Brain biomarkers predict mood and attention symptoms

Mood and attentional disorders amongst teens are an increasing concern, for parents, society, and for peers. A recent Pew research center survey found conditions such as depression and anxiety to be the number one concern that young students had about their friends, ranking above drugs or bullying.

“We’re seeing an epidemic in teen anxiety and depression,” explains McGovern Research Affiliate Susan Whitfield-Gabrieli.

“Scientists are finding a huge increase in suicide ideation and attempts, something that hit home for me as a mother of teens. Emergency rooms in hospitals now have guards posted outside doors of these teenagers that attempted suicide—this is a pressing issue,” explains Whitfield-Gabrieli who is also director of the Northeastern University Biomedical Imaging Center and a member of the Poitras Center for Psychiatric Disorders Research.

Finding new methods for discovering early biomarkers for risk of psychiatric disorders would allow early interventions and avoid reaching points of crisis such as suicide ideation or attempts. In research published recently in JAMA Psychiatry, Whitfield-Gabrieli and colleagues found that signatures predicting future development of depression and attentional symptoms can be detected in children as young as seven years old.

Long-term view

While previous work had suggested that there may be biomarkers that predict development of mood and attentional disorders, identifying early biomarkers prior to an onset of illness requires following a cohort of pre-teens from a young age, and monitoring them across years. This effort to have a proactive, rather than reactive, approach to the development of symptoms associated with mental disorders is exactly the route Whitfield-Gabrieli and colleagues took.

“One of the exciting aspects of this study is that the cohort is not pre-selected for already having symptoms of psychiatric disorders themselves or even in their family,” explained Whitfield-Gabrieli. “It’s an unbiased cohort that we followed over time.”

McGovern research affiliate Susan Whitfield-Gabrieli has discovered early brain biomarkers linked to psychiatric disorders.

In some past studies, children were pre-selected, for example a major depressive disorder diagnosis in the parents, but Whitfield-Gabrieli and colleagues, Silvia Bunge from Berkeley and Laurie Cutting from Vanderbilt, recruited a range of children without preconditions, and examined them at age 7, then again 4 years later. The researchers examined resting state functional connectivity, and compared this to scores on the child behavioral checklist (CBCL), allowing them to relate differences in the brain to a standardized analysis of behavior that can be linked to psychiatric disorders. The CBCL is used both in research and in the clinic and his highly predictive of disorders including ADHD, so that changes in the brain could be related to changes in a widely used clinical scoring system.

“Over the four years, some people got worse, some got better, and some stayed the same according the CBCL. We could relate this directly to differences in brain networks, and could identify at age 7 who would get worse,” explained Whitfield-Gabrieli.

Brain network changes

The authors analyzed differences in resting state network connectivity, regions across the brain that rise and fall in activity level together, as visualized using fMRI. Reduced connectivity between these regions may allow us to get a handle on reduced “top-down” control of neural circuits. The dorsolateral prefrontal region is linked to executive function, external attention, and emotional control. Increased connection with the medial prefrontal cortex is known to be present in attention deficit hyperactivity disorder (ADHD), while a reduced connection to a different brain region, the sgACC, is seen in major depressive disorder. The question remained as to whether these changes can be seen prior to the onset of diagnosable attentional or mood disorders.

Whitfield-Gabrieli and colleagues found that these resting state networks varied in the brains of children that would later develop anxiety/depression and ADHD symptoms. Weaker scores in connectivity between the dorsolateral and medial prefrontal cortical regions tended to be seen in children whose attention scores went on to improve. Analysis of the resting state networks above could differentiate those who would have typical attentional behavior by age 11 versus those that went on to develop ADHD.

Whitfield-Gabrieli has replicated this finding in an independent sample of children and she is continuing to expand the analysis and check the results, as well as follow this cohort into the future. Should changes in resting state networks be a consistent biomarker, the next step is to initiate interventions prior to the point of crisis.

“We’ve recently been able to use mindfulness interventions, and show these reduce self-perceived stress and amygdala activation in response to fear, and we are also testing the effect of exercise interventions,” explained Whitfield-Gabrieli. “The hope is that by using predictive biomarkers we can augment children’s lifestyles with healthy interventions that can prevent risk converting to a psychiatric disorder.”

Can fMRI reveal insights into addiction and treatments?

Many debilitating conditions like depression and addiction have biological signatures hidden in the brain well before symptoms appear.  What if brain scans could be used to detect these hidden signatures and determine the most optimal treatment for each individual? McGovern Investigator John Gabrieli is interested in this question and wrote about the use of imaging technologies as a predictive tool for brain disorders in a recent issue of Scientific American.

page from Scientific American article
McGovern Investigator John Gabrieli pens a story for Scientific American about the potential for brain imaging to predict the onset of mental illness.

“Brain scans show promise in predicting who will benefit from a given therapy,” says Gabrieli, who is also the Grover Hermann Professor in Brain and Cognitive Sciences at MIT. “Differences in neural activity may one day tell clinicians which depression treatment will be most effective for an individual or which abstinent alcoholics will relapse.”

