Sophia Erimaki - Academia.edu (original) (raw)

Papers by Sophia Erimaki

Research paper thumbnail of Μελέτη των δραστηριοτήτων κινητικών μονάδων μυών του χεριού με έμφαση στην ανάλυση του συγχρονισμού τους

Research paper thumbnail of Genetic cause of heterogeneous inherited myopathies in a cohort of Greek patients

Molecular Genetics and Metabolism Reports, 2020

Inherited muscle disorders are caused by pathogenic changes in numerous genes. Herein, we aimed t... more Inherited muscle disorders are caused by pathogenic changes in numerous genes. Herein, we aimed to investigate the etiology of muscle disease in 24 consecutive Greek patients with myopathy suspected to be genetic in origin, based on clinical presentation and laboratory and electrophysiological findings and absence of known acquired causes of myopathy. Of these, 16 patients (8 females, median 24 years-old, range 7 to 67 years-old) were diagnosed by Whole Exome Sequencing as suffering from a specific type of inherited muscle disorder. Specifically, we have identified causative variants in 6 limb-girdle muscular dystrophy genes (6 patients; ANO5, CAPN3, DYSF, ISPD, LAMA2, SGCA), 3 metabolic myopathy genes (4 patients; CPT2, ETFDH, GAA), 1 congenital myotonia gene (1 patient; CLCN1), 1 mitochondrial myopathy gene (1 patient; MT-TE) and 3 other myopathyassociated genes (4 patients; CAV3, LMNA, MYOT). In 6 additional family members affected by myopathy, we reached genetic diagnosis following identification of a causative variant in an index patient. In our patients, genetic diagnosis ended a lengthy diagnostic process and, in the case of Multiple acyl-CoA dehydrogenase deficiency and Pompe's disease, it enabled specific treatment to be initiated. These results further expand the genotypic and phenotypic spectrum of inherited myopathies.

Research paper thumbnail of Rhythmical Motor Control Contractions: Neural Mechanism and Relation to During Time-Varying Voluntary Muscle 10 Hz Range - Coherent Motor Unit Rhythms in the 6

Research paper thumbnail of Interaction of Stretch Reflex Loop with Descending B-Oscillations and the Generation of Tremor in Parkinson’s Disease: A Study of Motor Unit Firing Synchrony and Patterns (P5.369)

OBJECTIVE: Though the neural mechanisms underlying rest and postural parkinsonian tremors have be... more OBJECTIVE: Though the neural mechanisms underlying rest and postural parkinsonian tremors have been studied extensively, their understanding remains limited. In this study, we investigated tremor-related motor unit (MU) firing patterns and synchrony, as MU behaviors determine the neurogenic components of limb tremors. Their study may also yield information on the tremor-related synaptic input to motoneurons. BACKGROUND: Previous measurements in parkinsonian patients exerting force with the index finger have shown enhanced MU synchrony and tremor-related spike doublets and triplets [1]. Their incidence directly reflected the difference between the mean MU firing rate and tremor frequency while the mean interspike interval within them was approximately 50ms. A further step was undertaken now by including postural and rest tremor measurements. METHODS: We performed spectral, coherence, cross-correlation and interspike interval analyses on simultaneous records of MU activities and rest ...

Research paper thumbnail of Analyses of motor unit firing patterns and synchrony contribute to our understanding of tremor mechanisms in Parkinson’s disease

Physiology News, 2010

Advancing the science of life Cover image: Austin Court, a canal-side building in Birmingham city... more Advancing the science of life Cover image: Austin Court, a canal-side building in Birmingham city centre.

