Week 4 Topic 3 - The effects of activity, experience and deprivation on the nervous system Flashcards
What is week 4 Topic 3 about?
Hello, my name is Sam Cooke. I’m a lecturer, here, at King’s College London and I work on learning and memory,
the processes by which sensory experience and deprivation modify the brain to store information which can
later be retrieved in the appropriate context.
This work is important not just for increasing our understanding of
how the brain works, but as you’ll see at the end of this lecture, it’s also highly relevant to understanding what
goes wrong in disorders of the nervous system and for identifying potential treatments.
In this lecture, we will delve into how neural activity and sensory experience and deprivation can shape brain
function.
We will start with a quick refresher on synaptic plasticity, focusing on Hebbian synaptic plasticity which
you will have already covered in a lecture by Professor Peter Geza.
We will then apply this knowledge to start
thinking about how the selective responses of neurons in the brain to neural activity or to sensory input, which
as we will see – are not necessarily the same thing, can be shaped through Hebbian synaptic plasticity to both
segregate and integrate inputs.
For the purposes of this lecture, we will focus mostly on the visual system.
As this is an important sensory
modality for humans, it’s intuitive to understand and it is probably the sensory modality that we have the
deepest understanding of.
However, it’s also important to note that most of the concepts that we described are
relevant to the postnatal development of other sensory modalities, such as auditory or somatosensory systems
and to higher order functions, such as the development of language faculties or executive function.
Briefly revisit Hebbian plasticity in order to make sure that we have a command of the key
characteristics which will then enable understanding of how activity and experience can shape functional
properties of the nervous system.
Whos was Donald Hebb?
Donald Hebb was a Canadian psychologist who used his knowledge of animal learning to identify some
important theoretical criteria for the biological mechanisms that must support this critical faculty. In his famous
text, The Organization of Behavior, Hebb describes many theories that remain influential to this day.
What is the process of Hebbian synaptic plasticity:
‘When an axon of cell A is near enough to excite a cell B and repeatedly or
persistently takes part in firing it, some growth process or metabolic change takes
place in one or both cells such that the efficiency of A, as one of the cells firing B, is
increased’.
What does the theory of Hebbain plasticity mean?
The key concept to get hold of here is that existing
chemical synapses on any one neuron arise from many different sources and are independently modifiable in
strength based on the pattern of activity between the two connected cells.
This fact would allow the synapse to
serve as the major unit of information storage in the brain and reflect the history of activity at that synapse.
What does bidirectional modification relate to?
Although Hebb never discussed bidirectional modification, it is also important – for the purposes of this lecture – to appreciate that synapses can be strengthened or weakened, depending on whether pre- and post-synaptic cells are correlated in their activity or uncorrelated in activity respectively.
What is fire together, wire together not quite right?
Many of you may have come across
the phrase, ‘fire together, wire together’, which was coined as a mnemonic device to understand and
remember the key aspects of Hebbian plasticity.
I would like to point out that, while you may find it useful in some way, this slogan misses the mark and does not
really describe Hebbian plasticity, because it implies that this plasticity is occurring between cells that are not
already connected.
A critical component of Hebbian theory is that synaptic plasticity allows experience to
shape connections that already exist by increasing or decreasing their efficacy.
There are certain examples of rewiring that occur in the nervous system that may actually be critical for
recovery of function after brain damage, or perhaps even aspects of learning and memory, but they are very
different phenomenon from Hebbian plasticity.
How are processes of Hebbian plasticity are commonly studied experimentally?
These processes of Hebbian plasticity are commonly studied experimentally using high frequency trains of
electrical stimulation, known as a ‘tetanus’, which is applied to axonal pathways that are afferent to a population
of neurons, whose activity can be recorded using methods known as electrophysiology.
This stimulation allows experimenters to guarantee electrical activation of pre-synaptic terminals at the same
time as producing activation of post-synaptic neurons. The precise conditions that Hebb described as being
necessary for the strengthening of synapses. Some experimental preparations also allow for the isolation of
separate axonal inputs to the same cell, allowing experimenters to test the Hebbian theory that synaptic
plasticity can occur at one synapse without affecting its neighbour – an important property, known as ‘input
specificity’.