Gabrieli cites research which has shown that half of patients treated for alcohol abuse go back to drinking within a year of treatment, and similar reversion rates occur for stimulants such as cocaine. Failed treatments may be a source of further anxiety and stress, Gabrieli notes, so any information we can glean from the brain to pinpoint treatments or doses that would help would be highly informative.

Current treatments rely on little scientific evidence to support the length of time needed in a rehabilitation facility, he says, but “a number suggest that brain measures might foresee who will succeed in abstaining after treatment has ended.”

Further data is needed to support this idea, but Gabrieli’s Scientific American piece makes the case that the use of such a technology may be promising for a range of addiction treatments including abuse of alcohol, nicotine, and illicit drugs.

Gabrieli also believes brain imaging has the potential to reshape education. For example, educational interventions targeting dyslexia might be more effective if personalized to specific differences in the brain that point to the source of the learning gap.

But for the prediction sciences to move forward in mental health and education, he concludes, the research community must design further rigorous studies to examine these important questions.

What is the social brain?

As part of our Ask the Brain series, Anila D’Mello, a postdoctoral fellow in John Gabrieli’s lab answers the question,”What is the social brain?”

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Anila D'Mello portrait
Anila D’Mello is the Simons Center for the Social Brain Postdoctoral Fellow in John Gabrieli’s lab at the McGovern Institute.

“Knock Knock.”
“Who’s there?”
“The Social Brain.”
“The Social Brain, who?”

Call and response jokes, like the “Knock Knock” joke above, leverage our common understanding of how a social interaction typically proceeds. Joke telling allows us to interact socially with others based on our shared experiences and understanding of the world. But where do these abilities “live” in the brain and how does the social brain develop?

Neuroimaging and lesion studies have identified a network of brain regions that support social interaction, including the ability to understand and partake in jokes – we refer to this as the “social brain.” This social brain network is made up of multiple regions throughout the brain that together support complex social interactions. Within this network, each region likely contributes to a specific type of social processing. The right temporo-parietal junction, for instance, is important for thinking about another person’s mental state, whereas the amygdala is important for the interpretation of emotional facial expressions and fear processing. Damage to these brain regions can have striking effects on social behaviors. One recent study even found that individuals with bigger amygdala volumes had larger and more complex social networks!

Though social interaction is such a fundamental human trait, we aren’t born with a prewired social brain.

Much of our social ability is grown and honed over time through repeated social interactions. Brain networks that support social interaction continue to specialize into adulthood. Neuroimaging work suggests that though newborn infants may have all the right brain parts to support social interaction, these regions may not yet be specialized or connected in the right way. This means that early experiences and environments can have large influences on the social brain. For instance, social neglect, especially very early in development, can have negative impacts on social behaviors and on how the social brain is wired. One prominent example is that of children raised in orphanages or institutions, who are sometimes faced with limited adult interaction or access to language. Children raised in these conditions are more likely to have social challenges including difficulties forming attachments. Prolonged lack of social stimulation also alters the social brain in these children resulting in changes in amygdala size and connections between social brain regions.

The social brain is not just a result of our environment. Genetics and biology also contribute to the social brain in ways we don’t yet fully understand. For example, individuals with autism / autistic individuals may experience difficulties with social interaction and communication. This may include challenges with things like understanding the punchline of a joke. These challenges in autism have led to the hypothesis that there may be differences in the social brain network in autism. However, despite documented behavioral differences in social tasks, there is conflicting brain imaging evidence for whether differences exist between people with and without autism in the social brain network.

Examples such as that of autism imply that the reality of the social brain is probably much more complex than the story painted here. It is likely that social interaction calls upon many different parts of the brain, even beyond those that we have termed the “social brain,” that must work in concert to support this highly complex set of behaviors. These include regions of the brain important for listening, seeing, speaking, and moving. In addition, it’s important to remember that the social brain and regions that make it up do not stand alone. Regions of the social brain also play an intimate role in language, humor, and other cognitive processes.

“Knock Knock”
“Who’s there?”
“The Social Brain”
“The Social Brain, who?”
“I just told you…didn’t you read what I wrote?”

Anila D’Mello earned her bachelor’s degree in psychology from Georgetown University in 2012, and went on to receive her PhD in Behavior, Cognition, and Neuroscience from American University in 2017. She joined the Gabrieli lab as a postdoc in 2017 and studies the neural correlates of social communication in autism.

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Do you have a question for The Brain? Ask it here.

Better sleep habits lead to better college grades

Two MIT professors have found a strong relationship between students’ grades and how much sleep they’re getting. What time students go to bed and the consistency of their sleep habits also make a big difference. And no, getting a good night’s sleep just before a big test is not good enough — it takes several nights in a row of good sleep to make a difference.

Those are among the conclusions from an experiment in which 100 students in an MIT engineering class were given Fitbits, the popular wrist-worn devices that track a person’s activity 24/7, in exchange for the researchers’ access to a semester’s worth of their activity data. The findings — some unsurprising, but some quite unexpected — are reported today in the journal Science of Learning in a paper by former MIT postdoc Kana Okano, professors Jeffrey Grossman and John Gabrieli, and two others.

One of the surprises was that individuals who went to bed after some particular threshold time — for these students, that tended to be 2 a.m., but it varied from one person to another — tended to perform less well on their tests no matter how much total sleep they ended up getting.

