This press release from the University of Arizona reveals some new research on how the brain makes sentences from single words. Brain imaging has made this process visible (or possibly visible) for the first time.
                                         
                                                                                                 
Using  magnetic resonance imaging of the brain, researchers can visualize the  two main language processing regions, Broca's region (yellow) and  Wernicke's region (purple). (Image: Stephen Wilson)
 
By   Daniel Stolte, University Communications,      November 23, 2011     
 Distinct neural pathways are important for  different aspects of language processing, researchers have discovered,  studying patients with language impairments caused by neurodegenerative  diseases. 
While it has long been recognized that certain areas in the brain's  left hemisphere enable us to understand and produce language,  scientists are still figuring out exactly how those areas divvy up the  highly complex processes necessary to comprehend and produce language.
Advances in brain imaging made within the last 10 years have  revealed that highly complex cognitive tasks such as language processing  rely not only on particular regions of the cerebral cortex, but also on  the white matter fiber pathways that connect them.
"With this new technology, scientists started to realize that in the  language network, there are a lot more connecting pathways than we  originally thought," said Stephen Wilson, who recently joined the University of Arizona's department of speech, language and hearing sciences  as an assistant professor. "They are likely to have different functions  because the brain is not just a homogeneous conglomerate of cells, but  there hasn't been a lot of evidence as to what kind of information is  carried on the different pathways."
Working in collaboration with his colleagues at the UA, the  department of neurology at the University of California San Francisco  (UCSF) and the Scientific Institute and University Hospital San Raffaele  in Milan, Italy, Wilson discovered that not only are the connecting  pathways important for language processing, but they specialize in  different tasks.

Assistant  professor Stephen Wilson studies how the brain processes language by  combining brain imaging with performance-based language tests. (Photo:  D. Stolte/UANews)
Two brain areas called Broca's region and Wernicke's region serve as  the main computing hubs underlying language processing, with dense  bundles of nerve fibers linking the two, much like fiber optic cables  connecting computer servers. But while it was known that Broca's and  Wernicke's region are connected by upper and a lower white matter  pathways, most research had focused on the nerve cells clustered inside  the two language-processing regions themselves.
Working with patients suffering from language impairments because of a  variety of neurodegenerative diseases, Wilsons' team used brain imaging  and language tests to disentangle the roles played by the two pathways.  Their findings are published in a recent issue of the scientific journal Neuron.
"If you have damage to the lower pathway, you have damage to the  lexicon and semantics," Wilson said. "You forget the name of things, you  forget the meaning of words. But surprisingly, you're extremely good at  constructing sentences."
"With damage to the upper pathway, the opposite is true; patients  name things quite well, they know the words, they can understand them,  they can remember them, but when it comes to figuring out the meaning of  a complex sentence, they are going to fail."
The study marks the first time it has been shown that upper and lower  tracts play distinct functional roles in language processing, the  authors write. Only the upper pathway plays a critical role in syntactic  processing.
Wilson collected the data while he was a postdoctoral fellow working  with patients with neurodegenerative diseases of varying severity,  recruited through the Memory and Aging Center at UCSF. The study included 15 men and 12 women around the age of 66.
Unlike many other studies investigating acquired language disorders,  which are called aphasias and usually caused by damage to the brain,  Wilson's team had a unique opportunity to study patients with very  specific and variable degrees of brain damage.
"Most aphasias are caused by strokes, and most of the strokes that  affect language regions probably would affect both pathways," Wilson  said. "In contrast, the patients with progressive aphasias who we worked  with had very rare and very specific neurodegenerative diseases that  selectively target different brain regions, allowing us to tease apart  the contributions of the two pathways."
To find out which of the two nerve fiber bundles does what in  language processing, the team combined magnetic resonance brain imaging  technology to visualize damaged areas and language assessment tasks  testing the participants' ability to comprehend and produce sentences.
"We would give the study participants a brief scenario and ask them  to complete it with what comes naturally," Wilson said. "For example, if  I said to you, ‘A man was walking along the railway tracks. He didn't  hear the train coming. What happened to the man?' Usually, you would  say, ‘He was hit by the train,' or something along those lines."
"But a patient with damage to the upper pathway might say something  like 'train, man, hit.' We found that the lower pathway has a completely  different function, which is in the meaning of single words."
To test for comprehension of the meaning of a sentence, the  researchers presented the patient with a sentence like, "The girl who is  pushing the boy is green," and then ask which of the two pictures  depicted that scenario accurately.
"One picture would show a green girl pushing a boy, and the other  would show a girl pushing a green boy," Wilson said. "The colors will be  the same, the agents will be the same, and the action is the same. The  only difference is, which actor does the color apply to?"
"Those who have only lower pathway damage do really well on this,  which shows that damage to that pathway doesn't interfere with your  ability to use the little function words or the functional endings on  words to figure out the relationships between the words in a sentence."
Wilson said that most previous studies linking neurodegeneration of  specific regions with cognitive deficits have focused on damage to gray  matter, rather than the white matter that connects regions to one  another.
"Our study shows that the deficits in the ability to process  sentences are above and beyond anything that could be explained by gray  matter loss alone," Wilson added. "It is the first study to show that  damage to one major pathway more than the other major pathway is  associated with a specific deficit in one aspect of language."
The study was primarily funded by grants from the National Institutes  of Health and included the following co-authors: Sebastian Galantucci,  Maria Carmela Tartaglia, Kindle Rising, Dianne Patterson (both at the  UA's department of speech, language and hearing sciences), Maya Henry,  Jennifer Ogar, Jessica DeLeon, Bruce Miller and Maria Luisa  Gorno-Tempini.
 
 
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