What is ‘input
specificity’?
the Hebbian theory that synaptic
plasticity can occur at one synapse without affecting its neighbour
What is the most commonly studied form of Hebbian plasticity?
The most commonly studied form of Hebbian plasticity, known as ‘long-term potentiation’ or ‘LTP’, relies upon
these electrophysiological stimulations and recording techniques.
Who originally discovered and characterised LTP by electrophysiological stimulations and recording techniques and what did they study on and what is it now studied on?
This very well studied phenomenon was
originally discovered and characterised by British neuroscientist, Tim Bliss, and his Norwegian colleague, Terje Lømo, in the hippocampus of anaesthetised rabbits.
LTP is now commonly studied in surgically excised tissue, which helps greatly with positioning, stimulating and recording electrodes and for washing drugs on and off to
determine underlying mechanisms.
Describe a common current-day approach to studying LTP.
Here is a slice of human hippocampus, which has been removed from a patient with otherwise intractable
epilepsy as an emergency treatment. The neurons in this transverse hippocampus slice can be kept alive by
maintaining it at the correct temperature in carefully oxygenated solutions that contain all the required ionic
concentrations
and metabolites.
Visualisation of the slice, under a microscope, allows precise positioning of recording
electrodes by the cell bodies of hippocampal neurons and, in this case, the granule cells of the dentate gyrus
where LTP was first recorded by Bliss and Lømo in the early 70s. Two stimulating electrodes are positioned on
either side of these cells to stimulate different afferent pathways, each of which evokes a response in the postsynaptic cells, demonstrating independent synaptic inputs.
On the right is a graph showing the strength of the synaptic response to electrical pulses delivered to each of these pathways at a test frequency, which is delivered at one pulse every minute, and it does not induce
plasticity.
After a half hour baseline, to ensure stability, a high frequency tetanus of 100 Hz is delivered to just
one of these pathways – which is depicted with black circles – while the other pathway continues to receive the very low frequency test pulses. As you can see, the tetanised pathway undergoes potentiation which then lasts for at least an hour without the control pathway being affected.
This is the famous phenomenon of LTP which is
an input-specific, long-lasting Hebbian form of synaptic plasticity.
LTP and LTD
Since LTP was discovered, many considered it a theoretical imperative that the reverse phenomenon, ‘longterm depression’ or ‘LTD’, must exist at synapses since activity-dependent potentiation would quickly saturate synaptic strength and lead to hyperexcitability in the nervous system.
After many years of trying it, it was discovered that low frequency tetanus of 1 Hz, still much higher in frequency
than the test pulses that don’t induce plasticity at all, would produce the reverse effect of LTD – in contrast to
the 100 Hz tetanus that induces LTP. Importantly, both forms of plasticity could be observed longitudinally at the same synapses.
On the right is a modification curve, which is a graph mapping the effects of different stimulus frequencies on
the strength of synapses. As you can see, a range of low frequency stimuli will induce LTD while higher
frequencies induce LTP. There’s also a frequency of around 10 Hz that induces no change at all, which is known as the modification threshold.
Much work has been conducted to show that the frequencies which result in LTP do so by ensuring strongly correlated pre- and post-synaptic activity, just as Hebb had originally described, while the lower frequency stimuli that induce LTD do so by ensuring explicitly uncorrelated activity between pre- and post-synaptic cells.
As we shall see later in the lecture, this bidirectional plasticity, the direction of which reflects the recent history of activity at the synapse, is a perfect system to shape the functional response of neurons in the brain to
activity and to sensory input.
The phenomena of LTP and LTD have been observed at most synapses throughout the nervous system. This
slide shows work in ex vivo slices taken from rat hippocampus, rat visual cortex and cat visual cortex. All
showing very similar degrees of LTP and LTD when assessed with electrophysiology. This fact will be highly
relevant to most of the remainder of this topic, which will focus on activity-dependent plasticity in the primary
visual cortex.
What are critical mechanisms, at the heart of many forms of LTP and LTD?
Critical mechanisms, at the heart of many forms of LTP and LTD, are the AMPA and NMDA subclasses of
ionotropic glutamate receptors.
What does the AMPA receptor do?
One of these receptors, the AMPA receptor, is opened by glutamate and is an ion channel that allows the flow of positively charged ions, mostly sodium ions, into a neuron.