The study didn’t start out as research on sleep at all. Instead, Grossman was trying to find a correlation between physical exercise and the academic performance of students in his class 3.091 (Introduction to Solid-State Chemistry). In addition to having 100 of the students wear Fitbits for the semester, he also enrolled about one-fourth of them in an intense fitness class in MIT’s Department of Athletics, Physical Education, and Recreation, with the help of assistant professors Carrie Moore and Matthew Breen, who created the class specifically for this study. The thinking was that there might be measurable differences in test performance between the two groups.

There wasn’t. Those without the fitness classes performed just as well as those who did take them. “What we found at the end of the day was zero correlation with fitness, which I must say was disappointing since I believed, and still believe, there is a tremendous positive impact of exercise on cognitive performance,” Grossman says.

He speculates that the intervals between the fitness program and the classes may have been too long to show an effect. But meanwhile, in the vast amount of data collected during the semester, some other correlations did become obvious. While the devices weren’t explicitly monitoring sleep, the Fitbit program’s proprietary algorithms did detect periods of sleep and changes in sleep quality, primarily based on lack of activity.

These correlations were not at all subtle, Grossman says. There was essentially a straight-line relationship between the average amount of sleep a student got and their grades on the 11 quizzes, three midterms, and final exam, with the grades ranging from A’s to C’s. “There’s lots of scatter, it’s a noisy plot, but it’s a straight line,” he says. The fact that there was a correlation between sleep and performance wasn’t surprising, but the extent of it was, he says. Of course, this correlation can’t absolutely prove that sleep was the determining factor in the students’ performance, as opposed to some other influence that might have affected both sleep and grades. But the results are a strong indication, Grossman says, that sleep “really, really matters.”

“Of course, we knew already that more sleep would be beneficial to classroom performance, from a number of previous studies that relied on subjective measures like self-report surveys,” Grossman says. “But in this study the benefits of sleep are correlated to performance in the context of a real-life college course, and driven by large amounts of objective data collection.”

The study also revealed no improvement in scores for those who made sure to get a good night’s sleep right before a big test. According to the data, “the night before doesn’t matter,” Grossman says. “We’ve heard the phrase ‘Get a good night’s sleep, you’ve got a big day tomorrow.’ It turns out this does not correlate at all with test performance. Instead, it’s the sleep you get during the days when learning is happening that matter most.”

Another surprising finding is that there appears to be a certain cutoff for bedtimes, such that going to bed later results in poorer performance, even if the total amount of sleep is the same. “When you go to bed matters,” Grossman says. “If you get a certain amount of sleep  — let’s say seven hours — no matter when you get that sleep, as long as it’s before certain times, say you go to bed at 10, or at 12, or at 1, your performance is the same. But if you go to bed after 2, your performance starts to go down even if you get the same seven hours. So, quantity isn’t everything.”

Quality of sleep also mattered, not just quantity. For example, those who got relatively consistent amounts of sleep each night did better than those who had greater variations from one night to the next, even if they ended up with the same average amount.

This research also helped to provide an explanation for something that Grossman says he had noticed and wondered about for years, which is that on average, the women in his class have consistently gotten better grades than the men. Now, he has a possible answer: The data show that the differences in quantity and quality of sleep can fully account for the differences in grades. “If we correct for sleep, men and women do the same in class. So sleep could be the explanation for the gender difference in our class,” he says.

More research will be needed to understand the reasons why women tend to have better sleep habits than men. “There are so many factors out there that it could be,” Grossman says. “I can envision a lot of exciting follow-on studies to try to understand this result more deeply.”

“The results of this study are very gratifying to me as a sleep researcher, but are terrifying to me as a parent,” says Robert Stickgold, a professor of psychiatry and director of the Center for Sleep and Cognition at Harvard Medical School, who was not connected with this study. He adds, “The overall course grades for students averaging six and a half hours of sleep were down 50 percent from other students who averaged just one hour more sleep. Similarly, those who had just a half-hour more night-to-night variation in their total sleep time had grades that dropped 45 percent below others with less variation. This is huge!”

Stickgold says “a full quarter of the variation in grades was explained by these sleep parameters (including bedtime). All students need to not only be aware of these results, but to understand their implication for success in college. I can’t help but believe the same is true for high school students.” But he adds one caution: “That said, correlation is not the same as causation. While I have no doubt that less and more variable sleep will hurt a student’s grades, it’s also possible that doing poorly in classes leads to less and more variable sleep, not the other way around, or that some third factor, such as ADHD, could independently lead to poorer grades and poorer sleep.”

The team also included technical assistant Jakub Kaezmarzyk and Harvard Business School researcher Neha Dave. The study was supported by MIT’s Department of Materials Science and Engineering, the Lubin Fund, and the MIT Integrated Learning Initiative.

Can I rewire my brain?

As part of our Ask the Brain series, Halie Olson, a graduate student in the labs of John Gabrieli and Rebecca Saxe, pens her answer to the question,”Can I rewire my brain?”

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Yes, kind of, sometimes – it all depends on what you mean by “rewiring” the brain.

Halie Olson, a graduate student in the Gabrieli and Saxe labs.

