Patent application title: SYSTEM, METHOD AND APPLICATIONS INVOLVING IDENTIFICATION OF BIOLOGICAL CIRCUITS SUCH AS NEUROLOGICAL CHARACTERISTICS
Inventors:
IPC8 Class: AA61B500FI
USPC Class:
250307
Class name: Radiant energy inspection of solids or liquids by charged particles methods
Publication date: 2018-01-25
Patent application number: 20180020921
Abstract:
Various aspects are directed to systems and methods for assessing neural
activity of a neural region having multiple subfields. In certain
embodiments, a method includes evoking a cellular electrical response in
at least one subfield due to neural activity in the neural region,
capturing image data of the electrical response at a level sufficiently
detailed in space and time to differentiate between polarization-based
events of two respective portions of the subfield, and then assessing
neural activity by correlating space and time information, from the
captured data, for the two respective portions of the sub-field. Other
more specific aspects of the invention involve different preparation and
neural stimulation approaches which can vary depending on the
application.Claims:
1.-38. (canceled)
39. A system for assessing neural activity, the system comprising: a stimulator configured to evoke a cellular electrical response in at least one subfield of a neural tissue in a neural region having multiple subfields by stimulating neuronal cells of the neural region that express a light-activated ion channel and/or a light-activated ion pump protein; an imager configured to capture image data of the cellular electrical response at space and time limits of resolution that allow for differentiation between polarization-based events of two portions of the at least one subfield, wherein each of the two portions comprises a group of neurons; and a processor configured for assessing neural activity, wherein assessing neural activity comprises correlating space and time information, from the captured image data, for the two portions of the at least one subfield to produce correlation results.
40. The system according to claim 39, further comprising a composition comprising a nucleic acid encoding the light-activated ion channel and/or the light-activated ion pump protein.
41. The system according to claim 39, further comprising a composition for staining the neural tissue, wherein the composition comprises at least one of: a voltage sensitive dye, and a calcium sensitive dye.
42. The system according to claim 39, wherein the correlation results comprise a correlation between a signal strength of a stimulation profile and each pixel in the image data, and wherein the processor is further configured for: determining the correlation between the signal strength of the stimulation profile and each pixel in the image data; determining a cross-correlation amplitude for each pixel based on the determined correlation; determining a cross-correlation phase for each pixel based on the determined correlation; identifying areas of interest as a function of a spatial location of each pixel and the determined cross-correlations; and limiting pixel variations in the image data that are not in the identified areas of interest.
43. The system according to claim 39, wherein the processor is further configured for: assessing target locations for a treatment that includes a physical intervention.
44. The system according to claim 39, further comprising a computer arrangement comprising: the processor; and a storage medium storing computer-executable data, wherein, when the computer-executable data is executed by the processor, the processor assesses neural activity by correlating space and time information, from the captured data, for the two portions of the at least one subfield.
45. The system according to claim 39, wherein the processor is configured for comparing the correlation results with and without a treatment for the neural region, wherein the treatment is at least one of: a pharmacological chemical based substance, a nonchemical-based therapeutic treatment, a neural-invasive treatment, a neural-genesis treatment, and a neural-modulation treatment.
46. The system according to claim 39, wherein the processor is configured for assessing endophenotypes for a predictive value relative to a disorder.
47. The system according to claim 39, wherein assessing neural activity further comprises assessing a role of one or more subfields within a neural circuit.
48. The system according to claim 39, wherein neural activity is assessed relative to a depressed state of the neural region.
49. The system according to claim 39, wherein neural activity is assessed relative to one or more of: Alzheimer's disease, mild cognitive impairment, autism, bipolar disorder, schizophrenia, and Down Syndrome.
50. The system according to claim 39, wherein: the space limit of resolution is less than a centimeter; the time limit of resolution is less than 500 milliseconds; and the polarization-based events involve at least one of: depolarization events and hyperpolarization events.
51. The system according to claim 39, wherein the space limit of resolution is less than about a millimeter.
52. The system according to claim 39, wherein the subfields include dentate gyrus (DG) and CA1 subfields of the hippocampus.
53. The system according to claim 39, wherein the neural region is selected from the group consisting of hypothalamus, frontal cortex, entorhinal cortex, cingulate cortex, mammillary bodies, septum, bed nucleus of stria terminalis, amygdala, and accumbens.
54. The system according to claim 39, wherein the light-activated ion channel and/or the light-activated ion pump protein is at least one of: a channel-rhodopsin (ChR2), and a halorhodopsin (NpHR).
55. The system according to claim 39, wherein the neural tissue is a brain slice.
56. The system according to claim 39, wherein the processor is configured for correlating an activity level of the at least one subfield from the captured image data, and providing processed correlation results useful for assessment of the response of the neural region.
57. The system according to claim 41, wherein the composition for staining the neural tissue comprises the voltage sensitive dye.
58. The system according to claim 39, wherein the stimulator is configured to evoke the cellular electrical response by optically stimulating the neuronal cells.
59. The system according to claim 39, wherein the stimulator is configured to evoke the cellular electrical response by electrically stimulating the neuronal cells.
60. The system according to claim 39, wherein the stimulator is configured to evoke the cellular electrical response by using infrared light.
61. The system according to claim 42, wherein the processor is configured for limiting pixel variations in the image data that are not in the identified areas of interest by median filtering the image data.
62. The system according to claim 61, wherein the processor is configured for median filtering the image data by median filtering with a 3.times.3 pixel window.
Description:
RELATED PATENT DOCUMENTS
[0001] This patent document claims the benefit, under 35 U.S.C. .sctn.119(e), of U.S. Provisional Patent Application Ser. No. 60/901,178, entitled System, Method and Applications Involving Identification of Neurological Characteristics and filed on Feb. 14, 2007; this patent application, including the Appendix therein, is fully incorporated herein by reference.
FIELD OF THE INVENTION
[0002] The present invention relates generally to imaging systems and methods, and more particularly to imaging of biological networks.
BACKGROUND
[0003] Understanding the complexities of biological tissue and its electrical behavior continues to be an area of ongoing research and study. For example, a major challenge facing psychiatry is the lack of understanding of the neuronal network changes that underlie clinical depression and recovery. The hippocampus is hypothesized to play a central role in both depression pathophysiology and treatment response, but the underlying local network dynamics are not understood, with studies yielding apparently contradictory findings.
[0004] Development of new treatments for psychiatric disorders is hindered by an almost complete lack of information on how maladaptive neural physiology may give rise to affective phenotypes. For this reason, identification of a neurophysiological final common pathway linked to the etiology of a psychiatric disease could revolutionize understanding and guide clinical development of novel treatments. In depression, a leading cause of disability that affects an estimated 121 million people worldwide, the current widely-used medications are often effective in reducing symptoms and can promote remission, but treatment-resistance to first-line antidepressants like the selective serotonin reuptake inhibitors (SSRIs, such as fluoxetine and paroxetine) occurs in up to 50% of patients. Well-known medication side effects further complicate compliance and recovery, pointing to the need for new classes of treatment. Development of new classes of treatment is severely constrained by the incomplete understanding of the multifactorial biological etiology of depression, which involves genetic predisposition, epigenetic and developmental alterations, and adverse life events including chronic or acute stress. If many of these different etiological factors are expressed behaviorally through final common neurophysiological features, identification of these putative endophenotypes could not only provide a basis for understanding of the disease but also enable rapid development of novel selective classes of antidepressant treatments.
[0005] Candidate neural structures pertinent to depression physiology have been identified in part by using structural and functional imaging. Human fMRI studies have demonstrated altered blood flow associated with depression in several brain regions, including specific components of the emotion-regulating limbic circuitry. In particular, the hippocampus has received considerable attention as an integral component of the limbic system that communicates directly with and drives other brain regions implicated in depression, such as the prefrontal cortex, hypothalamic-pituitary-adrenal (HPA) axis, and reward centers. A substantial body of work favors the concept that the hippocampus is hyperactive in depression.
[0006] PET imaging has been used in depressed patients to implicate overactive excitatory pathways radiating from the hippocampus to downstream cortical regions (e.g., to Cg25) which is thought to be overactive in depression, and to orbitofrontal cortex), and furthermore found that fluoxetine-induced reduction in hippocampal activity was tightly linked to successful clinical response. Meta-analysis of functional brain imaging in medication treatment of depression indicated that changes in downstream cortical regions are delayed until specific adaptive changes occur in the source of primary afferent inputs, e.g., the hippocampus. This work showed that the hippocampus is a "primary site of action" for major antidepressants and a key initiator of successful response to antidepressant treatment. Complicating this picture, however, is evidence suggesting reduced hippocampal activity in depression, including reduced hippocampal size in clinical depression, the fact that excitatory hippocampal neurons display atrophy and death due to chronic stress and stress hormone exposure, and the observation that antidepressant-induced production of presumed excitatory neurons in the dentate gyrus of the hippocampal formation is linked to behavioral efficacy.
SUMMARY
[0007] Aspects of the present invention involve the implementation of new optical technologies that allow sufficient spatial (pm) and temporal resolution (ms) of electrical activity in distinct neural circuits.
[0008] Consistent with one embodiment of the present invention, a method is implemented for assessing neural activity in a neural region having multiple subfields. An electrical response is evoked in at least one subfield due to neural activity in the neural region. Image data of the electrical response is captured at a level sufficiently detailed in space and time to differentiate between polarization-based events of two respective portions of the subfield. Neural activity is assessed by correlating space and time information, from the captured data, for the two respective portions of the sub-field.
[0009] Consistent with one embodiment of the present invention, a method is implemented for assessing neural activity in a neuronal network that includes first and second portions electrically related to one another. The neuronal network is stained with a voltage sensitive dye. The first portion of the neuronal network is stimulated. Responsive to the stimulation, image data is captured that results from the voltage sensitive dye and neural activity in the first portion. The image data is processed to assess neural activity indicative of a disorder.
[0010] Consistent with one embodiment of the present invention, a system is implemented for determining neural activity in a neural region having multiple subfields. A preparation arrangement prepares the neural region for imaging A stimulation arrangement stimulates at least one subfield in the neural region. An imaging device for captures image data resulting from stimulation of the neural region, wherein the image data is captured at a level sufficiently detailed in space and time to differentiate between polarization-based events of two respective portions of the subfield. A processor assesses neural activity by correlating space and time information, from the captured data, for the two respective portions of the sub-field.
[0011] Consistent with one embodiment of the present invention, an arrangement is implemented for use in a system for determining neural activity in a neural region having multiple subfields, the system including a preparation arrangement for preparing the neural region for imaging, a stimulation arrangement for stimulating at least one subfield in the neural region, and an imaging device capable of capturing image data resulting from stimulation of the neural region. The arrangement includes a processor programmed and adapted to process image data captured at a level sufficiently detailed in space and time to differentiate between polarization-based events of two respective portions of the subfield, to assess neural activity by correlating space and time information, from the captured data, for the two respective portions of the sub-field.