Research paper thumbnail of Whole exome sequencing establishes diagnosis of Charcot–Marie–Tooth 4J, 1C, and X1 subtypes

Molecular Genetics & Genomic Medicine, 2020

Ioannis Zaganas 1,2 This is an open access article under the terms of the Creative Commons Attrib... more Ioannis Zaganas 1,2 This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Research paper thumbnail of Occurrence of Widespread Motor-Unit Firing Correlations in Muscle Contractions: Their Role in the Generation of Tremor and Time-Varying Voluntary Force

Journal of Neurophysiology, 1999

The firing behavior of motor units (MUs) of the first dorsal interrosseus muscle of the hand was ... more The firing behavior of motor units (MUs) of the first dorsal interrosseus muscle of the hand was examined during both constant-force and varying-force (sinusoidal or broadband random variations) isometric contractions in healthy adults. The emphasis was on the analysis of MU synchrony with an efficient and sensitive method. In static contractions, widespread and strong MU firing correlations, with the MUs in phase, were present at the frequency of muscle tremor, when the tremor was regular (narrowband) and large. MU correlations could also exist in contractions where the tremor of a subject was irregular (broadband) overall, but they were generally weak. These correlations were at the frequency of the subject's regular tremor, and the corresponding distinct tremor component was sometimes discernible within the broad tremor-band. In contrast, the MUs did not show any such correlations in the case of purely irregular and small tremor. On the basis of these observations, it is conc...

Research paper thumbnail of Μελέτη των δραστηριοτήτων κινητικών μονάδων μυών του χεριού με έμφαση στην ανάλυση του συγχρονισμού τους

Research paper thumbnail of EEG Responses to Complex Fractal Stimuli

Research paper thumbnail of Tremor-related motor unit firing in Parkinson's disease: implications for tremor genesis

The Journal of Physiology, 2009

Christakos, Constantinos N. On the detection and measurement (Christakos 1994; also see the appen... more Christakos, Constantinos N. On the detection and measurement (Christakos 1994; also see the appendix in Christakos et al. of synchrony in large neural populations by coherence analysis. 1991). This approach uses as a tool the coherence function

Research paper thumbnail of Small-world networks and disturbed functional connectivity in schizophrenia

Schizophrenia Research, 2006

Disturbances in "functional connectivity" have been proposed as a major pathophysiological mechan... more Disturbances in "functional connectivity" have been proposed as a major pathophysiological mechanism for schizophrenia, and in particular, for cognitive disorganization. Detection and estimation of these disturbances would be of clinical interest. Here we characterize the spatial pattern of functional connectivity by computing the "synchronization likelihood" (SL) of EEG at rest and during performance of a 2Back working memory task using letters of the alphabet presented on a PC screen in subjects with schizophrenia and healthy controls. The spatial patterns of functional connectivity were then characterized with graph theoretical measures to test whether a disruption of an optimal spatial pattern ("small-world") of the functional connectivity network underlies schizophrenia. Twenty stabilized patients with schizophrenia, who were able to work, and 20 healthy controls participated in the study. During the working memory (WM) task healthy subjects exhibited small-world properties (a combination of local clustering and high overall integration of the functional networks) in the alpha, beta and gamma bands. These properties were not present in the schizophrenia group. These findings are in accordance with a partially inadequate organization of neuronal networks in subjects with schizophrenia. This method could be helpful for diagnosis and evaluation of the severity of the disease, as well as understanding the pathophysiologic mechanisms underlying cognitive dysfunction in schizophrenia.

Research paper thumbnail of Using graph theoretical analysis of multi channel EEG to evaluate the neural efficiency hypothesis

Neuroscience Letters, 2006

Previous studies demonstrated that intelligence is significantly related to an impressive array o... more Previous studies demonstrated that intelligence is significantly related to an impressive array of psychological, social, biological and genetic factors and that working memory (WM) can be considered as a general cognitive resource strongly related with a wide variety of higher order cognitive competencies and intelligence. Also, evaluating the WM of subjects might allow one to test the neural efficiency hypothesis (NEH). WM typically involves functional interactions between frontal and parietal cortices. We recorded EEG signals to study neuronal interactions during one WM test in individuals who had few years of formal education (LE) as compared to individuals with university degrees (UE). The two groups of individuals differed in the scores they obtained in psychological tests. To quantify the synchronization between EEG channels in several frequency bands, we evaluated the "synchronization likelihood" (SL), which takes into consideration nonlinear processes as well as linear ones. SL was then converted into graphs to estimate the distance from "small-world network" (SWN) organization, i.e., an optimally organized network that would give rise to the data. In comparison to LE subjects, those with university degrees exhibited less prominent SWN properties in most frequency bands during the WM task. This finding supports the NEH and suggests that the connections between brain areas of well-educated subjects engaged in WM tasks are not as well-organized in the sense of SWN.

