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Developmental Dyslexia and Animal Studies: at The Interface Between Cognition and Neurology
Developmental Dyslexia and Animal Studies: at The Interface Between Cognition and Neurology
Albert M. Galaburda
Departmerltof Neurology. Beth Israel Hospital and Harvard Medical School, Boston, MA 02215. USA
Abstract
The author thanks Dr. Lisa Schrott, presently at the Department of Psychiatry, University of
Colorado Health Sciences Center, for help in the preparation of the report on behavioral studies in
immunedefective mice. The author thanks his colleagues Drs. Gordon F. Sherman and Glenn D.
Rosen for their collaboration. The preparation of this review was supported by grant 2POl HD20806
from NIHINICHD.
SSDI OOlO-0277(93)00607-9
I. Introduction
An important aim of behavioral neurology in the clinics and its sister specialty
concerned with normal biology, cognitive neuroscience, is the mapping of
behavior onto neurophysiology and brain structure. Where it concerns complex
behaviors such as the elements of language, high-level vision, biographical
memory. consciousness and attention, and the clinical syndromes in which these
functions fail, progress has been slow. This is in part the result of the fact that to a
large extent animal models have not been possible for capturing behaviors
thought to be either purely human, or considered to have achieved qualitative or
quantitative uniqueness (or both) only in human beings. Developmental disorders
offer a partial advantage in this regard in that they concern the early acquisition
of cognitive capacities, whereby relatively simpler biological and environmental
factors may prove to be more important. Thus, for instance, sensory and
perceptual deficits are more likely to play a role in language acquisition than they
do after language has been implemented in the brain, and it is relatively easier to
model sensory and perceptual abnormalities in animal models than it is to model
cognitive processes like language. Our recent work is being driven by the
hypothesis that the condition known as developmental dyslexia, also known as
specific reading disability, originates as a disorder of perception affecting the
brain at a vulnerable time (before the age of 1 year) when phonological structures
relating to the native language are being organized in the developing brain. In this
review, I will outline some of the findings in the brains of dyslexics and in suitable
animal models. which have led to this hypothesis.
Dyslexia remains a diagnosis that is made on educational grounds, that is,
based on detection in the schools and on results of psychoeducational test
batteries. Some specific cognitive anomalies are thought to be present in nearly all
dyslexics, for example phonological deficits (Fischer, Liberman, & Shankweiler,
1978; Morais, Luytens, & Alegria, 1984), but it is likely that many with similar
deficits are not dyslexic and some dyslexics do not exhibit phonological deficits
(see recent discussions in Cognition, Volume 48, Number 3, September 1993).
Thus, there is no absolute cognitive marker, as yet, for the diagnosis of dyslexia.
This should not be surprising in a skill for which many areas of mental capacity on
the one hand and cultural influences on the other play such an important role.
In terms of brain loci and etiology, the diagnosis of dyslexia probably
encompasses several biological subtypes, as yet unidentified. Although it is
theoretically possible to learn to be dyslexic, in which case the brain would be
found to be normal, brains of individuals with this diagnosis, which have come to
post-mortem examination, have exhibited fairly uniform neuropathological find-
ings (see below). Autopsy studies have not disclosed differences between dyslexics
of the visual and auditory types, either reflecting the fact that available methods
are not capable of showing such differences or the fact that phonological cases,
A.M. Galaburda I Cognition 50 (1994) 133-149 135
being more common, have constituted the bulk of the anatomical studies.
Findings so far, however, indicate that the brain is affected widely, including
much of the perisylvian cortex containing both auditory and visual areas
(Humphreys , Kaufmann , & Galaburda, 1990), as well as subcortical regions
closer to the input (Galaburda & Livingstone, 1993; Livingstone, Rosen,
Drislane, & Galaburda, 1991).
The areas of anatomical abnormality are likely to interact with each other
during development so that it is not possible to state with confidence at present
whether the cortical changes are primary, causing developmental changes both
upstream and downstream in the interconnected neural networks, or are in
themselves secondary to changes occurring upstream or downstream first.
Another possibility, more difficult to justify on the basis of available information,
is that of injury to multiple stages of processing at the same developmental time.
Our present research is directed in part toward answering the question of whether
subcortical damage, or damage at early stages of processing, is the first step,
which would support the hypothesis that cognitive deficits are secondary to early
perceptual deficits.