[0012] Consistent with one embodiment of the present invention, storage medium for use in a system for determining neural activity in a neural region having multiple subfields, the system including a preparation arrangement for preparing the neural region for imaging, a stimulation arrangement for stimulating at least one subfield in the neural region, and an imaging device capable of capturing image data resulting from stimulation of the neural region, a storage medium storing computer-executable data which, when executed by a computer arrangement, cause the computer arrangement to perform steps. A first step involves processing image data captured at a level sufficiently detailed in space and time to differentiate between polarization-based events of two respective portions of the subfield. A second step involves assessing neural activity by correlating space and time information, from the captured data, for the two respective portions of the sub-field.
[0013] The above summary of the present invention is not intended to describe each illustrated embodiment or every implementation of the present invention. The figures and detailed description that follow more particularly exemplify these embodiments.
BRIEF DESCRIPTION OF DRAWINGS
[0014] The invention may be understood in consideration of the detailed description of various embodiments of the invention that follows in connection with the accompanying drawings in which:
[0015] FIG. 1A shows representative filmstrip acquired using voltage-sensitive-dye imaging (VSDI), consistent with an example embodiment of the present invention;
[0016] FIG. 1B shows pharmacological dissection of the VSDI signal, consistent with an example embodiment of the present invention;
[0017] FIG. 1C shows single-pixel response (.DELTA.F/F vs. time, post-averaging and filtering; top) from the indicated region to the given stimulus train (bottom), consistent with an example embodiment of the present invention;
[0018] FIG. 1D shows the results of cross-correlation analysis and region of interest extraction, consistent with an example embodiment of the present invention;
[0019] FIG. 2A shows results of a chronic mild stress (CMS) induced ethologically relevant depressed-like state and animals treated chronically with the indicated drug condition to model antidepressant and antipsychotic treatment, consistent with an example embodiment of the present invention;
[0020] FIG. 2B shows linear and quantitative response of the VSDI total activity signal to applied stimulus current in both the dentate gyms (DG) and Cornu Ammonis region CA1, consistent with an example embodiment of the present invention;
[0021] FIG. 2C shows evoked DG activity was significantly decreased in CMS-treated animals, consistent with an example embodiment of the present invention;
[0022] FIG. 2D shows evoked CA1 activity was significantly increased in CMS-treated animals, consistent with an example embodiment of the present invention;
[0023] FIG. 2E shows relative activity between DG and CA1 activity, calculated for each slice and averaged together for each animal, consistent with an example embodiment of the present invention;
[0024] FIG. 2F shows evoked DG activity was significantly increased in antidepressant, but not haloperidol, treated animals, consistent with an example embodiment of the present invention;
[0025] FIG. 2G shows evoked CA1 activity was decreased in antidepressant, but not haloperidol, treated animals, consistent with an example embodiment of the present invention;
[0026] FIG. 2H shows relative activity between DG and CA1 activity calculated for each slice and averaged together for each animal, consistent with an example embodiment of the present invention;
[0027] FIG. 3A shows immobility times of CMS treated animals relative to controls, and fluoxetine treatment in both control and CMS groups, consistent with an example embodiment of the present invention;
[0028] FIG. 3B shows activity of DG relative to CA1 in CMS-treated animals and fluoxetine treated animals in both CMS and control groups, consistent with an example embodiment of the present invention;
[0029] FIG. 3C shows linear regression of the DG-CA1 relative activity against the forced swim test (FST) scores for each individual animal, consistent with an example embodiment of the present invention;
[0030] FIG. 3D shows percent time in center on the open field test (OFT) for treatment groups, consistent with an example embodiment of the present invention;
[0031] FIG. 3E shows that no differences in total distance on the OFT were observed for any treatment group indicating lack of motility-related confounds, consistent with an example embodiment of the present invention;
[0032] FIG. 3F shows that linear regression of the DG-CA1 relative activity against the OFT scores for each individual animal, consistent with an example embodiment of the present invention;
[0033] FIG. 4A shows unbiased stereological determination of BrdU+ cell density in the ventral hippocampus, consistent with an example embodiment of the present invention;
[0034] FIG. 4B shows BrdU+ neuron density, consistent with an example embodiment of the present invention;
[0035] FIG. 4C shows representative confocal images of the DG labeled for BrdU, the mature neuronal marker NeuN, and the immature neuronal marker Dcx, consistent with an example embodiment of the present invention;
[0036] FIG. 5A shows a timeline for various steps in the imaging process, consistent with an example embodiment of the present invention;
[0037] FIG. 5B shows fluoxetine-treated animals immobility times, consistent with an example embodiment of the present invention;
[0038] FIG. 5C shows DG-CA1 relative activity with fluoxetine treatment, consistent with an example embodiment of the present invention;
[0039] FIG. 5D shows the number of total BrdU+ cells per hippocampus, consistent with an example embodiment of the present invention;
[0040] FIG. 5E shows the number of BrdU+ cells, consistent with an example embodiment of the present invention;
[0041] FIG. 5F shows the number of doublecortin (Dcx) cells, consistent with an example embodiment of the present invention;
[0042] FIG. 5G shows representative confocal images of the DG labeled for BrdU, the mature neuronal marker NeuN, and the astrocytic marker GFAP, consistent with an example embodiment of the present invention;
[0043] FIG. 6A shows a network model and resulting simulations, consistent with an example embodiment of the present invention;
[0044] FIG. 6B shows results from network model and simulations, consistent with an example embodiment of the present invention;
[0045] FIG. 6C shows data useful for assessing the experimental effects of neurogenesis on the spread of activity in DG, consistent with an example embodiment of the present invention;
[0046] FIG. 7 shows an example system for determining characteristics of neuronal networks, according to an example embodiment of the present invention;
[0047] FIG. 8 shows a flow diagram of a process for treatment of depressed states in patients, according to an example embodiment of the present invention;
[0048] FIG. 9A shows a wavelength diagram for use in a VSDI imaging process, according to an example embodiment of the present invention;
[0049] FIG. 9B shows an imaging apparatus for use in a VSDI imaging process, according to an example embodiment of the present invention;
[0050] FIG. 10A shows a sample VSDI frame and trace, processed consistent with an example embodiment of the present invention;
[0051] FIG. 10B shows the trace indicated in FIG. 10A, imported into MATLAB, consistent with an example embodiment of the present invention;
[0052] FIG. 10C shows the 10 Hz stimulus profile used during acquisition; consistent with an example embodiment of the present invention;
[0053] FIG. 11A shows cross-comelogram for a single pixel produced by cross-correlating the stimulus profile against the pixel response, consistent with an example embodiment of the present invention;
[0054] FIG. 11B shows Plot of maximal correlation amplitude and phase of maximal amplitude for each pixel, consistent with an example embodiment of the present invention;
[0055] FIG. 12A shows the result of plotting a calculation of standard deviation of phases in the local surrounding area, consistent with an example embodiment of the present invention;
[0056] FIG. 12B shows an initial, computationally extracted region of interest, prior to smoothing and manual cropping, and also these pixels overlaid on the phase and amplitude plots of FIG. 10B, consistent with an example embodiment of the present invention;
[0057] FIG. 12C shows resulting images after morphological smoothing and manual cropping, and also the result overlaid with the phase and amplitude plots of FIG. 10B, consistent with an example embodiment of the present invention;
[0058] FIG. 13A shows selective and specific effects of fluoxetine and hippocampal physiology assessed by immunohistochemistry, consistent with an example embodiment of the present invention;
[0059] FIG. 13B shows close-up images of CD68-positive activated microglia in sham and irradiated hippocampi, consistent with an example embodiment of the present invention;
[0060] FIG. 13C the effect of irradiation on hippocampal physiology observed in the non-fluoxetine-treated animals, consistent with an example embodiment of the present invention;
[0061] FIG. 13D shows the specificity of irradiation effects to newborn neuron production in DG, consistent with an example embodiment of the present invention;
[0062] FIG. 14A shows forced-swim test (FST) behaviors presented in response to pharmacological treatment, expressed as a mean percent time and consistent with an example embodiment of the present invention;
[0063] FIG. 14B shows FST behaviors presented in response to CMS and fluoxetine, expressed as a mean percent time and consistent with an example embodiment of the present invention;
[0064] FIG. 14C shows FST behaviors presented in response to irradiation and fluoxetine, expressed as a mean percent time and consistent with an example embodiment of the present invention;
[0065] FIG. 15A shows a block diagram of a system for optical drug screening, according to an example embodiment of the present invention; and
[0066] FIG. 15B shows a specific system diagram of a large-format, quasi-automated system for drug screening, according to an example embodiment of the present invention.
[0067] While the invention is amenable to various modifications and alternative forms, specifics thereof have been shown by way of example in the drawings and will be described in detail. It should be understood, however, that the intention is not to limit the invention to the particular embodiments described. On the contrary, the intention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the invention.
DETAILED DESCRIPTION
[0068] The present invention is believed to be applicable to a variety of different types of processes, devices and arrangements involving imaging excitable tissue. Aspects of the present invention have been found to be particularly advantageous in applications benefitting from or involving assessment of neural activity. While the present invention is not necessarily so limited, various aspects of the invention may be appreciated through a discussion of examples using this context.
[0069] Embodiments of the present invention are directed to methods, systems and devices for assessing electrical activity of a neural region. Aspects of the invention allow for assessment of such electrical activity with high temporal and spatial precision. High-speed and high-resolution imaging devices capture data responsive to the electrical activity. Specialized processing techniques are used to assess the electrical activity by correlating time and phase information about the captured data.
[0070] In connection with various embodiments of the present invention, a neural region is targeted for assessment of neural activity. The neural region has subfields or local networks consisting of a relatively small number of neural cell groups. Image capture of a subfield is performed so as to provide sufficient detail in space and time to differentiate between polarization events (i.e., depolarization events or hyperpolarization events) of respective portions of the subfield. These portions can range from a single neuron to a small group of neurons sufficient to distinguish individual polarization events within the portions of the subfield. In a particular instance, the respective portions represent one or more captured image pixels. In one instance, the spatial detail is on the order of millimeters (e.g., sub centimeter). In another instance, the spatial detail is on the order of micrometers (e.g., sub millimeter). The temporal detail can range from around a half second to a few milliseconds or even faster.
[0071] One embodiment of the present invention involves the use of spatial and temporal correlation techniques to assess the neural activity of subfields. These techniques are designed to scale with the precision of the image capture technology allowing for use with a wide variety of current and future image capture technologies.
[0072] Embodiments of the present invention use voltage sensitive dye imaging (VSDI) to probe quantitatively the dynamics of other neural networks following the induction, diagnosis or treatment of medical states or diseases. One such embodiment uses VSDI to probe quantitatively the differences in network activity due to various factors including, but not limited to, those differences underlying psychiatric disease and treatment.
[0073] Other embodiments of the present invention use other imaging techniques, such as infrared imaging, near-infrared imaging or optical topography. Such techniques involve the capture of image data relative to the properties of blood within the neural region (e.g., hemoglobin concentrations). Activity within the neural region results in rapid changes to localized blood volume. The captured image data includes data regarding the properties of the blood within specific regions of the neural region. This data is obtained through a determination of optical absorption coefficients.
