dummy/eLife/test.json

{"id": "elife-37443-v3", "year": "2018", "title": "Cerebellar implementation of movement sequences through feedback", "sections": [["Most movements are comprised of sequences .", "From the complex routines that gymnasts perform to intricate dance numbers to simply reaching for an object , our movements are comprised of sequences of movements that are learned through practice .", "The cerebellum has been long implicated in learning and execution of accurate movements ( Doyon et al . , 1997; Shin and Ivry , 2003; Leh\u00e9ricy et al . , 2005; Krupa et al . , 1993; Lisberger , 1994; Diener and Dichgans , 1992 ) .", "Movement sequences as well as multi-joint movements are particularly sensitive to cerebellar dysfunction ( Shin and Ivry , 2003; Diener and Dichgans , 1992; Doyon et al . , 2002 ) .", "For example , one of the hallmark deficits of cerebellar pathology is dysdiadochokinesia ( Diener and Dichgans , 1992 ) \u2013 an inability to perform a rapid alternating sequence of movements .", "Patients with cerebellar lesions display severe deficits ( Doyon et al . , 1997 ) in sequence learning or are unable to learn sequences at all ( Shin and Ivry , 2003 ) , even with modest impairments in learning of single-component , directly cued movements ( Spencer and Ivry , 2009 ) .", "Studies of sequence learning in nonhuman primates ( Desmurget and Turner , 2010; R\u00fcnger et al . , 2013 ) demonstrated that with repeated training components of movement in the sequence start to be initiated predictively , before the arrival of sensory cue .", "Since one of the fundamental properties of cerebellar learning is the ability to learn a predictive response ( Marr , 1969; Bastian , 2006; Shadmehr et al . , 2010; Therrien and Bastian , 2015 ) , these results also indirectly imply a strong cerebellar contribution to sequence learning .", "Although results of these studies suggest cerebellar involvement in the learning and execution of movement sequences , most of what we know about cerebellar mechanisms of learning comes from studies utilizing single-component movements .", "These include adaptation of the vestibule-ocular reflex , adaptation of saccadic and smooth pursuit eye movements and conditioning of eyelid responses .", "In principle , the cerebellar mechanisms underlying movement sequences could be different from , or at least somewhat different from those mediating single-component movements .", "If so , these mechanisms are largely unknown .", "In contrast , we tested the hypothesis that a simple elaboration of cerebellar mechanisms that mediate learning single-component movements is sufficient to explain cerebellar learning and implementation of movement sequences .", "Three possible ( but not mutually exclusive ) ways of implementing cerebellar learning of movement sequences are illustrated in Figure 1 .", "With the first possibility a specific external cue is associated with a specific movement component in the sequence ( Figure 1A ) .", "The second option is a variant of the first one .", "Here only single external cue is present , but it persists in time through the whole sequence , so that different movement components are elicited by signals associated with different times during the cue ( Figure 1B ) .", "Finally , Figure 1C illustrates a possibility where feedback signals from one movement component are used to learn the next component .", "The design of most experiments does not permit distinguishing between these possibilities .", "For example , a number of studies ( Choi and Moore , 2003; Moore and Choi , 1997; Freeman et al . , 2003; Halverson et al . , 2015; Jirenhed et al . , 2017 ) used eyelid conditioning to train subjects to respond with a sequence of two eyelid responses .", "In these experiments , however , the external cue either explicitly extended through the whole sequence , or involved an auditory signal that can elicit persistent activity in working-memory areas such as mPFC ( Siegel et al . , 2012 ) , precluding the possibility of determining which type of sequence learning applies ( Figure 1B and Figure 1C are both possible ) .", "We utilized the practical and conceptual advantages of eyelid conditioning to test explicitly the sufficiency of feedback signal ( s ) ( FS ) for sequence learning ( Figure 1C ) .", "We demonstrate directly that the cerebellum can learn to chain together a sequence of inter-connected movement components by using FS from one component to serve as a cue for the next component in the sequence ( Figure 1C ) .", "In a standard eyelid conditioning experiment , activation of mossy fiber inputs by a sensory stimulus is the cue the cerebellum uses to learn a predictive conditioned eyelid response ( CR ) ( Figure 1C , first movement ) .", "A sensory stimulus can be replaced by direct electrical stimulation of mossy fibers , which is an equally effective cue to support learning ( Steinmetz et al . , 1985 ) , but has the advantage of restricting inputs only to the cerebellum .", "We employed electrical stimulation of mossy fibers as a cue to learn a single-component response .", "We then arranged the timing of stimuli in subsequent training so that the second component in the sequence could not be supported by the mossy fiber stimulation eliciting the first component and thus , only option shown in Figure 1C would be possible .", "We demonstrate robust learning of later components , including sequences of movements produced by the same muscle and sequences with different muscle groups used for the different components .", "A variety of control experiments showed how the presence and timing of the later components of responses were coupled to the first component and not to the mossy fiber stimulation cue that initiated the first component .", "In vivo recordings from cerebellar cortex showed that Purkinje cell activity relates as strongly to the latter components of sequences as it has been shown to relate to single-component eyelid responses .", "Together , these results show how the well-characterized cerebellar mechanisms of learning single movement components can be extended to learning of movement sequences and provide a general framework for how the cerebellum can use feedback signals to learn to chain together appropriately timed responses to produce a movement sequence ."], ["To test the hypothesis that the cerebellum can use feedback signals from a movement as the cue for the next movement in a sequence , we started by training rabbits using electrical stimulation of mossy fibers as a cue ( to which we refer as the conditioned stimulus or CS ) .", "All subjects ( New Zealand albino rabbits ) were initially trained by pairing a mossy fiber stimulation CS with a reinforcing unconditioned stimulus ( US , electrical stimulation of the skin near the eye ) .", "The inter-stimulus interval ( ISI ) between CS onset and US onset was 500 ms . As has been previously demonstrated , this training yields robust and well-timed conditioned eyelid responses in response to