Investigating the effects of cerebellar transcranial direct current stimulation on saccadic adaptation and cortisol response

Background Transcranial Direct Current Stimulation (tDCS) over the prefrontal cortex has been shown to modulate subjective, neuronal and neuroendocrine responses, particularly in the context of stress processing. However, it is currently unknown whether tDCS stimulation over other brain regions, such as the cerebellum, can similarly affect the stress response. Despite increasing evidence linking the cerebellum to stress-related processing, no studies have investigated the hormonal and behavioural effects of cerebellar tDCS. Methods This study tested the hypothesis of a cerebellar tDCS effect on mood, behaviour and cortisol. To do this we employed a single-blind, sham-controlled design to measure performance on a cerebellar-dependent saccadic adaptation task, together with changes in cortisol output and mood, during online anodal and cathodal stimulation. Forty-five participants were included in the analysis. Stimulation groups were matched on demographic variables, potential confounding factors known to affect cortisol levels, mood and a number of personality characteristics. Results Results showed that tDCS polarity did not affect cortisol levels or subjective mood, but did affect behaviour. Participants receiving anodal stimulation showed an 8.4% increase in saccadic adaptation, which was significantly larger compared to the cathodal group (1.6%). Conclusion The stimulation effect on saccadic adaptation contributes to the current body of literature examining the mechanisms of cerebellar stimulation on associated function. We conclude that further studies are needed to understand whether and how cerebellar tDCS may module stress reactivity under challenge conditions.

Effects of lorazepam on prosaccades and saccadic adaptation

Background: Benzodiazepines have reliable adverse effects on saccadic eye movements, but the impact of sex as a potential modulator of these effects is less clear. A recent study reported stronger adverse effects on the spatial consistency of saccades in females, which may reflect sex differences in cerebellar mechanisms. Aims: We aimed to further examine the role of sex as a potential modulator of benzodiazepine effects by employing the saccadic adaptation paradigm, which is known to be sensitive to cerebellar functioning. Methods: A total of n=50 healthy adults performed a horizontal step prosaccade task and a saccadic adaptation task under 0.5 mg lorazepam, 1 mg lorazepam and placebo in a double-blind, within-subjects design. Results: In the prosaccade task, lorazepam had adverse effects on measures of peak velocity, latency and spatial consistency. The administration of 0.5 mg lorazepam led to significant reductions in gain-decrease adaptation, while a dose of 1 mg did not impair adaptation learning. Gain-increase adaptation was generally less pronounced, and unaffected by the drug. There were no significant drug×sex interactions in either task. Conclusions: We conclude that a low dose of lorazepam impairs gain-decrease adaptation independent of sex. At higher doses, however, increasing fatigue may facilitate adaptation and thus counteract the adverse effects observed at lower doses. With regards to prosaccades, our findings confirm peak velocity as well as latency and spatial measures as sensitive biomarkers of GABAergic effects.

Perceptual effects of unequal saccadic adaptation produced by a dichoptic step

The binocular coordination of eye movements in a three-dimensional environment involves a combination of saccade and vergence movements. To maintain binocular accuracy and control in the face of sensory and motor changes (that occur with e.g. normal aging, surgery, corrective lenses), the oculomotor system must adapt in response to manifest visual errors. This may be achieved through a combination of binocular and monocular mechanisms, including the recalibration of saccade and vergence amplitudes in response to different visual errors induced in each eye (Maiello, Harrison, & Bex, 2016). This work has used a double-step paradigm to recalibrate eye movements in response to visual errors produced by dichoptic target steps (e.g., leftward in the left eye and rightward in the right eye). Here, we evaluated the immediate perceptual effects of this adaptation. Experiment 1 measured localization errors following adaptation, by comparing the apparent locations of pre- and post- saccadic probes. Consistent with previous work showing localization errors following saccadic adaptation, our results demonstrated that adaptation to a dichoptic step produces different localization errors in the two eyes. Furthermore, in Experiment 2, this effect was reduced for a vergence shift in the absence of a saccade, indicating that saccade programming is responsible for a large component of this illusory shift. Experiment 3 measured post-saccadic stereopsis thresholds and indicated that, unlike localization judgments, adaptation did not influence stereoacuity. Together, these results demonstrate novel dichoptic visual errors following oculomotor adaptation, and point to monocular and binocular mechanisms involved in the maintenance of binocular coordination.