The Journal of Neuroscience, July 2, 2003, 23(13):5477-5485
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Functional Disconnection of the Medial Prefrontal Cortex and Subthalamic Nucleus in Attentional Performance: Evidence for Corticosubthalamic Interaction
Yogita Chudasama,1
Christelle Baunez,2 and
Trevor W. Robbins1
1Department of Experimental Psychology,
University of Cambridge, Cambridge, CB2 3EB, United Kingdom, and
2Laboratoire de Neurobiologie de la Cognition, Centre
National de la Recherche Scientifique, 13402 Marseille cedex 20, France
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Abstract
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The present study used a disconnection procedure to test whether the medial
prefrontal cortex (mPFC) and the subthalamic nucleus (STN) were functional
components in a common neural system that controlled continuous performance in
a test of sustained and divided visual attention. Animals with disconnected
lesions of the mPFC and STN in contralateral hemispheres were severely
impaired in several aspects of performance, including discriminative accuracy,
increased perseveration, and slowed response latencies during postoperative
testing. These deficits persisted throughout the entire experimental test
period. Increasing the stimulus duration alleviated the accuracy deficit but
failed to improve speed of responding or reduce perseverative responses. These
deficits were in marked contrast to animals with combined mPFC and STN lesions
made on the ipsilateral side, which produced behavior not different from that
of sham controls. Rats with unilateral lesions of either structure alone were
also impaired in terms of accuracy and perseveration. These data suggest that
some of the deficits observed after bilateral STN lesions (attention and
perseveration) may be attributable to a disrupted corticosubthalamic
projection. This study provides direct evidence that performance in tasks that
require optimal attentional and executive control relies on a
corticosubthalamic interaction within the neural circuitry of the basal
ganglia.
Key words: disconnection; attention; medial prefrontal cortex; subthalamic nucleus; behavior; basal ganglia
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Introduction
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A re-evaluation of the functional anatomy of the basal ganglia has
highlighted the significance of a direct corticosubthalamic projection in
influencing the activity of the basal ganglia
(Bolam et al., 2002
). Apart
from the striatum, the subthalamic nucleus (STN) is the only structure in the
basal ganglia to receive a direct cortical projection
(Albin et al., 1989
;
Parent and Hazrati, 1995
).
This independent corticosubthalamic projection originates from the motor and
premotor areas (Afsharpour,
1985
; Canteras et al.,
1990
; Bolam et al.,
2002
) as well as the medial prefrontal cortex (mPFC), which
includes the prelimbic and ventromedial prefrontal areas
(Kitai and Deniau, 1981
;
Berendse and Groenewegen, 1991
;
Maurice et al., 1998
). This
direct interaction between the frontal cortex and the STN implicates its
participation not only in sensorimotor functions but also in higher-order
cognitive processing.
In line with this speculation, it has been shown that in rodents, bilateral
lesions of the STN reverse motor impairments induced by dopamine depletion in
a simple reaction time task while also producing nonmotor deficits such as
premature responding, thus implicating a response control deficit
(Baunez et al., 1995
).
STN-lesioned rats also show multiple deficits in the five choice serial
reaction time task (5CSRTT), including severe impairments in discriminative
accuracy, perseveration, and premature responding
(Baunez and Robbins, 1997
).
These deficits are also found after medial striatal lesions
(Rogers et al., 2001
),
frontostriatal disconnections (Christakou
et al., 2001
), and bilateral mPFC lesions
(Muir et al., 1996
;
Passetti et al., 2000
). These
data not only emphasize the influence of cortical projections on cognitive
processing within the basal ganglia but also highlight the significance of
corticosubthalamic interactions. Despite the controversy concerning the
contralaterality of this projection or whether it is monosynaptic or
polysynaptic (Parent and Hazrati,
1995
), physiological studies have confirmed that stimulation of
the contralateral prefrontal cortex evokes excitatory responses in the STN
that are completely eliminated by a parasagittal knife cut of the corpus
callosum (Fujimoto and Kita,
1993
). Furthermore, excitation of the STN induced by contralateral
prefrontal cortex stimulation is significantly evident even in ipsilaterally
decorticated rats (Rouzaire-Dubois and
Scarnati, 1985
). These insights have encouraged a re-evaluation of
the functional organization of the basal ganglia with a particular emphasis on
the role of the corticosubthalamic projection
(Berns and Sejnowski, 1996
;
Levy et al., 1997
;
Bolam et al., 2002
).
The present study is the first to investigate the interdependent function
of the mPFC and the STN in any behavioral setting (in this case, the 5CSRTT).
Animals were first trained on this task and then prepared with either
ipsilateral (same hemisphere) or disconnected (different hemisphere) lesions
of the mPFC and STN. Baseline test sessions were followed by manipulations in
stimulus duration and a test of spontaneous locomotor activity. It was
predicted that if the mPFC and STN were functionally inter-dependent, the
contralateral group would show profound impairments compared with the
ipsilateral group. Rats with unilateral STN or unilateral mPFC lesions were
also included for comparison.
 |
Materials and Methods
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Subjects. All subjects were male Lister Hooded rats (Charles River
Laboratories, Kent, UK), housed in pairs in a temperature controlled room
(22°C), under diurnal conditions (12 hr light/dark cycle). Rats were
deprived of food and maintained at 85% of their free-feeding weight throughout
the experiment. All testing occurred at a regular time during the light
period. Animals were 3 months of age and weighed 230260 gm at the start
of behavioral training. All experimental procedures were subject to UK Home
Office approval (Project License PPL 80/1324).
