RT Journal Article
SR Electronic
T1 Increased Excitability of Somatosensory Cortex in Aged Humans is Associated with Impaired Tactile Acuity
JF The Journal of Neuroscience
JO J. Neurosci.
FD Society for Neuroscience
SP 1811
OP 1816
DO 10.1523/JNEUROSCI.2722-11.2012
VO 32
IS 5
A1 Melanie Lenz
A1 Martin Tegenthoff
A1 Karsten Kohlhaas
A1 Philipp Stude
A1 Oliver Höffken
A1 Mario A. Gatica Tossi
A1 Tobias Kalisch
A1 Hubert R. Dinse
YR 2012
UL http://www.jneurosci.org/content/32/5/1811.abstract
AB Aging affects all levels of neural processing, including changes of intracortical inhibition and cortical excitability. Paired-pulse stimulation, the application of two stimuli in close succession, is a useful tool to investigate cortical excitability in humans. The paired-pulse behavior is characterized by the second response being significantly suppressed at short stimulus onset asynchronies. While in rat somatosensory cortex, intracortical inhibition has been demonstrated to decline with increasing age, data from human motor cortex of elderly subjects are controversial and there are no data for the human somatosensory cortex (SI). Moreover, behavioral implications of age-related changes of cortical excitability remain elusive. We therefore assessed SI excitability by combining paired-pulse median nerve stimulation with recording somatosensory evoked potentials in 138 healthy subjects aged 17–86 years. We found that paired-pulse suppression was characterized by substantial interindividual variability, but declined significantly with age, confirming reduced intracortical inhibition in elderly subjects. To link the age-related increase of cortical excitability to perceptual changes, we measured tactile two-point discrimination in a subsample of 26 aged participants who showed either low or high paired-pulse suppression. We found that tactile performance was particularly impaired in subjects showing markedly enhanced cortical excitability. Our data demonstrate that paired-pulse suppression of human SI is significantly reduced in older adults, and that age-related enhancement of cortical excitability correlates with degradation of tactile perception. These findings indicate that cortical excitability constitutes an important mechanism that links age-related neurophysiological changes to behavioral alterations in humans.