Research paper thumbnail of Coherent Motor Unit Rhythms in the 6-10 Hz Range During Time-Varying Voluntary Muscle Contractions: Neural Mechanism and Relation to Rhythmical Motor Control

Journal of Neurophysiology, 2008

In quasi-sinusoidal (0.5–3.0 Hz) voluntary muscle contractions, we studied the 6- to 10-Hz motor ... more In quasi-sinusoidal (0.5–3.0 Hz) voluntary muscle contractions, we studied the 6- to 10-Hz motor unit (MU) firing synchrony and muscle force oscillation with emphasis on their neural substrate and relation to rhythmical motor control. Our analyses were performed on data from 121 contractions of a finger muscle in 24 human subjects. They demonstrate that coherent 6- to 10-Hz components of MU discharges coexist with carrier components and coherent modulation components underlying the voluntary force variations. The 6- to 10-Hz synchrony has the frequency of the tremor synchrony in steady contractions and is also widespread and in-phase. Its strength ranges from very small to very large (MU/MU coherence >0.50) among contractions; moreover, it is not related to the contraction parameters, in accord with the notion of a distinct 6- to 10-Hz synaptic input to the MUs. Unlike the coherent MU modulations and the voluntary force variations, the in-phase 6- to 10-Hz MU components are suppr...

Research paper thumbnail of Neuromuscular mechanisms and neural strategies in the control of time-varying muscle contractions

Journal of Neurophysiology, 2013

The organization of the neural input to motoneurons that underlies time-varying muscle force is a... more The organization of the neural input to motoneurons that underlies time-varying muscle force is assumed to depend on muscle transfer characteristics and neural strategies or control modes utilizing sensory signals. We jointly addressed these interlinked, but previously studied individually and partially, issues for sinusoidal (range 0.5–5.0 Hz) force-tracking contractions of a human finger muscle. Using spectral and correlation analyses of target signal, force signal, and motor unit (MU) discharges, we studied 1) patterns of such discharges, allowing inferences on the motoneuronal input; 2) transformation of MU population activity (EMG) into quasi-sinusoidal force; and 3) relation of force oscillation to target, carrying information on the input's organization. A broad view of force control mechanisms and strategies emerged. Specifically, synchronized MU and EMG modulations, reflecting a frequency-modulated motoneuronal input, accompanied the force variations. Gain and delay dro...

Research paper thumbnail of Parallel Neuronal Mechanisms Underlying Physiological Force Tremor in Steady Muscle Contractions of Humans

Journal of Neurophysiology, 2005

We present results from a study of the 6-to 12-Hz force tremor in relation to motor unit (MU) fir... more We present results from a study of the 6-to 12-Hz force tremor in relation to motor unit (MU) firing synchrony. Our experimental observations from 32 subjects, 321 contractions, and 427 recorded MUs reveal that tremor is accompanied by corresponding, in-phase MU rhythms that are additional to the ones at the MU intrinsic firing rates. This rhythmical synchrony is widespread and has a uniform strength that ranges from near zero to very large (MU/MU coherence Ͼ 0.50) in different contractions. Both the synchrony and the tremor are suppressed during ischemia, and this strongly suggests an involvement of spindle feedback in their generation. Furthermore, in the presence of substantial synchrony, the tremor enhancement, relative to the minimal tremor of ischemia, reflects the strength of the synchrony. Theoretical considerations based on these observations indicate that the muscle force signal is expected to show 1) frequency components in the band of the firing rates of the last-recruited, large MUs, and 2) because of the synchronized MU rhythms, an additional, distinct component with a size reflecting the strength of synchrony. Furthermore, synchronized MU rhythms, with frequencies in the 6-to 12-Hz range, are expected to arise from self-oscillations in the monosynaptic stretch reflex loop, due primarily to the associated muscle delay (several tens of milliseconds). Our results therefore reveal the parallel action of two tremor mechanisms, one of which involves MU synchrony probably caused by loop action. Clearly, the results on the synchrony and its impact also apply to other possible generators of tremor synchrony, including supraspinal ones.