the mossy fiber CS ( Steinmetz et al . , 1985; Kalmbach et al . , 2011 ) .", "Example conditioned eyelid responses are shown in Figure 2A .", "Use of mossy fiber stimulation as the CS ensured that the CS was restricted to the cerebellum and did not propagate to areas that could provide a delayed secondary input to the cerebellum ( Siegel and Mauk , 2013; Halverson et al . , 2010 ) , which can be the case for auditory stimuli commonly used in eyelid conditioning .", "Moreover , the control over CS duration allowed control over the time gap between CS offset and the US .", "Once subjects reached robust responding to the mossy fiber CS training was switched to protocols teaching a sequence of CRs .", "The design of an ipsilateral sequence training protocol is illustrated in Figure 2B .", "Training trials involved presentation of the same mossy fiber stimulation CS ( 500 ms long ) used during initial training , but now , depending on the amplitude of the CR , the US was presented at one of two different times .", "If the CR amplitude was below the target amplitude ( 3 mm , half of full closure ) the US was presented as normal at CS offset ( designated US1 ) .", "When the CR amplitude was at or above the target value at the scheduled US1 time , the US was instead presented 600 ms after CS offset ( designated as US2 ) .", "The purpose of the US1 trials was to ensure continued robust responding to the mossy fiber CS , whereas the purpose of the US2 trials was to train a second component of the movement .", "With this procedure we could then test whether the expression of the first CR could serve as a signal for the cerebellum to learn the second CR .", "A 600 ms gap between the offset of the mossy fiber stimulation CS and the presentation of US2 was used based on previous findings that a temporal gap larger than 400 ms between the offset of a mossy fiber stimulation CS and the onset of a US does not support cerebellar learning of eyelid CRs ( Kalmbach et al . , 2010a ) .", "Given these factors , the ability to learn a second CR elicited near the time of US2 would suggest that the feedback information about the first CR is sufficient for the cerebellum to use as a new \u2018CS\u2019 to learn the subsequent CR .", "All subjects ( N\u00a0=\u00a08 ) successfully acquired a sequence of ipsilateral CRs ( Figure 2C\u2013F ) with the timing of the second peak appropriate for the time at which US2 was presented ( Figure 2\u2014figure supplement 1A ) .", "The probability of the second CR , defined as the fraction of trials with first CR where second CR was present too , and second CR amplitude grew monotonically over several sessions of training ( Figure 2C and D respectively , blue lines , one-way ANOVA , F ( 9 , 63 ) = 6 . 44 , p<10\u22126; F ( 9 , 63 ) = 7 . 16 , p<10\u22127 for second CR probability and amplitude respectively ) , and eventually reached asymptotic value , paralleling typical acquisition curves in eyelid conditioning .", "Cerebellar learning is associative .", "As a consequence , presentation of trials with omitted US diminishes CRs in a process called extinction .", "As a test of whether the second CRs are associatively learned , we tested whether they can be selectively extinguished like normal CRs .", "Over three extinction sessions ( Figure 2C , D , G , H ) , the US1 was still presented according to the rule described above , but US2 was omitted .", "If second CRs are learned associatively , the absence of reinforcing US2 should lead to their gradual extinction .", "As expected , the probability and amplitude of the second CRs ( blue lines ) monotonically decreased ( One-way ANOVA , F ( 23 , 120 ) = 4 . 96 , p<10\u22129; F ( 23 , 120 ) = 4 . 92 , p<10\u22129 for second CR probability and amplitude respectively ) during extinction sessions , without any effect on the probability and amplitude of the first CRs ( black lines ) ( One-way ANOVA , F ( 23 , 120 ) = 1 . 45 , p=0 . 10 , F ( 23 , 120 ) = 1 . 35 , p=0 . 15 for first CR probability and amplitude ) .", "Similar to extinction in conventional eyelid conditioning protocols , spontaneous recovery ( Weidemann and Kehoe , 2004; Thanellou and Green , 2011; Ohyama et al . , 2010 ) of the second CRs was present at the beginning of the second and third extinction sessions ( paired Wilcoxon signed rank test , p=0 . 023 for second CR probability , p=0 . 032 for second CR amplitude ) .", "Since the number of trials with first CR amplitude larger than the 3 mm target was variable between sessions and animals , the same data plotted as a function of total trial number is shown in Figure 2\u2014figure supplement 1C , D .", "Plotted this way , the acquisition and extinction rates appear similar to what was observed in conventional eyelid conditioning training protocols .", "These observations are consistent with the notion that the second components in the sequence are acquired through standard cerebellar-dependent associative learning .", "The primary hypothesis we sought to test was that the cerebellum uses a feedback signal ( FS ) of some sort about the first CR as a separate \u2018CS\u2019 to learn the second CR ( Figure 2I ) .", "Such a FS should occur anytime there is a CR , whether the CR is elicited by the mossy fiber stimulation CS or not .", "This suggests the prediction for ipsilateral sequence of CRs , illustrated in Figure 2I .", "When a well-trained subject is presented with CS-alone trials , the mossy fiber stimulation CS will elicit the first CR , then a FSL from the first CR will elicit the second CR .", "Because the second CR is produced by the same muscles of left eyelid and is driven by likely the same neurons in cerebellar nuclei , then if the second CR is large enough , its FS should be similar to the FSL from the first CR .", "Since the cerebellum already learned to associate FSL with upcoming US2 , it should produce a predictive CR with appropriate timing .", "Thus , we would expect to see a third ( and perhaps fourth and fifth , etc . ) CRs on CS-alone trials , though subjects were never explicitly trained to produce them .", "This is indeed what we observed ( Figure 2G , J ) .", "Third and following CRs appeared in late acquisition sessions once robust second CR performance was established and disappeared with the extinction of the second CRs ( Figure 2J , H ) .", "On 36% of CS-alone trials where there was a second CR , there was also a third CR .", "The relative time between peaks of second and third CRs was similar to the time between peaks of first and second CRs ( Figure 2\u2014figure supplement 1B ) .", "Though third CRs were never explicitly reinforced , they remained through late acquisition sessions and subsequent control experiments , as long as second CRs also remained .", "This observation is consistent with the idea that both second and third CR share the same \u2018CS\u2019 as FSL and reinforcement of second CRs on a portion of trials was sufficient to maintain both second and third CRs .", "Because we recorded eyelid position for 2500 