If you’re asking whether you can remove all memories of your ex from your head, then no. (That’s probably for the best – just watch Eternal Sunshine of the Spotless Mind.) However, if you’re asking whether you can teach a dog new tricks – that have a physical implementation in the brain – then yes.

To embrace the analogy that “rewiring” alludes to, let’s imagine you live in an old house with outlets in less-than-optimal locations. You really want your brand-new TV to be plugged in on the far side of the living room, but there is no outlet to be found. So you call up your electrician, she pops over, and moves some wires around in the living room wall to give you a new outlet. No sweat!

Local changes in neural connectivity happen throughout the lifespan. With over 100 billion neurons and 100 trillion connections – or synapses – between these neurons in the adult human brain, it is unsurprising that some pathways end up being more important than others. When we learn something new, the connections between relevant neurons communicating with each other are strengthened. To paraphrase Donald Hebb, one of the most influential psychologists of the twentieth century, “neurons that fire together, wire together” – by forming new synapses or more efficiently connecting the ones that are already there. This ability to rewire neural connections at a local level is a key feature of the brain, enabling us to tailor our neural infrastructure to our needs.

Plasticity in our brain allows us to learn, adjust, and thrive in our environments.

We can also see this plasticity in the brain at a larger scale. My favorite example of “rewiring” in the brain is when children learn to read. Our brains did not evolve to enable us to read – there is no built-in “reading region” that magically comes online when a child enters school. However, if you stick a proficient reader in an MRI scanner, you will see a region in the left lateral occipitotemporal sulcus (that is, the back bottom left of your cortex) that is particularly active when you read written text. Before children learn to read, this region – known as the visual word form area – is not exceptionally interested in words, but as children get acquainted with written language and start connecting letters with sounds, it becomes selective for familiar written language – no matter the font, CaPItaLIZation, or size.

Now, let’s say that you wake up in the middle of the night with a desire to move your oven and stovetop from the kitchen into your swanky new living room with the TV. You call up your electrician – she tells you this is impossible, and to stop calling her in the middle of the night.

Similarly, your brain comes with a particular infrastructure – a floorplan, let’s call it – that cannot be easily adjusted when you are an adult. Large lesions tend to have large consequences. For instance, an adult who suffers a serious stroke in their left hemisphere will likely struggle with language, a condition called aphasia. Young children’s brains, on the other hand, can sometimes rewire in profound ways. An entire half of the brain can be damaged early on with minimal functional consequences. So if you’re going for a remodel? Better do it really early.

Plasticity in our brain allows us to learn, adjust, and thrive in our environments. It also gives neuroscientists like me something to study – since clearly I would fail as an electrician.

Halie Olson earned her bachelor’s degree in neurobiology from Harvard College in 2017. She is currently a graduate student in MIT’s Department of Brain and Cognitive Sciences working with John Gabrieli and Rebecca Saxe. She studies how early life experiences and environments impact brain development, particularly in the context of reading and language, and what this means for children’s educational outcomes.

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Benefits of mindfulness for middle schoolers

Two new studies from investigators at the McGovern Institute at MIT suggest that mindfulness — the practice of focusing one’s awareness on the present moment — can enhance academic performance and mental health in middle schoolers. The researchers found that more mindfulness correlates with better academic performance, fewer suspensions from school, and less stress.

“By definition, mindfulness is the ability to focus attention on the present moment, as opposed to being distracted by external things or internal thoughts. If you’re focused on the teacher in front of you, or the homework in front of you, that should be good for learning,” says John Gabrieli, the Grover M. Hermann Professor in Health Sciences and Technology, a professor of brain and cognitive sciences, and a member of MIT’s McGovern Institute for Brain Research.

The researchers also showed, for the first time, that mindfulness training can alter brain activity in students. Sixth-graders who received mindfulness training not only reported feeling less stressed, but their brain scans revealed reduced activation of the amygdala, a brain region that processes fear and other emotions, when they viewed images of fearful faces.

“Mindfulness is like going to the gym. If you go for a month, that’s good, but if you stop going, the effects won’t last,” Gabrieli says. “It’s a form of mental exercise that needs to be sustained.”

Together, the findings suggest that offering mindfulness training in schools could benefit many students, says Gabrieli, who is the senior author of both studies.

“We think there is a reasonable possibility that mindfulness training would be beneficial for children as part of the daily curriculum in their classroom,” he says. “What’s also appealing about mindfulness is that there are pretty well-established ways of teaching it.”

In the moment

Both studies were performed at charter schools in Boston. In one of the papers, which appears today in the journal Behavioral Neuroscience, the MIT team studied about 100 sixth-graders. Half of the students received mindfulness training every day for eight weeks, while the other half took a coding class. The mindfulness exercises were designed to encourage students to pay attention to their breath, and to focus on the present moment rather than thoughts of the past or the future.

Students who received the mindfulness training reported that their stress levels went down after the training, while the students in the control group did not. Students in the mindfulness training group also reported fewer negative feelings, such as sadness or anger, after the training.

About 40 of the students also participated in brain imaging studies before and after the training. The researchers measured activity in the amygdala as the students looked at pictures of faces expressing different emotions.