Research paper thumbnail of Μελέτη των δραστηριοτήτων κινητικών μονάδων μυών του χεριού με έμφαση στην ανάλυση του συγχρονισμού τους

Research paper thumbnail of Genetic cause of heterogeneous inherited myopathies in a cohort of Greek patients

Molecular Genetics and Metabolism Reports, 2020

Inherited muscle disorders are caused by pathogenic changes in numerous genes. Herein, we aimed t... more Inherited muscle disorders are caused by pathogenic changes in numerous genes. Herein, we aimed to investigate the etiology of muscle disease in 24 consecutive Greek patients with myopathy suspected to be genetic in origin, based on clinical presentation and laboratory and electrophysiological findings and absence of known acquired causes of myopathy. Of these, 16 patients (8 females, median 24 years-old, range 7 to 67 years-old) were diagnosed by Whole Exome Sequencing as suffering from a specific type of inherited muscle disorder. Specifically, we have identified causative variants in 6 limb-girdle muscular dystrophy genes (6 patients; ANO5, CAPN3, DYSF, ISPD, LAMA2, SGCA), 3 metabolic myopathy genes (4 patients; CPT2, ETFDH, GAA), 1 congenital myotonia gene (1 patient; CLCN1), 1 mitochondrial myopathy gene (1 patient; MT-TE) and 3 other myopathyassociated genes (4 patients; CAV3, LMNA, MYOT). In 6 additional family members affected by myopathy, we reached genetic diagnosis following identification of a causative variant in an index patient. In our patients, genetic diagnosis ended a lengthy diagnostic process and, in the case of Multiple acyl-CoA dehydrogenase deficiency and Pompe's disease, it enabled specific treatment to be initiated. These results further expand the genotypic and phenotypic spectrum of inherited myopathies.

Research paper thumbnail of Rhythmical Motor Control Contractions: Neural Mechanism and Relation to During Time-Varying Voluntary Muscle 10 Hz Range - Coherent Motor Unit Rhythms in the 6

Research paper thumbnail of Interaction of Stretch Reflex Loop with Descending B-Oscillations and the Generation of Tremor in Parkinson’s Disease: A Study of Motor Unit Firing Synchrony and Patterns (P5.369)

OBJECTIVE: Though the neural mechanisms underlying rest and postural parkinsonian tremors have be... more OBJECTIVE: Though the neural mechanisms underlying rest and postural parkinsonian tremors have been studied extensively, their understanding remains limited. In this study, we investigated tremor-related motor unit (MU) firing patterns and synchrony, as MU behaviors determine the neurogenic components of limb tremors. Their study may also yield information on the tremor-related synaptic input to motoneurons. BACKGROUND: Previous measurements in parkinsonian patients exerting force with the index finger have shown enhanced MU synchrony and tremor-related spike doublets and triplets [1]. Their incidence directly reflected the difference between the mean MU firing rate and tremor frequency while the mean interspike interval within them was approximately 50ms. A further step was undertaken now by including postural and rest tremor measurements. METHODS: We performed spectral, coherence, cross-correlation and interspike interval analyses on simultaneous records of MU activities and rest ...

Research paper thumbnail of Analyses of motor unit firing patterns and synchrony contribute to our understanding of tremor mechanisms in Parkinson’s disease

Physiology News, 2010

Advancing the science of life Cover image: Austin Court, a canal-side building in Birmingham city... more Advancing the science of life Cover image: Austin Court, a canal-side building in Birmingham city centre.

Research paper thumbnail of Whole exome sequencing establishes diagnosis of Charcot–Marie–Tooth 4J, 1C, and X1 subtypes

Molecular Genetics & Genomic Medicine, 2020

Ioannis Zaganas 1,2 This is an open access article under the terms of the Creative Commons Attrib... more Ioannis Zaganas 1,2 This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Research paper thumbnail of Occurrence of Widespread Motor-Unit Firing Correlations in Muscle Contractions: Their Role in the Generation of Tremor and Time-Varying Voluntary Force

