PMID- 24057659 OWN - NLM STAT- MEDLINE DCOM- 20151027 LR - 20220321 IS - 1460-2199 (Electronic) IS - 1047-3211 (Linking) VI - 25 IP - 3 DP - 2015 Mar TI - Early visuomotor integration processes induce LTP/LTD-like plasticity in the human motor cortex. PG - 703-12 LID - 10.1093/cercor/bht264 [doi] AB - To investigate whether visuomotor integration processes induce long-term potentiation (LTP) and depression (LTD)-like plasticity in the primary motor cortex (M1), we designed a new paired associative stimulation (PAS) protocol coupling left primary visual area (V1) activation achieved by hemifield visual evoked potentials (VEPs) and transcranial magnetic stimulation (TMS) over the left M1, at specific interstimulus intervals (ISIs), delivered at 1 Hz (V-PAS). Before and after V-PAS, we measured motor evoked potentials (MEPs). To clarify the mechanisms underlying V-PAS, we tested the effect of 1-Hz repetitive TMS (rTMS), 0.25-Hz V-PAS and rTMS, and a shorter 0.25-Hz V-PAS protocol. To examine V-PAS with contralateral V1 activation, we delivered V-PAS activating the right V1. To clarify whether V-PAS increases V1 activity or parieto- and premotor-to-M1 connectivity, before and after V-PAS, we examined VEPs and MEPs evoked by paired-pulse techniques. V-PAS increased, decreased, or left MEPs unchanged according to the ISI used. After 1-Hz rTMS MEPs decreased. Although 0.25-Hz rTMS elicited no aftereffect, 0.25-Hz V-PAS modulated MEPs according to the ISI used. The short 0.25-Hz V-PAS protocol left MEPs unchanged. Contralateral V-PAS inhibited MEPs. After V-PAS, VEPs remained unchanged and the premotor-to-M1 inhibitory connections decreased. V-PAS induces M1 LTP/LTD-like plasticity by activating premotor-to-motor connections. CI - (c) The Author 2013. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com. FAU - Suppa, A AU - Suppa A AD - IRCCS Neuromed Institute, Pozzilli (IS), Italy. FAU - Li Voti, P AU - Li Voti P AD - IRCCS Neuromed Institute, Pozzilli (IS), Italy. FAU - Rocchi, L AU - Rocchi L AD - Department of Neurology and Psychiatry. FAU - Papazachariadis, O AU - Papazachariadis O AD - Department of Physiology and Pharmacology, "Sapienza" University of Rome, 00185 Rome, Italy. FAU - Berardelli, A AU - Berardelli A AD - IRCCS Neuromed Institute, Pozzilli (IS), Italy Department of Neurology and Psychiatry. LA - eng PT - Journal Article DEP - 20130920 PL - United States TA - Cereb Cortex JT - Cerebral cortex (New York, N.Y. : 1991) JID - 9110718 SB - IM MH - Adult MH - Evoked Potentials, Motor MH - Evoked Potentials, Visual MH - Female MH - Humans MH - *Long-Term Potentiation MH - *Long-Term Synaptic Depression MH - Male MH - Motor Cortex/*physiology MH - Transcranial Magnetic Stimulation MH - Visual Cortex/*physiology MH - Young Adult OTO - NOTNLM OT - paired associative stimulation OT - primary motor cortex OT - rTMS OT - visual evoked potentials OT - visuomotor integration EDAT- 2013/09/24 06:00 MHDA- 2015/10/28 06:00 CRDT- 2013/09/24 06:00 PHST- 2013/09/24 06:00 [entrez] PHST- 2013/09/24 06:00 [pubmed] PHST- 2015/10/28 06:00 [medline] AID - bht264 [pii] AID - 10.1093/cercor/bht264 [doi] PST - ppublish SO - Cereb Cortex. 2015 Mar;25(3):703-12. doi: 10.1093/cercor/bht264. Epub 2013 Sep 20.