[0074] A specific embodiment of the present invention uses a VSDI process to assess correlations between stimuli and resulting electrical responses. Stimuli elicit responses from the neural network. Voltage responsive dyes allow images of the responses to be captured using an imaging device. Correlation techniques are implemented to match the data from the imaging device to the stimuli. For instance, delays are inherently present between the application of the stimuli and the capturing of the image data. Factors in the delay include, but are not limited to, propagation delay through the neural network, delay in the voltage-sensitive dye response, imaging device delays and processing delays. In a particular embodiment, the stimuli profile is compared to the image data with respect to time/phase. The comparison can be accomplished by implementing a pixel-by-pixel correlation between the stimulus and the pixel response. The pixel response can be determined as the amount of change from one frame to the next.
[0075] One embodiment of the present invention uses voltage sensitive dye imaging (VSDI) to probe quantitatively the dynamics of neural networks (e.g., hippocampal) with millisecond resolution following bidirectional affective state modulation (including both induction and treatment of depressed-like states). It has been found that a single measure of high-speed neurophysiological activity-the evoked spread of activity through the dentate gyms of the hippocampal formation, relative to that in CA1, accounts for bidirectional changes in animal behavior in a manner that is independent of the underlying mechanism of action of the affective state modulators. These high-speed imaging results define a network-level endophenotype for depression unifying disparate findings in the literature, and demonstrate a tractable approach to the understanding and treatment of neural substrates of psychiatric disease.
[0076] While much of the discussion herein is directed to VSDI and/or optical tomography, the invention is not so limited. To the contrary the various embodiments, for example, the processing and correlations techniques, are applicable to any number of different data capture techniques. For instance, the processing and correlation techniques can be applied to any data set that contains temporal and spatial information having sufficient granularity and precision.
[0077] In an example of one such an alternative embodiment, a slice of brain is obtained which includes representative samples of the prefrontal cortex, the dorsolateral prefrontal cortex, and the subgenual cingulate. This block of tissue is treated with a calcium dye. Various calcium dyes are able to resolve ion flux on a cellular scale with microsecond precision. Using such dyes, the activity of these regions can be used to assess the neural activity of various regions and their interconnections. For example, an assessment could be made as to whether the dorsolateral prefrontal cortex has a direct correlation with the activity of the prefrontal cortex, and inverse relationship with the activity of the subgenual cingulate cells. In the case of depression, this may reach a steady state in which the subgenual cingulate is relatively overactive as compared with the prefrontal cortex. In the context of this experimental paradigm, candidate drugs may be tried with respect to their differential effect on these regions within the sample. Ideal drugs for example might serve single targeted neurophysiological roles, without creating additional neurophysiological effects which are competitive to the therapeutic goal. For example, a drug which succeeds in lowering activity levels in the subgenual cingulate without lowering activity in the prefrontal cortex as well may be preferable to one which attempts to lower activity generically in both. Also in the context of such an embodiment, ideal locations for neuromodulation of specific sites within the circuit may be identified, with and without the benefit of synergistic medications.
[0078] Readout or image capture of the physiological activity of the neural network can be accomplished by a variety of techniques including calcium imaging, biochemical imaging and infrared imaging. PET and fMRI may also be applicable, albeit at lower spatial and temporal resolutions.
[0079] Stimulating the circuit may be accomplished with a variety of means that influence cellular activity, including application of drugs, magnetic fields, electrical current, optical (including opto-genetic) stimulation, ultrasound thermal and radiation methods as are known in the art.
[0080] FIG. 7 shows an example system for determing characteristics of neuronal networks, according to an example embodiment of the present invention. Tissue preparation device 700 includes the preparation of the neuronal network for various imaging techniques, such as staining the tissue with voltage sensitive dye. In one instance, tissue preparation device 700 includes a device to stimulate the appropriate portion of the neuronal network. This can be accomplished using electrodes, light (e.g., by modifying the target network to react to light using optically responsive channels or pumps) and/or similar techniques, as has been recently published with reference to DBS applications. Image device 702 records the resulting signals. In one instance, image device 702 is a high speed camera capable of capturing signals derived from action potentials of the neuronal network. Imaging data 704 is received from image device 702 by data processor 706. The data is processed to filter unwanted signals, determine the target area and to calculate the amount of activity. As discussed in more detail herein, the process can include a number of steps including, but not limited to, cross-correlation analysis between the stimulus and the response, image smoothing and averaging, definition of the region of interest, pixel to pixel cross correlation and calculation of the mean amplitude of the region of interest.
[0081] Depending on the readout source, data may be captured for example with a CCD camera, or as a digital matrix of sensor readings obtained from a sensor grid, or serially positioned sensors. Processing resultant readout data by correlating activity level of cell types may be accomplished with computer software, for image analysis applications such as Image J (U.S. National Institutes of Health, Image J consortium). Providing processed correlation results to the user may be provided through screen displays, printed and transmitted data.
[0082] FIG. 8 shows a flow diagram of a process for treatment of depressed states in patients, according to an example embodiment of the present invention. At block 802 the depressed state is induced on an animal, such as a rat. Alternatively, the depressed state could be diagnosed rather than induced. This is particularly useful for modifying this portion of the process to be used with human patients. Treatments (e.g., drugs, dietary changes, environmental changes) are administered to the depressed state animals at block 804. In one instance, the use of control groups and statistical techniques can be used to bolster the validity of any results obtained. At block 806, the amount of activity in the DG and CA1 areas of the brain are measured and quantified. The results of the treatments can then be determined at block 808. This portion of the process can then be repeated for different treatments and different depressed states. Future patients can be diagnosed with a similar depressed state at block 810. This can be accomplished through various techniques, such as identifying the depressed state through symptoms and by measuring the activity of the DG and CA1 areas of the brain. Using the determination from block 808 the appropriate treatment can then be administered.
[0083] The various methods and systems discussed herein (including those discussed in connection with the flow diagram of FIG. 8) can be applied to a number of applications other than those related to either depression or the DG and CA1 subfields. A few example disorders for which treatments can be screened include, but are not limited to, Alzheimer's disease, mild cognitive impairment, autism, bipolar disorder, schizophrenia, and Down Syndrome. Other instances involve the use of the invention to assess areas of the human nervous system including, but not limited to, the neocortex, archicortex, paleocortex, cerebellum, medulla or spinal cord. Within the hippocampus (a structure on the temporal lobe of the neocortex) for example, pertinent cellular areas involved with a specific circuit include the dentate gyms, the CA1 field, the CA3 fields. Various examples include, but are not limited to, the upstream and downstream connections to the hippocampus (e.g., the hypothalamus, frontal cortex, enthorhinal cortex, cingulate cortex, mammillary bodies, septum, bed nucleus of stria terminalis, amygdala, and nucleus accumbens). Other embodiments target excitable cells other than those of the brain, such as the nervous system or cardiac conduction system (e.g., sinoatrial node, atrioventricular (AV) node, bundle of His; bundle branches; internodal tracts, anterior-superior and posterior-inferior divisions of the left bundle and the Purkinje network).
[0084] In order to assess the network activity a number of different methods can be used to evoke a response in the target neural region. A first example involves applying direct electrical stimulation to a portion of the network. This can be accomplished using, for example, patch clamping or other electrical probe devices and methods. Another example involves the use of various electromagnetic (EM) waves to evoke the desired response. Various different EM wave sources are possible depending upon the type of EM wave. A first example includes optical (visible or near-visible) EM waves from a number of sources, such as light-emitting-diodes (LEDs) or lasers. Another example of EM-type stimulus includes gamma rays or X-rays. Additionally, a response can be evoked using physical stimulus, such as physical perturbation provided by ultra-sound. Ultra-sound can also be used to evoke a response by heating the target neural region. Yet another mechanism for evoking a response includes the use of a pharmacological or chemical agent to affect the firing rate of the neural region.
[0085] For applications involving a live subject, in addition to the stimulus discussed above, a response can be evoked by providing any number of external stimuli to the subject including, but not limited to, physical, mental and chemical stimuli.
[0086] A specific embodiment of the present invention can also be implemented by relying upon intrinsic neural activity. In this context, evoking a response involves providing conditions for the neural network that are conducive to producing the intrinsic neural activity. For example, the cardiac conduction system includes the intrinsic firing of both the SA and AV nodes. Intrinsic network activity from either or both of these nodes can be assessed by providing proper conditions for the neural networks. Additionally, the effects of various treatments (e.g., drugs or otherwise) on the intrinsic network activity can also be assessed by first applying the treatments and assessing the resulting network activity. Another possible implementation for intrinsic neural activity is to correlate interdependencies between areas within a subfield or between different subfields.
[0087] FIG. 15A shows a basic block diagram of a system for screening for neural network affecting drugs or treatments, according to an embodiment of the invention. Optical control 104 communicates with database 102, optical source 106 and optical detector 109. Optical source 106 provides optical stimulus to test sample 108. Test sample 108 includes the drug under test, neural cells that have optically responsive ion channels, and a voltage/ion indicator. Alternatively test sample 108 does not include a drug, but rather the neural cells have been treated in some other manner.
[0088] Test sample 108 includes a neural network that is under test. In a specific example, the neural network is representative of one or more specific subfields of the brain. The effects of a particular drug or treatment may be monitored for more than just average activity over time. Using an embodiment of the present invention, the effect of the treatment with respect to specific activity patterns within a subfield can be monitored and assessed.
[0089] In one instance, the indicator fluoresces in response to light from optical source 106. Optical control 104 may also include a reconfigurable readout, so that as different light-activated membrane potential switches (LAMPS) and different light-emitting indicators of cellular activity (LEIAs) are used, the same control system can be readily adapted to each paradigm. Optical detector 109 produces a signal responsive to such florescence, and optical control 104 receives the produced signal. The optical control 104 stores data obtained from the signal in database 102. The information stored includes spatial and temporal data regarding the electrical activity of the test samples 108. Other information may include factors such as the intensity, duration and wavelength of the detected light. In a particular instance, the stored data can be compared against baseline data, where the baseline data corresponds to data recorded prior to the introduction of the drug to the test sample 108. In another instance, optical source 106 may vary the intensity, duration or other parameters related to the control of optical source 106. These and other parameters may be stored in database 102. These parameters are then used to assess the network activity.
[0090] It should be apparent that optical source 106 may be implemented using a single light source, such as a light-emitting diode (LED), or using several light sources. Similarly, optical detector 109 may use one or more detectors and database 102 may be implemented using any number of suitable storage devices.
