A mind-body interface alternates with effector-specific regions in motor cortex Evan M. Gordon1, Roselyne J. Chauvin2, Andrew N. Van2,3, Aishwarya Rajesh1, Ashley Nielsen2, Dillan J. Newbold2,4, Charles J. Lynch5, Nicole A. Seider2,6, Samuel R. Krimmel2, Kristen M. Scheidter2, Julia Monk2, Ryland L. Miller2,6, Athanasia Metoki2, David F. Montez2, Annie Zheng2, Immanuel Elbau5, Thomas Madison7, Tomoyuki Nishino6, Michael J. Myers6, Sydney Kaplan2, Carolina Badke D’Andrea1,6,8, Damion V. Demeter8, Matthew Feigelis8, Deanna M. Barch1,6,9, Christopher D. Smyser1,2,10, Cynthia E. Rogers5,10, Jan Zimmermann11, Kelly N. Botteron6, John R. Pruett6, Jon T. Willie2,5,12, Peter Brunner3,12, Joshua S. Shimony1, Benjamin P. Kay2, Scott Marek1, Scott A. Norris1,2, Caterina Gratton13, Chad M. Sylvester6, Jonathan D. Power5, Conor Liston5, Deanna J. Greene8, Jarod L. Roland12, Steven E. Petersen1,2,3,9,14, Marcus E. Raichle1,2,3,9,14, Timothy O. Laumann6, Damien A. Fair7,15, Nico U.F. Dosenbach1,2,3,9,10,16 1Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, 63110, USA 2Department of Neurology, Washington University School of Medicine, St. Louis, MO, 63110, USA 3Department of Biomedical Engineering, Washington University in St. Louis, St. Louis, MO, 63130, USA 4Department of Neurology, New York University Langone Medical Center, New York, NY 10016, USA 5Department of Psychiatry, Weill Cornell Medicine, New York, NY, 10021, USA 6Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, 63110, USA 7Department of Pediatrics, University of Minnesota, Minneapolis, MN, 55454, USA 8Department of Cognitive Science, University of California San Diego, La Jolla, CA 92093 9Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO, 63130, USA 10Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, 63110, USA 11Department of Neuroscience, University of Minnesota, Minneapolis, MN, 55454, USA 12Department of Neurosurgery, Washington University School of Medicine, St. Louis, MO, 63110, USA 13Department of Psychology, Florida State University, Tallahassee, FL, 32306, USA 14Department of Neuroscience, Washington University School of Medicine, St. Louis, MO, 63110, USA 15Masonic Institute for the Developing Brain, University of Minnesota, Minneapolis, MN, 55454, USA 16Program in Occupational Therapy, Washington University in St. Louis, St. Louis, MO, 63130, USA .CC-BY-NC-ND 4.0 International licenseavailable under a (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made The copyright holder for this preprintthis version posted October 28, 2022.;https://doi.org/10.1101/2022.10.26.513940doi:bioRxiv preprint
SUMMARY Primary motor cortex (M1) has been thought to form a continuous somatotopic homunculus extending down precentral gyrus from foot to face representations1,2. The motor homunculus has remained a textbook pillar of functional neuroanatomy, despite evidence for concentric functional zones3and maps of complex actions4. Using our highest precision functional magnetic resonance imaging (fMRI) data and methods, we discovered that the classic homunculus is interrupted by regions with sharpy distinct connectivity, structure, and function, alternating with effector-specific (foot, hand, mouth) areas. These inter-effector regions exhibit decreased cortical thickness and strong functional connectivity to each other, and to prefrontal, insular, and subcortical regions of the Cingulo-opercular network (CON), critical for executive action5and physiological control6, arousal7, and processing of errors8and pain9. This inter- digitation of action control-linked and motor effector regions was independently verified in the three largest fMRI datasets. Macaque and pediatric (newborn, infant, child) precision fMRI revealed potential cross-species analogues and developmental precursors of the inter-effector system. An extensive battery of motor and action fMRI tasks documented concentric somatotopies for each effector, separated by the CON-linked inter-effector regions. The inter- effector regions lacked movement specificity and co-activated during action planning (coordination of hands and feet), and axial body movement (e.g., abdomen, eyebrows). These results, together with prior work demonstrating stimulation-evoked complex actions4and connectivity to internal organs (e.g., adrenal medulla)10, suggest that M1 is punctuated by an integrative system for implementing whole-body action plans. Thus, two parallel systems intertwine in motor cortex to form an integrate-isolate pattern: effector-specific regions (foot, hand, mouth) for isolating fine motor control, and a mind-body interface (MBI) for the integrative whole-organism coordination of goals, physiology, and body movement. .CC-BY-NC-ND 4.0 International licenseavailable under a (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made The copyright holder for this preprintthis version posted October 28, 2022.;https://doi.org/10.1101/2022.10.26.513940doi:bioRxiv preprint
