By Denise A. Valenti, OD, FAAO
President George H. W. Bush declared the 1990s to be the
“decade of the brain.” More recently President Barack Obama mentioned in his
inaugural address what is expected to be a decade-long, nationwide initiative
to fully map the brain. Vision scientists are already far along with such an
endeavor. The “decade of the brain” saw substantial gains in our ability to map
neural processing, and neuroscientists in the field of vision achieved
groundbreaking results in our understanding of retinal neural circuitry.
Dr. Charles L. Zucker is one such scientist who has been
mapping connections — when one considers the retina an extension of the brain —
for two decades. He was awarded the Cogan Medal as a promising young scientist
by ARVO in 1999. Vision clinicians and researchers have been involved in brain
mapping for well over a century when one considers the structural relation of
retina and functional visual field. With current and emerging technologies, we
are now in position to achieve mapping retinal cells, axonal pathways and brain
interface.
President Obama stated during his 2013 address: "Every
dollar we invested to map the human genome returned $140 to our economy — every
dollar. Today, our scientists are mapping the human brain to unlock answers to
Alzheimer’s."
The project, known as the Brain Activity Map (BAM), would
benefit our understanding of healthy and diseases brains. Very little is known
of this project, and more information is expected to be revealed by the White
House as early as March, according to an article in The New York Times. The
piece reveals that the project will include federal agencies and private
foundations; among them might be the National Institutes of Health, the Defense
Advanced Research Projects Agency, the National Science Foundations, Howard
Huges Medical Institute, Kavli Foundation and the Allen Institute for Brain
Science in Seattle. The overall initiative is expected to be organized by the
Office of Science and Technology Policy.
During the Sixth Kavli Futures Symposium in January 2012,
previous discussions of a large-scale coordinated effort to use and develop
technology to map cells and functional connectivity of the entire brain
resulted in a paper in the June issue of Neuron. The publication and the
authors may have been the inspiration and motivation spurring the current
administration’s interest in a thorough understanding of brain connectivity and
processing. Dr. Rafael Yuste, M.D., Ph.D., is the corresponding author; Neuron,
June 2012. The paper discusses what is being called "connectomics."
Dr. Sebastian Seung of MIT and professor of computational neuroscience
describes a connectome as "a map between neurons inside a nervous
system."
One of the current accomplishments of connectomics is the
complete mapping of the neural connections of a piece of mouse retina. This
involved imaging a section of retinal tissue with an estimated 1,000 neurons.
With more than 13,000 images, it took more than two years to reconstruct the
circuitry. However, technology and techniques are evolving, allowing for
greater efficiency.
Technology exists to image retinal neural tissue in vivo;
without harm to the tissue or host. With such tools allowing imaging of human
tissue — normal and diseased &mdash we have already gained ground in
achieving connectome models. When one considers the ability to see retinal
tissue and structures when using state-of-the-art imaging such as Optical
Coherence Tomography and Adaptive Optics and how we can now relate structure to
function with complex visual field or retinal function using electrodiagnostic
technology, it is not far-reaching to appreciate that the same structure
function aspects can also be applied to tissue and cells up stream — in the
brain. The precise retinotopic relationship follows throughout the visual
system and throughout the brain. We now have ever-increasing accuracy in
retinotopic mapping1, and we are able to more accurately track a cell
originating in the retina to its connections in the brain.
Given how much of the brain is taken up by visual processing
and activity that originates in the brain, it is essential that those studying
such function and structure have an active role in the BAM Initiative. Dr.
Jose-Manuel Alonso of the State University of New York College of Optometry has
been actively mapping the brain visual pathways — also since the “decade of the
brain” — and he and his colleagues have been productive in their contributions
to the field. Using a lesion-disease model with glaucoma as the lesion in the
optic nerve neural tissue, early corresponding brain loss can now be identified
using structural and functional MRI techniques.2
Dr. Denise A. Valenti is a residency-trained,
low-vision/blind-rehabilitation optometrist with additional education and
expertise in the field of age-related neurodegenerative diseases with the
emphasis on Parkinson’s disease and Alzheimer’s disease. Her research has
included the study of imaging of retinal neural tissue using Optical Coherence
Tomography and functional assessment of neural processing in the visual system
using Frequency Doubling Technology. Dr. Valenti provided direct clinical care
for more than 25 years and currently is active in research and consultation
related to vision, aging, neuroprocessing and cognitive functions.
References
1. Garway-Heath, D., et al., Mapping the visual field to the
optic disc in normal tension glaucoma eyes. Opthalmology, 2000. 107: p.
1809-1815.
2. Gupta, N. and Y. Yucel, Brain changes in glaucoma.
European Journ of Ophthal, 2003. 13: p. S32-S35.
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