[0091] FIG. 15B shows a system diagram of a large-format, quasi-automated system for drug screening in accordance with a specific embodiment of the invention. Control device 101 (e.g., a computer or control logic) controls various processes, and serves as the central point of system input/output functions. The environment may be maintained at an appropriate temperature, humidity, carbon dioxide level and ambient light level within the walls of the climate control chamber 105, with the help of one or more sensors 114 (e.g., thermostat, carbon dioxide sensor and humidity sensor), carbon dioxide and humidifier apparatus 112, and heater 110. Multi-well tray 141 contains test wells 140 for holding cultured cells, drugs, and other ingredients needed for each test. Tray 141 rests upon X-Y-Z table 125, the movement of which is carried out by table actuators 120, under control of computer 101. Xenon lamp 155 emits high-intensity white light 156, which is passed through color filter 160. In the case that ChR2 is used for stimulating the cells within wells 140, color filter 160 is blue, causing blue light 161 to exit the filter, and strike dichroic mirror 170. Blue light 161 then passes upward, through microscope objective lens apparatus 130, and through the bottom of transparent tray 141. In this fashion, the contents of wells 140, with their transparent undersides, are illuminated. When a separate wavelength of light is required to stimulate a fluorescent light-emitting indicator of cellular activity, a filter of the appropriate specification may be substituted for the previous filter 160, causing light of the proper wavelength for this latter task to be piped toward well 140. If the cells within well 140 have been light-sensitized, and if the drug being tested in each of these wells does not suppress the process, a light-emitting indicator of cellular activity (LEIA), which has also been added to each well or expressed by the cells via genetic modification, will emit light in accordance with the voltage change caused by the effect of the light. This second wavelength of light, which may be much smaller in magnitude than the stimulation light, is collected by microscope turret 135, will also be passed through dichroic mirror 175, onto the lens of (CCD) camera 180.
[0092] Dichroic mirror 170 allows for upward reflection of both the wavelength required to stimulate the optical gating of the membrane (e.g., blue for ChR2), and the wavelength required by any LEIA used (e.g., ultraviolet for FURA-2). This dichroic mirror may be arranged to allow passage of the output spectrum of the LEIA (e.g., blue-green for FURA-2) with minimal reflection or absorption.
[0093] For further details regarding drug screening processes, systems and devices, including those directed to a high-throughput screening environment, such as array-based optical screening system, reference can be made to U.S. patent application Ser. No. 60/996,116, to Zhang et al., filed on Aug. 10, 2007 and entitled "Cell Line for Optically-Based Screening of Ion Channel Modulators".
[0094] FIG. 9A shows a wavelength diagram for use in a VSDI imaging process, according to an example embodiment of the present invention. FIG. 9B shows an imaging apparatus for use in a VSDI imaging process, according to an example embodiment of the present invention. A specific embodiment of the present invention uses light-activated channel/pump proteins, such as channel-rhodopsins (ChR2) and halorhodopsins (NpHR), to stimulate the cell to be imaged. The wavelength of light 902 that ChR2 responds strongly to is around 470 nm. The wavelength of light 904 that NpHR responds strongly to is around 590 nm. An example VSDI (RH-155) responds strongly to light 906 having a wavelength of around 700 nm. FIG. 9B shows that light 902 and 904 can be directed at target cells. The difference in wavelengths is useful for allowing individual control of the specific light-activated channel/pump proteins (e.g., one of ChR2 or NpHR). A dichroic mirror can be used to direct light 902 and 904 toward the target cells. Light from the VSDI is captured by a camera and processed accordingly. This all-optical stimulation/inhibition/imaging process can be particularly useful for, among other things, precise temporal and spatially controlled stimulation and for avoiding disadvantages associated with electrode-based stimulus or patch-clamp techniques. For further details regarding such all-optical systems reference can be made to "Integration of Light-Controlled Neuronal Firing and Fast Circuit Imaging" by Airan, et al. (Current Opinion in Neurobiology 2007, 17:587-592), which is fully incorporated herein by reference.
[0095] The hippocampus is an example target for various embodiments of the invention, as it is not only a central component of limbic neural circuitry implicated in depression and drug response, but also the gateway through which multimodal sensory information is stored and flows to the limbic system. Models of hippocampal function from the memory literature can be used as a framework for understanding how the hippocampus may mediate affective responses. These models assign fundamentally different roles to the associative (e.g., dentate gyrus or DG) and output (CA1) subfields of the hippocampal formation in spatial and temporal memory processing. For example, the CA1 region is often conceptualized as a comparator of signals received directly from the cortex, to signals received from DG (by way of CA3), that then outputs this difference or "error" signal to downstream cortical and subcortical structures. The DG and CA1 local networks not only operate very differently, but neurogenesis occurs only in the DG; moreover, neuromodulators and stress hormones each can yield distinct effects on the DG and CA1 subfields. In light of these differences, the disparate clinical findings regarding hypoactivity or hyperactivity of the hippocampal formation in depression could in principle be reconciled with technology capable of separately resolving electrical activity of the associative (e.g., DG) and output (CA1) local circuits in behaviorally relevant paradigms. An example application of VSDI imaging consistent with an embodiment of the present invention is used to address such disparate clinical findings. While the invention is not so limited, the discussion of such a specific application can be useful to an understanding of the present invention.
[0096] In probing the neurobiology of psychiatric disorders, rodent models have proven useful in isolating key features that may underlie disease etiology. Models of depression include paradigms based on stress, learned helplessness, neurological lesion, and/or genetic manipulation. In particular, the chronic mild stress (CMS) paradigm has excellent predictive, face and constructs validities, models core symptoms, and is considered to be an ethologically relevant model of depression. Although molecular, synaptic, cellular, and anatomic markers have been linked to depression or antidepressants in several of these animal models of disease, a neurophysiological endophenotype of depression has yet to be identified that captures relevant changes in network activity with high spatiotemporal resolution.
[0097] Applications of the present invention implement VSDI technology as a powerful, quantitative tool to probe the alterations in network activity to determine their contributions to neuropsychiatric disease. For example, given the primary role of the hippocampus in depression and its treatment, VSDI was used to observe hippocampal activity directly with high spatial and temporal resolution in rodent models of depression and antidepressant treatment. The parameters of hippocampal activity measured by VSDI reliably predict behavioral performance on a forced swim test following combinations of CMS and chronic antidepressant treatment. Specifically, CMS significantly reduces activity in the DG and increases activity in CA1; moreover, chronic antidepressant treatment induces opposite effects, confirming the initial hypotheses. Together, these results identify the activity of the DG relative to CA1 as a neurophysiological endophenotype of depression that spans responses to distinct classes of antidepressants, combinations of stress exposure and antidepressant treatment, and multiple mechanisms of action on the cellular level. The DG-CA1 relative activity, a subfield-resolved measure of high-speed hippocampal electrical activity, unifies contradictory and disparate findings in the field and may represent a common pathway through which mechanistically diverse processes contribute to depression and its treatment.
[0098] To use high-speed VSDI to explore neuronal network activity changes in psychiatric disease models, experimental analysis methods were developed to extract reliable quantitative features from the imaging data across animals. A specific implementation of one embodiment of the present invention was used to probe the DG-CA1 activity in depressed mice. A description of the figures related to this implementation follows, with specific details of the implementation provided thereafter.
[0099] FIG. 1 shows voltage sensitive dye imaging (VSDI) of such hippocampal network activity. FIG. 1A shows representative filmstrip acquired using VSDI. Times indicated are relative to a single pulse of stimulus current applied to the perforant path. Warmer colors indicate greater activity (.DELTA.F/F) in the corresponding pixel. Data represents the average of four individual sweeps; traces were low-pass filtered (0.5 kHz cutoff), and frames were spatially filtered with a 5.times.5 Gaussian spatial average.
[0100] FIG. 1B shows pharmacological dissection of the VSDI signal. The signal is initiated by excitatory synaptic transmission as it is greatly reduced with NBQX application (10 .mu.M) and abolished with concurrent D-AP5 application (25 .mu.M). GABAzine (2004) and TTX (1 .mu.M) were applied subsequently to confirm signal extinction.
[0101] FIG. 1C shows single-pixel response (.DELTA.F/F vs. time, post-averaging and filtering; top) from the indicated region to the given stimulus train (bottom).
[0102] FIG. 1D shows the results of cross-correlation analysis and region of interest extraction. The phase (top left) and amplitude (top right) of maximal correlation between the stimulus and response at each pixel is also shown. The region responding to the stimulus was extracted computationally based on similar phase values of responding pixels (bottom).
[0103] FIG. 2 shows bi-directionally modified hippocampal network dynamics in depressed-like states and antidepressant treatment. FIG. 2A shows a chronic mild stress (CMS) induced ethologically relevant depressed-like state (left). A separate group of animals was treated chronically with the indicated drug condition to model antidepressant and antipsychotic treatment (right, Ctrl--control, FIX--fluoxetine, Imi--imipramine, Hal--haloperidol). After completion of either protocol, a 5-minute forced swim test (FST) was employed to probe behavior, and voltage sensitive dye imaging (VSDI) employed to measure network activity in acute hippocampal slices prepared from the same animals. All assays were performed blind to treatment group and presented data are normalized by the respective control means. CMS treated animals displayed significantly increased immobility time relative to controls, confirming depression-like behavior (left, student's t-test, **p<0.01, n=6 animals per group). Fluoxetine and imipramine animals show a decreased immobility time, confirming an antidepressant effect, and no such effects were observed in haloperidol treated animals (right, ANOVA, F.sub.3,22=29.46, ***p<0.001, n=5-6 animals per group).
[0104] FIG. 2B shows linear and quantitative response of the VSDI total activity signal (mean signal amplitude times region of interest area) to applied stimulus current in both the DG (top left and middle, n=7 slices, R.sup.2=0.9855) and CA1 (bottom left and right, n=5 slices, R.sup.2=0.9926). Left: Sample frames from imaging of DG and CA1 responses, processed as in FIG. 1A.
[0105] FIG. 2C shows evoked DG activity was significantly decreased in CMS-treated animals (student's t-test, *p<0.05, n=65 (control) and n=72 (CMS) evoked slice responses).
[0106] FIG. 2D shows evoked CA1 activity was significantly increased in CMS-treated animals (left, student's t-test, **p<0.01, n=79 (control) and n=75 (CMS) evoked slice responses).
[0107] FIG. 2E shows relative activity between DG and CA1 activity, calculated for each slice and averaged together for each animal. Significant reduction was seen in CMS (student's t-test, *p<0.05, n=6 animals per group).
[0108] FIG. 2F shows evoked DG activity was significantly increased in antidepressant, but not haloperidol, treated animals (ANOVA, F.sub.3,267=34.75, ***p<0.001, n=60-72 evoked slice responses per group).
[0109] FIG. 2G shows evoked CA1 activity was decreased in antidepressant, but not haloperidol, treated animals (ANOVA, F.sub.3,270=5.173, **p<0.01, n=59-72 evoked slice responses per group).
[0110] FIG. 2H shows relative activity between DG and CA1 activity calculated for each slice and averaged together for each animal. Significant increases were seen in both antidepressant treatment groups, but absent in haloperidol group (ANOVA, F.sub.3,22=12.74, **p<0.01, ***p<0.001), corresponding well to observed behavior in FIG. 2A.
[0111] FIG. 3 shows that high speed network-dynamics measurements correlate with antidepressant treatment of depressed-like behavioral states. To develop the data depicted by FIG. 3, chronic mild stress (CMS) was used for five weeks to induce a depressed-like state and fluoxetine was administered during the final two weeks of the stress protocol. After completion of this protocol, a 5-minute forced swim test (FST) and open field test (OFT) were employed to probe behavior, and voltage sensitive dye imaging (VSDI) was employed to measure network activity in acute hippocampal slices from the same animals. All assays were performed blind to treatment group and FST and VSDI data are presented normalized to the control mean.