Apparatus. The test apparatus consisted of four 25 x 25 cm
aluminum chambers (Cambridge Cognition, Cambridge, UK). The rear wall of each
chamber was concavely curved and contained nine apertures, each 2.5 cm square,
4 cm deep, and set 2 cm above floor level. Illumination of each hole was
provided by a standard 3 W bulb located at the rear of the hole. In addition,
an infrared photocell beam monitoring the nose poke responding of the rat was
located at the entrance of each aperture. Each aperture could be blocked by a
metal cover when not required, and for the present task, apertures 1, 3, 5, 7,
and 9 were open (Carli et al.,
1983
).
The four chambers were individually housed within sound-attenuating
cabinets and ventilated by low-level noise fans, which also served to mask
extraneous background noise. The apparatus and online data collection were
controlled by means of an Acorn computer system with software written by Dr.
R. N. Cardinal (Cambridge University, Cambridge, UK).
Behavioral procedure. Rats were trained to discriminate a brief
visual stimulus presented randomly in one of the five spatial locations (hole
number 1, 3, 5, 7, and 9), as described previously
(Muir et al., 1996
;
Baunez and Robbins, 1997
). At
the beginning of each test session, the house light was illuminated and free
delivery of a single food pellet to the magazine was made. The trial was
initiated by the rat opening the panel to collect this pellet. After a fixed 5
sec intertrial interval (ITI), the light at the rear of one of the apertures
was illuminated for a short period (0.5 sec). Responses in this aperture
during illumination and for 5 sec afterward (the limited hold period) were
rewarded with the delivery of a food pellet, and a correct response was
recorded. Responses in a nonilluminated hole during the signal period
(incorrect response) and failure to respond within the limited hold period
(omission) were punished with a period of darkness during which all lights
were extinguished for 5 sec (time out). Responses in the apertures during the
ITI were recorded as premature responses and punished with time out.
Additional responses in the apertures during the limited hold period were
recorded as perseverative responses. A response in the food panel after the
delivery of a food pellet, or after the time-out period, initiated the next
trial.
During any one session, the light stimulus was presented an equal number of
times in each of the five apertures in a random order. A daily session
consisted of 100 trials or was terminated after 30 min of testing. For the
first session of training, the stimulus duration and limited hold periods were
both set at 1 min, and the ITI and time-out periods were set at 5 sec. These
variables were altered on subsequent sessions according to the individual
animal's performance, until the target set of task parameters could be
instituted. The target parameters were as follows: stimulus duration, 0.5 sec;
limited hold period, 5 sec; ITI and time-out period, 5 sec. The animals were
considered to have reached criterion when these target parameters were
attained on five consecutive sessions with >80% correct responses and
<20% omissions within the 30 min session time. Approximately 30 sessions
were required for the animals to attain this criterion.
Two weeks after surgery, the animals used in this experiment were tested
across 12 sessions on the standard schedule of the task. To further
investigate the observed deficits in accuracy, the attentional load was
reduced by increasing the stimulus duration from 0.5 to 1, 2, and 4 sec on
separate days. Each day was preceded by a baseline session.
Performance measures. Accuracy of performance was measured as the
proportion of correct responses (number of correct responses per total number
of responses) expressed as a percentage. This measures errors of commission
without including errors of omission. Errors of omission were also presented,
because this measure reflects possible failures of detection and/or
motivationalmotor deficits, depending on the overall pattern of
effects.
Speed, including decision time, was assessed according to two different
latencies to the nearest centisecond. The first was the latency to respond
correctly, defined as the time between the onset of the visual stimulus and
the point at which the animal's nose breaks the infrared beam of the lit hole.
The second measure was magazine latency (the time between performance of a
correct response and the opening of the magazine panel to collect the food
pellet).
The number of premature and perseverative responses was also recorded, as
well as the number of perseverative panel pushes.
Locomotor activity. After postoperative testing, animals were
placed in locomotor activity cages (40 x 25 x 18 cm) to assess the
activity of the lesioned animals. The cages were equipped with infrared
photocell beams that ran horizontally along the axis of the cage (6 cm from
the cage end and 1 cm above the floor). Beam interruptions were recorded over
10 min bins over a 2 hr period. The apparatus and data collection were
controlled by means of an Acorn computer system equipped with SPIDER extension
(Paul Fray, Cambridge, UK) with software written by Dr. R. N. Cardinal.
Data analysis. Data for each variable were subjected to
repeated-measures ANOVA using the SPSS statistical package, version 9.0 (SPSS,
Chicago, IL). Data were initially explored using "boxplots" and
tests of homogeneity of variance so that outliers were identified and so that
skewed data, which violate the distribution requirement of the ANOVA, were
transformed appropriately (arcsine, square root, or logarithmic), as
recommended by Winer (1971
).