This receptor carries the majority of synaptic current and is responsible for much excitatory fast synaptic transmission.
Changes in the properties or number of AMPA receptors are a major expression mechanism of both LTP and LTD.
What does the NMDA receptor do?
The NMDA receptor is also an ion channel that allows positively charged ions to flow into neurons.
However, it’s more complex than the AMPA receptor because, as well as glutamate-binding, it is also voltagedependent.
Meaning that the channel will only open when glutamate is bound and the post-synaptic neuron is
also depolarised, or active.
This property arises from a magnesium ion that blocks the channel pore unless the
post-synaptic membrane is depolarised.
The NMDA receptor, therefore, has the ideal properties to serve as a critical coincidence detector for the
Hebbian criterion of pre- and post-synaptic coactivity.
And the key ions that flow through the NMDA receptor,
and indicates that Hebbian conditions have been met, are calcium ions.
What does AP5 (APV) do and why is it important to Hebb’s theory?
This slide shows the original experimental evidence that AP5 (or APV), the specific NMDA receptor antagonist, blocks the induction of both LTP and LTD.
This was ground-breaking work as it demonstrated how biology serves Hebb’s theory.
This experiment also demonstrates an invaluable experimental advantage of the ex vivo slice – which not only allows drugs to be washed on at the appropriate time but also washed off to demonstrate
the synapses are not irreparably altered by drug delivery and the LTP can still be induced subsequent to
washout.
How can it be that the same receptor serves opposing directions of synaptic change?
The answer is in the conduction of calcium ions through the NMDA receptor.
Because of the different dynamics of post-synaptic
activation, produced by high- and low-frequency stimulation, the concentration of post-synaptic calcium is very different – as it summates to high concentrations for high-frequency stimulation while remaining elevated, but considerably lower in concentration, as a result of pulsatile, non-summating increases in calcium ion
concentration.
This result in activation of different types of calcium-sensing enzymes, some kinases that will phosphorylate
targets – such as AMPA receptors – to change their properties and some phosphatases which
dephosphorylate and have the reverse effect.
We will not go into the details of the particular signalling systems that play, as Professor Peter Geza has already discussed this to some degree previously, but it is important to understand how LTP and LTD can coexist at the same synapses and share many key mechanisms.
Summarise a brief overview of Hebbian plasticity in 9 points.
So, to summarise this brief overview of Hebbian plasticity,
- Hebbian plasticity is an activity-dependent
strengthening of synapses between coactive neurons or a weakening of synapses between neurons with
uncorrelated activity. - Hebbian plasticity is modelled experimentally in vitro and in vivo through electrical stimulation to produce longterm potentiation, LTP or long-term depression, LTD which respectively strengthen or weaken synapses.
- The frequency of stimulation is a major determinant of the direction of change – high for LTP and low for LTD.
- LTP and LTD occur at most synapses in the nervous system.
- Hebbian plasticity is input-specific, as it occurs only at synapses that have undergone activity and does not
occur at neighbouring inactive synapses on the same neuron. - It is also long-lasting.
7. The NMDA subclass of glutamate receptor is often a key mechanism in the induction of LTP as it is an ion channel that conveys calcium ions only when two coincident events occur: glutamate-binding and post-synaptic depolarisation.
- Thus, it serves as the detector of the defining events in Hebbian LTP: correlated pre- and postsynaptic activity. It’s also a key mechanism for many forms of Hebbian LTD.
- Hebbian plasticity is not accurately described by the statement ‘fire together, wire together’. Hebbian plasticity can only change existing synapses. It does not involve the formation of new synapses.
Part 2 of 5
Now, let’s move on to thinking about how Hebbian plasticity could explain the effects of activity on the nervous system during postnatal development.
Now, let’s move on to thinking about how Hebbian plasticity could explain the effects of activity on the nervous system during postnatal development.
Part 3 of 5
Now, let’s consider a very different event in the postnatal development of the nervous system, that
nevertheless requires Hebbian synaptic plasticity. This is the integration of inputs on to shared post-synaptic
targets, to create more complex receptive fields. For this purpose, we’re going to focus on the postnatal
development of binocular vision. As we shall see, this process requires visual experience.