[0112] FIG. 3A shows that CMS treated animals displayed significantly increased immobility time relative to controls, and fluoxetine treatment decreased immobility in both control and CMS groups (ANOVA, F.sub.3,34=19.24, *p<0.05, **p<0.01, ***p<0.001, n=8-12 animals per group).
[0113] FIG. 3B shows that the activity of DG relative to CA1 was significantly decreased in CMS-treated animals and fluoxetine treatment significantly increased this statistic in both CMS and control groups (ANOVA, F.sub.3,34=16.17, *p<0.05, *** p<0.001, n=6-12 animals per group).
[0114] FIG. 3C shows linear regression of the DG-CA1 relative activity against the FST scores for each individual animal (r.sup.2=0.5545, p<10.sup.-6, n=35 individual animals) demonstrating that the measured network activity accounts for more than half of the variation in FST scores across groups.
[0115] FIG. 3D shows that no differences in percent time in center on the OFT were observed for any treatment group indicating lack of anxiety-related effects of treatment (ANOVA, F.sub.3,24=1.021, P>0.05, n=4-9 animals per group).
[0116] FIG. 3E shows that no differences in total distance on the OFT were observed for any treatment group indicating lack of motility-related confounds (ANOVA, F.sub.3,20=1.776, P>0.05, n=4-9 animals per group).
[0117] FIG. 3F shows that linear regression of the DG-CA1 relative activity against the OFT scores for each individual animal (r.sup.2=0.0306, p>0.4, n=25 individual animals) demonstrating that the network activity measure does not correlate with anxiety-related behavior.
[0118] FIG. 4 shows contrasting effects of antidepressant treatment and chronic mild stress (CMS) on hippocampal neurogenesis.
[0119] FIG. 4A shows that unbiased stereological determination of BrdU+ cell density in the ventral hippocampus from the same animals represented in FIG. 3 shows an increased number of new cells with fluoxetine treatment but no effect of CMS (ANOVA, F.sub.3,16=10.01, n=3-5 animals per group, *p<0.05, **p<0.01). BrdU (50 mg/kg/day) was administered daily during the second week of fluoxetine or vehicle.
[0120] FIG. 4B shows that phenotyping of BrdU+ cells for neuronal markers in the ventral hippocampus results in an increased number of new neurons with fluoxetine treatment but has no effect of CMS (ANOVA, F.sub.3,15=20.37, n=3-5 animals per group, ***p<0.001).
[0121] FIG. 4C shows that representative confocal images of the DG labeled for BrdU, the mature neuronal marker NeuN, and the immature neuronal marker Dcx. Arrowheads indicate BrdU+ neurons.
[0122] FIG. 5 shows that neurogenesis is necessary for the network dynamics and behavioral effects of antidepressant treatment.
[0123] FIG. 5A is a timeline showing various steps in the imaging process. After an irradiation protocol (sham or 10 Gy/day over 2 days) designed to ablate hippocampal neurogenesis, female rats were administered 20 mg/kg/day of fluoxetine or vehicle, followed by a 3 week delay for drug clearance and newborn neuron incorporation.
[0124] FIG. 5B shows that fluoxetine-treated animals showed a decreased immobility time, confirming an antidepressant-like effect, and no such effects were observed in irradiated animals (ANOVA, F.sub.3,23=7.757, n=6 per group, *p<0.05, **p<0.01).
[0125] FIG. 5C shows that significant increases were seen in DG-CA1 relative activity with fluoxetine treatment, but not following irradiation (ANOVA, F.sub.3,22=3.997, n=5-6 animals per group, *p<0.05). Results corresponded well to observed FST behavior.
[0126] FIG. 5D shows that unbiased stereological determination of total BrdU+ cells per hippocampus showed increased numbers of new cells by weeklong fluoxetine treatment (20 mg/kg/day) and decreased by 20 Gy irradiation (ANOVA, F.sub.3.24=48.92, n=4-8 animals per group, **p<0.01, ***p<0.001). BrdU (50 mg/kg/day) was administered concurrently with fluoxetine or vehicle.
[0127] FIG. 5E shows phenotyping of BrdU+ cells, determined by scaling the total number of BrdU+ cells (from 5D) by the fraction that expresses each fate-specific marker, revealed that fluoxetine treatment specifically increased the total number of newborn neurons (BrdU+/NeuN+) in the DG (student's t-test, p<0.05, n=6 animals per condition).
[0128] FIG. 5F shows immature neuronal marker doublecortin (Dcx) staining was unaffected by fluoxetine, but was abolished by irradiation (ANOVA, F.sub.3,24=94.44, n=4-8 animals per group, ***p<0.001).
[0129] FIG. 5G shows representative confocal images of the DG labeled for BrdU, the mature neuronal marker NeuN, and the astrocytic marker GFAP. Arrowheads indicate BrdU+ cells.
[0130] FIG. 6 shows mechanisms by which small numbers of network elements can globally modulate network activity.
[0131] FIG. 6A Top: In this simple network model, a small fraction of excitable elements were endowed with either a "lower threshold" response to incoming activity (left), or implemented with longer-range connections (right) creating a "small world" network. Presented are results from simulations on networks with 0%, 6%, 12%, and 18% altered elements. Bottom: Images representing activity increasing with the indicated fraction of altered elements (averaged over 60 simulations), for each network model as above. Images are contour maps of activity averaged across simulations.
[0132] FIG. 6B shows quantification of results from both lowered threshold (left) and small world (right) models. Top: Active area (number of active elements) versus simulation time, for each network model. Bottom: Maximum active area increases more steeply than the number of altered elements. Summary graphs showing mean (+SEM) of 60 simulations on networks constructed using the indicated altered-element frequency.
[0133] FIG. 6C shows data useful for assessing the experimental effects of neurogenesis on the spread of activity in DG. Signal area and mean amplitude of recordings in this region were separately analyzed for effects of treatments that modulated neurogenesis.
[0134] While mean signal amplitude was not modulated by fluoxetine or irradiation treatment (left; ANOVA, F.sub.3,179=2.390, n=37-60 evoked slice responses per group), the active network area was modulated similarly to the total activity measure (right, ANOVA, F.sub.3,180=5.502, n=37-60 evoked slice responses per group, *p<0.05; FIG. 14C). All data was normalized by control mean.
[0135] FIG. 10A shows a screenshot taken from BV Analyzer (Brainvision, RIKEN, Japan; the acquisition program used during imaging) showing a sample VSDI frame and trace, processed consistent with an example embodiment of the present invention. FIG. 10B shows the trace indicated in FIG. 10A, imported into MATLAB. FIG. 10C shows the 10 Hz stimulus profile used during this acquisition.
[0136] FIG. 11A shows cross-comelogram for a single pixel produced by cross-correlating the stimulus profile against the pixel response, consistent with an example embodiment of the present invention;
[0137] FIG. 11B shows a plot of maximal correlation amplitude (right) and phase of maximal amplitude (left) for each pixel. Correlation amplitude units are arbitrary and phase has units of ms, with arbitrary zero point
[0138] FIG. 12A shows the result of plotting a calculation of standard deviation of phases in the local surrounding area.
[0139] FIG. 12B shows an initial, computationally extracted region of interest, prior to smoothing and manual cropping, and also these pixels overlaid on the phase (middle) and amplitude (right) plots of FIG. 10B.
[0140] FIG. 12C shows resulting images after morphological smoothing and manual cropping, and also the result overlaid with the phase (middle) and amplitude (right) plots of FIG. 10B.
[0141] FIG. 13A shows selective and specific effects of fluoxetine and hippocampal physiology assessed by immunohistochemistry. Irradiation effects on inflammatory cells were first assessed by immunohistochemistry. Shown are images of labeled total microglia (CDl lb) and activated microglia (CD68) in sham and irradiated brains. Parallel immunohistochemistry for T cells, B cells, and neutrophils had revealed no cells from these populations in the brain tissue in either control or irradiated conditions. Top row: Total CDllb population comparing typical sham and irradiated brains; expected low levels of microglia are present in both conditions. Middle row: Rare CD68-positive cells were seen in the dentate gyrus of both sham and irradiated brains, with an observable increase in the irradiated brains, as expected since the microglial response is a major mechanism by which neurogenesis is suppressed with irradiation. Bottom row: No CD68-positive cells were observed in the cortex in either condition.
[0142] FIG. 13B shows close-up images of CD68-positive activated microglia in sham (top) and irradiated (bottom) hippocampi.
[0143] FIG. 13C shows that despite the requisite increase in activated microglia, no effect of irradiation on hippocampal physiology was observed in the non-fluoxetine-treated animals. DG VSDI revealed a significantly increased response in fluoxetine treated animals, while irradiated animals showed no fluoxetine-induced differences corresponding to the lack of new neurons (ANOVA, F.sub.3,234=7.105, **p<0.01).
[0144] FIG. 13D further supports the specificity of irradiation effects to newborn neuron production in DG. CA1 VSDI revealed a significantly decreased response in fluoxetine treated animals that was notably unaffected by irradiation (ANOVA, F.sub.3,278=4357, *p<0.05). All data was normalized by control means. The lack of irradiation effects in any control behavioral or physiological assay confirms the specificity of this irradiation protocol for ablating hippocampal neurogenesis under these conditions. Additionally, the data reveal two effects of fluoxetine on the hippocampus, a neurogenesis dependent increase of DG activity and a neurogenesis-independent decrease of CA1 activity.
[0145] FIG. 14A shows FST behaviors presented in response to pharmacological treatment, expressed as a mean percent time and consistent with an example embodiment of the present invention. Fluoxetine- and imipramine-treated animals show decreased immobility times, and associated increases in swimming and climbing, respectively, confirming an antidepressant effect. No such effects were observed in haloperidol-treated animals (ANOVA, F.sub.3,22=29.46 (mobility), F.sub.3,22=16.56 (swimming), F.sub.3,22=18.64 (climbing), ***p<0.001, n=5-6 animals per group).
[0146] FIG. 14B shows FST behaviors presented in response to CMS and fluoxetine, expressed as a mean percent time and consistent with an example embodiment of the present invention. CMS-treated animals displayed significantly increased immobility time relative to controls, and fluoxetine treatment decreased immobility in both control and CMS groups. Fluoxetine and CMS+fluoxetine-treated animals showed the associated increases in mobility behaviors (swimming and climbing; ANOVA, F.sub.3,34=19.24 (immobility), F.sub.3,34=9.964 (swimming), F.sub.3,34=5.675 (climbing), *p<0.05, **p<0.01, ***p<0.001, n=8-12 animals per group).
[0147] FIG. 14C shows FST behaviors presented in response to irradiation and fluoxetine, expressed as a mean percent time and consistent with an example embodiment of the present invention. Fluoxetine animals showed decreases in immobility time and increases in swimming, confirming an antidepressant effect, and no such effects were observed in irradiated animals (ANOVA, F.sub.3,23=7.757 (immobility), F.sub.3,23=5.904 (swimming), F.sub.3,23=1.722 (climbing); *p<0.05, **p<0.01, n=6 animals per group).
