Trends in Neurosciences
Volume 25, Issue 12, 1 December 2002, Pages 621-625
Journal home page for Trends in Neurosciences

Opinion
The neural basis of functional brain imaging signals

https://doi.org/10.1016/S0166-2236(02)02264-6Get rights and content

Abstract

The haemodynamic responses to neural activity that underlie the blood-oxygen-level-dependent (BOLD) signal used in functional magnetic resonance imaging (fMRI) of the brain are often assumed to be driven by energy use, particularly in presynaptic terminals or glia. However, recent work has suggested that most brain energy is used to power postsynaptic currents and action potentials rather than presynaptic or glial activity and, furthermore, that haemodynamic responses are driven by neurotransmitter-related signalling and not directly by the local energy needs of the brain. A firm understanding of the BOLD response will require investigation to be focussed on the neural signalling mechanisms controlling blood flow rather than on the locus of energy use.

Section snippets

Where is energy used in the brain?

If energy usage did control blood flow, then BOLD signals would reflect the activity of the cellular processes consuming most energy. Brain energy usage has been attributed mainly to activity in presynaptic terminals [15] or to the energy needed to take up the neurotransmitter glutamate and convert it to glutamine in astrocytes [17]. These ideas have been investigated by constructing an energy budget based on the measured properties of individual ion channels and synapses [18]. This analysis

Energy used on action potentials

The 10–47% of signalling energy predicted to be expended on action potentials [18] contrasts with a classic estimate by Creutzfeldt [20]. This estimate was based on heat generation by action potentials in peripheral nerves and suggested that only 0.3–3.0% of energy used in the brain was needed to support action potentials in human and cat cortex. However, Creutzfeldt's calculations employed a value of nerve heat production that was 6.6-fold lower than later measurements [21], he ignored the

Energy use does not directly increase blood flow

The preceding discussion suggests that, in primates, most of the increased energy use generated by neuronal activity is expended on reversing the ion movements that generate excitatory postsynaptic currents, with a smaller fraction being devoted to reversing the ion movements that generate action potentials. Does this energy usage directly control the blood flow to active regions of the brain and, hence, determine the functional imaging signal from those areas? Recent evidence suggests not.

Functional imaging of neuropsychiatric conditions

The findings that amines could be involved in CBF control and that CBF can be dissociated from energy utilization have important implications for the interpretation of functional magnetic resonance imaging (fMRI) data in disease states. Functional imaging is increasingly being used to investigate brain function in conditions with altered amine function, such as schizophrenia, Parkinson's disease, attention-deficit hyperactivity disorder or infusion of drugs affecting amine receptors or

Conclusions

The available evidence indicates that the haemodynamic response to neural activity is not initiated by signals arising from the energy deficit of the tissue but, rather, is driven locally by fast glutamate-mediated signalling processes, and more globally by amine- and ACh-mediated neural systems. Accordingly, the BOLD effect used in functional brain imaging should be interpreted as a reflection of neuronal signalling and not as a locus of increased energy utilization. BOLD signals could, as in

Acknowledgements

We thank Simon Laughlin for extended discussions on these issues, and Tony David and Chris Frith for comments on the manuscript. Supported by the Wellcome Trust and a Wolfson-Royal Society Award (DA) and the NIH (CI).

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