Association between Inhibitory–Excitatory Balance and Brain Activity Response during Cognitive Flexibility in Young and Older Individuals
- Geraldine Rodríguez-Nieto1,2,
- David F. Alvarez-Anacona3,
- Dante Mantini1,2,
- Richard A. E. Edden4,
- Georg Oeltzschner4,
- Stefan Sunaert5, and
- Stephan P. Swinnen1,2
- 1Movement Control and Neuroplasticity Research Group, Biomedical Sciences, KU Leuven, Leuven 3001, Belgium
- 2Leuven Brain Institute, KU Leuven, Leuven 3000, Belgium
- 3Facultad de Medicina, Universidad Nacional de Colombia, Bogotá 111321, Colombia
- 4Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287
- 5Department of Imaging and Pathology, Biomedical Sciences, KU Leuven, Leuven 3000, Belgium
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Author contributions: G.R.-N., D.M., R.A.E.E., G.O., S.S., and S.P.S. designed research; G.R-N. performed research; G.R-N. and D.F.A.-A. analyzed data; G.R-N. and S.S. wrote the paper.
Abstract
Cognitive flexibility represents the capacity to switch among different mental schemes, providing an adaptive advantage to a changing environment. The neural underpinnings of this executive function have been deeply studied in humans through fMRI, showing that the left inferior frontal cortex (IFC) and the left inferior parietal lobule (IPL) are crucial. Here, we investigated the inhibitory–excitatory balance in these regions by means of γ-aminobutyric acid (GABA+) and glutamate + glutamine (Glx), measured with magnetic resonance spectroscopy, during a cognitive flexibility task and its relationship with the performance level and the local task-induced blood oxygenation level-dependent (BOLD) response in 40 young (18–35 years; 26 female) and 40 older (18–35 years; 21 female) human adults. As the IFC and the IPL are richly connected regions, we also examined whole-brain effects associated with their local metabolic activity. Results did not show absolute metabolic modulations associated with flexibility performance, but the performance level was related to the direction of metabolic modulation in the IPL with opposite patterns in young and older individuals. The individual inhibitory–excitatory balance modulation showed an inverse relationship with the local BOLD response in the IPL. Finally, the modulation of inhibitory–excitatory balance in IPL was related to whole-brain effects only in older individuals. These findings show disparities in the metabolic mechanisms underlying cognitive flexibility in young and older adults and their association with the performance level and BOLD response. Such metabolic differences are likely to play a role in executive functioning during aging and specifically in cognitive flexibility.
- Received February 16, 2024.
- Revision received June 21, 2024.
- Accepted July 5, 2024.
- Copyright © 2024 the authors