[0148] VSDI with a digital camera system optimized for high speed, sensitivity, and resolution was used to observe the activity of intact networks within acute horizontal slices prepared from the ventral hippocampus of adult, female rats (FIG. 1A). Slices were bath loaded with the fast-response voltage-sensitive dye di-4-ANEPPS. After loading, slices were stimulated with standardized electrical pulse trains and activity was recorded with a 5 ms frame rate and 25 um spatial resolution. The signals produced reflected total local network activity and were initiated by excitatory transmission since the AMPA receptor blocker NBQX (10 .mu.M) nearly abolished the signal (FIG. 1B). Concurrent application of the NMDA receptor blocker D-AP5 (25 .mu.M) extinguished the signal as expected. To extract reliable quantitative features of the network response from the high-speed VSDI data, cross-correlation analysis was employed to take advantage of the fact that the evoked responses occur with a uniform fast time course and delay following stimulation and that reverberatory oscillations or changes in response phase were never observed under these conditions (FIGS. 1C, 1D, 10 and 11). This cross-correlation analysis generated two plots, one corresponding to the maximal response amplitude of each pixel (FIG. 1D, top right, FIG. 11B, right), and the other corresponding to the time at which this maximal amplitude occurred ("phase," FIG. 1D, top left, FIG. 11B, left). Phase values were consistent in the regions responding to stimulation, which were isolated computationally for further analysis (FIG. 1D, bottom, FIG. 12). The area of this region of interest and the mean amplitude of pixels in the region were then computed, and local network response ("total activity") was calculated as the mean signal amplitude multiplied by the area of the region of interest. This measure was linear with the applied stimulus current, making it a quantitative and reliable indicator of network activity across animals (FIG. 2B).
[0149] Thus, the signal quality, consistency, and linear response of the data showed the usefulness of this high-speed VSDI technology for quantifying abnormalities of intact network dynamics in CNS disease.
[0150] To explore hippocampal network activity changes induced in a depression model, a 7-week chronic mild stress (CMS) paradigm was used to elicit an ethologically relevant, depressed-like state in adult, female rats (FIG. 2A, left). Behavioral responses were measured with the modified Porsolt forced swim test (FST), the most widely used animal test predictive of depressed-like states and antidepressant responses. A model of chronic antidepressant treatment was employed by using a 2-week dosing paradigm of fluoxetine, an SSRI antidepressant, or imipramine, a tricylic antidepressant (FIG. 2A, right). Haloperidol, a typical antipsychotic, was separately administered to determine the specificity of any observed effects to antidepressant treatment. In each drug dosing protocol, a 48-hour delay was incorporated following the last dose to permit behavioral testing in a drug-free state. Experimenters were always blinded to treatment groups. CMS-treated animals spent significantly more time immobile over a 5-minute FST compared to controls, indicating robust induction of a depressed-like state (FIG. 2A, left). Moreover, animals treated with either of the antidepressants showed significantly decreased immobility on the FST, and this effect was absent in animals treated with the antipsychotic haloperidol (FIG. 2A, right).
[0151] To determine the network activity changes associated with these induced depression-related behavioral phenotypes, acute hippocampal slices were generated from the same animals for high-speed VSDI. Both the DG and CA1 networks were specifically probed for the reasons described above, anticipating that there would likely be different effects in each local network that might nonetheless each be linked to the behavioral phenotype. For both of these local networks, it was found that the total activity measure is a reliable and quantitative indicator of evoked network activity that is linear with the applied stimulus strength across animals (FIG. 2B). In these and all experiments, the experimenters were always blinded to treatment groups. Strikingly, DG activity was significantly reduced in acute slices from CMS-treated animals (FIG. 2C), while CA1 activity was significantly increased in slices from these animals (FIG. 2D). The activity of the DG relative to that of CA1 has consistently provided a reliable predictor of depression-related behavioral phenotypes (FIG. 2E) that was robust to experimental variation and allowed for quantitative comparisons between individual animals
[0152] The CA1 aspect of this pattern is compatible with previous work linking depression to elevated driving of pathways emerging from the hippocampus, and the DG aspect is consistent with data linking depression to reduced intra-hippocampal formation activity. Together this data introduces the concept of an activity mismatch between early associative and late output stages in hippocampal processing. To validate this novel measure, the network-level responses were probed in slices from the antidepressant (fluoxetine, imipramine) or typical antipsychotic (haloperidol) treated animals. Precisely the opposite pattern of network activity was found in antidepressant-treated animals, which showed increased activity in DG (FIG. 2F) and reduced activity in CA1 (FIG. 2G). These effects were specific to the known mood-modulating agents, as the typical antipsychotic haloperidol showed no effect on either hippocampal network (FIG. 2F, 2G). Furthermore, the relative activity of dentate to CA1 (FIG. 2H) continued to provide the most reliable indicator of the behavioral phenotype on an animal-to-animal basis (r.sup.2=0.5251, p<10.sup.-6, pooled across CMS and antidepressant treatment groups).
[0153] To assess the generality of the results over conditions that model the clinical use of antidepressants to treat depressed states, animals were exposed to CMS for five weeks to induce a depressed-like state and then administered fluoxetine chronically during the last two weeks of the protocol to reverse the effects of CMS (FIG. 3A). Like the previous antidepressant paradigm, a 48 hour delay period was incorporated between the last fluoxetine dose and the behavioral endpoint to enable testing in a drug free state, and both behavioral and physiological experiments were conducted blind to treatment condition.
[0154] Behavioral results confirmed the induction of a depressed-like state in CMS-treated animals, and also the efficacy of fluoxetine in reversing the behavioral effects of CMS (FIG. 3A). Moreover, high-speed VSDI data showed that the relative activity between DG and CA1 substantially accounted for these group differences (FIG. 3B), and remarkably, on an individual animal basis, this measure regressed linearly with the bidirectional modulated FST scores and explained over half of the behavioral variation (FIG. 3C). All four independent groups lie along the same tightly correlated line, which would not be expected with random variation within the groups and strongly supports the link between the high-speed physiological metric and FST performance (r.sup.2=0.5545, p<10.sup.-6 in this single experiment). Given the large overlap in both FST and VSDI scores of these groups and the sampling of data points across the full range of both these axes, this circuit dynamics measure substantially accounts for movement along the axis representing affective behavior.
[0155] In the same experiment, open field tests (OFT) were also conducted to measure anxiety-related behavior. The relationship between this anxiety measure and network dynamics responses was investigated in order to determine the specificity of the identified network phenotype for the depressed-like state measurement of FST performance (FIG. 3D, 3E, 3F). In OFT, there were no significant differences among the groups in the percent of time the animals spent in the center of the field (FIG. 3D), indicating that the behavioral manipulations were specific for modulating correlates of the effects. Additionally, no effects were seen on the total distance traveled by the animals (FIG. 3E), indicating no confounding effects of the treatments on motility of the animals. This data also indicates that the DG-CA1 relative activity is specific for relating information on correlates of mood as there was no correlation between this physiological metric and the OFT scores (FIG. 3F; r.sup.2=0.0306, p>0.4).
[0156] Next changes in neurogenesis associated with these bidirectional changes in behavior and network activity were probed for, to determine if the network dynamics metric depends chiefly on a single biological mechanism or instead retains its validity across fundamentally different mechanisms that may underlie CMS and antidepressant responses. Neurogenesis appears to be strongly linked to antidepressant effects on the novelty-suppressed feeding task, but has not been clearly implicated in depression-related behavioral measures like the FST or in depression induction involving chronic mild stress. However, acute and severe stress can inhibit neurogenesis, suggesting that altered neurogenesis in some settings could contribute to the etiology of depression. To directly investigate whether the network and behavioral effects of both CMS and antidepressant treatment could depend in part on a common underlying neurogenesis mechanism, bromodeoxyuridine (BrdU) was administered to label dividing cells during the last week of treatment in the experiment described in connection with FIG. 3, and blinded immunohistological counts from the hippocampus contralateral to that used for VSDI were conducted with unbiased stereology procedures, to determine the total number of newborn cells (FIG. 4A, 4C). For this analysis the hippocampal formation was divided into two components, dorsal and ventral. The ventral hippocampus is thought to be more involved in mood regulation. Thus, the acute slice VSDI experiments were conducted in ventral hippocampus. In accord with previous observations, fluoxetine administration robustly increased the newborn cell density in the ventral hippocampus, both in the presence and absence of CMS (control: 1.75 cells/mm.sup.3; CMS: 1.68 cells/mm.sup.3; fluoxetine: 2.47 cells/mm.sup.3; CMS+fluoxetine: 2.38 cells/mm.sup.3; FIG. 4A); no such effects were observed in the dorsal hippocampus (control: 3.21 cells/mm.sup.3; CMS: 3.09 cells/mm.sup.3; fluoxetine: 3.03 cells/mm.sup.3; CMS+fluoxetine: 3.41 cells/mm.sup.3; p>0.05 for all comparisons). Interestingly, CMS did not significantly alter newborn cell density (FIG. 4A), in either the dorsal or ventral hippocampus, suggesting that altered neurogenesis is not present in this chronic mild stress protocol and therefore may be very unlikely to mediate either the observed depression-like behavior or the network-dynamics response of CMS.
[0157] To definitively demonstrate changes or lack thereof in neurogenesis, the BrdU+ cells were phenotyped using the mature neuronal marker NeuN and the immature neuronal marker Doublecortin (Dcx; FIGS. 4B, 4C). This analysis verified that fluoxetine treatment specifically increased the density of NeuN and Dcx-positive cells in the ventral BrdU+ population, and thus neurogenesis, while the CMS protocol did not alter the fraction of BrdU-positive cells expressing neuronal markers, confirming the lack of effect of this CMS protocol on neurogenesis. Neurogenesis changes might still be causative in some depressed states; this experiment, carried out in the same animals from the experiment in FIG. 3, which demonstrated robust effects of CMS on behavior and network dynamics, indicates that depression-related interventions can be linked to a final common pathway of altered high-speed network dynamics even if initiated by fundamentally different mechanisms.
[0158] To further probe the contribution of neurogenesis to the depression-related behavioral and physiological effects of antidepressant treatment, a novel protocol was developed to isolate long-term effects of a temporally defined cohort of fluoxetine-induced newborn neurons. This paradigm incorporates one week of chronic fluoxetine treatment to trigger a burst of neurogenesis, followed by a three week delay period to permit both behavioral testing in a drug-free state and functional integration of neurons born during antidepressant administration (the newborn-neuron specific antidepressant protocol, NNS; FIG. 5A). To control for non-neurogenesis-related effects of antidepressant treatment, in some experimental groups hippocampal neurogenesis was ablated via irradiation (10 Gy/day or sham treatment over two days) one month prior to drug exposure; control experiments resolved no physiological effects of irradiation alone on excitability/network dynamics or behavior on the timescale of these experiments (FIG. 13). Under the NNS protocol, fluoxetine still significantly reduced immobility on the FST (FIG. 5B). This effect was quenched by irradiation, suggesting that hippocampal neurogenesis can be required for depression-related effects of fluoxetine (FIG. 5B). Correspondingly, high-speed VSDI data from the same animals demonstrated that the NNS protocol also increased the activity of DG relative to that of CA1, and that this effect relied similarly on hippocampal neurogenesis (FIG. 5C). Notably, the increased DG activity in response to fluoxetine treatment was significantly dependent on neurogenesis while the decreased CA1 activity was neurogenesis-independent (FIG. 5C); this result would be expected since CA1 does not undergo neurogenesis, providing another control for the specificity of the irradiation treatment under these conditions (FIG. 13).