At the beginning of the study, before any training, students who reported higher stress levels showed more amygdala activity when they saw fearful faces. This is consistent with previous research showing that the amygdala can be overactive in people who experience more stress, leading them to have stronger negative reactions to adverse events.

“There’s a lot of evidence that an overly strong amygdala response to negative things is associated with high stress in early childhood and risk for depression,” Gabrieli says.

After the mindfulness training, students showed a smaller amygdala response when they saw the fearful faces, consistent with their reports that they felt less stressed. This suggests that mindfulness training could potentially help prevent or mitigate mood disorders linked with higher stress levels, the researchers say.

Richard Davidson, a professor of psychology and psychiatry at the University of Wisconsin, says that the findings suggest there could be great benefit to implementing mindfulness training in middle schools.

“This is really one of the very first rigorous studies with children of that age to demonstrate behavioral and neural benefits of a simple mindfulness training,” says Davidson, who was not involved in the study.

Evaluating mindfulness

In the other paper, which appeared in the journal Mind, Brain, and Education in June, the researchers did not perform any mindfulness training but used a questionnaire to evaluate mindfulness in more than 2,000 students in grades 5-8. The questionnaire was based on the Mindfulness Attention Awareness Scale, which is often used in mindfulness studies on adults. Participants are asked to rate how strongly they agree with statements such as “I rush through activities without being really attentive to them.”

The researchers compared the questionnaire results with students’ grades, their scores on statewide standardized tests, their attendance rates, and the number of times they had been suspended from school. Students who showed more mindfulness tended to have better grades and test scores, as well as fewer absences and suspensions.

“People had not asked that question in any quantitative sense at all, as to whether a more mindful child is more likely to fare better in school,” Gabrieli says. “This is the first paper that says there is a relationship between the two.”

The researchers now plan to do a full school-year study, with a larger group of students across many schools, to examine the longer-term effects of mindfulness training. Shorter programs like the two-month training used in the Behavioral Neuroscience study would most likely not have a lasting impact, Gabrieli says.

“Mindfulness is like going to the gym. If you go for a month, that’s good, but if you stop going, the effects won’t last,” he says. “It’s a form of mental exercise that needs to be sustained.”

The research was funded by the Walton Family Foundation, the Poitras Center for Psychiatric Disorders Research at the McGovern Institute for Brain Research, and the National Council of Science and Technology of Mexico. Camila Caballero ’13, now a graduate student at Yale University, is the lead author of the Mind, Brain, and Education study. Caballero and MIT postdoc Clemens Bauer are lead authors of the Behavioral Neuroscience study. Additional collaborators were from the Harvard Graduate School of Education, Transforming Education, Boston Collegiate Charter School, and Calmer Choice.

Bridging the gap between research and the classroom

In a moment more reminiscent of a Comic-Con event than a typical MIT symposium, Shawn Robinson, senior research associate at the University of Wisconsin at Madison, helped kick off the first-ever MIT Science of Reading event dressed in full superhero attire as Doctor Dyslexia Dude — the star of a graphic novel series he co-created to engage and encourage young readers, rooted in his own experiences as a student with dyslexia.

The event, co-sponsored by the MIT Integrated Learning Initiative (MITili) and the McGovern Institute for Brain Research at MIT, took place earlier this month and brought together researchers, educators, administrators, parents, and students to explore how scientific research can better inform educational practices and policies — equipping teachers with scientifically-based strategies that may lead to better outcomes for students.

Professor John Gabrieli, MITili director, explained the great need to focus the collective efforts of educators and researchers on literacy.

“Reading is critical to all learning and all areas of knowledge. It is the first great educational experience for all children, and can shape a child’s first sense of self,” he said. “If reading is a challenge or a burden, it affects children’s social and emotional core.”

A great divide

Reading is also a particularly important area to address because so many American students struggle with this fundamental skill. More than six out of every 10 fourth graders in the United States are not proficient readers, and changes in reading scores for fourth and eighth graders have increased only slightly since 1992, according to the National Assessment of Education Progress.

Gabrieli explained that, just as with biomedical research, where there can be a “valley of death” between basic research and clinical application, the same seems to apply to education. Although there is substantial current research aiming to better understand why students might have difficulty reading in the ways they are currently taught, the research often does not necessarily shape the practices of teachers — or how the teachers themselves are trained to teach.

This divide between the research and practical applications in the classroom might stem from a variety of factors. One issue might be the inaccessibility of research publications that are available for free to all — as well as the general need for scientific findings to be communicated in a clear, accessible, engaging way that can lead to actual implementation. Another challenge is the stark difference in pacing between scientific research and classroom teaching. While research can take years to complete and publish, teachers have classrooms full of students — all with different strengths and challenges — who urgently need to learn in real time.

Natalie Wexler, author of “The Knowledge Gap,” described some of the obstacles to getting the findings of cognitive science integrated into the classroom as matters of “head, heart, and habit.” Teacher education programs tend to focus more on some of the outdated psychological models, like Piaget’s theory of cognitive development, and less on recent cognitive science research. Teachers also have to face the emotional realities of working with their students, and might be concerned that a new approach would cause students to feel bored or frustrated. In terms of habit, some new, evidence-based approaches may be, in a practical sense, difficult for teachers to incorporate into the classroom.