Journal of Neurophysiology, 1999

The firing behavior of motor units (MUs) of the first dorsal interrosseus muscle of the hand was ... more The firing behavior of motor units (MUs) of the first dorsal interrosseus muscle of the hand was examined during both constant-force and varying-force (sinusoidal or broadband random variations) isometric contractions in healthy adults. The emphasis was on the analysis of MU synchrony with an efficient and sensitive method. In static contractions, widespread and strong MU firing correlations, with the MUs in phase, were present at the frequency of muscle tremor, when the tremor was regular (narrowband) and large. MU correlations could also exist in contractions where the tremor of a subject was irregular (broadband) overall, but they were generally weak. These correlations were at the frequency of the subject's regular tremor, and the corresponding distinct tremor component was sometimes discernible within the broad tremor-band. In contrast, the MUs did not show any such correlations in the case of purely irregular and small tremor. On the basis of these observations, it is conc...

Research paper thumbnail of Μελέτη των δραστηριοτήτων κινητικών μονάδων μυών του χεριού με έμφαση στην ανάλυση του συγχρονισμού τους

Research paper thumbnail of EEG Responses to Complex Fractal Stimuli

Research paper thumbnail of Tremor-related motor unit firing in Parkinson's disease: implications for tremor genesis

The Journal of Physiology, 2009

Christakos, Constantinos N. On the detection and measurement (Christakos 1994; also see the appen... more Christakos, Constantinos N. On the detection and measurement (Christakos 1994; also see the appendix in Christakos et al. of synchrony in large neural populations by coherence analysis. 1991). This approach uses as a tool the coherence function

Research paper thumbnail of Small-world networks and disturbed functional connectivity in schizophrenia

Schizophrenia Research, 2006

Disturbances in "functional connectivity" have been proposed as a major pathophysiological mechan... more Disturbances in "functional connectivity" have been proposed as a major pathophysiological mechanism for schizophrenia, and in particular, for cognitive disorganization. Detection and estimation of these disturbances would be of clinical interest. Here we characterize the spatial pattern of functional connectivity by computing the "synchronization likelihood" (SL) of EEG at rest and during performance of a 2Back working memory task using letters of the alphabet presented on a PC screen in subjects with schizophrenia and healthy controls. The spatial patterns of functional connectivity were then characterized with graph theoretical measures to test whether a disruption of an optimal spatial pattern ("small-world") of the functional connectivity network underlies schizophrenia. Twenty stabilized patients with schizophrenia, who were able to work, and 20 healthy controls participated in the study. During the working memory (WM) task healthy subjects exhibited small-world properties (a combination of local clustering and high overall integration of the functional networks) in the alpha, beta and gamma bands. These properties were not present in the schizophrenia group. These findings are in accordance with a partially inadequate organization of neuronal networks in subjects with schizophrenia. This method could be helpful for diagnosis and evaluation of the severity of the disease, as well as understanding the pathophysiologic mechanisms underlying cognitive dysfunction in schizophrenia.

Research paper thumbnail of Using graph theoretical analysis of multi channel EEG to evaluate the neural efficiency hypothesis

Neuroscience Letters, 2006

Previous studies demonstrated that intelligence is significantly related to an impressive array o... more Previous studies demonstrated that intelligence is significantly related to an impressive array of psychological, social, biological and genetic factors and that working memory (WM) can be considered as a general cognitive resource strongly related with a wide variety of higher order cognitive competencies and intelligence. Also, evaluating the WM of subjects might allow one to test the neural efficiency hypothesis (NEH). WM typically involves functional interactions between frontal and parietal cortices. We recorded EEG signals to study neuronal interactions during one WM test in individuals who had few years of formal education (LE) as compared to individuals with university degrees (UE). The two groups of individuals differed in the scores they obtained in psychological tests. To quantify the synchronization between EEG channels in several frequency bands, we evaluated the "synchronization likelihood" (SL), which takes into consideration nonlinear processes as well as linear ones. SL was then converted into graphs to estimate the distance from "small-world network" (SWN) organization, i.e., an optimally organized network that would give rise to the data. In comparison to LE subjects, those with university degrees exhibited less prominent SWN properties in most frequency bands during the WM task. This finding supports the NEH and suggests that the connections between brain areas of well-educated subjects engaged in WM tasks are not as well-organized in the sense of SWN.