[0159] To quantify effects of the NNS antidepressant treatment on the number of newborn cells and to confirm the selective reduction of hippocampal neurogenesis by irradiation, BrdU was injected during the week of drug treatment and conducted stereological counts as described above. NNS-fluoxetine treatment increased the BrdUi cell density as expected, and irradiation considerably reduced the BrdU+ population (FIGS. 5D, 5G). Phenotyping the BrdUi cells with NeuN and the glial marker GFAP confirmed the selective increase in neurogenesis by the NNS-fluoxetine treatment (FIG. 5E). Additionally, to assess the neurogenic environment at the time of physiological analysis, the immature neuronal marker doublecortin (Dcx) was employed. NNS-fluoxetine treatment did not affect the number of Dcx+ cells, while irradiation eliminated Dcx+ cells (FIG. 5F). Since Dcx is only expressed for approximately 2 weeks after last mitosis in newborn neurons, these data confirmed the permanent effect of irradiation and the transient effect of NNS antidepressant treatment.
[0160] These results suggest that while neurogenesis can be important in eliciting behavioral and physiological effects of an antidepressant, it does not follow that changes in neurogenesis necessarily play a significant role in the etiology of the depressed state. Behaviorally effective CMS treatment did not decrease neurogenesis and ablation of hippocampal neurogenesis in control animals did not induce a depressed-like state (FIGS. 4, 5B). Together, these findings support prior work implicating neurogenesis in some behavioral tests modulated by antidepressants, but indicate that the rate of neurogenesis does not by itself reliably serve as a phenotype tracking behavioral performance, in contrast to hippocampal network dynamics. The data demonstrate that induction of a depressed-like state and antidepressant treatment can share a common link to the network dynamics phenotype, without requiring a common etiological relationship.
[0161] Although it has been shown that hippocampal neurogenesis has an impact of antidepressant treatment on the DG network dynamics, it is not immediately obvious how a modest increase in neurogenesis could affect global network activity, especially with estimates that newborn neurons normally comprise only several percent of the DG population. To assess the ability of neurogenesis to implement changes in physiological properties of the whole network, two simple models were generated to study the effect of new neurons on activity propagation (FIGS. 6A, 6B). These models were not constructed to simulate the hippocampus explicitly, but to probe important features of the observations that a small increase in the number of new neurons can affect global flow of activity through networks. In the first model the newborn neurons have a lowered activity threshold, to model the increased excitability of newborn neurons (FIG. 6A, top left). An alternate possibility is that the newborn neurons simply wire differently; to address this possibility, in the second model the new neurons adopt a distinct connectivity pattern relative to the original neurons (FIG. 6A, top right). Existing neurons were connected to only their nearest neighbors while new neurons could generate longer range connections, with lengths chosen from a power law distribution in accord with measured neuronal projection distributions and wiring cost perspectives. Such a network, in which a regular, local connectivity pattern is perturbed by a few elements adopting longer range connections, is known as a "small world" network and has been shown to allow greater network synchronization and activity propagation in more physiologically realistic neural network models.
[0162] Dynamics of either model showed that networks with rare new neurons could recruit greatly increased numbers of neurons into activity, compared to networks with no new neurons (FIG. 6A, 6B). Similar results were found in networks in which either afferent or efferent synaptic efficiency was modulated to parallel the enhanced synaptic plasticity associated with new neurons. These results illustrate, over a range of biologically-plausible models, that even small numbers of new elements can modulate global properties of the network. It is important to note that these results also underscore the importance of precise whole network imaging, as slight differences in a small number of neurons can induce non-intuitive, global changes in how information propagates through neural networks without affecting local amplitudes of activity (FIG. 6A). Since voltage sensitive dye imaging can quantify activity changes of whole regions on the millisecond timescale, and with micron spatial resolution, these results support VSDI use as a powerful tool for determining how neural network activity is altered in psychiatric disease.
[0163] Since the models demonstrate that adding small numbers of neurons can profoundly affect the spatial extent of activity spread, the experimental data was analyzed regarding features of the experimental VSDI signal itself to determine the contribution of altered signal area to the observed physiological effects of neurogenesis in the DG. The total activity measure derived from the VSDI signal is defined as the product of the area of the active region and the mean amplitude of the signal. No appreciable effect was found of antidepressant-induced neurogenesis on mean signal amplitude (FIG. 5C, left). Instead, the effect of antidepressant treatment on total activity could be explained mostly by an increase in the spatial extent of the spread of activity through the DG, which was blocked by irradiation (FIG. 5C, right). The relative contribution of each signal component to total activity was directly quantified by calculating the mutual information (a measure of how much information one quantity contains about another) between the total activity and either the active network area or mean signal amplitude. With antidepressant treatment, the mutual information between total activity and either area or mean amplitude was noticeably different, with area yielding far more information about total activity (0.415.+-.0.051 bits for area, 0.155.+-.0.038 bits for mean amplitude). This analysis demonstrates that the neurogenesis-mediated change in the spatial extent of network activity is a significant contributor to the modulation of hippocampal activity observed in models of antidepressant effect.
[0164] A combination of high-speed VSDI, structural analysis, and behavioral testing were employed to probe for depression-linked network abnormalities. First, fast VSD imaging and analysis technology was developed to generate high spatiotemporal-resolution maps of neuronal activity (FIG. 1); this methodology was quantitative and displayed sufficient precision to allow direct linkage of network dynamics to behavior across different treatment groups (FIG. 2). Second, antidepressant and chronic mild stress treatment were demonstrated to give rise to opposite effects on activity in both the DG and CA1 regions of the hippocampal formation, a finding which helps resolve disparate reports in the depression literature (FIG. 2C, 2D, 2F, 2G). It then was shown that the activity of the DG relative to that of CA1 defines a single neurophysiological metric that substantially accounts for mood-correlated behavioral phenotypes (FIG. 2, 3), and is specific for antidepressant treatment medications (FIG. 2) and depression-related behaviors (FIG. 3D, 3E, 3F). On an individual animal basis this measure of hippocampal formation activity regresses linearly with behavioral scores and accounts for over half of the behavioral variation across groups (FIG. 3C), despite fundamentally distinct mechanisms of action of antidepressant treatment and depression-induction protocols (only the former requiring a change in neurogenesis; FIG. 4, 5). This network-level analysis allows for quantitative detection and mechanistic investigation at the relevant spatial and temporal scales in models of psychiatric disease. As substantial changes in network properties were generated by changes in only a small number of cells, and were reflected at the network-level in terms of activity spread rather than amplitude (FIG. 6), it would have been virtually impossible to detect these changes with typical field recording or patch clamp methods. This underscores the unique importance of VSDI in seeking network-level underpinnings of psychiatric disease.
[0165] It is important to consider how known etiologies of, and treatments for, major depression are likely to modulate the DG-CA1 relative activity. Considering etiology first, depression-like behavior can be induced without reducing the rate of neurogenesis (FIG. 4), but stress and stress hormones can give rise to existing cell loss in the DG with reduced dendritic arborization, and can also give rise to hyperexcitable CA1 neurons, consistent with the findings on both local networks.
[0166] Furthermore, it is certainly possible that acute and severe stress, which can create vulnerability to depression, could reduce new neuron production in human beings as in animals and impair circuit plasticity. Regarding treatments, since insertion of new neurons into the DG appears to be sufficient to drive relevant network-dynamics changes, these data could account in part for the therapeutic effects of the large number of antidepressant treatments known to increase neurogenesis in animal models, including SSRI's, TCAs, electroconvulsive therapy, lithium, environmental enrichment, and exercise. While it is not formally known if the antidepressant-induced newborn neurons in the DG are excitatory or inhibitory themselves or which cell types their axons target, addition of these neurons to the circuit appears to increase total evoked DG network activity (FIGS. 4, 5). Moreover, not only neuron production per se, but also antidepressant-induced increases in neural plasticity and neuron survival could also give rise to the same network dynamics effect, particularly if conditions in the models are satisfied (e.g., the affected neurons are more excitable or couple well to long-range excitatory networks, such as the recurrent hilar mossy cell pathway (FIG. 6).
[0167] Some antidepressant treatments clearly do not directly target the hippocampus, such as deep brain stimulation (DBS) which can be targeted to Cg25 or accumbens. However, DBS is known to reduce activity in Cg25 which receives important excitatory projections from the hippocampus, suggesting that subgenual DBS can intervene downstream of an overactive CA1. It had not been known how to unify into a single model the hippocampal atrophy seen in depression with the increase in excitatory driving of cortex from hippocampus associated with clinical depression. These results suggest that the increased activation in the subgenual cingulate during depression could result in part from increased CA1 activity, while reduced intrinsic hippocampal formation function in depression would agree well with the decreased activity of the DG.
[0168] In an interesting parallel to the observation that the ratio of DG to CA1 activity in the ventral hippocampal formation predicts mood-related behaviors, dorsal hippocampal memory storage models have described roles for DG and CA1 that involve competitive and comparative interactions in the two local networks. One class of models suggests that CA1 functions in retrieval and transmission to cortex of stored episodic memory, and that the DG gates this retrieval based on contextual information. Other models suggest that the DG, in combination with CA3, generates a predictive signal that is sent to CA1, where this prediction is compared to cortically driven signals representing sensory reality in order to detect unexpected stimuli; the resulting difference signal is then transmitted to cortex. Mood-related hippocampal dysfunction has not been as well modeled but is thought to underlie aspects of the cognitive symptomatology of depression including hopelessness, which can manifest clinically as the inability to foresee or navigate a reasonable and hopeful plan within the context of the patient's environment. Antidepressant treatment that increases the relative activity of the DG to CA1 could drive the hippocampal comparative output in the direction of DG-derived predictive signals, signaling an increase in the ability of the hippocampal formation to model, predict, and plan for the future utilizing contextual information. In contrast, decreasing the, activity of DG relative to CA1, as observed in the depressed-like state, would imply impaired recognition and predictive roles of the DG and an inaccurate mismatch signal from CA1 driving cortical structures like Cg25. Whether this signal is interpreted with negative valence (signaling a poor model of the world and therefore hopelessness) or positive valence would depend on concomitant reward pathway activity involving distributed systems in the amygdala, accumbens and mesolimbic dopamine projections.