MAIN Beginning in the 1930s, Penfield and colleagues mapped human M1 with direct cortical stimulation, eliciting movements from about half of sites, mostly of the foot, hand, or mouth1. Although representations for specific body parts overlapped substantially11, these maps gave rise to the textbook view of M1 organization as a continuous homunculus, from head to toe. In non-human primates, organizational features inconsistent with the motor homunculus have been described. Structural connectivity studies divided M1 into anterior, gross-motor, “old” M1 (few direct projections to spinal motoneurons), and posterior, fine-motor, “new” M1 (many direct motoneuronal projections)12,13. Non-human primate stimulation studies showed the body to be represented in anterior M114, and the motor effectors (tail, foot, hand, mouth) in posterior M1. Such studies also suggested that the limbs are represented in concentric functional zones progressing from the digits at the center, to the shoulders on the periphery3,15–17. Moreover, stimulations could elicit increasingly complex and multi-effector actions when moving from posterior to anterior M14,18,19. During natural behavior, voluntary movements are part of goal-directed actions, initiated and controlled by executive regions in the CON5,20. Neural activity preceding voluntary movements can first be detected in the dorsal anterior cingulate cortex (dACC) or rostral cingulate zone21, then in the pre-supplementary motor area (pre-SMA) and SMA22, followed by M1. These regions all project to the spinal cord23, with M1 as the main transmitter of motor commands down the corticospinal tract24. Efferent motor copies are received by primary somatosensory cortex (S1)25, cerebellum, and striatum26for online correction and learning. Tracer injections in non-human primates demonstrated direct projections from anterior M1/CON to internal organs (e.g. adrenal medulla) for preparatory sympathetic arousal in anticipation of action10. Post-movement error and pain signals are relayed primarily to insular and cingulate regions of the CON, which update future action plans8,9. Resting state functional connectivity (RSFC) fMRI noninvasively maps the brain’s functional networks27,28. Precision functional mapping (PFM) studies rely on large amounts of multi-modal data (e.g., RSFC, tasks) to map individual-specific brain organization in greatest possible detail29–31. Early PFM studies identified separate foot, hand, and mouth M1 regions23with their respective cerebellar and striatal targets26,27. These foot/hand/mouth motor circuits were characterized by strong within-circuit connectivity and effector specificity in task fMRI23. However, these circuits were relatively isolated and did not include functional connections with control networks such as CON that could support the integration of movement with global behavioral goals. A recent study showed that prolonged dominant arm immobilization strengthened functional connectivity between disused M1 and the CON28,29, suggesting that the CON’s role may extend beyond abstract action control and into movement coordination. Here, we used the latest iteration of PFM with higher resolution (2.4 mm) and greater amounts of fMRI (RSFC: 172 – 1,813 min/participant; task: 353 min/participant), and diffusion data, to map M1 and its connections with highest detail. Results were verified in group-averaged data from the three largest fMRI studies (Human Connectome Project [HCP], Adolescent Brain Cognitive Development [ABCD] Study, UK Biobank [UKB]; total n ~ 50,000). Furthermore, we placed our findings in cross-species (macaque vs human), developmental (neonate, infant, child, and adult), and clinical (perinatal stroke) contexts using PFM data. .CC-BY-NC-ND 4.0 International licenseavailable under a (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made The copyright holder for this preprintthis version posted October 28, 2022.;https://doi.org/10.1101/2022.10.26.513940doi:bioRxiv preprint
Two distinct functional systems alternate in motor cortex Fig. 1| Precision functional mapping of primary motor cortex.a,Resting state functional connectivity (RSFC) seeded from a continuous line of cortical locations in the left precentral gyrus in a single exemplar participant (P1; 356 min resting-state fMRI). The six exemplar seeds shown represent all distinct connectivity patterns observed (see Supplementary Movie 1 for complete mapping). Functional connectivity seeded from these locations illustrated classical primary motor cortex connectivity of regions representing the foot (1), hand (3), and mouth (5), as well as an interdigitated set of strongly interconnected regions (2, 4, 6). See Fig. S1a and Supplementary Movie 2 for all highly-sampled participants, Fig. S1b for within-participant replications, and Fig. S1c for group-averaged data.b,Discrete functional networks were demarcated using a whole-brain, data-driven, hierarchical approach (see Methods) applied to the resting-state fMRI data, which defined the spatial extent of the networks observed in Fig. 1 (black outlines). Regions defined by RSFC were functionally labeled using a classic block-design fMRI motor task involving separate movement of the foot, hand, and tongue (following34; see32for details). The map illustrates the top 1% of vertices activated by movement of the foot (green), hand (cyan), and mouth (orange) in the exemplar participant (P1; see Fig. S1d for other participants).c, The inter-effector connectivity pattern became more distinct from surrounding effector-specific motor regions as connectivity thresholding increased from the 80thto the 97thpercentile. RSFC thresholds required to detect the inter-effector pattern were lower in individual-specific data (top) than in group- averaged data (ABCD Study, bottom). +-RSFC: Z(r) 80thpercentile90thpercentile97thpercentile IndividualGroup Threshold: Thresholding effect on functional connectivity maps 0.60.35 RSFC: Z(r) 1 2 3 4 5 6 12 3 6 4 5 Precentral gyrus seeds RSFC Network borders HandMouthFoot Task activations Precentral gyrus functional connectivitya bc .CC-BY-NC-ND 4.0 International licenseavailable under a (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made The copyright holder for this preprintthis version posted October 28, 2022.;https://doi.org/10.1101/2022.10.26.513940doi:bioRxiv preprint
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