Research paper thumbnail of Coherent Motor Unit Rhythms in the 6-10 Hz Range During Time-Varying Voluntary Muscle Contractions: Neural Mechanism and Relation to Rhythmical Motor Control

Journal of Neurophysiology, 2008

In quasi-sinusoidal (0.5–3.0 Hz) voluntary muscle contractions, we studied the 6- to 10-Hz motor ... more In quasi-sinusoidal (0.5–3.0 Hz) voluntary muscle contractions, we studied the 6- to 10-Hz motor unit (MU) firing synchrony and muscle force oscillation with emphasis on their neural substrate and relation to rhythmical motor control. Our analyses were performed on data from 121 contractions of a finger muscle in 24 human subjects. They demonstrate that coherent 6- to 10-Hz components of MU discharges coexist with carrier components and coherent modulation components underlying the voluntary force variations. The 6- to 10-Hz synchrony has the frequency of the tremor synchrony in steady contractions and is also widespread and in-phase. Its strength ranges from very small to very large (MU/MU coherence >0.50) among contractions; moreover, it is not related to the contraction parameters, in accord with the notion of a distinct 6- to 10-Hz synaptic input to the MUs. Unlike the coherent MU modulations and the voluntary force variations, the in-phase 6- to 10-Hz MU components are suppr...

Research paper thumbnail of Neuromuscular mechanisms and neural strategies in the control of time-varying muscle contractions

Journal of Neurophysiology, 2013

The organization of the neural input to motoneurons that underlies time-varying muscle force is a... more The organization of the neural input to motoneurons that underlies time-varying muscle force is assumed to depend on muscle transfer characteristics and neural strategies or control modes utilizing sensory signals. We jointly addressed these interlinked, but previously studied individually and partially, issues for sinusoidal (range 0.5–5.0 Hz) force-tracking contractions of a human finger muscle. Using spectral and correlation analyses of target signal, force signal, and motor unit (MU) discharges, we studied 1) patterns of such discharges, allowing inferences on the motoneuronal input; 2) transformation of MU population activity (EMG) into quasi-sinusoidal force; and 3) relation of force oscillation to target, carrying information on the input's organization. A broad view of force control mechanisms and strategies emerged. Specifically, synchronized MU and EMG modulations, reflecting a frequency-modulated motoneuronal input, accompanied the force variations. Gain and delay dro...

Research paper thumbnail of Parallel Neuronal Mechanisms Underlying Physiological Force Tremor in Steady Muscle Contractions of Humans

Journal of Neurophysiology, 2005

We present results from a study of the 6-to 12-Hz force tremor in relation to motor unit (MU) fir... more We present results from a study of the 6-to 12-Hz force tremor in relation to motor unit (MU) firing synchrony. Our experimental observations from 32 subjects, 321 contractions, and 427 recorded MUs reveal that tremor is accompanied by corresponding, in-phase MU rhythms that are additional to the ones at the MU intrinsic firing rates. This rhythmical synchrony is widespread and has a uniform strength that ranges from near zero to very large (MU/MU coherence Ͼ 0.50) in different contractions. Both the synchrony and the tremor are suppressed during ischemia, and this strongly suggests an involvement of spindle feedback in their generation. Furthermore, in the presence of substantial synchrony, the tremor enhancement, relative to the minimal tremor of ischemia, reflects the strength of the synchrony. Theoretical considerations based on these observations indicate that the muscle force signal is expected to show 1) frequency components in the band of the firing rates of the last-recruited, large MUs, and 2) because of the synchronized MU rhythms, an additional, distinct component with a size reflecting the strength of synchrony. Furthermore, synchronized MU rhythms, with frequencies in the 6-to 12-Hz range, are expected to arise from self-oscillations in the monosynaptic stretch reflex loop, due primarily to the associated muscle delay (several tens of milliseconds). Our results therefore reveal the parallel action of two tremor mechanisms, one of which involves MU synchrony probably caused by loop action. Clearly, the results on the synchrony and its impact also apply to other possible generators of tremor synchrony, including supraspinal ones.