Temporal processing, a preattentive process, may underlie deficits in higher-level cognitive processes, including attention, commonly observed in neurocognitive disorders. Using prepulse inhibition as an exemplar paradigm, we present a protocol for manipulating interstimulus interval (ISI) to establish the shape of the ISI function to provide an assessment of temporal processing.
Temporal processing deficits have been implicated as a potential elemental dimension of higher-level cognitive processes, commonly observed in neurocognitive disorders. Despite the popularization of prepulse inhibition (PPI) in recent years, many current protocols promote using a percent of control measure, thereby precluding the assessment of temporal processing. The present study used cross-modal PPI and gap prepulse inhibition (gap-PPI) to demonstrate the benefits of employing a range of interstimulus intervals (ISIs) to delineate effects of sensory modality, psychostimulant exposure, and age. Assessment of sensory modality, psychostimulant exposure, and age reveals the utility of an approach varying the interstimulus interval (ISI) to establish the shape of the ISI function, including increases (sharper curve inflections) or decreases (flattening of the response amplitude curve) in startle amplitude. Additionally, shifts in peak response inhibition, suggestive of a differential sensitivity to the manipulation of ISI, are often revealed. Thus, the systematic manipulation of ISI affords a critical opportunity to evaluate temporal processing, which may reveal the underlying neural mechanisms involved in neurocognitive disorders.
Temporal processing deficits have been implicated as a potential underlying neural mechanism for alterations in higher-level cognitive processes commonly observed in neurocognitive disorders. Prepulse inhibition (PPI) of the auditory startle response (ASR) is a translational experimental paradigm commonly used to examine temporal processing deficits, revealing profound alterations in neurocognitive disorders such as schizophrenia1, attention deficit hyperactivity disorder2 and HIV-1 associated neurocognitive disorders3,4. Specifically, assessments of temporal processing in preclinical models of HIV-1 have revealed the generality, relative permanence, and suggested the diagnostic utility of PPI across the majority of the animals' functional lifespan3,4,5,6.
Use of an approach varying interstimulus interval (ISI; i.e., the time between the prepulse and the startle stimulus) in the analysis of reflex modification dates back to Sechenov in 18637. The seminal studies of reflex modification, a measure of sensorimotor gating, employed an approach varying ISI to assess flexor response and audition in frogs7,8, as well as knee-jerk responses in humans9. The first clinical application of the reflex modification procedure assessed visual sensitivity in a man with hysterical blindness10. Over a century after the first reports of reflex modification, the approach of varying ISI was popularized across a series of seminal papers11,12,13. Despite the inherent differences in the seminal studies on reflex modification (i.e., species, experimental procedures, reflexes), they established a temporal relationship that was strikingly similar between species.
Assessment of prepulse inhibition using an approach varying ISI, as detailed in the present protocol, has multiple advantages over the popularized percent of control approach. First, the approach affords an opportunity to establish the shape of the ISI function, including increases (sharper curve inflections) or decreases (flattening of the response amplitude curve)3,15 in startle amplitude, as well as shifts in the peak point of response inhibition3,5. Additionally, when an approach varying ISI is employed, startle response is a relatively stable phenomenon1, suggesting the potential utility of the approach in longitudinal studies examining the progression of neurocognitive deficits5,15. Finally, PPI provides a critical opportunity to understand the underlying neural circuitry involved in neurocognitive disorders16.
In our study, we employed two experimental paradigms (Figure 1), including cross-modal PPI and gap prepulse inhibition (gap-PPI), to evaluate the utility of an approach varying ISI to delineate effects of sensory modality, psychostimulant exposure, and age. The cross-modal PPI experimental paradigm utilizes the presentation of an added stimulus (e.g., tone, light, air puff) as a discrete prestimulus prior to an acoustic startling stimulus. In sharp contrast, in the gap-PPI experimental paradigm, the absence of a background (e.g., removal of background noise, light, or air puff) serves as a discrete prestimulus. Here, we describe both experimental paradigms for the assessment of temporal processing, as well as statistical approaches for the analysis of PPI and gap-PPI. Within the discussion, we compared the conclusions one would draw from the variable ISI approach and the popularized percent of control approach.
All animal protocols were reviewed and approved by the Animal Care and Use Committee at the University of South Carolina (federal assurance number: D16-00028).