Homogeneity of variance across groups was assessed by the Mauchly sphericity
test. When data sets significantly violated this requirement for a
repeated-measures design, the HuynhFeldt
was used to calculate a
more conservative p value for each F ratio. Where F
ratios were significant, post hoc comparisons were made using Tukey's
test. The criterion for statistical significance was p < 0.05. The
between-subject factor was lesion [three levels: sham controls, ipsilateral
lesions (IPLs), and disconnected (contralateral) lesions (DISC)]. The
within-subject factor included session (12 d) and the stimulus duration
challenge as appropriate. The same statistical procedures were applied to data
from the unilateral STN and unilateral mPFC groups.
Surgical procedures. Rats were divided into three groups. All
animals were deeply anesthetized by intramuscular injections of xylazine (10
mg/kg) and ketamine (50 mg/kg) and placed in a Kopf stereotaxic head-holder
(David Kopf Instruments, Tujanga, CA) fitted with atraumatic earbars. The
scalp was retracted to expose the skull, and craniotomies were made directly
above the target region of the brain. The incisor bar was set at 3.0
mm. Lesions were made using a 10 µl Hamilton precision microsyringe mounted
in a Harvard infusion pump (Harvard Apparatus, Kent, UK), connected via a fine
bore polythene tubing (0.28 mm outer diameter, 0.16 mm inner diameter; Portex,
Kent, UK) to a 30 gauge stainless-steel cannula.
For lesions of the STN, the injection coordinates were taken as the average
of interaural and bregma coordinates from Paxinos and Watson
(1997
). Infusions of 0.5 µl
of 0.06 M ibotenic acid (Research Biochemicals, St. Albans, UK)
dissolved in sterile PBS, pH 7.07.2, were made over 3 min. The injector
was left in place for an additional 5 min before being withdrawn. The
injection coordinates for the STN lesions from bregma were as follows:
anteroposterior (AP), 3.8 mm; lateral (L), ±2.4 mm; dorsoventral
(DV), 8.35 mm (from the skull). The coordinates from the interaural
point were AP, +5.2 mm; L, ±2.4 mm; and DV, +1.65 mm.
For lesions of the mPFC, animals received four infusions of 0.5 µl of
0.06 M ibotenic acid at the following coordinates from bregma: AP,
+3.8 mm; L, ±0.7; DV, 3.0 mm; AP, +3.2 mm; L, ±0.7; DV,
3.0 mm and 2.0 mm; and AP, +2.7 mm; L, ±0.7 mm; DV,
3.0 mm. All DV coordinates were taken from dura. Each injection was
made over 3 min and allowed to remain for an additional 2 min for
dispersion.
A total of 26 rats were used for the disconnection study. Ten animals
received combined contralateral DISC. Eight animals received IPLs of the mPFC
and STN. The side on which the lesion was made (right or left hemisphere) was
counterbalanced for each group. An additional eight animals served as sham
controls: four of these animals were contralateral, and four were ipsilateral.
These animals received the same surgical treatment, except that they were
infused with vehicle. An additional 28 animals received unilateral STN lesions
(n = 10) or unilateral mPFC lesions (n = 10) or served as
sham controls (n = 8). The side of the lesion was counterbalanced
across group.
Histology. At the conclusion of the behavioral testing, the
animals were perfused transcardially with 0.9% saline followed by 10% formal
saline. After dehydration by immersion in 20% sucrose, brains were sectioned
on a freezing microtome at 60 µm thickness. Every second section was
mounted on glass slides and stained with cresyl violet. The sections were used
to verify lesion placement and to assess the extent of lesion-induced neuronal
loss.
 |
Results
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Histological analysis
The cytoarchitectonic borders and nomenclature were taken from the atlas by
Paxinos and Watson (1997
). The
extent of the lesions is illustrated in
Figure 1. Animals with lesions
made to the mPFC showed extensive cell damage, which began at the frontal pole
and included the most rostral medial and orbital regions. The lesion began at
bregma +4.2 and extended caudally to bregma +2.2. The lesion included damage
to the prelimbic cortex, infralimbic cortex, and in most cases the most
ventral limits of the dorsal peduncular cortex regions
(Fig. 1). Gliosis was also
observed in the pregenual anterior cingulate cortex (Cg1) at the most rostral
level, although in most cases, the Cg1 was spared as the lesion extended
caudally. In four animals of this group, the lesion encroached postgenu into
the rostral limits of the anterior cingulate (Cg2).

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Figure 1. Diagrammatic reconstruction of coronal sections of rat brain showing the
largest (black) and smallest (gray) extent of mPFC (left hemisphere) and STN
(right hemisphere) lesions in the disconnected lesioned group. The numbers
indicate AP coordinates relative to bregma. Atlas plates were adapted from
Paxinos and Watson (1997 ).