2. Neuroanatomical characteristics
3. Neurophysiological studies
Altered brain potentials have been described in dyslexics. One recent study
(Landwchrmeyer. Gerling, & Wallesch. 1990) looked at auditory potentials
evoked by a variety of linguistic and non-linguistic stimuli in dyslexics and
non-dyslexics. Both groups showed increased right hemisphere surface negativity
in a non-linguistic stimulus. Unlike normal readers, however. dyslexics failed to
show increased left hemisphere negativity to linguistic stimuli, but instead showed
increased right hemisphere negativity. thus suggesting that linguistic stimuli are
treated in part as non-linguistic stimuli by this group. Another study (Chayo-
Dichy, Ostrosky-Solis. Meneses. Harmony, & Guevara, 1990) looked at contin-
gent negative variation (CNV), or expectancy wave. The resolution of this wave
is called the postimperative negative variation (PINV). Both amplitude and
latency differences at a left parietal site were documented in the PINV and
amplitude differences in the CNV in a sample of nine right-handed preadolescent
boys, as compared to matched controls. This suggested to the authors that
significant differences existed in expectancy, attention and brain activity signal
processing. A third study (Stelmack & Miles. lY90) found that disabled readers
seemed to have a failure to engage long-term semantic memory, as demonstrated
by their N400 responses to visually presented primed and unprimed words. These
are the waves occurring at 400 ms from the stimulus onset and presumably reflect
activity in cognitively related cortex. These results, combined, indicate that
physiological differences exist between dyslexic and normal readers in cognitive
processing, particularly affecting linguistic categories. What is less well recognized
A.M. Galaburda I Cognition M (1584) 1.13-149 139
As indicated above, NZB and BXSB mice are being used as an animal model
of cortical malformations associated with the human dyslexic condition (Denen-
berg, Mobraaten et al., 1991; Denenberg, et al., 1992; Denenberg, Sherman,
Schrott, Rosen, & Galaburda, 1991; Sherman et al., 1987). Because dyslexia is a
specific learning disorder and may be accompanied by enhancement of certain
abilities (Geschwind & Galaburda, 1985a, 1985b, 1985c), the use of a behavioral
battery is crucial. The battery of behavioral tasks that we have administered
includes four measures of learning (discrimination, spatial, complex maze and
avoidance learning), as well as tests of lateralization and activity. A priori any
behavioral abnormalities demonstrated in the immune-defective mice could be
attributed either to the presence of cortical malformations, the existence of
abnormalities in immune function making the animal sick, or to a combination of
both. We have been able to separate the behavioral deficits into two types:
ectopia-associated behaviors; and autoimmune-related behavior.
In working with inbred strains, one of the most difficult problems encountered
is the choice of an appropriate control group. Comparing across inbred strains is
risky, since behaviors are known to be influenced by the vastly different genetics
of each strain. Therefore, within-strain comparisons were used to examine the
behavior of NZB and BXSB mice. In the investigation of ectopia-associated
behaviors, this was easily accomplished since 40-50% of NZB and BXSB mice
A.M. Galaburda I Cognition 50 (1994) 133-149 141
mice of either strain (Denenberg, Talgo, Carroll, Freter, & Deni, 1991). Again
this is interesting in the light of claims that dyslexics are more likely than
non-dyslexics to be left-handed (Geschwind & Behan, 1982), thus suggesting that
ectopias could have more or less severe functional consequences according to
laterality.
The behavioral consequences of ectopia presence are task-specific. No main
ectopia effects are seen for measures of lateralization, activity, the Lashley maze
or avoidance conditioning. Ectopic mice are capable of learning, but often at a
slower rate or with poorer scores. In addition, ectopias interact with other
variables, such as paw preference and environmental enrichment. Across numer-
ous studies it has been found that the presence of an ectopia, rather than its
architectonic location, hemisphere or size, is the crucial characteristic for these
associations. Most likely this is because the damage from an ectopia is more
widespread than the focal lesion itself. The disruption of underlying fiber
architecture, alterations in neuronal circuitry and neurotransmitter abnormalities
that accompany an ectopia reflect a brain that has developed abnormally
(Sherman, Morrison, Rosen, Behan, & Galaburda, 1990; Sherman, Rosen,
Stone, Press, & Galaburda, 1992; Sherman, Stone, Press, Rosen, & Galaburda,
1990; Sherman, Stone, Rosen, & Galaburda, 1990). Whether the learning deficits
are a direct consequence of the ectopia or whether an ectopia is a marker for
aberrant development in general, with concomitant learning deficits, is not known
at present.
One behavior that does not fit into either of these categories is the Lashley
maze - a complex maze which can be solved using spatial and/or associative
learning strategies. BXSB mice have excellent performance on this task, while
NZB have great difficulty learning it, even when given additional trials and cues
(Schrott, Denenberg, Sherman, Rosen, 81 Galaburda, 1992). NZB mice are
known to have abnormalities of the hippocampus, including the formation of
ectopias and a small infrapyramidal mossy fiber tract system (Anstatt, 1988; Fink,
Zilles, & Schleicher, 1991; Nowakowski, 1988). These abnormalities are not seen
in BXSB mice (Sherman et al., unpublished data) and may account for the poor
performance of NZBs in the Lashley maze. In addition, NZB mice have a low
incidence of callosal agenesis (approximately 7%). Certain recombinant inbred
lines with NZB as one of the progenitors develop a higher incidence of callosal
agenesis, and this abnormality affects spatial learning (Schrott, personal com-
munication).
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146 A.M. Galaburda I Cognition .50 (19944) 133-149
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