“Teaching is an incredibly complex activity,” noted Wexler.

From labs to classrooms

Throughout the day, speakers and panelists highlighted some key insights gained from literacy research, along with some of the implications these might have on education.

Mark Seidenberg, professor of psychology at the University of Wisconsin at Madison and author of “Language at the Speed of Sight,” discussed studies indicating the strong connection between spoken and printed language.

“Reading depends on speech,” said Seidenberg. “Writing systems are codes for expressing spoken language … Spoken language deficits have an enormous impact on children’s reading.”

The integration of speech and reading in the brain increases with reading skill. For skilled readers, the patterns of brain activity (measured using functional magnetic resonance imaging) while comprehending spoken and written language are very similar. Becoming literate affects the neural representation of speech, and knowledge of speech affects the representation of print — thus the two become deeply intertwined.

In addition, researchers have found that the language of books, even for young children, include words and expressions that are rarely encountered in speech to children. Therefore, reading aloud to children exposes them to a broader range of linguistic expressions — including more complex ones that are usually only taught much later. Thus reading to children can be especially important, as research indicates that better knowledge of spoken language facilitates learning to read.

Although behavior and performance on tests are often used as indicators of how well a student can read, neuroscience data can now provide additional information. Neuroimaging of children and young adults identifies brain regions that are critical for integrating speech and print, and can spot differences in the brain activity of a child who might be especially at-risk for reading difficulties. Brain imaging can also show how readers’ brains respond to certain reading and comprehension tasks, and how they adapt to different circumstances and challenges.

“Brain measures can be more sensitive than behavioral measures in identifying true risk,” said Ola Ozernov-Palchik, a postdoc at the McGovern Institute.

Ozernov-Palchik hopes to apply what her team is learning in their current studies to predict reading outcomes for other children, as well as continue to investigate individual differences in dyslexia and dyslexia-risk using behavior and neuroimaging methods.

Identifying certain differences early on can be tremendously helpful in providing much-needed early interventions and tailored solutions. Many speakers noted the problem with the current “wait-to-fail” model of noticing that a child has a difficult time reading in second or third grade, and then intervening. Research suggests that earlier intervention could help the child succeed much more than later intervention.

Speakers and panelists spoke about current efforts, including Reach Every Reader (a collaboration between MITili, the Harvard Graduate School of Education, and the Florida Center for Reading Research), that seek to provide support to students by bringing together education practitioners and scientists.

“We have a lot of information, but we have the challenge of how to enact it in the real world,” said Gabrieli, noting that he is optimistic about the potential for the additional conversations and collaborations that might grow out of the discussions of the Science of Reading event. “We know a lot of things can be better and will require partnerships, but there is a path forward.”

Alumnus gives MIT $4.5 million to study effects of cannabis on the brain

The following news is adapted from a press release issued in conjunction with Harvard Medical School.

Charles R. Broderick, an alumnus of MIT and Harvard University, has made gifts to both alma maters to support fundamental research into the effects of cannabis on the brain and behavior.

The gifts, totaling $9 million, represent the largest donation to date to support independent research on the science of cannabinoids. The donation will allow experts in the fields of neuroscience and biomedicine at MIT and Harvard Medical School to conduct research that may ultimately help unravel the biology of cannabinoids, illuminate their effects on the human brain, catalyze treatments, and inform evidence-based clinical guidelines, societal policies, and regulation of cannabis.

Lagging behind legislation

With the increasing use of cannabis both for medicinal and recreational purposes, there is a growing concern about critical gaps in knowledge.

In 2017, the National Academies of Sciences, Engineering, and Medicine issued a report calling upon philanthropic organizations, private companies, public agencies and others to develop a “comprehensive evidence base” on the short- and long-term health effects — both beneficial and harmful — of cannabis use.

“Our desire is to fill the research void that currently exists in the science of cannabis,” says Broderick, who was an early investor in Canada’s medical marijuana market.

Broderick is the founder of Uji Capital LLC, a family office focused on quantitative opportunities in global equity capital markets. Identifying the growth of the Canadian legal cannabis market as a strategic investment opportunity, Broderick took equity positions in Tweed Marijuana Inc. and Aphria Inc., which have since grown into two of North America’s most successful cannabis companies. Subsequently, Broderick made a private investment in and served as a board member for Tokyo Smoke, a cannabis brand portfolio, which merged in 2017 to create Hiku Brands, where he served as chairman. Hiku Brands was acquired by Canopy Growth Corp. in 2018.

Through the Broderick gifts to Harvard Medical School and MIT’s School of Science through the Picower Institute for Learning and Memory and the McGovern Institute for Brain Research, the Broderick funds will support independent studies of the neurobiology of cannabis; its effects on brain development, various organ systems and overall health, including treatment and therapeutic contexts; and cognitive, behavioral and social ramifications.

“I want to destigmatize the conversation around cannabis — and, in part, that means providing facts to the medical community, as well as the general public,” says Broderick, who argues that independent research needs to form the basis for policy discussions, regardless of whether it is good for business. “Then we’re all working from the same information. We need to replace rhetoric with research.”

MIT: Focused on brain health and function

The gift to MIT from Broderick will provide $4.5 million over three years to support independent research for four scientists at the McGovern and Picower institutes.