ms on each trial , we were only able to observe up to four CRs with ipsilateral sequence training .", "The existence of third CRs is inconsistent with the idea that the original mossy fiber stimulation CS is driving the expression of the second ( and later ) CRs .", "Complex movements typically involve more than one muscle group and often bilateral coordination ( Castiello et al . , 1993; Kelso et al . , 1979 ) .", "We therefore asked whether this training protocol can support a sequence where a left eyelid CR would be followed by a right eyelid CR ( Figure 3A ) .", "As before , subjects were initially trained with mossy fiber stimulation CS to produce left eyelid CRs at ISI 500 ms . After successful acquisition , subjects were switched to a contralateral CRs sequence protocol .", "Here again , if the left eyelid CR amplitude was lower than the target ( 3 mm , half-sized CR ) , USL was presented to the left eye to maintain robust responding of the left eyelid CRs .", "If however , the amplitude of the left CR was higher than the target , USL was omitted and USR was presented to the right eye .", "During initial acquisition , the interval between CS offset and USR was typically 400 ms ( N\u00a0=\u00a04 ) , but for some subjects was 300 ms ( N\u00a0=\u00a01 ) or 500 ms ( N\u00a0=\u00a01 ) .", "We chose to use a shorter duration of the gap interval compared to ipsilateral sequence training , because the pilot data showed that most subjects were unable to learn a contralateral sequence with 600 ms gap interval from na\u00efve right eyelid state .", "In this situation , however , there is less concern about the ability of the mossy fiber stimulation CS to drive the right eyelid CR , since the mossy fiber stimulation CS was delivered through electrodes implanted in the left middle cerebellar peduncle .", "The only way that CS could propagate to the right cerebellar hemisphere was by antidromic activation of neurons in pontine nucleus that have bilateral axons projections .", "Since the number of such neurons is extremely low ( Serapide et al . , 2002; Tan and Gerrits , 1992; Kratochwil et al . , 2017 ) , it is unlikely that mossy fiber stimulation CS could support acquisition of right eyelid CRs .", "Several control experiments described later confirm this notion .", "All subjects ( N\u00a0=\u00a06 ) successfully acquired a contralateral sequence of CRs where a left eyelid response was followed by a right eyelid response ( Figure 3 B\u2013E , F ( 9 , 46 ) = 14 . 28 , p<10\u22129; F ( 9 , 46 ) = 9 . 05 , p<10\u22126 for right CR probability and amplitude respectively ) .", "Right eyelid CRs were adaptively timed , peaking near the time of USR delivery and thus corresponding to the gap interval used during training ( Figure 3\u2014figure supplement 1A , B ) .", "Unlike the ipsilateral training protocol , here there were no third CRs produced by either left or right eyelid .", "Assuming that all but the first ( left ) CRs are driven by FS , and assuming that FSL from left eyelid CRs and FSR from the right eyelid CRs are different signals , this is the expected result .", "In this protocol the FSL are paired with a right eyelid USR and the FSR are never paired with a US .", "Thus there should only be a left eyelid CR driven by the mossy fiber stimulation CS and a right eyelid CR driven by FSL from left eyelid CR .", "Through 86 sessions with contralateral sequence protocol from 6 subjects , responses following right eyelid CR were not observed for either the left or right eyelid ( Data not shown ) .", "As with the ipsilateral sequence protocol , we verified the associative nature of right eyelid CRs by performing three extinction sessions of right eyelid CRs ( red lines in Figure 3B , C , F , Figure 3\u2014figure supplement 1C , D , One-way ANOVA , F ( 23 , 96 ) = 4 . 04 , p<10\u22127; F ( 23 , 96 ) = 6 . 89 , p<10\u221212 for right CR probability and amplitude respectively ) .", "Extinction of right eyelid CRs did not influence the performance of preceding left eyelid CRs ( One-way ANOVA , F ( 23 , 96 ) = 0 . 96 , p=0 . 52; F ( 23 , 96 ) = 0 . 82 , p=0 . 70 for left eyelid CR probability and amplitude respectively ) .", "Spontaneous recovery of right eyelid CRs at the beginning of second and third extinction sessions was present here as well ( paired Wilcoxon signed rank test , p=0 . 055 for right CR probability , p=0 . 020 for right CR amplitude ) .", "Following extinction sessions , subjects were switched to contralateral training protocol with a longer interval between CS offset and USR ( 500 ms , transition not shown ) .", "In the analysis of contralateral sequence data , data produced on sessions with different gap intervals are indicated with different colors and corresponding legend , if applicable .", "The hypothesis that the cerebellum generates the later CRs using FS from the first CR gives rise to several testable predictions .", "We designed two control experiments and performed additional analyses on training session data as a formulation of these predictions to test relatively directly whether the second CR in a sequence ( second left eyelid CR in ipsilateral protocol and right eyelid CR in contralateral protocol ) is driven by FS from the first CR and not by the mossy fiber stimulation CS itself .", "The design of the first control experiment is based on a straightforward prediction \u2013 the absence or a decline in the first CRs should also lead to an absent or diminished second CRs .", "We applied an extinction protocol designed to promote extinction of the first CRs and tested the effects on the second CRs .", "The setup of this experiment is shown in Figure 4A , D .", "Regardless of first CR amplitude , on these sessions the second CR was always reinforced with US2 ( or USR in the contralateral sequence ) , while US1 ( USL ) was never delivered .", "A decline of the second CRs despite the presence of reinforcing US2 ( or USR ) , would indicate that expression of the second CRs requires the expression of the first CR in the sequence .", "Figure 4B , E shows CRs amplitudes is a sequence as a function of block number .", "Since extinction typically took longer for subjects trained with the ipsilateral sequence , most required two extinction sessions .", "The same type of plot for CRs probability is shown in Figure 4\u2014figure supplement 1A , B .", "For subjects trained in\u00a0either the ipsilateral or contralateral sequences , as the amplitude and probability of left eyelid CR decreased , so did the amplitude of the second left eyelid CR in ipsilateral sequence ( r\u00a0=\u00a00 . 86 , p<10\u221213 ) ; or right eyelid CRs in contralateral sequence ( r\u00a0=\u00a00 . 80 , p<10\u221212 ) .", "To quantify this effect further we evaluated the probability of the second CRs conditioned on first CR amplitude .", "For that , we first plotted second CR amplitude versus first CR amplitude ( Figure 4\u2014figure supplement 1C , D , each dot represents a single trial from this control experiment ) .", "We then used that data to calculate the probability of the second CR conditioned on first CR amplitude ( Figure 4C , F ) .", "For both ipsilateral and contralateral sequence , the probability of observing second CRs decayed with decrease in first CR amplitude ( Chi-square analysis , \u03c72 ( 6 , 836 ) =60 . 