1. Defining Parameters and Calibration of the Startle Apparatus
2. Creation of Experimental Programs
3. Protocol Structure
4. Data Analysis
A prominent non-monotonic ISI function was observed in cross-modal PPI (Figures 2A, 3A, 4A) and gap-PPI (Figures 2B, 3B, 4B). Baseline startle responses were observed at the 0 and 4000 ms ISIs, included as reference trials within a test session. The importance of the 4000 ms ISI cannot be understated, as it most closely resembles the PPI test trials (i.e., 30, 50, 100, 200 ms ISIs) in that the subject receives both the prepulse and startling stimuli. However, no significant decrease in ASR is observed at the 4000 ms ISI because of the large time interval between the prepulse and startling stimulus. Either the addition (i.e., cross-modal PPI) or removal (i.e., gap-PPI) of a discrete prestimulus produced robust inhibition at the 30, 50, 100, and 200 ms ISIs; inhibition that was dependent upon sensory modality, psychostimulant exposure or age. The power of the ISI approach is revealed by examining these effects on changes in the ISI function (i.e., sharper inflections of the ISI curve, flattening of the ISI curve, and shifts in the point of maximal inhibition).
The utility of an approach varying the ISI to delineate effects of sensory modality in cross-modal PPI are illustrated in Figure 2A (F344/N controls between 8 and 10 months of age, n=20). Due to hardware and software limitations, only two prestimulus modalities can be assessed at once. Following habituation, concurrent acoustic and visual prepulse stimuli were used to examine PPI. Next, concurrent acoustic and tactile prepulse stimuli were used to assess PPI. Data for acoustic PPI is presented from the experimental paradigm including the concurrent presentation of acoustic and visual prestimuli (i.e., visual context). A prominent shift in the point of maximal inhibition is dependent upon sensory modality, suggesting a differential sensitivity to the manipulation of ISI. Specifically, maximal inhibition is observed at the 30 ms ISI following the presentation of a discrete acoustic prestimulus, at the 50 ms ISI following the presentation of a discrete visual prestimulus, and at the 200 ms ISI following the presentation of a discrete tactile prestimulus. Additionally, a flatter ISI function, indicative of a relative insensitivity to the manipulation of ISI, is observed following the presentation of an acoustic prestimulus relative to a visual or tactile prestimulus. A repeated measures ANOVA was conducted to statistically analyze the data, confirming our observations and revealing a significant prestimulus modality x ISI interaction [F(10,190)=22.8, pGG≤0.001, ηp2=0.546] with a prominent linear-linear component [F(1,19)=36.1, p≤0.001, ηp2=0.655]. Notably, the interaction accounted for a large proportion of variance within the model, evidenced via measures of ηp2.
Following an animal's experience with each prestimulus in cross-modal PPI, the generalizability of sensory modality effects was assessed in gap-PPI. Acoustic gap-PPI, visual gap-PPI and tactile gap-PPI were each conducted separately. Figure 2B demonstrates the generalizability of varying the ISI to delineate effects of sensory modality. A prominent shift in the point of maximal inhibition, suggesting a differential sensitivity to the manipulation of ISI, was observed in tactile gap-PPI (i.e., 30 ms) relative to acoustic gap-PPI and visual gap-PPI (i.e., 50 ms). Additionally, a relative insensitivity to the manipulation of ISI, evidenced by a relatively flatter ISI function was observed in tactile gap-PPI and visual gap-PPI relative to acoustic gap-PPI. As in cross-modal PPI, a significant prestimulus modality x ISI interaction [F(10,190)=17.6, pGG≤0.001, ηp2=0.481] with a prominent linear-quadratic component [F(1,19)=58.5, p≤0.001, ηp2=0.755] was revealed; an effect which again, accounts for a significant proportion of the variance.
After the completion of cross-modal PPI and gap-PPI, animals repeatedly orally self-administered methylphenidate (MPH). A post-test assessment of cross-modal PPI with concurrent acoustic and visual prestimuli and acoustic gap-PPI were conducted at approximately 14 months of age following 22-27 days of MPH exposure. The pre-test and post-test ISI functions for acoustic PPI are illustrated in Figure 3A. Most notably, at the post-test assessment, a relative flattening of the ISI function is observed, suggesting a relative insensitivity to the manipulation of ISI relative to the pre-test assessment. Additionally, a prominent shift in the point of maximal inhibition is revealed, with inhibition at the 30 ms ISI during the pre-test assessment and the 100 ms ISI at the post-test assessment, suggesting a differential sensitivity to the manipulation of ISI. A repeated-measures ANOVA confirmed these observations, revealing a significant test session x ISI interaction [F(5,95)=7.4, pGG≤0.003, ηp2=0.280] with a prominent linear-quadratic component [F(1,19)=10.6, p≤0.004, ηp2=0.358].
