment 2 examined how these selection mechanisms are affected by normal aging and found that older adults had significantly more difficulty in the Near Semantic Neighbors condition, but not in the Alternate Names condition. This suggests that aging affects semantic processing and selection more strongly than it affects lexical selection. Experiment 3 examined the role of the left inferior frontal gyrus (LIFG) in these selection processes by testing individuals with aphasia secondary to stroke lesions that either affected the LIFG or spared it. Surprisingly, there was no interaction between condition and lesion group: the presence of LIFG damage was not associated with substantively worse naming performance for pictures with multiple acceptable labels. These results are not consistent with a simple view of LIFG as the locus of lexical selection and suggest a more nuanced view of the neural basis of lexical and semantic selection.

Brain mechanisms of semantic interference in spoken word production: An anodal transcranial Direct Current Stimulation (atDCS) study

When naming pictures, categorically-related compared to unrelated contexts typically slow production. We investigated proposed roles for the left inferior frontal gyrus (LIFG) and posterior middle and superior temporal gyri (pMTG/STG) in mediating this semantic interference effect. In a three-way, cross-over, sham-controlled study, we applied online anodal transcranial Direct Current Stimulation (atDCS) to LIFG or pMTG/STG while 24 participants performed parallel versions of the blocked cyclic naming paradigm. Significant effects of semantic context and cycle, and interactions of context and cycle, were observed on naming latencies in all three stimulation sessions. Additionally, atDCS over left pMTG/STG facilitated naming in related blocks from the second cycle onward, significantly reducing but not eliminating the interference effect. Applying atDCS over left LIFG likewise reduced the magnitude of interference compared to sham stimulation, although the facilitation was limited to the first few cycles of naming. We interpret these results as indicating semantic interference in picture naming reflects contributions of two complementary mechanisms: a relatively short-lived, top-down mechanism to bias selection and a more persistent lexical-level activation mechanism.

Lesions to Lateral Prefrontal Cortex Impair Lexical Interference Control in Word Production

Speaking is an action that requires control, for example, to prevent interference from distracting or competing information present in the speaker’s environment. Control over task performance is thought to depend on the lateral prefrontal cortex (PFC). However, the neuroimaging literature does not show a consistent relation between left PFC and interference control in word production. Here, we examined the role of left PFC in interference control in word production by testing six patients with lesions to left PFC (centered around the ventrolateral PFC) on a control-demanding task. Patients and age-matched controls named pictures presented along with distractor words, inducing within-trial interference effects. We varied the degree of competing information from distractors to increase the need for interference control. Distractors were semantically related, phonologically related, unrelated to the picture name, or neutral (XXX). Both groups showed lexical interference (slower responses with unrelated than neutral distractors), reflecting naming difficulty in the presence of competing linguistic information. Relative to controls, all six left PFC patients had larger lexical interference effects. By contrast, patients did not show a consistent semantic interference effect (reflecting difficulty in selecting amongst semantic competitors) whereas the controls did. This suggests different control mechanisms may be engaged in semantic compared to lexical interference resolution in this paradigm. Finally, phonological facilitation (faster responses with phonological than unrelated distractors) was larger in patients than in controls. These findings suggest that the lateral PFC is a necessary structure in providing control over lexical interference in word production, possibly through an early attentional blocking mechanism. By contrast, the left PFC does not seem critical in semantic interference resolution in the picture-word interference paradigm.

Choosing words: left hemisphere, right hemisphere, or both? Perspective on the lateralization of word retrieval

Language is considered to be one of the most lateralized human brain functions. Left hemisphere dominance for language has been consistently confirmed in clinical and experimental settings and constitutes one of the main axioms of neurology and neuroscience. However, functional neuroimaging studies are finding that the right hemisphere also plays a role in diverse language functions. Critically, the right hemisphere may also compensate for the loss or degradation of language functions following extensive stroke-induced damage to the left hemisphere. Here, we review studies that focus on our ability to choose words as we speak. Although fluidly performed in individuals with intact language, this process is routinely compromised in aphasic patients. We suggest that parceling word retrieval into its subprocesses-lexical activation and lexical selection-and examining which of these can be compensated for after left hemisphere stroke can advance the understanding of the lateralization of word retrieval in speech production. In particular, the domain-general nature of the brain regions associated with each process may be a helpful indicator of the right hemisphere's propensity for compensation.

Specifying the role of the left prefrontal cortex in word selection

Word selection allows us to choose words during language production. This is often viewed as a competitive process wherein a lexical representation is retrieved among semantically-related alternatives. The left prefrontal cortex (LPFC) is thought to help overcome competition for word selection through top-down control. However, whether the LPFC is always necessary for word selection remains unclear. We tested 6 LPFC-injured patients and controls in two picture naming paradigms varying in terms of item repetition. Both paradigms elicited the expected semantic interference effects (SIE), reflecting interference caused by semantically-related representations in word selection. However, LPFC patients as a group showed a larger SIE than controls only in the paradigm involving item repetition. We argue that item repetition increases interference caused by semantically-related alternatives, resulting in increased LPFC-dependent cognitive control demands. The remaining network of brain regions associated with word selection appears to be sufficient when items are not repeated.