90 , p<10\u221211 , \u03c72 ( 6 , 572 ) =92 . 7 , p<10\u221218 , for ipsilateral and contralateral sequence protocols respectively ) .", "On trials without the first left eyelid CR , the probability of second CRs was negligible ( probability of second left eyelid CR\u00a0=\u00a00 . 026\u00a0\u00b1\u00a00 . 009 for ipsilateral sequence protocol , probability of right eyelid CR\u00a0=\u00a00 . 023\u00a0\u00b1\u00a00 . 01 for contralateral sequence protocol ) .", "These data show that the presence of a first CR is required for the expression of a second CR .", "If a FS is the cue that drives the second CR , then it should not be necessary for the first CR to be elicited by the original training CS .", "Any CR produced by that eyelid , however it was elicited , should serve as an effective source of a FS to produce a second CR .", "The schematic of the second control experiment that we used to test this prediction is shown in Figure 5A , E .", "We started by training subjects to produce left eyelid CRs ( ISI 500 ms ) with two different types of CS: CS1 and CS2 .", "Electrical stimulation of mossy fibers was always used as CS1 , CS2 was either a 500 ms mossy fibers stimulation delivered through a separate electrode ( N\u00a0=\u00a05 , 2\u00a0subjects for ipsilateral sequence and 3 subjects for contralateral sequence ) or a 500 ms 1 kHz tone ( N\u00a0=\u00a05 , 3 subjects for ipsilateral sequence and 2 subjects for contralateral sequence ) .", "At the end of this pre-training each subject elicited robust CRs to the presentation of either CS1 or on separate trials to CS2 .", "Then , during sequence training as described above , only CS1 was used , CS2 was never used for sequence training , neither for training left eyelid CRs at ISIs other than 500 ms nor for right eyelid CR training .", "After successful acquisition of ipsi- or contralateral sequence of CRs , subjects were then presented with occasional CS2-alone probe trials .", "This input should elicit left eyelid CRs , since this is how subjects were trained .", "However , the essential test is whether the second CRs in the sequence are also present on CS2-alone trials .", "Because the US2 ( USR ) was never presented during the CS2 trials , the presence of second CRs would indicate that the cerebellum did not use CS1 to learn the second CR in the sequence , but rather used FS from the first CR .", "Again , this is indeed what we observed .", "Example eyelid responses on CS2-alone trials are shown in Figure 5B , F for subjects trained in ipsilateral or contralateral sequence respectively .", "On most CS2-alone trials with the first left eyelid CR present we also observed the rest of CRs in the sequence the subject was trained to with CS1 .", "The summary across all sessions with CS2 test trials is shown in Figure 5C , G .", "Here each dot shows the probability within a session of the second CR in a sequence , the color indicates a group of trials during which the second CR probability was calculated , based either on CS type ( CS1 or CS2 ) or amplitude of the first left eyelid CR .", "On trials where the amplitude of first left eyelid CR was larger than 3 mm , the probability of observing other responses in a sequence was the same on trials with either CS1 or CS2 ( Tukey\u2019s post hoc test , p=0 . 73 , blue versus brown bars for ipsilateral sequence; p=0 . 51; red versus brown bars for contralateral sequence ) .", "Importantly , on CS2 trials without the first response ( violet bars ) , there were no other CRs in the sequence ( ipsilateral sequence: one-way ANOVA comparing brown versus violet bars: F ( 3 , 61 ) = 187 , p<10\u221228; Tukey\u2019s post hoc test p<10\u22129; contralateral sequence: one-way ANOVA comparing brown versus violet bars: F ( 3 , 62 ) = 159 , p<10\u221229; Tukey\u2019s post hoc test , p<10\u22129 ) .", "In addition , we repeated CS2-alone test sessions with subjects either not trained with ( N\u00a0=\u00a01 and N\u00a0=\u00a03 for ipsi- and contralateral sequence respectively ) or extinguished from ( N\u00a0=\u00a04 and N\u00a0=\u00a02 for ipsi- and contralateral sequence respectively ) producing a sequence of CRs .", "In this case , while first left eyelid CRs amplitudes were larger than 3 mm , CS2 alone trials did not elicit other CRs in the sequence ( ipsilateral sequence: dark blue bars , second CR probability\u00a0=\u00a00 . 006\u00a0\u00b1\u00a00 . 008 , comparing violet versus dark blue bars with Tukey\u2019s post hoc test results in p=0 . 99; contralateral sequence: dark blue bars , right CR probability\u00a0=\u00a00 . 041\u00a0\u00b1\u00a00 . 028 , comparing violet versus dark blue bars with Tukey\u2019s post hoc test results in p=0 . 84 ) .", "In addition , for subjects trained to produce a sequence of CRs , we observed a significant correlation across sessions between probabilities of second CRs in the sequence on CS1 and CS2 trials ( Figure 5D , H , r\u00a0=\u00a00 . 48 , p=0 . 026 for ipsilateral sequence , r\u00a0=\u00a00 . 6 , p=0 . 007 for contralateral sequence ) .", "Thus , on sessions with a more robust sequence of CRs performed on CS1 trials , subjects also showed larger probability of producing a sequence of CRs on CS2-alone trials .", "Together , these experiments demonstrate that while the first CR in the sequence is driven by the mossy fiber stimulation CS , CRs that follow are associated with FS from the previous CR .", "Two additional predictions can be tested through additional analyses of the normal sequence-training sessions .", "Parallel to the logic of the first control experiment described above , we should expect that on trials without a first CR there should be no second CR .", "To test this prediction we used eyelid responses on CS-alone trials from sessions where the overall probability of second CRs was greater than 40% .", "Panels A and B in Figure 6 show two example trials from subjects trained respectively in ipsilateral and contralateral sequence of CRs .", "Data from all subjects on all CS-alone trials are shown in Figure 6C , D .", "The amplitude of the second CR plotted versus amplitude of the first CR for subjects trained in ipsilateral sequence of CRs is shown in Figure 6C .", "Each dot represents data from a single CS-alone trial .", "Similarly , Figure 6D shows right eyelid CR amplitudes versus left eyelid CR amplitudes for subjects trained to produce contralateral sequence of CRs .", "Data corresponding to the example trials are indicated by grey dots .", "In both plots , horizontal and vertical solid black lines represent nonCR cutoffs ( CR amplitudes\u00a0<0 . 