Transcranial magnetic stimulation of visual-motion area V5/MT modulates sensory thalamus responses during visual speech recognition

Abstract: Responses in the sensory thalamic nuclei are modulated by perceptual tasks. Whether such response modulations rely on feedback from cerebral cortex in humans is unknown. Here, we addressed this question in the context of visual speech recognition: the visual sensory thalamus, i.e. the lateral geniculate nucleus (LGN), has differential BOLD-responses to visual speech than non-speech control tasks. We tested whether such response modulation relies on the function of the visual association cortex, specifically visual-motion area V5/MT. We applied inhibitory transcranial magnetic stimulation (TMS) over bilateral visual-motion sensitive areas V5/MT on 26 healthy adults. Subsequently, participants performed a visual speech and a colour recognition task on identical muted videos of speaking faces during functional magnetic resonance imaging (fMRI). The LGN showed a significant signal change between the visual speech task and the colour task following Vertex stimulation as active control region. This modulation was significantly reduced following inhibitory V5/MT stimulation. V5/MT stimulation also reduced task-dependent functional connectivity between V5/MT and the LGN. These results identify corticothalamic feedback as integral mechanism in visual processing. In particular, the visual association cortex has a causal role in modulating LGN responses during speech recognition.