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STN lesions consistently involved the entire extent of the STN and induced
shrinkage of the structure. The cell loss in the STN began at bregma
3.6 and extended caudally to bregma 4.3. Within this group, four
animals had cell damage that was centered on the most medial portion of the
STN. Despite the close proximity of the medial STN to the adjacent lateral
hypothalamus, there was no evidence of damage to the lateral hypothalamic
region in this group of animals. One animal had a lesion that extended
laterally into the most ventral limits of the zona incerta. In addition,
calcium deposits were observed in the entopeduncular nucleus (seven animals)
and within the STN region (two animals)
(Baunez and Robbins, 1997
). For
the unilateral lesioned groups, three animals with mPFC lesions showed
incomplete lesions with no significant neuron loss. One animal showed
extensive bilateral damage. These animals were discarded from analysis. The
remaining six animals had mPFC lesions that were centered on the prelimbic
area (PrL) and extended caudally to the most rostral limits of the anterior
cingulate cortex postgenu. In the unilateral STN group, all showed
calcification in the entopeduncular nucleus and cell loss that was centered on
the medial extent of the nucleus. In this group, two animals were found to
have no lesion and another two animals showed damage that encroached into the
substantia nigra. These animals were discarded from analysis.
The final numbers for the disconnection analysis were as follows: sham,
n = 8; IPL, n = 8; DISC, n = 10. The final numbers
for the unilateral groups were as follows: sham, n = 8; unilateral
mPFC, n = 6; unilateral STN, n = 6.
 |
Behavioral results
|
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Preoperative analysis
Before surgery, the groups of animals were well matched on all measures. No
significant differences were observed in performance accuracy (mean, 85.2%
correct), omissions (mean, 6.5%), premature responding (mean, 9),
perseverative responding (mean, 29), correct latency (mean, 53 csec), magazine
latency (mean, 143 csec), and panel pushes (mean, 55)
(F(1,23); p > 0.05).
Baseline sessions
Preliminary analysis of the sham data revealed that there was no
significant difference between the two sham groups (sham-IPL and sham-DISC) in
terms of performance accuracy across the 12 postoperative baseline sessions
(F(1,6) = 0.01; p > 0.05). Thus, all of these
animals were treated as a single sham group for subsequent analyses.
Relative to the sham controls and the IPL group, animals with DISC lesions
showed profound impairments in all behavioral measures. These animals were
markedly impaired in their ability to respond correctly to the visual target
(F(2,23) = 21.3; p < 0.001)
(Fig. 2A). This
impairment was accompanied by an increase in the number of errors of omission
(F(2,23) = 14.8; p < 0.001), (means: shams,
6.5%; IPL, 14%; DISC, 27%). All animals showed a reduction in the number of
omissions over sessions (F(8,187) = 7.16; p <
0.001), and a significant session by lesion interaction was observed
(F(16,187) = 2.25; p < 0.01). In addition,
although all animals postoperatively were slower to make a correct response
(F(2,48) = 4.3; p < 0.01), the DISC group
showed significantly slower latencies compared with the other groups (Tukey's
p < 0.001; F(2,23) = 24.6; p <
0.001) (Fig. 2B).
These animals also showed significantly longer magazine latencies
(F(2,23) = 3.86; p < 0.05) that recovered over
sessions (F(2,48) = 4.3; p < 0.01).

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Figure 2. Effects of theDISC group (open squares), IPL group (open triangles), and
sham group (closed circles) on performance of the standard baseline task on
the 5CSRTT. A, Percentage of accuracy. B, Correct latency
(in centiseconds). C, Premature responses. D, Perseverative
responses. Mean ± SEM results are illustrated for the last four
sessions of preoperative baseline (Pre-op), 12 d of postoperative testing
(Post-op), and five additional baseline sessions (Baseline).
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ANOVA showed that although all animals showed a reduction in premature
responding over sessions (F(7,164) = 2.15; p <
0.05), animals with DISC lesions made significantly more premature responses
relative to the sham and IPL groups (Tukey's p < 0.001;
F(2,23) = 17.56; p < 0.001)
(Fig. 2C). In
addition, the group with IPL lesions also showed a tendency to make more
premature responses compared with shams (Tukey's p = 0.06).
Figure 2D shows that
the DISC-lesioned animals were also highly perseverative (Tukey's p
< 0.001; F(2,23) = 7.22; p < 0.01) relative
to the other groups. This effect remained stable over time, because there was
no effect of session (F(1,45) = 0.77; p >
0.05) or a significant lesion by session interaction (F < 1).
Repeated-measures ANOVA showed an overall reduction in perseverative panel
pushes with increasing session (F(5,134) = 2.43;
p < 0.05). However, despite showing an increase in perseverative
panel pushes (means: shams, 51; IPL, 100; DISC, 114), the IPL and DISC groups
were not significantly different from the sham-operated controls
(F(2,23) = 1.05; p > 0.05).
To summarize, animals with lesions made to the STN and mPFC in
contralateral hemispheres were significantly impaired in terms of
discriminative accuracy. Post hoc tests confirmed that animals with
lesions made in the ipsilateral hemisphere were not significantly different
from sham controls. This discriminative impairment was accompanied by long
latencies in making correct responses and collecting food reward. In addition,
the disconnected animals were particularly impaired in withholding additional
inappropriate nosepoke responses, as shown by significant increases in
perseverative and premature responses. However, there were no effects on
perseverative panel pushes at the magazine.