3 mm ) , diagonal is shown by a dotted black line .", "While there were trials with first CR , but no second CR ( dots below horizontal line on the bottom ) , there were no trials without a first CR , but with the second CR ( to the left of vertical line ) .", "Figure 6E and F show the same data plotted as a probability of the second CR ( or right eyelid CR ) , conditioned on the first CR amplitude .", "For both protocols , the probability of the second CR started to decrease on trials with the first CR amplitude smaller than 3 mm , which was used during sequence training ( Chi-square analysis , \u03c72 ( 6 , 571 ) =70 . 13 , p<10\u221213 , \u03c72 ( 6 , 578 ) =92 . 4 , p<10\u221220 , for ipsilateral and contralateral sequence protocols respectively ) .", "Most importantly , on trials without a first CR , the probability of second CRs was negligible ( probability of second left eyelid CR\u00a0=\u00a00 . 037\u00a0\u00b1\u00a00 . 047 for ipsilateral sequence protocol , probability of right eyelid CR\u00a0=\u00a00 for contralateral sequence protocol ) .", "There is a natural trial to trial variability in the timing of the CRs .", "If a FS from the first CR is a signal for the second CR , then it follows that the timing of the first and second CRs should co-vary on a trial by trial basis .", "For example , on trials with relatively early first CRs the following CRs should also happen earlier than average; on trials with late first CRs the following CRs should also happen later .", "Example trials with earlier ( on top ) and later ( on bottom ) first CR onset times are shown in Figure 7A and B from ipsilateral and contralateral sequence respectively .", "One can notice even from example trials that the whole sequence of CRs is shifted with the timing of the first CR .", "We investigated the degree of co-variation between timing of CRs in sequence using a variety of CR timing measures , spanning from CR onset time to CR peak time .", "These timing measures are indicated by orange dots on eyelid position profile in Figure 7A .", "The timing measures were defined for every trial when the amplitude of both responses in a sequence was larger than 2 mm ( except for analysis of third and later CRs in ipsilateral sequence , only CS-alone trials were used there ) .", "Data from two of pairs of timing measures are shown for each protocol in Figure 7C\u2013F .", "Here each dot represents a single trial , with color indicating the pair of CRs for ipsilateral sequence or the gap interval for contralateral sequence .", "We applied two types of analyses to investigate the temporal dependence of CRs in the sequence .", "First , for every pairwise combination of CR timing measures we calculated a Pearson correlation coefficient .", "We found that the majority of combinations of measures showed a significant trial-to-trial co-variation ( Figure 7\u2014figure supplement 1 ) , for both ipsilateral and contralateral sequence of CRs .", "Second , for every trial of each CR timing measures we calculated an inter-CR time interval; correspondingly color-coded distributions of inter-CR time intervals are shown on the right of each panel in Figure 7C\u2013F .", "We than randomly permuted the timing of the first CR and calculated a new shuffled distributions of inter-CR intervals shown in grey .", "If the timing of the second CR is independent of the timing of the first CR , the shuffled distributions should be identical to the true distributions .", "We found however a significant difference in distributions for timing measure pairs shown in Figure 7 ( Kolmogorov-Smirnov test , see Figure 7\u2014source data 1 ) .", "These results show that the timing of the second CR in sequence is influenced by the timing of the first CR and support the hypothesis that a FS from the first response drives the learning and expression of the second response .", "The cerebellar cortex has been shown previously to be necessary for acquisition and expression of well-timed eyelid CRs ( Garcia and Mauk , 1998; Kalmbach et al . , 2010b ) .", "Purkinje cells ( PCs ) , the principal neurons and sole output of the cerebellar cortex , have been a target of several studies .", "Because PCs are inhibitory neurons , decreases in their activity result in increased cerebellar output that drives eyelid CR ( Heiney et al . , 2014 ) .", "For single-component eyelid CRs , the timing and magnitude of the decrease in PCs activity have been shown to encode the kinematic features of CRs ( Halverson et al . , 2015; ten Brinke et al . , 2015 ) .", "Two studies have also shown that under training conditions that produce two CRs , eyelid PCs also showed two correspondingly timed decreases in activity ( Halverson et al . , 2015; Jirenhed et al . , 2017 ) .", "Unlike the present study , in these previous studies both CRs were elicited by the external CS .", "Thus , to begin to understand the cerebellar mechanisms of movement sequences involving feedback signals , we investigated PC activity during the ipsilateral sequence protocol .", "If the second CRs are mediated by the usual cerebellar mechanisms , simply driven by a FS rather than CS , then: ( 1 ) the same PCs should control kinematics of both first and second CRs , since both responses are produced by the same muscle , and ( 2 ) the relationship between PC activity and both responses timing and kinematics should be similar .", "We tested these predictions with in vivo recordings and analysis described below .", "Tetrode microdrives were chronically implanted in three subjects targeting the region of cerebellar cortex previously shown to be necessary for acquisition and expression of well-timed eyelid CRs ( Halverson et al . , 2015; Garcia and Mauk , 1998; Kalmbach et al . , 2010b ) .", "These subjects were trained to produce the ipsilateral CRs sequence , as before employing electrical stimulation of mossy fibers as the CS .", "We recorded 156 well-isolated single units during ipsilateral CRs sequence training sessions .", "Out of those , 42 were classified as PCs based on the presence of both simple and complex spikes and out of those 16 were classified as eyelid PCs ( Halverson et al . , 2015 ) based on the US-evoked complex spikes .", "All subsequent analyses involved only these eyelid PCs .", "Data from an example recording session are shown in Figure 8A and B , with eyelid CRs at the bottom and the raster plot showing eyelid PC simple spikes with corresponding PSTH at the top .", "Panel A shows trials with first CR amplitude smaller than 3 mm , resulting in delivery of US1 .", "Simple spike activity of eyelid PCs developed a decrease during first CR expression , consistent with previous studies .", "Panel B shows eyelid PC activity and behavioral responses on trials with first CR amplitude larger than 3 mm , resulting in omission of US1 and delivery of US2 .", "Even in this single example it is readily apparent that the same PC develops a decrease in activity corresponding in time to each of CRs in ipsilateral sequence .", "Previous work has shown that for a single-component CR , the timing of behavioral CRs and the timing of decreases in eyelid PCs activity co-vary ( Halverson et al . , 2015 ) .", "We therefore investigated if the same relationship holds for both first and second CRs in ipsilateral sequence protocol .", "First , as a replication of previous findings , we studied the timing of eyelid PCs responses as a function of first CRs timing .", "For that , we separated trials into three groups based on first CRs onset times ( non-CRs , early CRs and late CRs ) and calculated corresponding average firing rates of eyelid PCs .", "Results related to the first CR timing are shown in Figure 8C .", "The timing of decrease in eyelid PCs firing rate corresponded to the timing of first CRs , similar and consistent with published results ( Halverson et al . , 2015; ten Brinke et al . , 2015 ) .", "Namely , on non-CR trials ( black lines ) eyelid PCs firing rate barely deviated from baseline activity .", "On trials with early first CRs ( red lines ) decreases in eyelid PCs firing rate happened robustly earlier than on late first CR trials ( blue lines ) .", "For results shown here and below , the absence of overlap in 95% confidence intervals between eyelid PCs activity corresponding to different groups was used as evidence of reliable separation .", "Next , we investigated whether the same relationship holds for the timing of second CRs in the sequence and eyelid PC activity .", "Results demonstrating that the timing of the second decrease in eyelid PCs activity also matches the timing of second CRs are shown in Figure 8D .", "Here we similarly separated trials into three groups , now based on the presence and timing of the second CRs .", "Now on trials without the second CRs ( black lines ) , PCs firing rate returned to the baseline level after the decrease corresponding to the first CR .", "On trials with second CRs present ( red and blue lines ) PCs activity demonstrated double decrease corresponding to the first CR and second CRs in the sequence .", "Moreover , the timing of the second decrease in PCs activity followed the timing of second CRs ( Figure 8D , early versus late second CRs shown by red and blue lines correspondingly ) .", "Previous work ( Halverson et al . , 2015 ) demonstrated that for single-component CRs , the decrease in eyelid PCs activity precedes the onset of CR , consistent with the causal relationship between eyelid PCs responses and CRs expression .", "To examine whether changes in eyelid PCs activity precede the expression of first and second CRs in the ipsilateral sequence , we aligned eyelid PCs activity to the onset of first and second CRs ( Figure 8E and F ) .", "Figure 8E shows first CR time profile ( top ) and corresponding PCs activity ( bottom ) aligned to the first CR onset time ( black vertical dotted line ) .", "Purkinje cells activity was calculated on first CR trials ( blue line ) and non-CR trials ( black line ) .", "Non-CR trials were aligned by CR onset by randomly sampling from the distribution of first CR onset times .", "Similar to published results during conventional eyelid conditioning sessions ( Halverson et al . , 2015 ) , PCs activity on CR trials demonstrated a robust decrease in activity prior to CR onset .", "We next performed a similar analysis for the second CRs , with results shown in Figure 8F .", "Eyelid PCs activity reliably separated prior to the second CR onset on trials with second CRs ( blue line ) comparing to non-second-CRs trials ( black line ) .", "The amount of decrease in PCs activity from baseline at the moment of CR onset was similar for first and second CRs ( 0 . 766\u00a0\u00b1\u00a00 . 015 at the time of first CR onset; 0 . 796\u00a0\u00b1\u00a00 . 034 at the time of second CR onset; p=0 . 45 , Wilcoxon rank sum test ) .", "The above results demonstrate that individual eyelid PCs show decreases in activity that precede the onset and match the presence and timing of both first and second eyelid CRs in an ipsilateral sequence .", "We next examined whether this similarity holds for the relationship between eyelid CRs amplitude and the amount of PCs decrease , as has been demonstrated for the single-component CRs ( Halverson et al . , 2015; ten Brinke et al . , 2015 ) .", "First , as additional replication of previous findings , we separated trials into three groups based on the first CR amplitude and calculated average eyelid PCs responses ( Figure 8F ) .", "As expected , the amount of decrease in eyelid PCs activity scaled with first CR amplitude .", "We next investigated if this relationship holds for the second CRs .", "For that we performed a similar analysis by separating trials based on the second CR amplitude ( Figure 8G ) .", "Eyelid PCs activity showed no change on trials without the second CR ( black line ) and correspondingly scaled amount of decrease on trials with smaller and larger second CRs ( red and blue lines respectively ) .", "Overall , recordings from eyelid PCs demonstrate that individual PCs learn both first and second components in a sequence and the way PC responses relate to these components is not distinguishable .", "This suggests that the same cerebellar mechanisms are involved in generation of both CRs in the sequence .", "These data are consistent with the general notion that FS can be used by the cerebellum to learn following responses in the sequence through processes similar to learning the first response using the CS ."], ["While we have demonstrated the sufficiency of FS from an eyelid CR to be used by the cerebellum as a new \u2018CS\u2019 , the nature and source of this FS remains an open question .", "Several sources of feedback are possible .", "The most direct candidate feedback route would originate from the deep cerebellar nucleus neurons ( DCN ) , which provide the output of the cerebellum .", "Increases in DCN neuron activity are known to drive the expression of eyelid CRs ( Halverson et al . , 2010; McCormick and Thompson , 1984 ) .", "DCN neurons are also known to have axon collaterals that return to the cerebellar cortex ( Houck and Person , 2015; Ankri et al . , 2015; Gao et al . , 2016 ) and form mossy-fiber like synaptic connections .", "Thus the information about the ongoing expression of a CR can be passed back to granule cells in the cerebellar cortex via a monosynaptic excitation by axon collaterals of glutamatergic DCN neurons ( Houck and Person , 2015; Gao et al . , 2016 ) or via a reduction of inhibition from Golgi cells that receive inhibitory projections ( Ankri et al . , 2015 ) from GABA/glycinergic DCN neurons .", "More indirect routes to convey DCN activity back to cerebellar cortex also exist , for example via thalamic ( Halverson et al . , 2010 ) or red nucleus feedback ( Cartford et al . , 1997 ) to pontine nuclei neurons .", "It is also possible that the FS may not originate directly from cerebellar output activity , but rather from proprioceptive information driven by the movement itself .", "All of these possible routes can contribute to a FS , none are mutually exclusive , and their relative contributions will likely depend on temporal constrains and/or laterality