Following the post-test cross-modal PPI assessment, acoustic gap-PPI was conducted to assess the generalizability of the effects of psychostimulant exposure on temporal processing. Figure 3B illustrates the generalizability of varying the ISI to delineate effects of psychostimulant exposure. The point of maximal inhibition was at the 50 ms ISI during both the pre-test and post-test assessment. However, a significantly flatter ISI function was observed following MPH exposure. A repeated-measures ANOVA confirmed these observations, revealing a significant test session x ISI interaction [F(5, 95)=3.6, pGG≤0.013, ηp2=0.159] with a prominent linear-cubic component [F(1,19)=9.1, p≤0.007, ηp2=0.325].
The shape of the ISI function also affords an opportunity to assess the development of temporal processing across age. In a longitudinal study (F344/N controls, male: n=20, female: n=17), cross-modal PPI with concurrent acoustic and visual prestimuli was conducted every sixty days from postnatal day (PD) 30 to PD 150. The development of temporal processing in visual PPI is illustrated in Figure 4A. Within visual PPI, the point of maximal inhibition at all ages is at the 50 ms ISI. However, a sharper inflection of the ISI function is observed across age, suggesting a perceptual sharpening which occurs with development. A repeated-measures ANOVA, with sex as the between-subjects factor and age, ISI, and trial as within-subjects factors, confirmed these observations revealing a significant age x ISI interaction [F(10,350)=12.6, pGG≤0.001, ηp2=0.265] with a prominent linear-quadratic component [F(1,35)=32.6, p≤0.001, ηp2=0.482] and a significant ISI x sex interaction [F(5,175)=4.0, pGG≤0.014, ηp2=0.104] with a prominent quadratic component[F(1,35)=5.2, p≤0.028, ηp2=0.130].
At every age, acoustic gap-PPI was conducted following cross-modal PPI. The experiences an animal has had have a direct impact on its responses, necessitating the use of a sequential experimental design (i.e., always conducting cross-modal PPI prior to gap-PPI). Figure 4B illustrates the development of temporal processing, assessed using acoustic gap-PPI. At PD 30, a relative insensitivity to the manipulation of ISI was observed, evidenced by a flatter ISI function, relative to PD 90 or PD 150. Observations of the sharpest ISI function at PD 150 suggest a perceptual sharpening that occurs across development. Additionally, a prominent shift in the point of maximal inhibition is revealed, with maximal inhibition occurring at the 30 ms ISI at PD 30 and the 50 ms ISI at PD 90 and PD 150, suggesting a differential sensitivity to the manipulation of ISI. Statistically, the observation of a significant age x ISI interaction [F(10,350)=10.4, pGG≤0.001, ηp2=0.230] with a prominent linear-quadratic component [F(1,35)=70.5, p≤0.001, ηp2=0.668] and an ISI x sex interaction [F(5,175)=3.8, pGG≤0.010, ηp2=0.097] with a prominent quadratic component [F(1,35)=11.0, p≤0.002, ηp2=0.184240] confirms our observations.
Figure 1: Prepulse Inhibition Experimental Paradigms. A) Animals exhibit a baseline auditory startle response when an acoustic startle stimulus is presented. B) During cross-modal prepulse inhibition (PPI), the presentation of a discrete prestimulus (i.e., acoustic tone, light, air puff) 30 to 500 ms16 prior to an acoustic startle stimulus, produces robust inhibition. C) During gap prepulse inhibition (gap-PPI), the removal of a discrete prestimulus (gap in background noise, light, or air puff) 30 to 200 ms17 prior to an acoustic startle stimulus produces robust inhibition. The image is adapted from Maze Engineers18. Please click here to view a larger version of this figure.