Now, let’s consider a very different event in the postnatal development of the nervous system, that
nevertheless requires Hebbian synaptic plasticity. This is the integration of inputs on to shared post-synaptic
targets, to create more complex receptive fields. For this purpose, we’re going to focus on the postnatal
development of binocular vision. As we shall see, this process requires visual experience.
Part 4 of 5
Now, let’s turn our attention to a related developmental process that introduces a major permissive factor to
this deprivation-induced plasticity – the critical period.
Another Nobel laureate, who really crystallised the concept of the critical period, was the Austrian ethologist,
Conrad Lorenz. Lorenz conducted many fascinating experiments on the phenomenon of imprinting, in which he
became the major parental figure to numerous different bird species.
If he served as the primary provider and carer for chicks, goslings or cygnets during a critical period of postnatal
development, they formed a powerful, unbreakable attachment to him that could not be superseded by a
member of their own species. Importantly, this attachment persisted if he took on this role during and beyond
the close of the defined period, which was termed a critical period.
This concept of the critical period – a relatively brief window during which defining plasticity was permitted –
has become influential throughout education, psychology, psychiatry and neuroscience and it’s highly relevant to
the effects of visual experience in deprivation on the neocortex of mammals.
Slide 5:
This is illustrated by a series of experiments in kittens and cats of various ages. The first key observation is that
the effects of monocular deprivation are highly reversible if the deprivation occurred during an early critical
period. In five-week-old kittens, monocular deprivation would not only result in the ocular dominance shift in the
response of layer 2/3 neurons, as we’ve discussed already, but after un-suturing the deprived eye, a reverse
suture of the opposite eye would result in an equivalent shift in the opposite direction.
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Week 4 @ King’s College London 2.
Slide 6:
If this experiment were carried out in the same way with monocular deprivation during the critical period of 5
weeks of age, but then un-suturing and reverse suturing occurred much later, at 14 weeks of age, then not only
did the reversal of ocular dominance in Layer 2/3 not happen, but recovery from the initial shift did not occur.
Slide 7:
Similarly, the ocular dominance plasticity does not occur at all if eyelid suture occurs in the adult animal,
demonstrating very clearly that the capacity of the cortex for plasticity is lost after the critical period.
Slide 8:
A key question, of course, is whether this permanent shift not only compromises response in layer 2/3 of visual
cortical neurons but also actually impairs vision itself.
In humans, we would test vision with a Snellen chart, which many of you may be familiar with. The Snellen chart
is a test of visual acuity, and it asks you to resolve lines that are different distances apart and this is known as
varying spatial frequency. At some point, a threshold can be found beyond which you cannot differentiate the
letters ‘M’, ‘W’, ‘E’ and the number ‘3’, which is the determinant of your visual acuity. 20/20 vision just means
that your vision at 20 feet matches normal vision at 20 feet.
Slide 9:
One classic test of vision teaches a cat to associate a specific orientation of lines with a reward – say vertical
stripes but not horizontal stripes. Once this association is formed then one can just assess vision by changing
the spatial frequency and determining how often the cat chooses to jump to the rewarding orientation.
If one eye or other is covered during this test, then vision can be tested independently through each eye. Here
you can see work from Canadian vision scientists Donald Mitchell and Kevin Duffy, in which monocularly
deprived kittens show normal binocular vision a week or so after the eye is open post-critical period.
However, vision limited to the deprived eye never recovers and the animals remain functionally blind through
this eye even though the eye, itself, is fully operational. Thus, if visual experience does not return to normal until
after closure of the critical period, then there is no functional recovery.
Slide 10:
The visual cortical critical period varies in time and longevity from one species to another. Rather conveniently,
this roughly lines up in weeks for cats, months for monkeys and years for humans, as shown in this graph, with
closure of the critical period occurring around eight to nine weeks, months or years depending on the species.
Slide 11:
Much work has now been done by several laboratories, notably including those of Mark Bear and Takao Hensch
in the US, to demonstrate that a key determinant of both the opening and the closing of the critical period is the
degree of cortical inhibition.
Inhibition develops late in the cortex, relative to excitation circuits, and we now know that the critical period
really represents a sweet spot between too little and too much inhibition.
Slide 12:
So, how can inhibition be a key determinant in whether Hebbian plasticity occurs or does not?
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Week 4 @ King’s College London 3.