of movement sequence .", "For example , nucleo-cortical feedback routes have been shown ( Houck and Person , 2015 ) to have more dominant ipsilateral projections to areas of cerebellar cortex .", "This can be a possible explanation for the need to use shorter time-intervals for subjects trained in contralateral sequence comparing to ipsilateral .", "While we know that the feedback information is supplied to the cerebellar cortex ( Giovannucci et al . , 2017 ) , further studies are needed to investigate relative contributions of possible feedback pathways .", "Apart from the cerebellum , the basal ganglia is another prominent brain system implicated in learning and execution of movement sequences ( Doyon et al . , 1997; Leh\u00e9ricy et al . , 2005; Seidler et al . , 2005 ) .", "However the relative involvement of the cerebellum and basal ganglia in learning and production of motor sequences might differ .", "While several imaging ( Leh\u00e9ricy et al . , 2005; Doyon et al . , 2002; Seidler et al . , 2005 ) and recording ( Jog et al . , 1999 ) studies have reported changes in basal ganglia activity during sequence learning , studies involving lesions or neurodegenerative diseases were generally less conclusive .", "Studies in Parkinson\u2019s patients showed only a partial ( Doyon et al . , 1997; Shin and Ivry , 2003; Jackson et al . , 1995 ) impairment of sequence learning compared to control groups and patients with focal basal ganglia lesions did not display deficits ( Shin et al . , 2005 ) .", "Moreover , pharmacological lesion of globus pallidus internus , the primary basal ganglia output region , resulted in decrease of movement velocity and acceleration , but did not impair the production of learned sequences of movements ( Desmurget and Turner , 2010 ) .", "While we addressed in our work the cerebellar involvement in learning a movement sequence , the results do not preclude significant basal ganglia contributions to learning and expression of movement sequences .", "In our experiments we trained subjects to produce a sequence of discrete responses .", "The results of our study however should not rely on this aspect of the responses , which we utilized for the clarity of analysis .", "Natural complex multi-joint movements , such as locomotion or reaching movements , can be broken down into a sequence of several movement components .", "In these cases our results imply that the feedback about the each portion of the movement can be used by the cerebellum to learn a correct continuation of the movement .", "This general framework can also be used to describe how the cerebellum can learn to guide cortical activity to produce a desired sequence of states .", "The cerebellum and cerebral cortex areas , such as premotor and primary motor cortices , are known to form a closed loop system via cortico-ponto-cerebellar projections ( Kelly and Strick , 2003; Glickstein et al . , 1985; Evarts and Thach , 1969 ) , where the cerebellum sends information back to the cerebral cortex via the thalamus .", "Electrical ( Penfield and Boldrey , 1937; Graziano et al . , 2002 ) or optogenetic ( Harrison et al . , 2012 ) stimulation of motor cortex area is known to produce complex multi-joint movements .", "A common interpretation of these results is a notion of motor program ( Mink , 1996; Summers and Anson , 2009 ) , stored either entirely within a motor cortex or at least partially within downstream areas .", "Our study provides new evidence towards an interpretation that motor programs could be stored in part within the cerebellum .", "This way , the initial command from motor cortex serves as a trigger to initiate the movement , while the later feedback signals from cerebellar output and movement itself are used by the cerebellum to learn a proper output that guides motor cortex activity along the correct trajectory in state space , which in turn results in a correct movement trajectory .", "While speculative at this point , such a framework is fully compatible with results of the present study ."], ["In all experiments subjects were 14 male New Zealand albino rabbits weighing 2 . 5\u20133 . 5 kg at experiment onset .", "Treatment of rabbits and surgical procedures were in accordance with National Institutes of Health guidelines and an institutionally approved animal welfare protocol .", "All subjects were maintained on a 12 hr light/dark cycle .", "One week before the start of experiment , subjects were removed from the home cage and anesthetized with a cocktail of acepromazine ( 1 . 5 mg/kg ) and ketamine ( 45 mg/kg ) .", "After onset of anesthesia , the subjects were placed in a stereotaxic frame , intubated , and maintained on isoflurane ( 1~2% mixed in oxygen ) for the remainder of the surgery .", "Under sterile conditions the skull was exposed with a midline incision ( ~5 cm ) , and four holes were drilled for anchor screws .", "Some anchor screws also functioned as ground screws for subjects with mossy fiber stimulation implants or a microdrive ground for subjects with microdrive implant .", "The rabbit\u2019s head was then positioned with lambda 1 . 5 mm ventral to bregma .", "For subjects prepared only for behavioral experiments involving electrical stimulation of mossy fibers , a craniotomy was drilled out at 5 . 5 mm lateral and 3 mm anterior from lambda , ipsilateral to the trained eye .", "Skull fragments were carefully removed from the craniotomies , the dura matter was carefully opened under visual guidance .", "One or two laterally spaced ( by 1 mm ) tungsten stimulating electrodes ( A-M Systems , Carlsborg , WA; tip exposed to obtain impedance of 100\u2013200 k\u03a9 ) were implanted in the middle cerebellar peduncle ( 16 mm ventral to lambda ) .", "For subjects prepared for microdrive implantation in the cerebellar cortex , a craniotomy was also drilled out at 5 . 9 mm posterior and 6 . 0 mm lateral to lambda .", "Skull fragments were carefully removed from the craniotomies , the dura matter was carefully opened under visual guidance .", "A custom-made microdrive ( 16 tetrodes and 2 references ) fitted with an electronic interface board ( EIB-36-16TT , Neuralynx ) was implanted in the left anterior lobe of the cerebellar cortex at a 40\u00b0 angle posterior to vertical and 17 . 