Increased stimulus duration
In an attempt to reduce the attentional load for the DISC-lesioned group
and therefore facilitate an accurate percentage of correct responding in these
animals, the duration of the stimulus was increased from the standard 0.5 sec
to 1, 2, and 4 sec. Unfortunately, data for nine animals at the 2 sec stimulus
duration (three sham animals, four IPL animals, and two DISC animals) were
lost because of a computer failure. Analysis for this manipulation was based
on the remaining animals for that group (five shams, three IPL animals, and
eight DISC animals).
Figure 3A shows the
performance accuracy of all three groups when the stimulus duration was
increased. Animals with DISC lesions showed improved performance with
increased duration (F(3,33) = 9.13; p <
0.001), although they remained significantly impaired at all durations
relative to the sham group (Tukey's p < 0.01;
F(2,13) = 4.55; p < 0.01) but were no
different from the IPL group (Tukey's F < 1). There was no lesion
by stimulus duration interaction (F(5,33) = 1.08;
p > 0.05).

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Figure 3. Effects of manipulating the stimulus duration on task performance of sham
controls (closed bars), the IPL group (open bars), and the DISC group (hatched
bars). Each bar represents mean ± SEM. A, Percentage of
accuracy. B, Correct latency (in centiseconds). C, Premature
responses. D, Perseverative responses. Each stimulus duration was
presented in a single test session.
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In parallel with the effect on discriminative accuracy, the percentage of
omissions decreased in all groups (F(2,25) = 4.81;
p < 0.01), although the DISC-lesioned animals made significantly
more errors of omission than the sham controls but not the IPL group (Tukey's
p < 0.05; F(2,13) = 4.88; p <
0.05). No interaction was observed on this measure (F < 1).
Increasing the stimulus duration significantly lengthened the latency to
make a correct response in the DISC-lesioned group
(F(2,13) = 8.77; p < 0.01)
(Fig. 3B). However,
although animals with IPL lesions were no different from sham controls on this
measure, they showed a tendency to respond more slowly (Tukey's p =
0.07). In marked contrast, no main effect of lesion was found for magazine
latency (F(2,13) = 2.78; p > 0.05).
Figure 3C shows how
increasing the stimulus duration reduced the number of premature responses for
all groups (F(2,13) = 1.93; p > 0.05).
However, the DISC group maintained a high level of perseverative responding
across all stimulus durations relative to sham controls (Tukey's p
< 0.05; F(2,13) = 5.01; p < 0.05) but was
not different from the sham or IPL groups in terms of perseverative panel
pushes (F(2,13) = 1.13; p > 0.05). No other
effects were observed for this measure.
To summarize, lengthening the stimulus duration improved accurate
performance in the disconnected group, although these animals remained
significantly impaired in accuracy when compared with other groups. In
addition, increasing the stimulus duration failed to abolish all other
deficits, including omissions, response latencies, and perseverative responses
observed in the disconnected group, and did not affect the latency to collect
reward pellets.
Behavioral recovery: permanent and transient effects
Figure 2 shows the behavior
of animals during the last five baseline sessions (session numbers: 17, 19,
21, 23, 25). These sessions occurred toward the end of the postoperative
testing period and were analyzed to provide some indication of the extent of
recovery attained over time. Analysis of these sessions indicated that the
DISC group maintained a significant impairment in performance accuracy
(Tukey's p < 0.01; F(2,21) = 16.1; p
< 0.001) throughout baseline testing that was accompanied by an increase in
the number of omissions relative to sham controls and the IPL group (Tukey's
p < 0.01; F(2,22) = 14.2; p <
0.001). The IPL group also made more omissions compared with shams, but was
not different from the DISC-lesioned group (Tukey's p < 0.05).
This measure also revealed a baseline session by lesion interaction
(F(8,88) = 2.69; p < 0.01). Unlike the
postoperative testing schedule, there was no effect of lesion on premature
responses (F(2,22) = 2.53; p > 0.05), although
a significant lesion by baseline session interaction was obtained, as revealed
by animals of the DISC group showing an increase in premature responding
primarily during sessions 19 and 23 compared with sham animals and the IPL
group (p < 0.01). There were no lesion differences in premature
responding during session 25 (p > 0.05).
Animals with DISC lesions continued to make significantly more
perseverative responses relative to the sham and IPL groups during the
baseline sessions (Tukey's p < 0.01; F(2,21) =
10.63; p < 0.001), but these animals did not differ in terms of
the number of perseverative panel pushes (p > 0.05). These animals
also maintained significantly long latencies when making the response (Tukey's
p < 0.01; F(2,22) = 19.05; p <
0.001) and when collecting their reward pellet (Tukey's p < 0.01;
F(2,20) = 10.98; p < 0.001). No other effects
were observed.
In summary, disconnected animals maintained profound behavioral deficits in
discriminative accuracy, number of omissions, perseverative responses, and
overall speed, indicating a lack of behavioral recovery over time for these
measures. In contrast, the level of premature responding decreased over time
postoperatively, suggesting a more transient effect of these lesions on this
measure.