Figure 2: Cross-Sectional Assessment of Temporal Processing: Sensory Modality. A) Representative analysis of the effect of sensory modality on the interstimulus interval (ISI) function in cross-modal prepulse inhibition (PPI). B) Representative analysis of the effect of sensory modality on ISI in gap prepulse inhibition (gap-PPI). Control results from McLaurin et al.6 are reanalyzed in a novel manner to assess the effect of sensory modality. Data are presented as mean ± standard error of the mean. Please click here to view a larger version of this figure.
Figure 3: Cross-Sectional Assessment of Temporal Processing: Psychostimulant Exposure. A) Representative analysis of the effect of psychostimulant exposure (pretest vs. posttest) on the interstimulus interval (ISI) function in acoustic prepulse inhibition (PPI). B) Representative analysis of the effect of psychostimulant exposure on ISI in acoustic gap prepulse inhibition (gap-PPI). Control results from McLaurin et al.6 are reanalyzed in a novel manner as the pretest component for psychostimulant exposure. Data are presented as mean ± standard error of the mean. Please click here to view a larger version of this figure.
Figure 4: Longitudinal Assessment of Temporal Processing. A) Representative analysis of the effect of age on the interstimulus interval (ISI) function in visual prepulse inhibition (PPI). B) Representative analysis of the effect of age on the ISI function in acoustic gap prepulse inhibition (gap-PPI). Data are presented as mean ± standard error of the mean. Please click here to view a larger version of this figure.
Trial Block | Interstimulus Interval | |||||
1 | 0 | 30 | 50 | 100 | 200 | 4000 |
2 | 30 | 50 | 100 | 200 | 4000 | 0 |
3 | 50 | 100 | 200 | 4000 | 0 | 30 |
4 | 100 | 200 | 4000 | 0 | 30 | 50 |
5 | 200 | 4000 | 0 | 30 | 50 | 100 |
6 | 4000 | 0 | 30 | 50 | 100 | 200 |
Table 1: Latin Square Experimental Design
Sensory Modality | Cross-Modal PPI | Gap-PPI |
Auditory | 85.7 (2.0) | 25.0 (4.3) |
Visual | 72.6 (2.7) | 52.8 (5.3) |
Tactile | 73.2 (3.0) | -3.6 (8.5) |
Psychostimulant Exposure | Cross-Modal PPI | Gap-PPI |
Pretest Assessment | 85.7 (2.0) | 25.0 (4.3) |
Posttest Assessment | 90.5 (1.3) | 52.6 (4.5) |
Age | Cross-Modal PPI | Gap-PPI |
PD 30 | 51.3 (3.7) | 29.7 (4.4) |
PD 90 | 73.8 (2.2) | 39.6 (5.7) |
PD 150 | 66.3 (2.9) | 45.0 (3.9) |
Table 2: Percent of Control
The present protocol describes the power of varying ISI for the assessment of temporal processing for studies employing either cross-sectional or longitudinal experimental designs. Examining the effects of sensory modality, psychostimulant exposure, or age on the shape of the ISI function demonstrated its utility in revealing a differential sensitivity to the manipulation of ISI (i.e., shifts in the point of maximal inhibition) or a relative insensitivity to the manipulation of ISI (i.e., sharper inflections of the ISI curve, flattening of the ISI curve). Use of two experimental paradigms, including cross-modal PPI and gap-PPI, demonstrates that the utility of ISI is independent of the addition (i.e., cross-modal PPI) or removal (i.e., gap-PPI) of a discrete prestimulus.
Critical experimental design considerations for the completion of cross-modal PPI and gap-PPI are included within the protocol. First, a Latin-Square experimental design is implemented for the presentation of ISIs within 6-trial blocks, controlling for variation due to the order of ISI presentation. Second, the use of two control trials, including both the 0 and 4000 ms ISIs, provides reference control trials within the test session. The use of the 4000 ms ISI is particularly critical, as it most appropriately resembles the other (i.e., 30, 50, 100, 200) prepulse + pulse trials, but without the expectation of significant inhibition. Third, a counterbalanced (i.e., ABBA) experimental design is employed within cross-modal PPI to account for the repeated measurement of sensory modalities within a test session. Finally, inclusion of a variable ITI during the prepulse + pulse trials prevents an animal from expecting, and thus preparing for, the start of a trial. Thus, the implementation of a comprehensive number of ISIs in accordance with an appropriate experimental design allows for the determination of relatively precise and defined response functions; functions which provide a critical opportunity to assess the construct of temporal processing.
