Abstract

Repetition suppression (RS), i.e., the reduction of neuronal activity upon repetition of an external stimulus, can be demonstrated in the motor system using transcranial magnetic stimulation (TMS). We evaluated the RS in relation to the neuroplastic changes induced by paired associative stimulation (PAS). An RS paradigm, consisting of 20 trains of four identical suprathreshold TMS pulses 1 s apart, was assessed for motor-evoked potentials (MEPs) in 16 healthy subjects, before and following (at 0, 10, and 20 min) a common PAS protocol. For analysis, we divided RS into two components: (1) the ratio of the second MEP amplitude to the first one in RS trains, i.e., the “dynamic” component, and (2) the mean of the second to fourth MEP amplitudes, i.e., the “stable” component. Following PAS, five subjects showed change in the dynamic RS component. However, nearly all the individuals (n = 14) exhibited change in the stable component (p < 0.05). The stable component was similar between subjects showing increased MEPs and those showing decreased MEPs at this level (p = 0.254). The results suggest the tendency of the brain towards a stable state, probably free from the ongoing dynamics, following PAS.

Highlights

  • Owing to its dynamicity, the brain responds to an intense, novel stimulus with enhanced, transient neural activity

  • repetition suppression (RS) has been demonstrated as a decrement in the amplitude of motor-evoked potentials (MEPs) when transcranial magnetic stimulation (TMS) is applied to an optimal motor cortex location [7,8]

  • Right-handed volunteers with no history of neuropsychiatric disorders participated in this study

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Summary

Introduction

The brain responds to an intense, novel stimulus with enhanced, transient neural activity. This rapid response, referred to as a startle, is considered to play a critical function in promoting survival [1]. Exposure to a higher number of identical sensory stimuli yields attenuation of neural activity in the responding network, a phenomenon known as repetition suppression (RS) [2]. It has been suggested that the attenuation observed in RS may serve to provide an energy-efficient neuronal information processing [9], the exact mechanisms underlying RS have remained elusive. More recent theories have emphasized the role of top–down mechanisms within a predictive coding scheme, relying on iterative

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