Two of these researchers — John Gabrieli, the Grover Hermann Professor of Health Sciences and Technology, a professor of brain and cognitive sciences, and a member of MIT’s McGovern Institute for Brain Research; and Myriam Heiman, the Latham Family Associate Professor of Neuroscience at the Picower Institute — will separately explore the relationship between cannabis and schizophrenia.

Gabrieli, who directs the Martinos Imaging Center at MIT, will monitor any potential therapeutic value of cannabis for adults with schizophrenia using fMRI scans and behavioral studies.

“The ultimate goal is to improve brain health and wellbeing,” says Gabrieli. “And we have to make informed decisions on the way to this goal, wherever the science leads us. We need more data.”

Heiman, who is a molecular neuroscientist, will study how chronic exposure to phytocannabinoid molecules THC and CBD may alter the developmental molecular trajectories of cell types implicated in schizophrenia.

“Our lab’s research may provide insight into why several emerging lines of evidence suggest that adolescent cannabis use can be associated with adverse outcomes not seen in adults,” says Heiman.

In addition to these studies, Gabrieli also hopes to investigate whether cannabis can have therapeutic value for autism spectrum disorders, and Heiman plans to look at whether cannabis can have therapeutic value for Huntington’s disease.

MIT Institute Professor Ann Graybiel has proposed to study the cannabinoid 1 (CB1) receptor, which mediates many of the effects of cannabinoids. Her team recently found that CB1 receptors are tightly linked to dopamine — a neurotransmitter that affects both mood and motivation. Graybiel, who is also a member of the McGovern Institute, will examine how CB1 receptors in the striatum, a deep brain structure implicated in learning and habit formation, may influence dopamine release in the brain. These findings will be important for understanding the effects of cannabis on casual users, as well as its relationship to addictive states and neuropsychiatric disorders.

Earl Miller, Picower Professor of Neuroscience at the Picower Institute, will study effects of cannabinoids on both attention and working memory. His lab has recently formulated a model of working memory and unlocked how anesthetics reduce consciousness, showing in both cases a key role in the brain’s frontal cortex for brain rhythms, or the synchronous firing of neurons. He will observe how these rhythms may be affected by cannabis use — findings that may be able to shed light on tasks like driving where maintenance of attention is especially crucial.

Harvard Medical School: Mobilizing basic scientists and clinicians to solve an acute biomedical challenge 

The Broderick gift provides $4.5 million to establish the Charles R. Broderick Phytocannabinoid Research Initiative at Harvard Medical School, funding basic, translational and clinical research across the HMS community to generate fundamental insights about the effects of cannabinoids on brain function, various organ systems, and overall health.

The research initiative will span basic science and clinical disciplines, ranging from neurobiology and immunology to psychiatry and neurology, taking advantage of the combined expertise of some 30 basic scientists and clinicians across the school and its affiliated hospitals.

The epicenter of these research efforts will be the Department of Neurobiology under the leadership of Bruce Bean and Wade Regehr.

“I am excited by Bob’s commitment to cannabinoid science,” says Regehr, professor of neurobiology in the Blavatnik Institute at Harvard Medical School. “The research efforts enabled by Bob’s vision set the stage for unraveling some of the most confounding mysteries of cannabinoids and their effects on the brain and various organ systems.”

Bean, Regehr, and fellow neurobiologists Rachel Wilson and Bernardo Sabatini, for example, focus on understanding the basic biology of the cannabinoid system, which includes hundreds of plant and synthetic compounds as well as naturally occurring cannabinoids made in the brain.

Cannabinoid compounds activate a variety of brain receptors, and the downstream biological effects of this activation are astoundingly complex, varying by age and sex, and complicated by a person’s physiologic condition and overall health. This complexity and high degree of variability in individual biology has hampered scientific understanding of the positive and negative effects of cannabis on the human body. Bean, Regehr, and colleagues have already made critical insights showing how cannabinoids influence cell-to-cell communication in the brain.

“Even though cannabis products are now widely available, and some used clinically, we still understand remarkably little about how they influence brain function and neuronal circuits in the brain,” says Bean, the Robert Winthrop Professor of Neurobiology in the Blavatnik Institute at HMS. “This gift will allow us to conduct critical research into the neurobiology of cannabinoids, which may ultimately inform new approaches for the treatment of pain, epilepsy, sleep and mood disorders, and more.”

To propel research findings from lab to clinic, basic scientists from HMS will partner with clinicians from Harvard-affiliated hospitals, bringing together clinicians and scientists from disciplines including cardiology, vascular medicine, neurology, and immunology in an effort to glean a deeper and more nuanced understanding of cannabinoids’ effects on various organ systems and the body as a whole, rather than just on isolated organs.

For example, Bean and colleague Gary Yellen, who are studying the mechanisms of action of antiepileptic drugs, have become interested in the effects of cannabinoids on epilepsy, an interest they share with Elizabeth Thiele, director of the pediatric epilepsy program at Massachusetts General Hospital. Thiele is a pioneer in the use of cannabidiol for the treatment of drug-resistant forms of epilepsy. Despite proven clinical efficacy and recent FDA approval for rare childhood epilepsies, researchers still do not know exactly how cannabidiol quiets the misfiring brain cells of patients with the seizure disorder. Understanding its mechanism of action could help in developing new agents for treating other forms of epilepsy and other neurologic disorders.