Effects of single unilateral STN or unilateral mPFC lesions on
postoperative baseline performance
As illustrated in Figure
4A, the mean performance accuracy was significantly lower
in animals with a single unilateral mPFC or unilateral STN lesion
(F(2,17) = 6.23; p < 0.01), because both
lesioned groups were significantly different from shams (Tukey's p
< 0.01). Relative to the DISC group, all animals improved accuracy
(F(1,31) = 7.71; p < 0.01) and reduced the
number of omissions (F(1,65) = 5.92; p <
0.001) over sessions. However, animals with unilateral STN lesions made
significantly more errors of omission (Tukey's p < 0.05;
F(2,17) = 3.84; p < 0.05) compared with the
unilateral mPFC group or sham controls (data not shown).

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Figure 4. Mean ± SEM performance of sham controls (closed diamonds) and
unilateral mPFC (open circles) and unilateral STN (x) lesion groups on
12 d of postoperative baseline on the 5CSRTT. A, Percentage of
accuracy. B, Perseverative responses.
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The number of premature responses declined in all groups as the number of
sessions increased (F(1,146) = 4.92; p <
0.001), but there was no effect of lesion group on premature responding
(p > 0.05). In contrast, unilateral lesions made to the mPFC or
the STN produced a marked increase in perseverative responses relative to sham
controls (Tukey's p > 0.05; F(2,17) = 8.23;
p < 0.01) (Fig.
4B). The unilateral mPFC or unilateral STN were not
different from each other (means: sham, 27; unilateral mPFC, 54; unilateral
STN, 67). Although all animals showed a relative reduction in perseverative
panel pushes, there were no main effects of lesion on this measure
(F(2,17) = 0.03; p > 0.05).
Although animals with unilateral STN lesions were slower at making a
correct response relative to the unilateral mPFC group or the sham group
(Tukey's p > 0.01; F(2,17) = 5.57; p
< 0.01), they were no different in terms of magazine latency
(F(2,17) = 0.07; p > 0.05). No other effects
were observed.
In summary, animals with single unilateral lesions of the STN or mPFC were
impaired in performance accuracy and perseverative responding but not
premature responding. Only the unilateral STN group showed increased omissions
and longer latencies to respond, whereas magazine latency was unaffected in
all animals.
Summary comparisons among bilaterally lesioned and unilaterally
lesioned groups
For the 12 postoperative baseline sessions, the data were collapsed across
session and analyzed to make overall behavioral comparisons among the groups.
There were no significant differences between the sham group used in the
disconnection study analysis and the sham group used for the unilateral lesion
analysis (F < 1). Figure
5 illustrates the mean differences between groups. The pattern of
impairments was qualitatively similar for accuracy, perseveration, and latency
measures except for premature responding. The DISC group was significantly
impaired in discriminative accuracy compared with all groups (Tukey's
p < 0.01; F(4,45) = 21.49; p <
0.001), whereas the IPL group was no different from the unilateral groups or
sham controls. An effect of lesion was also obtained for a number of omissions
(F(4,45) = 7.87; p < 0.001), which was
attributable primarily to the DISC group being different from all groups
(Tukey's p < 0.05) except the unilateral STN group. In comparison,
animals with IPL were different only from shams but were not different from
either of the unilateral groups. Similarly, relative to all other groups, the
DISC group was slower in response latency (Tukey's p < 0.001;
F(4,44) = 26.02; p < 0.001) and magazine
latency (Tukey's p < 0.01; F(4,44) = 6.62;
p < 0.001). No other differences were observed among the other
groups.

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|
Figure 5. Summary comparisons among groups for 12 postoperative baseline sessions:
Sham group, open bars; unilateral mPFC (Uni mPFC) group, gray bars; unilateral
STN (Uni STN) group, thick-hatched bars; IPL, closed bars; DISC group,
narrow-hatched bars. Data were collapsed across session, and mean data
± SEM are presented. A, Percentage of accuracy. B,
Correct latency (in centiseconds). C, Premature responses.
D, Perseverative responses.
|
|
There was a significant difference of lesion on premature responding
(F(4,45) = 9.73; p < 0.001). This difference
was attributable primarily to the IPL group making fewer premature responses
compared with the unilateral mPFC group (Tukey's p < 0.01; means:
IPL, 15; unilateral mPFC, 33) and the unilateral STN group (p = 0.06;
means: IPL, 15; unilateral STN, 31). The IPL group was found not to be
different from the DISC group (p = 0.08; means: IPL, 15; DISC, 28)
(Fig. 5C). The IPL
group was not different from the sham controls on this measure (means: sham,
10; IPL, 15).
Overall, there was an effect of lesion on perseverative responses that was
attributable to the DISC group being more perseverative relative to all groups
(Tukey's p < 0.05; F(4,44) = 6.62; p
< 0.001) (Fig. 5D).
However, the IPL group, although making fewer perseverative responses compared
with DISC animals, was not different from the unilateral groups or sham
controls. No differences were observed for perseverative panel pushes
(F < 1).
In summary, the disconnected lesioned animals were less accurate in their
performance, slower to respond, and highly perseverative. In comparison, the
IPL groups performed at the same level as animals with unilateral lesions and
controls. However, the IPL lesion made significantly fewer premature responses
compared with either the unilateral or the disconnected groups and was not
different from the sham controls.
