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dc.contributor.authorTurrini, Sonia
dc.contributor.authorFiori, Francesca
dc.contributor.authorChiappini, Emilio
dc.contributor.authorLucero-Mondaca, Boris
dc.contributor.authorSantarnecchi, Emiliano
dc.contributor.authorAvenanti, Alessio
dc.date.accessioned2023-04-10T20:50:08Z
dc.date.available2023-04-10T20:50:08Z
dc.date.issued2023
dc.identifier.urihttp://repositorio.ucm.cl/handle/ucm/4646
dc.description.abstractTranscranial magnetic stimulation (TMS) studies have shown that cortico-cortical paired associative stimulation (ccPAS) can strengthen connectivity between the ventral premotor cortex (PMv) and the primary motor cortex (M1) by modulating convergent input over M1 via Hebbian spike-timing-dependent plasticity (STDP). However, whether ccPAS locally affects M1 activity remains unclear. We tested 60 right-handed young healthy humans in two studies, using a combination of dual coil TMS and ccPAS over the left PMv and M1 to probe and manipulate PMv-to-M1 connectivity, and single- and paired-pulse TMS to assess neural activity within M1. We provide convergent evidence that ccPAS, relying on repeated activations of excitatory PMv-to-M1 connections, acts locally over M1. During ccPAS, motor-evoked potentials (MEPs) induced by paired PMv-M1 stimulation gradually increased. Following ccPAS, the threshold for inducing MEPs of different amplitudes decreased, and the input-output curve (IO) slope increased, highlighting increased M1 corticospinal excitability. Moreover, ccPAS reduced the magnitude of short-interval intracortical inhibition (SICI), reflecting suppression of GABA-ergic interneuronal mechanisms within M1, without affecting intracortical facilitation (ICF). These changes were specific to ccPAS Hebbian strengthening of PMv-to-M1 connectivity, as no modulations were observed when reversing the order of the PMv-M1 stimulation during a control ccPAS protocol. These findings expand prior ccPAS research that focused on the malleability of cortico-cortical connectivity at the network-level, and highlight local changes in the area of convergent activation (i.e., M1) during plasticity induction. These findings provide new mechanistic insights into the physiological basis of ccPAS that are relevant for protocol optimization.es_CL
dc.language.isoenes_CL
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 Chile*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/cl/*
dc.sourceNeuroImage, 271, 120027es_CL
dc.subjectHebbian plasticityes_CL
dc.subjectCortico-cortical connectivityes_CL
dc.subjectLong-term potentiationes_CL
dc.subjectMotor cortexes_CL
dc.subjectTranscranial magnetic stimulationes_CL
dc.subjectIntracortical inhibitiones_CL
dc.titleCortico-cortical paired associative stimulation (ccPAS) over premotor-motor areas affects local circuitries in the human motor cortex via Hebbian plasticityes_CL
dc.typeArticlees_CL
dc.ucm.indexacionScopuses_CL
dc.ucm.indexacionIsies_CL
dc.ucm.urisciencedirect.com/science/article/pii/S1053811923001738?via%3Dihubes_CL
dc.ucm.doidoi.org/10.1016/j.neuroimage.2023.120027es_CL


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Atribución-NoComercial-SinDerivadas 3.0 Chile
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