8 mm ventral to lambda .", "This region of the anterior lobe has been shown to be involved in acquisition and expression of well-timed conditioned eyelid responses ( Halverson et al . , 2015; Kalmbach et al . , 2010a; Garcia et al . , 1999 ) .", "The primary target of tetrode recordings were PCs with evoked complex spikes from US , referred throughout the manuscript as eyelid PCs .", "The bundle cannula of the microdrive was lowered to the surface of the brain .", "The craniotomies were sealed with low viscosity silicon ( Kwik-Sil; World Precision Instruments ) .", "The head bolt to mount eyelid detector , anchor/ground screws , stimulation electrodes and microdrive were secured with dental acrylic ( Bosworth Fastray , Pink; The Harry J . Bosworth Company ) , and the skin was sutured where the skull and muscle were exposed .", "Finally , two stainless steel loops terminating in gold pins were inserted into the anterior and posterior periorbital region of the left eye ( and optionally right eye for subjects trained in contralateral sequence of CRs ) for delivery of the stimulation US .", "Subjects were given postoperative analgesics and antibiotics for 2 days after surgery and were allowed to recover for a week before experiments began .", "The subjects were trained in custom-designed , well-ventilated , and sound attenuating chambers measuring 90\u00a0\u00d7\u00a060\u00a0\u00d7\u00a060 cm ( length , width , height ) .", "Each rabbit was placed in a plastic restrainer with their ears stretched over a foam pad and taped down to limit head movement .", "To measure eyelid position , an infrared emitter/detector system was attached directly to the head stage of each rabbit to record movements of the left external eyelid .", "These detectors provide a linear readout of eyelid position ( \u00b10 . 1 mm ) at 1 kHz sampling rate by measuring the amount of infrared light reflected back to the detector , which increases as the eye closes ( Ryan et al . , 2006 ) .", "At the start of each daily session , the gain of the eyelid position detector was calibrated by delivering a test US to elicit full eyelid closure ( defined as 6 . 0 mm , typical for an adult rabbit ) .", "A trial would not start until the rabbit\u2019s eyelid was sufficiently open .", "Stimulus presentation was controlled by custom-designed software for all experiments .", "Each conditioning chamber was equipped with a speaker that was connected to a stereo equalizer and receiver which were connected to a computer that generated the tone .", "For subjects trained using tone as the CS , the CS was set as a 1 kHz , 500 ms , 75 dB sinusoidal tone with a rise and fall time of 5 ms to avoid audible clicks from the speaker .", "For subjects trained with electrical stimulation of mossy fibers , the CS was a constant frequency pulse train of cathodal current pulses ( 100 Hz , 500 ms , 0 . 1 ms pulse width , 100\u2013150 \u03bcA ) , generated by a stimulus isolator ( model 2300 , A-M Systems , Carlsborg , WA ) and passed through the electrode ( s ) implanted in the middle cerebellar peduncle .", "The current pulses were controlled by custom written software ( available from authors upon request ) and delivered through an isolated Pulse Stimulator ( model 2100 , A-M Systems , Carlsborg , WA ) .", "Electrical leads from a separate stimulator ( model 2100 ) were attached to the periorbital electrodes to deliver pulses of electrical stimulation to the left eyelid as the US .", "The US was a 50 ms train of constant current pulses ( 50 Hz , 0 . 7\u20131 ms pulse width , 1\u20133 mA ) delivered through the periorbital electrodes .", "US intensity was adjusted for each rabbit to produce a full eyelid closure without any pain reactions .", "All types of trials in all sessions were separated by a mean inter-trial interval of 30\u00a0\u00b1\u00a010 s .", "For initial training , subjects were given daily eyelid conditioning sessions comprised of 12 blocks of 9 trials each .", "All subjects were initially trained at an inter-stimulus interval ( ISI ) of 500 ms to produce left eye CRs .", "Each block consisted of 1 CS-alone trial and 8 paired trials .", "After reaching a robust CR performance , subjects were switched to the sequence training protocols ."]], "headings": ["Introduction", "Results", "Discussion", "Materials\u00a0and\u00a0methods"], "abstract": ["Most movements are not unitary , but are comprised of sequences .", "Although patients with cerebellar pathology display severe deficits in the execution and learning of sequences ( Doyon et al . , 1997; Shin and Ivry , 2003 ) , most of our understanding of cerebellar mechanisms has come from analyses of single component movements .", "Eyelid conditioning is a cerebellar-mediated behavior that provides the ability to control and restrict inputs to the cerebellum through stimulation of mossy fibers .", "We utilized this advantage to test directly how the cerebellum can learn a sequence of inter-connected movement components in rabbits .", "We show that the feedback signals from one component are sufficient to serve as a cue for the next component in the sequence .", "In vivo recordings from Purkinje cells demonstrated that all components of the sequence were encoded similarly by cerebellar cortex .", "These results provide a simple yet general framework for how the cerebellum can use simple associate learning processes to chain together a sequence of appropriately timed responses ."], "summary": ["Imagine a gymnastics competition in which participants take turns to cartwheel and somersault across the floor .", "The routines on display comprise sequences of precisely timed movements learned through practice .", "This is also true for many of the actions we perform every day , such as reaching for a cup of coffee .", "A region of the brain called the cerebellum helps us learn sequences of movements .", "But how does it do this ?", "To find out , Khilkevich et al . came up with a new version of an old experiment .", "Rabbits were first trained to blink their eye in response to a specific external cue .", "This type of learning , called associative learning , has been shown before in the cerebellum .", "But Khilkevich et al . wondered whether the cerebellum could also use internal feedback signals from the eyeblink as a cue to learn the next movement ?", "If so , this might explain how the cerebellum can chain movements together in a sequence .", "As predicted , Khilkevich et al . found that rabbits could learn to blink their eye in response to an initial signal , and then blink again in response to the first blink .", "Control experiments confirmed that the second eyeblink was coupled to the first , and not to the original cue .", "Moreover , on many trials the rabbits showed a third and even fourth eyeblink .", "This is because feedback signals from the first , second or third blink were the same .", "Thus , the feedback signals from the first blink triggered the second blink , feedback from the second triggered the third , and so forth .", "Rabbits could also learn to use a blink of the left eye as a cue for a blink of the right eye .", "Similar patterns of neuronal activity accompanied each blink , suggesting that the same mechanism generated them all .", "The cerebellum can thus use feedback from one movement as a cue to learn the proper timing of the next movement in a sequence .", "A key question is whether this mechanism of sequence learning extends beyond movement .", "The cerebellum has extensive connections to the brain\u2019s outer layer , the cortex , including many areas involved in cognition .", "Future experiments should test whether the cerebellum might help guide sequences of cortical activity during cognitive tasks ."], "keywords": ["neuroscience"]}