A new study reveals how key brain regions regulate inhibitory actions, paving the way for impulse control disorder treatmentPeer-Reviewed Publication

Juntendo University Research Promotion Center

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Advanced brain imaging reveals how key regions work together to control impulses, paving the way for new treatments for impulsive disordersview more 

Credit: Dr. Takahiro Osada from Juntendo University, Japan

In the split second that is needed to view a stop sign and react to it, our brain navigates a complex process that transitions seamlessly from perception to action control. This ability to halt or inhibit actions, known as response inhibition, is fundamental to human cognition. It plays a key role in decision-making and self-control, enabling us to suppress impulsive or inappropriate behaviors. Understanding the mechanisms underlying this process is essential for grasping how we manage our thoughts and actions and for treating impulse control disorders like attention deficit hyperactivity disorder (ADHD) and addiction in the future.

In a recent attempt, researchers from Juntendo University aimed to explore the neural networks underlying inhibition in their study published online in Nature Communications on December 3, 2024. They focused on how visual information is processed and leads to action control. They investigated the sequential flow of information starting from the primary visual cortex, through key brain regions, culminating in the motor cortex to stop actions.

Explaining further, lead researcher Dr. Takahiro Osada says, “This study used MRI and brain stimulation to map the macroscopic brain circuits responsible for stopping inappropriate actions, or response inhibition. We specifically looked at how visual information travels through the brain to enable us to halt actions swiftly when necessary.” To achieve this, 50 participants performed a stop-signal task—a key test for assessing response inhibition—while their brain activity was monitored using functional magnetic resonance imaging (fMRI). The researchers applied transcranial magnetic stimulation (TMS) and transcranial ultrasound stimulation (TUS) to key brain regions, including the anterior insular cortex and the inferior frontal cortex (IFC), to examine their specific roles in inhibition. Additionally, diffusion MRI was utilized to map the structural connections between these regions, providing a comprehensive view of how different parts of the brain collaborate to regulate inhibitory control.

Their findings revealed a four-step neural pathway involved in response inhibition: visual processing in the primary visual cortex, sensory integration in the anterior insular cortex, action control in the IFC, and execution of inhibition in the basal ganglia and motor cortex.

Adding further, Dr. Seiki Konishi says, “We found that the anterior insular cortex directly influences the function of the IFC. By using TUS to sustainedly suppress the anterior insular cortex and then applying TMS to the IFC, we observed that the effect of TMS intervention was eliminated. This demonstrates a causal relationship between these regions in the flow of information necessary for stopping actions.”

Elaborating on the future implications of the study, Dr. Osada states, “This research paves the way for targeted therapeutic and rehabilitation strategies for conditions such as ADHD, obsessive-compulsive disorder, and impulse control disorders. By understanding the specific neural pathways involved in inhibitory control, we may be able to develop noninvasive brain stimulation techniques to restore proper functioning within these neural circuits. Furthermore, insights into how the brain processes inhibitory control could inspire the development of new artificial intelligence (AI) models that mimic these pathways, potentially leading to advanced systems capable of making better decisions by effectively controlling or inhibiting actions based on environmental cues.“

Overall, this multimodal research significantly enhances our understanding of the neural mechanisms underlying inhibitory control and highlights the necessity for further investigation. Future studies could explore additional brain regions involved in inhibition and their clinical applications, leading to more effective interventions for impulse control disorders and advancements in AI technology.

In summary, this study represents a substantial advancement in understanding cognitive control and impulse regulation, echoing the critical importance of response inhibition in our daily lives. By paving the way for innovative therapeutic approaches, it offers hope for transforming the treatment of impulse control disorders, enhancing the well-being of those affected.

Reference

Authors	Takahiro Osada1, Koji Nakajima1,2, Tomohiko Shirokoshi1,2, Akitoshi Ogawa1, Satoshi Oka1, Koji Kamagata3, Shigeki Aoki3, Yasushi Oshima2, Sakae Tanaka2, and Seiki Konishi1,4,5,6,
Title of original paper	Multiple insular-prefrontal pathways underlie perception to execution during response inhibition in humans
Journal	Nature Communications
DOI	10.1038/s41467-024-54564-9
Affiliations	1Department of Neurophysiology, Juntendo University School of Medicine2Department of Orthopaedic Surgery, The University of Tokyo School of Medicine3Department of Radiology, Juntendo University School of Medicine 4Research Institute for Diseases of Old Age, Juntendo University School of Medicine5Sportology Center, Juntendo University School of Medicine 6Advanced Research Institute for Health Science, Juntendo University School of Medicine

About Associate Professor Takahiro Osada

Dr. Takahiro Osada is a distinguished researcher in neuroscience, currently serving as an Associate Professor in the Department of Neurophysiology at Juntendo University. With a robust portfolio of over 36 publications, Dr. Osada’s research focuses on cognitive functions, especially response inhibition, using neuroimaging and noninvasive brain stimulation to contribute to a deeper understanding of brain activity and behavior. His work spans a broad range of topics in neurophysiology and cognitive neuroscience, solidifying his reputation as a prominent figure in the global scientific community. Dr. Osada’s research continues to advance insights into the brain’s intricate networks and functions.

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Journal

Nature Communications

DOI

10.1038/s41467-024-54564-9 

Method of Research

Imaging analysis

Subject of Research

People

Article Title

Multiple insular-prefrontal pathways underlie perception to execution during response inhibition in humans

Article Publication Date

3-Dec-2024

COI Statement

The authors declare no competing interests.