[0169] Identification of this hippocampal neurophysiological endophenotype serves as a starting point in mapping the network-level changes in other brain regions implicated in depression, such as the prefrontal and cingulate cortices, amygdala, basal ganglia, and reward centers. While these other brain regions are undoubtedly involved in depression physiology, the ability of this hippocampal measure to convey information regarding the animal's behavioral state supports the emerging hypothesis that the hippocampus plays a primary role in mood regulation, in addition to its accepted role in learning and memory. High-speed, whole network analysis with VSDI is clearly indicated to probe changes in other implicated brain regions, in models of depression and other neuropsychiatric disorders. Using the techniques and methods discussed herein it should be apparent that more detailed models of altered activity flow are possible and that this methodology can be extended to other depression models and treatment paradigms. This putative endophenotype is contemplated for use in screening for treatments that specifically and similarly modulate hippocampal dynamics. Depression and antidepressant-induced changes to neural circuitry can be monitored using the techniques and systems discussed herein and may be useful for achieving a quantitative understanding of the depressed brain.
[0170] Accordingly, the various methods and systems described herein can be used for the treatment of depressed states in patients. In one such instance, the effectiveness of drugs and other treatment techniques can be quantitatively measured and tailored to minimize unwanted side-effects. In another instance, the characteristics of the CA1 and DG in a patient can be used to make diagnosis of the patient's depressed state. Whether implemented in vitro on a neural network of a related specimen or in vivo on the neural network of the same subject, these approaches can be particularly useful for determining which patient treatments would be most effective.
[0171] Such a method need not be conducted in slices. For example, using infrared imaging, in which a high-resolution CCD camera is implanted next to the brain structure of interest, the brain circuits of a living organism can be scanned in real time, with areas of interest analyzed in accordance with the presently described method. As infrared tomography (from external to the body) advances in capabilities, it is anticipated that these methods will permit acquisition of data at sufficient temporal and spatial resolution so as to serve within the context of the present invention.
[0172] For further details regarding modeling depression through use of various embodiments of the present invention reference can be made to "High-Speed Imaging Reveals Neurophysiological Links to Behavior in an Animal Model of Depression" by Airan et al. (Science, Aug. 10, 2007, Vol. 317 pp. 819-823), which is fully incorporated herein by reference.
[0173] While the VSDI signals received in embodiments of the invention are robust and reliable, the known low signal to noise ratio can be compensated for using various design and analyses. In one such example, only evoked responses are considered so that stimulus/response cross-correlation analysis can be utilized to take advantage of the known response timing. Additionally, for proper cross-slice and animal comparison, an algorithm is used to automatically and efficiently extract relevant parameters of the signal (region of interest, mean amplitude, etc.) from the data. Peak response amplitude of -0.1% .DELTA.F/F was sufficient for proper signal extraction.
[0174] The following algorithms provide an example implementation for use in analyzing the VSDI data collected according to the methods and systems described herein. To begin the analysis, the raw VSDI data were imported into a software application, such as MATLAB (Mathworks, Natick, Mass.). The data was represented as an initial reference frame (F), followed by each imaging data frame, which contained differential fluorescence values (.DELTA.F). For each pixel and frame, the .DELTA.F/F value was calculated. Each temporal frame was then spatially smoothed using a 3.times.3 pixel digital Gaussian kernel (.sigma.=1):
1 16 .times. [ 1 2 1 2 4 2 1 2 1 ] ( 1 ) ##EQU00001##
[0175] During imaging, multiple individual sweeps (e.g., four sweeps) are recorded of activity responding to stimulation with each frequency and in each region. Following spatial averaging, these four sweeps were averaged frame by frame, producing one VSDI movie (FIG. 10). Next, each pixel in the movie was treated independently, and a cross-correlation was computed.
.phi. sr [ m ] = n = - .infin. .infin. s [ n ] r [ n + m ] , ( 2 ) ##EQU00002##
[0176] Where r[] is the pixel's response signal and s[] is the stimulation profile used during acquisition (FIG. 11A).
[0177] The maximum of the cross-correlation amplitude (max[O.sub.sr[m]]), which measures the system's response to stimulation, was then found for each pixel, as well as the delay of this peak (phase=arg[max[O.sub.sr[m]]). If there is an arbitrary software delay of the camera system used, the phase values at this stage are arbitrary with respect to the real latency of response to stimulation.
[0178] Timing of the response with respect to the stimulus can be calculated later using an absolute reference point inserted by closing a shutter during acquisition prior to stimulation.
[0179] To extract the region of interest, it is observed that pixels in this region tended to be clustered and of similar phase to one other (FIG. 11B, left). In contrast, the phase is random and incoherent in regions which might have high correlation amplitude, but in reality correspond to noise or artifacts -compare the dark red regions (non-tissue containing pixels) in FIG. 11B (right) to their corresponding phases (left). To quantify this clustering, for each pixel, the standard deviation (SD) of phase values in the surrounding 7.times.7 pixel region was computed (FIG. 12A). Region of interest pixels had a lower standard deviation, whereas noise regions generate random phase values and correspondingly higher standard deviation. The phases of the pixels that had the lowest SD (threshold set at SD=32.5 ms in analysis) were calculated as the initial distribution of phases in the region of interest.
[0180] To remove outlying values, the upper and lower 25% of the distribution was replaced by a padding (initially plus or minus 25 ms). The pixels with phases in this range were defined to be part of the region of interest. If the number of pixels in this region was too low (less than 3% of the total frame size), this suggested a relatively broad phase range of the true region of interest and the padding was incremented until this number of pixels was above an absolute threshold (3% of the frame size). The resultant pixels formed the initial calculated region of interest (FIG. 12B).
[0181] Upon defining this initial region of interest, median filtering with a 3.times.3 pixel window was completed to remove spurious pixels outside the region of interest, and morphological smoothing (first image-opening by 4 pixels and then image-closing by 6 pixels) was completed to close gaps existing within the region of interest. To remove any pixels outside the region of interest, the resulting pixel maps were manually cropped with the user blinded to treatment group producing the final, extracted region of interest (FIG. 12C).
[0182] After extracting the region of interest, the mean correlation amplitude of pixels within this region and the total area of the region of interest (as a percentage of frame size) were then calculated. The mean amplitude multiplied by this area ("total activity") was the final statistic used to measure system response for the voltage sensitive dye imaging data. Even though voltage changes due to glia can be observed with voltage sensitive dyes, the total activity measures reported here likely indicate only neuronal responses to stimulation, as opposed to the slower responses of hippocampal glia that are not appreciably sensitive to AMPA and NMDA block especially given the short latency to peak of the VSDI traces (6.3+/-0.6ms for 2 Hz stimulations), the lack of summation of responses following 2 Hz stimulation, and the reliance of the signal on AMPA and NMDA transmission (FIG. 1B).
[0183] In one embodiment of the present invention, the aforementioned algorithms can be iteratively applied so as generate a large-scale image of general neural activity. This large-scale image can be more informative than less precise methods because the image is derived from precise temporal and spatial data obtained from a number of the relatively small portions of subfields.
[0184] Additionally, while asynchrony in the individual responses in principle could yield a modulation of the correlation amplitude relative to the absolute activity in the network, the phase values local to each pixel were tightly correlated and not observably patterned and no consistent effects on phase were noted between the various treatments. These results combined with short latency of the responses indicate that there is not a significant contribution of asynchronous responses to extracellular stimulation in these experiments. Furthermore, given the minimal role of the mean amplitude in modulating total activity (FIG. 6C), it is unlikely that asynchrony in the neuronal responses would significantly bias this statistic. Accordingly, while modulation of the total activity due to this asynchrony can not be ruled out, because of the reduced role of mean in affecting total activity, the lack of variation of the phase information between treatment groups, and the low expected asynchrony in the evoked responses, the contribution of this modulation is likely to be minimal to the observed effects on network activity, which are quantified by total activity. The VSDI signal amplitude represents a population signal similar to that of a field-excitatory-postsynaptic potential (fEPSP) and the total activity measure represents a signal similar to that of a fEPSP integrated spatially across the region of interest and temporally across the peak evoked responses to 10 stimulus pulses.
[0185] Aspects of the present invention can be used in combination with a variety of neuron-directed applications, including those which are discussed in the related background articles cited above and listed herewith. For example, for detailed discussion of in vivo VSDI applications, reference may be made to "Spatiotemporal Dynamics of Sensory Responses in Layer 2/3 of Rat Barrel Cortex Measured In Vivo by Voltage-Sensitive Dye Imaging Combined with Whole-Cell Voltage Recordings and Neuron Reconstruction" (The Journal of euroscience, Feb. 15, 2003, 23(3) pp. 1298-1309), which is fully incorporated herein by reference. Another example that is specifically directed to hippocampal CA1 aspects is discussed in the article entitled "Hippocampal CA1 Circuitry Dynamically Gates Direct Cortical Inputs Preferentially at Theta Frequencies" (The Journal of Neuroscience, Oct. 19, 2005, 25(42) pp. 9567-9580), which is fully incorporated herein by reference.
[0186] Various applications of the invention can be applied to any disease where percolation of activity, excitation, inhibition, or the ratio of excitation to inhibition between two or more cell populations may be usefully addressed with imaging and processing techniques disclosed herein. For example, in Alzheimer's disease, the hippocampus and entorhinal cortex become diseased early. Mild cognitive impairment (MCI) may be a hallmark of this early AD process. Down Syndrome is manifested by a number of neurological abnormalities developed as a result of gene expression from an extra 21st chromosome. Among these are underdeveloped brain structures including the temporal lobe, and a nearly universal propensity for developing Alzheimer's disease. Autism, schizophrenia, bipolar disorder and many other conditions may be studied and improved treatments developed by identifying circuit-level endophenotypes as described in the present application, and using these as a well-circumscribed paradigm in which to target candidate treatments.
[0187] Various embodiments of the invention are useful to elucidate the role of one or more elements within a circuit. For example, one aspect involves assessing the interdependency (or independence) of areas of a subfield from the level of activity of areas of the subfield circuit. Quantitative analysis allows interdependencies to be identified and decoded.
[0188] Other embodiments of the invention can be used to elucidate the location of the activity of a drug within that circuit. For example, a drug may be added to the neural circuit, and the locations of activity change (relative to activity without the drug) are readout and recorded. These changes can be used to assess both primary sites of action, and downstream effects upon the greater circuit.
[0189] Another embodiment of the invention can be used to elucidate the effect of a drug on a given circuit. For example, specifically looking for fast acting/acute acting drugs, such as ketamine, for depression, by bath applying the drugs to find the right acute drug and drug dose that tunes activity in the desired manner in the high-throughput screening setting, thereby identifying drugs that act in days or hours rather than weeks/months
[0190] Other embodiments can be used to identify endophenotypes that have the high predictive value for a given disorder or to identify target locations for physical interventions including electrical, magnetic stimulation and ultrasound and radiation treatments.
[0191] The various embodiments described above are provided by way of illustration only and should not be construed to limit the invention. Based on the above discussion and illustrations, those skilled in the art will readily recognize that various modifications and changes may be made to the present invention without strictly following the exemplary embodiments and applications illustrated and described herein. For instance, such changes may include uses for neurological characteristics other than depression, such as other diseases, disorders and even the study of normal activity. Other such changes include various in vivo imaging implementations. Such modifications and changes do not depart from the true spirit and scope of the present invention, which is set forth in the following claims.
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