Here, we can see a schematic of how a simple feed-forward circuit in the visual cortex looks, with tick marks
representing action potentials. As the schematic shows, cortical inhibition after the eyes open, but before the
critical period opens, is too low to really impact the activity of cortical circuits resulting from visual input.
This means that Hebbian plasticity cannot operate to integrate signals because there’s too much noise in the
system. After inhibition has started to develop, during the critical period, conditions are optimised so that only
the strongest visual inputs will drive enough cortical activation to modify synaptic strength through Hebbian
plasticity. It is during this period that the cortex is primed to be modified by visual experience and deprivation.
The closure of the critical period appears to arise once inhibition is so powerful that it suppresses the
propagation of activity through cortical circuits for all but the very strongest sensory input.
Slide 13:
Thus, the critical period is closed once inhibition in the cortex is matured. However, it is important to note that
the capacity for change still exists in cortical circuits if inhibition can be modified. The opening of the critical
period can be advanced by positively modulating GABA receptors with benzodiazepines. The critical period can
be reopened with treatments that reduce inhibition, such as a genetic knockdown of the key enzyme for
synthesising GABA or, interestingly, by grafting immature inhibitory neurons into the visual cortex of mature
mice. In the next section, we will consider some of the therapeutic implications that this work gives rise to.
Slide 14:
So, in summary for this section on critical periods:
Critical periods define the time window during which the effects of sensory experience or deprivation on the
nervous system are most pronounced, usually occurring quite early in post-natal development.
Critical periods vary for brain regions and sensory modalities, for example, the critical period for plasticity in
somatosensory cortex opens and closes earlier than for visual cortex. Higher order regions of cortex, such as
prefrontal cortex, have even later critical periods.
Critical periods vary from species to species, for example, the critical period for ocular dominance plasticity
closes much earlier for mice than cats, and earlier for cats than primates.
Several lines of evidence indicate that inhibitory neurons play a key role in critical period duration, with
development of inhibition opening the critical period of maturation and maturation of cortical inhibition closing it.
Increasing inhibition can prematurely open the critical period and reducing inhibition can re-open the critical
period after it has closed.
Inhibition is believed to serve as a permissive factor for Hebbian plasticity by reducing overall activity at the
opening of the critical period, thereby reducing ‘noise’ and allowing differentiation of correlated and
uncorrelated activity. However, too much inhibition can prevent enough post-synaptic activity to allow Hebbian
plasticity to occur, thereby closing the critical period.
- Part 5 of 5
Now, let’s complete our topic by considering the therapeutic possibilities that exist, because of all this
fundamental neuroscience work. How might we treat sensory deprivation, and are there further reaching
implications for psychiatric disorders? A major focus in this regard is asking whether we could re-open the
critical period in mature patients in order to recover developmental disruptions that may have arisen from
deprivation during childhood.
Slide 4:
As well as the various invasive treatments that we discussed for reopening the critical period – including
genetic modifications in mouse to reduce GABA synthesis and the grafting of inhibitory neurons, precursors into
visual cortex – considerable work has been done to develop non-invasive means to influence inhibition and,
thereby, extend or re-open the critical period.
These non-invasive approaches would be much more palatable as potential treatments in humans than genetic
modifications or surgical grafts – although nothing can be discounted if the condition is severe enough and the
patients are willing. Among treatments tested in rodents, that show promise in returning the cortex of adults to
critical period levels of plasticity, include environmental enrichment, dark exposure, caloric restriction, physical
exercise and perceptual training. In addition, certain drugs that are already available for use in humans, such as
Selective Serotonin Reuptake Inhibitors – or ‘SSRIs’ – which are used as antidepressants, appear to influence
cortical inhibition and return it to a critical period-like state.
Slide 5:
Focusing on one of the most promising of these treatments in the visual domain, we can look at some work
revealing that dark exposure for several days in rodents alters inhibition within the visual cortex and, as a
result, alters the modification threshold for synaptic plasticity.
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Week 4 @ King’s College London 2.
On the left are direct measurements of cortical inhibition, using intracellular electrophysiological recordings,
from slices of visual cortex, taken from rodents that have either been raised under normal lighting conditions,
or raised in this manner but, then, briefly exposed to extended dark over several days. The top panel shows
that dark exposure has no effect on cortical inhibition if it occurs during the critical period and is compared to
critical period mice on a normal light cycle.