John Gabrieli

Images of Mind

John Gabrieli’s goal is to understand the organization of memory, thought, and emotion in the human brain, and to use that understanding to help people live happier, more productive lives. By combining brain imaging with behavioral tests, he studies the neural basis of these abilities in human subjects. One important research theme is to understand the neural basis of learning in children and to identify ways that neuroscience could help to improve learning in the classroom. In collaboration with clinical colleagues, Gabrieli also seeks to use brain imaging to better understand, diagnose, and select treatments for neurological and psychiatric diseases.

Brain activity pattern may be early sign of schizophrenia

Schizophrenia, a brain disorder that produces hallucinations, delusions, and cognitive impairments, usually strikes during adolescence or young adulthood. While some signs can suggest that a person is at high risk for developing the disorder, there is no way to definitively diagnose it until the first psychotic episode occurs.

MIT neuroscientists working with researchers at Beth Israel Deaconess Medical Center, Brigham and Women’s Hospital, and the Shanghai Mental Health Center have now identified a pattern of brain activity correlated with development of schizophrenia, which they say could be used as a marker to diagnose the disease earlier.

“You can consider this pattern to be a risk factor. If we use these types of brain measurements, then maybe we can predict a little bit better who will end up developing psychosis, and that may also help tailor interventions,” says Guusje Collin, a visiting scientist at MIT’s McGovern Institute for Brain Research and the lead author of the paper.

The study, which appeared in the journal Molecular Psychiatry on Nov. 8, was performed at the Shanghai Mental Health Center. Susan Whitfield-Gabrieli, a visiting scientist at the McGovern Institute and a professor of psychology at Northeastern University, is one of the principal investigators for the study, along with Jijun Wang of the Shanghai Mental Health Center, William Stone of Beth Israel Deaconess Medical Center, the late Larry Seidman of Beth Israel Deaconess Medical Center, and Martha Shenton of Brigham and Women’s Hospital.

Abnormal connections

Before they experience a psychotic episode, characterized by sudden changes in behavior and a loss of touch with reality, patients can experience milder symptoms such as disordered thinking. This kind of thinking can lead to behaviors such as jumping from topic to topic at random, or giving answers unrelated to the original question. Previous studies have shown that about 25 percent of people who experience these early symptoms go on to develop schizophrenia.

The research team performed the study at the Shanghai Mental Health Center because the huge volume of patients who visit the hospital annually gave them a large enough sample of people at high risk of developing schizophrenia.

The researchers followed 158 people between the ages of 13 and 34 who were identified as high-risk because they had experienced early symptoms. The team also included 93 control subjects, who did not have any risk factors. At the beginning of the study, the researchers used functional magnetic resonance imaging (fMRI) to measure a type of brain activity involving “resting state networks.” Resting state networks consist of brain regions that preferentially connect with and communicate with each other when the brain is not performing any particular cognitive task.

“We were interested in looking at the intrinsic functional architecture of the brain to see if we could detect early aberrant brain connectivity or networks in individuals who are in the clinically high-risk phase of the disorder,” Whitfield-Gabrieli says.

One year after the initial scans, 23 of the high-risk patients had experienced a psychotic episode and were diagnosed with schizophrenia. In those patients’ scans, taken before their diagnosis, the researchers found a distinctive pattern of activity that was different from the healthy control subjects and the at-risk subjects who had not developed psychosis.

For example, in most people, a part of the brain known as the superior temporal gyrus, which is involved in auditory processing, is highly connected to brain regions involved in sensory perception and motor control. However, in patients who developed psychosis, the superior temporal gyrus became more connected to limbic regions, which are involved in processing emotions. This could help explain why patients with schizophrenia usually experience auditory hallucinations, the researchers say.

Meanwhile, the high-risk subjects who did not develop psychosis showed network connectivity nearly identical to that of the healthy subjects.

Early intervention

This type of distinctive brain activity could be useful as an early indicator of schizophrenia, especially since it is possible that it could be seen in even younger patients. The researchers are now performing similar studies with younger at-risk populations, including children with a family history of schizophrenia.

“That really gets at the heart of how we can translate this clinically, because we can get in earlier and earlier to identify aberrant networks in the hopes that we can do earlier interventions, and possibly even prevent psychiatric disorders,” Whitfield-Gabrieli says.

She and her colleagues are now testing early interventions that could help to combat the symptoms of schizophrenia, including cognitive behavioral therapy and neural feedback. The neural feedback approach involves training patients to use mindfulness meditation to reduce activity in the superior temporal gyrus, which tends to increase before and during auditory hallucinations.

The researchers also plan to continue following the patients in the current study, and they are now analyzing some additional data on the white matter connections in the brains of these patients, to see if those connections might yield additional differences that could also serve as early indicators of disease.

The research was funded by the National Institutes of Health, the Ministry of Science and Technology of China, and the Poitras Center for Psychiatric Disorders Research at MIT. Collin was supported by a Marie Curie Global Fellowship grant from the European Commission.