Locomotor activity
One-way ANOVA showed that animals with DISC lesions were not different in
spontaneous locomotor activity compared with sham controls or the IPL group
(F(2,22) = 2.13; p > 0.05), suggesting that
the deficits in response control observed in this group were not a function of
general hyperactivity.
 |
Discussion
|
|---|
This is the first study to demonstrate the functional interaction and
conjoint importance of the mPFC and the STN in attentional performance.
Animals with corticosubthalamic disconnections showed profound attentional
impairments, were highly perseverative, and had slowed response latencies.
These behavioral deficits were greater and more persistent than those found
after unilateral lesions of either structure alone and were comparable with
some of the effects of bilateral lesions of either the STN (Baunez and
Robbins, 1997
,
1999a
) or the mPFC
(Muir et al., 1996
;
Passetti et al., 2000
). The
ipsilateral group, in which the combined lesions of the mPFC and STN were
restricted to one hemisphere only, showed deficits that were strikingly
different from the disconnected group in that they were transient and minor.
The IPL group not only provided a control for a nonspecific
"mass-action" effect of the dual lesion but also signified the
relative contributions of the mPFC and STN in an anatomical circuit that was
compromised only when the critical pathway between these structures was
damaged in both hemispheres.
Behavioral nature of the deficits
The severe deficit in accuracy induced by the DISC lesions accompanied by
the increased incidence in omissions indicates a pronounced attentional
impairment. When the attentional load was reduced by gradually increasing the
stimulus duration, the DISC group showed a progressive increase in accuracy,
thus ruling out the possibility that these animals were impaired in their
ability to correctly perceive the target stimulus or undermotivated to perform
the task. The partial recovery in these animals also suggests that the
discriminative impairment is unlikely to be a consequence of failing to make
associations or indeed failures in remembering where the stimuli were
presented. Effects of interference can also be ruled out, because these
animals did not perseverate at the panel that would otherwise have prevented
them from correctly orienting toward the visual target. Nonetheless,
increasing the stimulus duration to 4 sec failed to completely alleviate the
accuracy impairment in the DISC group, suggesting the animal's inability to
scan and monitor the visual array. The omission rate may have been related to
the increased response latencies that were observed in the DISC group,
suggesting an overall deficit in decisional processes
(Baunez et al., 2001
).
The impairment observed in DISC lesions was not restricted to attention.
The increase in perseverative responding persisted even when increasing the
stimulus duration helped to alleviate the accuracy deficit. This suggests that
the deficit in perseveration was relatively independent of the processes
involving stimulus detection, reflecting an inability to suppress irrelevant
responses. At the same time, however, the DISC group showed only a transient
impairment in premature responding, which recovered over time. This implies
that the disinhibitory mechanisms impaired in perseveration may be different
from those involved in anticipatory, premature behavior. In addition, whereas
bilateral mPFC lesions enhanced perseverative nose pokes without affecting
premature responding, lesions of the postgenual anterior cingulate cortex
produced increased premature but not perseverative responding
(Muir et al., 1996
). Clearly,
this double dissociation indicates two types of inhibitory processes that can
be differentiated at the level of the frontal cortex. The finding that
bilateral STN lesions produce both perseverative and premature deficits
implies that the STN is indeed involved in the executive control of responding
(Baunez and Robbins, 1997
),
although its behavioral expression is likely influenced by the cortical origin
of its projection. This hypothesis needs to be tested directly.
Together, our results confirm the involvement of a selective
corticosubthalamic interaction in discrimination and the executive control of
responding. The overall outcome (i.e., double IPL lesions failed to exhibit
deficits greater than those seen after single unilateral lesions) is
consistent with the present disconnection results. However, the interesting
finding that the IPL lesion exhibited a level of premature responding that was
no different from shams but also lower than the unilateral and DISC groups
suggests that the STN and mPFC may independently mediate such premature,
impulsive behaviors via neural mechanisms other than the direct
corticosubthalamic projection, especially given that bilateral STN lesions
increase premature responses (Baunez and
Robbins, 1997
). One speculation is that selective regions of the
mPFC promote different levels of disinhibition (Y. Chudasama and T. W.
Robbins, unpublished observations).
Functional organization of the corticosubthalamic projection
The functional organization of the basal ganglia identifies the STN as a
relay by which corticostriatal information is transmitted to the output
nuclei, resulting in some modulation of behavior
(Albin et al., 1989
;
DeLong, 1990
;
Shink et al., 1996
). In line
with this model, parallel studies have shown that corticostriatal
disconnections (Christakou et al.,
2001
), bilateral striatal lesions
(Rogers et al., 2001
), and
bilateral STN lesions (Baunez and Robbins,
1997
; Baunez et al.,
2001
) affect aspects of motivated behavior as well as response
selection and control. However, increasing anatomical and physiological
evidence (Bolam et al., 2002
)
supports a revised model that places a particular emphasis on the
corticosubthalamic projection.