However, if the same experiment is conducted in adult animals, in which the critical period is closed and
inhibition is fully matured, the dark exposure substantially reduces the amplitude of inhibitory, post-synaptic
currents – ‘IPSCs’ – relative to controls. This effect reveals the capacity of dark exposure to recover cortex to
critical period levels of inhibition.
In the right panels, we can see that if animals are raised in the dark, the direction of Hebbian synaptic plasticity
can be altered in primary visual cortex, reflecting altered inhibition and a shifted modification threshold. Low
frequency stimulation produces less LTD in dark-reared animals than their littermate controls, raised under
normal lighting, and higher frequency stimulation, of around 40 Hz, induces more LTP.
Thus, the expectation would be that dark exposure could either reduce the impact of monocular deprivation –
remembering the important fact that binocular deprivation does not induce a shift in ocular dominance in the
brain – or, more dramatically, recover lost visual function in adult animals after extended monocular
deprivation.
Slide 6:
If we return to cats and the behavioural measure of their visual acuity carried out by Donald Mitchell’s
laboratory, we can see a stunning experimental result that is highly relevant to the treatment of human
disorder. Here you can see the kittens that underwent monocular deprivation through the critical period –
around one month of age – retain major visual deficits long after that eye is open. These deficits, in visual acuity,
are akin to almost complete blindness through the deprived eye for months after the eye has been opened and
in contrast to the open eye, which exhibits normal visual acuity. The amazing thing is that exposing the animals
to 10 days in the dark, at three months of age, leads to a complete recovery of function through the deprived
eye over just a few days of further visual experience. The weight of evidence, therefore, points towards dark
exposure as being a strong candidate for recovery of function in the visual system by modifying inhibition.
Slide 7:
Monocular deprivation in animals is, essentially, a model of a not uncommon human condition, known as
‘amblyopia’ – in which monocular deprivation occurs during childhood as a result of several possible ocular
conditions. Sometimes, this deprivation is not detected early enough during childhood and it extends beyond the
critical period, to ages eight and upwards. Meaning, that the visual cortex is slowly dedicated to responding to
the fully functional eye and cannot be recovered for binocularity even with good treatment of the eye in
adulthood.
The condition of amblyopia is colloquially described as ‘lazy eye’. Amblyopia reduces visual acuity to varying
extents resulting in almost no depth perception, this affects around 2% of the UK population and, even in the
subtlest of cases, prevents those people from entering certain professions that require depth perception, such
as being a pilot or a fireman or a firewoman. In more extreme cases, it results in complete cortical blindness
through that eye and would prevent you from driving. It would also reduce your quality of life in many ways and
potentially also lead onto some mental health issues. In the developing world, such as countries in Asia and
Africa, the problem is more prevalent – as easily treated ocular problems, such as cataracts, are often not
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Week 4 @ King’s College London 3.
tended to at all or until it is too late. In these countries, amblyopia also has a more dramatic effect on one’s
ability to earn a living and can, therefore, be a catastrophic condition.
Slide 8:
Of the causes of amblyopia, some are very easy to detect, such as cataracts or strabismus, due to an obvious
physical manifestation. These conditions would likely be remedied early in life, in the UK, and a child can go on to
have perfectly normal vision. In the developing world, these dysfunctions may not be attended to, due to a lack
of money or facilities.
In countries like the UK, amblyopia can occur due to less noticeable conditions, such as anisometropia – in
which the two lenses are of different refractory indices, and one provides a clearer view of the world than the
other. It is obviously critical to have good tests of visual function when children are young, to give them the best
chance of recovery prior to closure of the critical period.
Slide 9:
The current best clinical practice is to use surgery to return the ‘bad’ eye back to normal before dealing with
residual ocular dominant shift during the critical period. This recovery can be accelerated by performing the
equivalent of a reverse suture experiment, either by patching the good eye or by using eye drops of belladonna
extracts – or atropine – which prevent muscles in the good eye from working properly. This punishment of
vision through the good eye is not ideal, given that the visual system is still developing in numerous other ways.
