There is a growing interest in the diagnosis and treatment of patients with dementia and cognitive impairment at an early stage. Recent imaging studies have explored neural mechanisms underlying cognitive dysfunction based on brain network architecture and functioning. The dorsal anterior cingulate cortex (dACC) is thought to regulate large-scale intrinsic brain networks, and plays a primary role in cognitive processing with the anterior insular cortex (aIC), thus providing salience functions. Although neural mechanisms have been elucidated at the connectivity level by imaging studies, their understanding at the activity level still remains unclear because of limited time-based resolution of conventional imaging techniques. In this study, we investigated temporal activity of the dACC during word (verb) generation tasks based on our newly developed event-related deep brain activity (ER-DBA) method using occipital electroencephalogram (EEG) alpha-2 powers with a time resolution of a few hundred milliseconds. The dACC exhibited dip-like temporal waveforms indicating deactivation in an initial stage of each trial when appropriate verbs were successfully generated. By contrast, monotonous increase was observed for incorrect responses and a decrease was detected for no responses. The dip depth was correlated with the percentage of success. Additionally, the dip depth linearly increased with increasing slow component of the DBA index at rest across all subjects. These findings suggest that dACC deactivation is essential for cognitive processing, whereas its activation is required for goal-oriented behavioral outputs, such as cued speech. Such dACC functioning, represented by the dip depth, is supported by the activity of the upper brainstem region including monoaminergic neural systems.

The dorsal area of the anterior cingulate cortex (ACC) constructs the salience network associated with the anterior insular cortex. Conventional brain imaging studies, such as functional magnetic resonance imaging (fMRI), have demonstrated that relational memory formation occurs in the ACC.

Hyperthermia-induced decline in cognitive performance is a moderate complication that poses challenges to the maintenance of safety. Although the underlying mechanism can be attributed to the disruption of brain networks, the propensity remains unclear. This study aimed to test the hypothesis that the extent of the alterations in cognitive performance is governed by the activity of deep brain structures, including monoaminergic neural systems. A decline in cognitive performance during mild hyperthermia and the beneficial effects of neck cooling were demonstrated using the Continuous Performance Test as a battery of cognitive tasks. Aspects of cognitive performance were characterized using the deep-brain activity (DBA) index as a neural activity parameter and the State-Trait Anxiety Inventory to assess the extent of alterations in cognitive performance as an individual measure. It was found that a higher average DBA index during tasks is essential for high cognitive performance in the heat. This beneficial effect of DBA is governed by the upper brainstem. This DBA benefit is more significant for individuals with higher average DBA indices at rest in a normal environment. Individual differences in cognitive performance in the heat are governed by differences in DBA. In addition, the beneficial effect of DBA on cognitive performance in heat only applies under conditions including neck cooling. This limited neck-cooling effect is attributed to anti-homeostatic thermoregulatory responses to cognitive tasks regulated by DBA.

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