Our data suggest that the corticosubthalamic pathway is a route by which
the cortex can influence the activity of the STN and integrate behavior
relatively independently from the corticostriatal interaction, while
profoundly influencing the functional properties of the entire indirect
pathway. Hence, a disruption of the cortical influence on the STN may help
explain the impairments observed in both the DISC and unilateral groups. When
either the mPFC or STN is inactivated, hypothetically, the excitatory signal
from the cortex to the STN is reduced. The STN is also disinhibited by the
GABAergic neurons of the globus pallidus, to which the STN is reciprocally
connected. The feedback from the STN to the globus pallidus is important,
because neurons within this structure do not fire bursts of action potentials
if the STN is already exhibiting burst firing
(Magill et al., 2000
). In
addition, neurons of the globus pallidus also provide powerful inhibitory
feedback to the striatum (Magill et al.,
2000
). These lines of evidence suggest that the firing pattern in
the STN must be provided by the corticosubthalamic pathway, and that the
corticosubthalamic pathway is critical in determining the activity of the
globus pallidus (Magill et al.,
2000
; Bolam et al.,
2002
). Furthermore, the striatum, because of its feedback from the
globus pallidus, may modify cortical flow through the basal ganglia
(Ryan and Clark, 1991
;
Bolam et al., 2002
).
Additionally, the STN provides a major excitatory drive on output structures
such as the substantia nigra pars reticulata (SNpr)
(Hammond et al., 1978
;
Nakanishi et al., 1987
). Thus,
depriving the STN of its excitatory glutamatergic input from the cortex may
result in decreased excitation of the SNpr, which is also under an inhibitory
striatonigral projection (Nakanishi et
al., 1987
). Decreased nigral activity is thought to disinhibit the
motor thalamus and, therefore, result in hyperkinetic movements and other
related deficits observed after STN lesions
(DeLong, 1990
). Furthermore,
inactivating the STN by manipulating its glutamatergic and GABAergic afferents
(to mimick either a blockade of the cortical inputs or a reinforcing
inhibition from the globus pallidus) replicates the marked deficits on the
5CSRTT normally produced by STN lesions alone
(Baunez and Robbins, 1999b
),
suggesting that changes in the STN are not related exclusively to globus
pallidus activity. Finally, both the mPFC and STN receive excitatory
dopaminergic projections from the substantia nigra and ventral tegmental area
(Lindvall and Björklund,
1983
; Canteras et al.,
1990
), and it has been suggested recently that under certain
conditions (e.g., striatal dopamine depletion), the neurons of the STN, while
exhibiting abnormal bursting activity, may essentially distort the processing
of cortical information (Bergman et al.,
1994
; Magill et al.,
2001
; Bolam et al.,
2002
).
Functional implications
This study is the first to demonstrate that a corticosubthalamic
disconnection induces a behavioral syndrome of discriminative and
perseverative deficits in a continuous performance type of attentional task.
By implication, the "intact" corticosubthalamic projection may
function to integrate complex behaviors that require the selection,
suppression, and execution of a planned and controlled sequence of responses
that mediate efficient task performance
(Robbins, 1996
). Such
executive control deficits are a hallmark of frontal lobe patients, who are
often described as lacking normal executive control over action, as shown by
their poor performance in tests of planning
(Shallice, 1982
). There is now
accumulating evidence that patients with Parkinson's disease show cognitive
deficits that resemble those observed in frontal patients
(Morris et al., 1988
; Owen et
al., 1990
,
1992
;
Cools et al., 2002
). However,
Parkinson's disease is thought to result primarily from the dysfunction of the
frontostriatal circuit and its dopaminergic modulation. The role of the STN in
Parkinson's disease has been considered with respect to motor disturbances
(Bergman et al., 1990
;
Limousin et al., 1995
), but
there is little evidence that implicates the dysfunction of a direct
corticosubthalamic projection. The recent findings, however, that deep brain
stimulation (which is thought to inactivate the STN) improves motor deficits
in Parkinson's disease while, at the same time, producing marked executive
impairments (Jahanshahi et al.,
2000
; Saint-Cyr et al.,
2000
; Schroeder et al.,
2002
), suggests that it may potentially modify effective frontal
processing by disrupting the corticosubthalamic projection. The findings from
this study suggest that the function of the STN is critically dependent on an
intact frontal cortex, and that the frontal cortex may exert significant
control of behavior at the level of poststriatal processing.
 |
Footnotes
|
|---|
Received Feb. 25, 2003;
revised Apr. 9, 2003;
accepted Apr. 9, 2003.
This work was supported by Centre National de la Recherche Scientifique
(C.B.), Fifth Programme-Cadre de Recherche et de Développement
Technologique of the European community (contract number QLK6-1999-02173)
(C.B. and T.W.R.) with the Royal Society, and a programme grant from the
Wellcome Trust (T.W.R.), completed within the Medical Research Centre for
Behavioral and Clinical Neuroscience. Y.C. was supported by Cambridge
Cognition. We thank Dr. K. Thomas for her help with photographic
assistance.
Correspondence should be addressed to Dr. Yogita Chudasama, Laboratory of
Neuropsychology, National Institute of Mental Health, 49 Convent Drive,
Building 49, Room 1B80
[PDB]
, Bethesda, MD 20892-4415. E-mail:
yogita{at}ln.nimh.nih.gov.
Copyright © 2003 Society for Neuroscience
0270-6474/03/235477-09$15.00/0
 |
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