Multimodal connectivity of the human basal forebrain
Abstract
The cholinergic innervation of the cortex originates from neurons in the basal forebrain (BF) and plays a crucial role in cognitive processing. However, it is unclear how the organization of BF cholinergic neurons in the human brain is related to their functional and structural integration with the cortex. To address this, we have used high-resolution 7 Tesla diffusion and resting-state functional MRI to examine multimodal forebrain cholinergic connectivity with the neocortex in humans. Discrete parcellation analyses revealed that structural and functional parcellation broadly differentiated the anteromedial from posterolateral nuclei of BF. Next, we used gradient estimation to capture more fine-grained connectivity profile of the BF-cortical projectome and found moving from anteromedial to posterolateral BF, structural and functional gradients became progressively detethered, with the most pronounced dissimilarity localized in the nucleus basalis of Meynert (NbM). Additionally, functional but not structural connectivity with the BF grew stronger at shorter geodesic distances, with weakly myelinated transmodal cortical areas most strongly expressing this divergence. Moreover, [18F] FEOBV PET imaging was used to demonstrate that these transmodal cortical areas are also among the most densely innervated regions. This intrinsic BF cholinergic connectivity map of cortex was compared with meta-analytic connectivity map of cholinergic modulation on attention, demonstrating that patterns of brain activity evoked by directed attention are altered by pharmacological activation of acetylcholine (ACh) compared to placebo and these patterns spatially overlap with the intrinsic BF cholinergic connectivity map. Altogether, our findings provide new insights into how cholinergic signaling is organized in the human brain.