Development of novel treatments for amblyopia, especially in adults – in which function cannot currently be
recovered, would have a major societal impact. The work on dark exposure and related, non-invasive
treatments is, therefore, extremely important. The therapeutic implications of the fundamental neuroscience
that we have discussed extends way beyond the visual system, however. The work on the effects of visual
deprivation on the visual cortex provides deep insight into the likely consequences for deprivation in other
sensory systems and in higher order systems.
Slide 10:
Insight into the development of inhibitory systems in the neocortex and how that can influence the effects of
experience and deprivation on the nervous system is likely relevant to a slew of conditions, including
neurodevelopmental psychiatric disorders: such as epilepsy, intellectual disability, autism spectrum disorders
and schizophrenia – where dysfunctions in the postnatal development of balanced excitation and inhibition is
heavily implicated.
This so-called ‘E-I balance’ has been studied in the context of these neurodevelopmental disorders. Highly
penetrant genetic causes of these conditions often target synaptic proteins, such as ‘neurexins’ and ‘neuroligins’
– which are transsynaptic signalling molecules that are critical for either normal inhibition of excitatory neurons
or normal excitation of excitatory neurons.
Mutations in the genes that encode these proteins often result in E-I imbalance and intellectual disability, autism
spectrum disorders or schizophrenia. Critical receptors for Hebbian plasticity, such as the NMDA receptors or
associated signalling systems, appear to be risk factors for schizophrenia and there is ample evidence, in this
condition, that inhibitory neurons in the cortex are reduced in number and in the production of GABA –
indicative of E-I imbalance.
Another major risk factor of neurodevelopmental disorder is Fragile X Mental Retardation Protein – ‘FMRP’ –
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Week 4 @ King’s College London 4.
which regulates activity-induced protein synthesis required for many synaptic processes, notably including
lasting Hebbian synaptic plasticity. Disruption of FMRP function, as its name suggests, results in one of the more
common forms of intellectual disability – ‘Fragile X Syndrome’ – which is often comorbid with epilepsy and
autism spectrum disorders and exhibits a clear E-I imbalance at various stages of development.
Other risk genes encode transcription factors, such as MeCP2 – which is the protein that is mutated to cause
the debilitating neurodevelopmental disorder known as ‘Rhett’s syndrome’ and which appears to play a critical
role in the production of enzymes necessary for GABA production in inhibitory neurons, thereby resulting in
major E-I imbalance.
Slide 11:
As we have seen, critical periods reflect the normal development of E-I balance in the cortex, but the timecourse
of critical periods is very different from region to region of the cortex, reflecting the different functions
of these regions. While the sensory critical periods that affect plasticity in primary sensory areas occur early,
around and after birth, similar developmental windows are extended much later into life, for language
development or socialisation. It’s possible that these later critical periods are affected in autism spectrum
disorders. Executive function or context/rule-dependent behavioural control, which arises from higher order
cortical regions in the frontal lobe may not be fully developed until late into adolescence.
Disrupted development of these faculties may contribute to numerous psychiatric disorders, including
schizophrenia. It is a relatively new concept that lost, delayed or exaggerated critical period plasticity – or that
deprivation or aberrant experience that occurs during the relevant critical period – may be causal factors in a
range of neurodevelopmental disorders. Much further work is now required in this domain.
Slide 12:
To summarise this section, non-invasion means to manipulate inhibition may re-open the critical period,
returning the brain to peak plasticity and maximising the therapeutic effects of sensory experience.
Promising methods include environmental enrichment, sensory deprivation, dietary restriction and exercise.
Placing animals in the dark for an extended period greatly reduces the level of inhibition in the visual cortex.
Mature cats, that have previously undergone monocular deprivation as kittens and have severe loss of vision
through the previously deprived eye, can show dramatic visual recovery after being placed in the dark for 10
days.
This approach holds promise for a debilitating condition, known as ‘amblyopia’, which results in a visual cortical
deficit due to childhood deprivation, that persists even after the eye is rendered fully functional through surgery
later in life. Amblyopia affects around 1 to 2% of people in the UK, but many more in the developing world –
where treatment of fixable ocular conditions is less likely to occur, in a timely fashion, and where poor vision
carries more severe consequences.
Work on the visual system also provides general insight into how cortical function is shaped by deprivation and
experience and how altered critical period plasticity may contribute to a wealth of neurodevelopmental
disorders, including intellectual disability, autism spectrum disorders and schizophrenia.