Effects of Acetylcholine and Attention on Visual Spatial Representations in the Brain

Study Overview
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Brief Summary
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This study in, healthy human subjects using fMRI and MRS (magnetic resonance spectroscopy) characterizes, how attention and acetylcholine affect visual perception and the brain's representation of the visual environment. Levels of acetylcholine in the cerebral cortex will be enhanced by administration of donepezil, an inhibitor of acetylcholinesterase. Half the subjects will receive donepezil and other half will receive placebo.

Detailed Description
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The long-term objective of this project is to characterize how attention and acetylcholine affect visual perception and the brain's representation of the visual environment. Acetylcholine is a naturally occurring neurotransmitter, and acetylcholine release is elevated during periods of sustained attention. Both acetylcholine and attention enhance aspects of visual perception, but the underlying brain mechanisms are poorly understood. The proposed work will address these questions in healthy human subjects by using functional magnetic resonance imaging (fMRI) and MRS (magnetic resonance spectroscopy) to measure the brain's responses to visual stimuli. Our previous studies have shown that increasing levels of acetylcholine in the brain enhances the spatial resolution of the brain's representation of the visual environment. The proposed research will document exactly which brain areas mediate this effect of acetylcholine and will also characterize the effects of attention on these measures of spatial resolution in the brain. The technique of fMRI (functional magnetic resonance imaging) and MRS (magnetic resonance spectroscopy), both subtypes of MRI, will be employed to measure brain activity in different brain areas while subjects are performing a visual attention task. Levels of acetylcholine in the cerebral cortex will be enhanced by administration of donepezil, an inhibitor of acetylcholinesterase, the enzyme that metabolizes acetylcholine. Moreover, the technique of MRS will be employed to locally quantify the levels of acetylcholine in different brain areas. In addition to providing information about how attention is represented in the brain and how it affects processing of visual stimuli, the present experiments should also shed light on the function of the cholinergic projection from the basal forebrain to the cerebral cortex. As this projection is thought to be selectively impaired in Alzheimer's disease, knowledge concerning its function in the healthy brain may be useful for understanding the etiology of this disease and for development of appropriate therapies. BEHAVIORAL PHARMACOLOGY: Sessions: Subjects will perform 6 behavioral sessions over several days outside the scanner, split into two experimental parts. There will be 2 baseline sessions without donepezil/placebo and 4 testing sessions with donepezil/placebo. Each behavioral (outside the scanner) session will last 1-2 hours. During the testing session, subjects will be given one pill of (2.5 or 5 or 10mg) donepezil or placebo per session. The choice of the pill will be determined by the flip of a coin. The drug dosage (2.5 or 5 or 10mg) will be determined so as to ensure that there are equal number of participants per drug dosage. The pill (drug or placebo) not selected for the first experimental session in a pair will be administered during the second experimental session. Task: A typical cognitive task will involve presentation of images or words on a computer monitor or sounds through headphones. The subjects are asked to respond to certain stimuli by pressing a button. All stimuli are presented at a comfortable level. The cognitive task performed during the behavioral is an object-tracking/target detection paradigm in which subjects indicate whether a target is presented or not on each experimental trial. The target, when it is presented, is a visual stimulus at the threshold of detectability. On some trials, subjects will receive cues indicating target location and/or features that will facilitate target detection. Subjects will be asked to report by pressing a button on a response box. Subjects will receive breaks every 5-10 minutes or more frequently if they desire. MRI AND PHARMACOLOGY: Sessions: For experiments involving MRI, there will be a total of 6 sessions across several days, split into two experimental parts. There will be two baseline MRI session without donepezil/placebo and 4 testing sessions (two donepezil, two placebo). Subjects will be given one pill of (2.5 or 5 or 10mg) donepezil or placebo per session. The choice of the pill will be determined by the flip of a coin. The pill not selected for the first experimental part will be administered during the second experimental part. For MRI experiments, the experimenter will escort the subject to the Brain Imaging Center in Li Ka Shing about 2.5 hours after pill administration, and fMRI measurements will begin approximately 3 hours after pill administration. The MRI sessions typically take 1-2.5 hours, and the subject is given frequent breaks. The subject may stop the experiment at any time. Subjects undergoing MRI scanning will be asked to lie on their back in the MRI scanner. Before being scanned, a MRI imaging coil made of plastic will be placed around the subject's head. The subject will not come into contact with the coil during the experiment. Foam pads will be placed around the subject's head to limit head movement during the study. Task: A typical cognitive task will involve presentation of images or words on a computer monitor or sounds through headphones. The subjects are asked to respond to certain stimuli by pressing a button. All stimuli are presented at a comfortable level. The cognitive task performed during the behavioral is an object-tracking/target detection paradigm in which subjects indicate whether a target is presented or not on each experimental trial. The target, when it is presented, is a visual stimulus at the threshold of detectability. On some trials, subjects will receive cues indicating target location and/or features that will facilitate target detection. Subjects will be asked to report by pressing a button on a response box. Subjects will receive breaks every 5-10 minutes or more frequently if they desire.

Official Title
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Effects of Acetylcholine and Attention on Visual Spatial Representations in the Brain

Conditions
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Visual Perception, Attention, Information Processing, Cholinergic System

Intervention / Treatment
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* Drug: Donepzil
* Drug: Placebo oral tablet


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthy adult individuals Exclusion Criteria: Pregnancy Asthma/lung problems Certain medications, seizure Failure to complete Donepezil (Aricept) Contraindications Screening Sheet Previous long term exposure to nicotine/tobacco products, individuals with pacemakers, cosmetics, or certain metallic implants in their bodies will be excluded from experiments involving MRI recording.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Donepezil<br>5mg Donepezil will be administered in pill form. | Drug: Donepzil<br>* Test<br>|
| Placebo Comparator: Placebo<br>5mg placebo will be administered in pill form. | Drug: Placebo oral tablet<br>* Test<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Population receptive field (pRF) size | measuring pRF size changes due to donepezil intervention | Starting 3 hours after pill administration. 1 functional scan every 4 minutes for one hour. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Population receptive field (pRF) eccentricity | measuring pRF eccentricity changes due to donepezil intervention | Starting 3 hours after pill administration. 1 functional scan every 4 minutes for one hour. | 
| Response amplitude | measuring Response amplitude changes due to donepezil intervention | Starting 3 hours after pill administration. 1 functional scan every 4 minutes for one hour. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Attention, Visual Perception, Cholinergic system