Methodology described within the present protocol contrasts other contemporary protocols for the analysis of PPI, which have popularized an approach that commonly employs a single ISI19,20. The popularized approach is commonly analyzed using percent inhibition, calculated as follows: 100 x {[(startle response amplitude during control trials)-(startle response amplitude during prepulse + pulse trials)] / {startle response amplitude during control trials)}. Two major caveats of the contemporary protocols, including the preclusion of the assessment of temporal processing and inappropriate statistical analyses, are discussed in turn below.
Percent inhibition was calculated for the 100 ms ISI within the representative data to demonstrate the limitations of the popularized approach (Table 2). For example, results for the assessment of acoustic gap-PPI and tactile gap-PPI suggest that animals fail to display any significant inhibition. Examination of Figure 2, utilizing an approach varying ISI, however, reveals that the animals did not fail to inhibit, but displayed a significant shift in the point of maximal inhibition (i.e., 50 ms in acoustic gap-PPI, 30 ms in tactile gap-PPI). Most notably, however, use of percent inhibition precludes the use of longitudinal experimental designs for assessing the development of temporal processing as a function of age, a well-recognized phenomena14,21. Thus, like any percent of control measure, percent inhibition fails to disambiguate changes in PPI from changes in baseline startle response precluding the assessment of temporal processing.
Despite the apparent simplicity of the popularized approach, inferences drawn from statistical analysis must be made with extreme caution. Assumptions of the analysis of variance (i.e., normality of sampling distribution of means, homogeneity of error variance, independence of errors, absence of outliers22) may not be met with subjectively determined percentage data23. Specifically, the error variance for percentage data are not normally distributed24, but instead are more appropriately described by a Poisson or bimodal distribution25. In sharp contrast, a repeated-measures ANOVA provides one valid and reliable method for the statistical analysis of the ISI function. However, it is vital to account for the potential violation of sphericity, an assumption only present in models involving repeated measures, either using planned orthogonal contrasts or the post hoc Greenhouse-Geisser df correction factor26 (pGG).
Utilization of an approach varying ISI, however, is not without limitation. First, hardware and software limitations allow only two prestimulus modalities to be assessed at once. Notably, a differential sensitivity to the manipulation of context (i.e., concurrent visual or tactile stimulus in acoustic PPI) was previously reported in Long-Evans rats14 and HIV-1 Tg animals6. Second, relative to the popularized approach, there is a greater experimental time for the ISI approach (i.e., ~30 minutes for cross-modal PPI; ~20 minutes for gap-PPI).
Thus, an approach varying ISI provides an experimental method for the assessment of temporal processing. In addition to the aforementioned strengths of the approach, the serial neural circuit mediating PPI has been well-established27,28, allowing for the assessment of neural circuitry alterations in neurocognitive disorders. Additionally, cross-modal PPI and gap-PPI may serve as a diagnostic screening tool for neurocognitive disorders (e.g., HAND4,5,6). Utilization of the variable ISI approach, therefore, may potentially have translational clinical utility for neurocognitive disorders.
The authors have nothing to disclose.
This work was supported in part by grants from NIH (National Institute on Drug Abuse, DA013137; National Institute of Child Health and Human Development HD043680; National Institute of Mental Health, MH106392; National Institute of Neurological Diseases and Stroke, NS100624) and the interdisciplinary research training program supported by the University of South Carolina Behavioral-Biomedical Interface Program. Dr. Landhing Moran is currently a Scientific Officer at the NIDA Center for Clinical Trials Network.
SR-Lab Startle Response System | San Diego Instruments | ||
Isolation Cabinet | Industrial Acoustic Company | ||
SR-Lab Startle Calibration System | San Diego Instruments | ||
High-Frequency Loudspeaker | Radio Shack | model #40-1278B | |
Sound Level Meter | Bruel & Kjaer | model #2203 | |
Perspex Cylinder | San Diego Instruments | Included with the SR-Lab Startle Response System | |
SR-Lab Startle Response System Software | San Diego Instruments | Included with the SR-Lab Startle Response System | |
Light Meter | Sper Scientific, Ltd. | model #840006 | |
Airline Regulator | Craftsman | model #16023 | |
SPSS Statistics 24 | IBM | Used for Statistical Analyses (Optional) |