the influence of orexin antagonist, sb-334867, on ......cognitive flexibility is another impairment...

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Zoey Forrester-Fronstin Mentor: Dr. Aileen Bailey, Ph.D. St. Mary’s College of Maryland The Influence of Orexin Antagonist, SB - 334867, on Cognitive Flexibility

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Page 1: The Influence of Orexin Antagonist, SB-334867, on ......Cognitive flexibility is another impairment often seen in Alzheimer’s Disease, which my study will focus on measuring. Cogniti\൶e

Zoey Forrester-FronstinMentor: Dr. Aileen Bailey, Ph.D.St. Mary’s College of Maryland

The Influence of Orexin Antagonist, SB-334867, on

Cognitive Flexibility

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Alzheimer’s Disease

Alzheimer’s Association, 2017 (http://www.alz.org)

Presenter
Presentation Notes
The implications of my research are loosely tied to Alzheimer’s Disease. Alzheimer’s disease is a neurodegenerative disorder with the greatest prevalence in individuals older than 85. The most common symptoms that this disease will produce are behavioral and cognitive impairments, such as deficits in memory and daily functioning. Alzheimer’s disease is a huge social issue-millions of Americans are affected each year, and that number is only increasing. The cost of research and patient care is astronomical. $90 million is spent on research annually and an upwards of $100,000 per patient per year on long term care services. It is likely that many people in this room alone are impacted by the disease in some way.
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Cognitive Flexibility

The ability for one to adapt to ever-changing situations, which normally has been seen to decline with age. (Brown & Tait, 2016)

Measures of cognitive flexibility: Human Model ▪ The Wisconsin Card

Sorting Task (Grant & Berg, 1948)

Presenter
Presentation Notes
Cognitive flexibility is another impairment often seen in Alzheimer’s Disease, which my study will focus on measuring. Cognitive flexibility is the ability for one to adapt to ever-changing situations, which normally has been seen to decline with age. Two tasks in particular are established in measuring cognitive flexibility. The Wisconsin Card Sorting Task is a measure of cognitive flexibility in humans. In this task, four cards will be laid out in front of a participant.
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Cognitive Flexibility

The ability for one to adapt to ever-changing situations, which has been seen to decline with age. (Brown & Tait, 2016)

Measures of cognitive flexibility: Human Model ▪ The Wisconsin Card

Sorting Task (Grant & Berg, 1948)

Presenter
Presentation Notes
Participants are given four new cards to sort underneath the ones presented based on what he or she guesses the first rule to be…
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Cognitive Flexibility

The ability for one to adapt to ever-changing situations, which has been seen to decline with age. (Brown & Tait, 2016)

Measures of cognitive flexibility: Human Model ▪ The Wisconsin Card

Sorting Task (Grant & Berg, 1948)

Presenter
Presentation Notes
…like color. After sorting each card, the participant receives feedback if they were correct in sorting the cards according to color. Once the cards are sorted correctly for a certain number of times in a row (indicating that the rule was learned), the sorting rule changes to something like shape…
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Cognitive Flexibility

The ability for one to adapt to ever-changing situations, which has been seen to decline with age. (Brown & Tait, 2016)

Measures of cognitive flexibility: Human Model ▪ The Wisconsin Card

Sorting Task (Grant & Berg, 1948)

Presenter
Presentation Notes
…and now the participant must lay their triangle card on the triangle card here in front of them and so on. However, the rule change won’t be explicitly stated and the participant will receive feedback that the color rule is now incorrect, forcing them to try and determine the new sorting rule. This task directly evaluates cognitive flexibility by measuring how long it takes a participant to learn a predetermined rule through feedback from their performance as they try to learn the new rule.
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Cognitive Flexibility

The ability for one to adapt to ever-changing situations, which has been seen to decline with age. (Brown & Tait, 2016)

Measures of cognitive flexibility: Rodent Model▪ Set Shift Task (Arnold et al., 2002;

Brady & Floresco, 2015; Cabrera et al., 2006)

ShiftSetFigure reproduced with permission

(Brady & Floresco, 2015)

Presenter
Presentation Notes
A set-shift task is another direct measure of cognitive flexibility, but adapted for a rodent model, and the task used in my study. The set shift task is divided into two time periods: the first rule, set and the second or new rule, shift. During ’set’, animals must lever press according to the presence of a light (or no light) cue in order to learn a predetermined rule. In the left panel here, the rat must always press the left lever. During ’shift’, the correct response for the rule changes and the rat in the right panel must press the lever under the illuminated light. The ability, or lack thereof, for the rat to learn the new rule in the ‘shift’ time period is reflective of a potential deficit in cognitive flexibility. Emerging research has explored chemical manipulations, such as inhibition of the acetylcholine neurotransmitter, in modulating, or influencing the ability for cognitive flexibility.
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The Cholinergic Hypothesis of Alzheimer’s Disease

Figure derived from Meyer & Quenzer (2nd ed.)

Acetylcholine transmission to the hippocampus and neocortex from the basal forebrain is disrupted following degeneration of

cholinergic neurons. (Bigl, Woolf, & Butcher, 1982)

Basal ForebrainBlennow et al., 2006Grober et al., 2008Muir, 1997

The Basal Forebrain

Cholinergic System

Presenter
Presentation Notes
Acetylcholine is a neurotransmitter that has several roles depending on which pathway it is manipulating. In this cholinergic system, signals originate in the basal forebrain to influence acetylcholine release in the neocortex, which is an area in the front of the brain that is involved in higher order processes like judgement and thinking. Acetylcholine in this system has been seen to influence attention, learning, and memory. When there is antagonism, or blockage, of orexin receptors in the basal forebrain, acetylcholine release will be reduced in the neocortex, disrupting other structures further down in the pathway. It is thought that the lack of acetylcholine transmission through disruption in the basal forebrain plays a role in the cognitive deficits seen in Alzheimer’s Disease. Attention, L/M Blennow et al. (2006) Grober et al. (2008) Muir, (1997) ACh and BF Bigl et al. (1982) Cabrera et al. (2006)
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The Orexins

▪ Class of neuropeptide (Sakurai et al., 1998)

▪ Involved in feeding and sleep (Sakurai et al., 1998; Smart & Jerman, 2002)

▪ Receptors located in the Basal Forebrain (Liu et al., 2015; Marcus et al., 2001)

▪ Modulator of ACh (Fadel et al., 2005)

Figure derived from Peyron et al. (1998)

Basal Forebrain

Presenter
Presentation Notes
Research performed by Sakurai and his colleagues discovered receptors in the basal forebrain that when stimulated with a certain neuropeptide, would induce feeding behavior. In addition, these peptides were largely expressed in the hypothalamus, the feeding center of the brain. Sakurai named this peptide orexin, from the greek word orexis, meaning appetite. Orexin has been shown to manipulate sleep as well. Studies have indicated the role of orexin in producing an increased state of arousal, locomotion, and grooming behavior, as well as time spent awake. On the other hand, antagonizing, or blocking the orexin receptors can inhibit these characteristics and physiological states of arousal. Orexin receptors have recently been located in the basal forebrain as well. James Fadel and colleagues are known for their microdialysis research which examines chemical transmission in one area of the brain in response to manipulation in another. More specifically, they have found that administration of an orexin agonist, or promoter, will enhance acetylcholine levels in the neocortex of the basal forebrain cholinergic system. This provides evidence to support orexin’s role as a modulator of acetylcholine. Recent research has indicated that with lesions to the nucleus basalis magnocellularis (nbM), a region of the basal forebrain, animals will show perseverations—cognitive inflexibility—on the reversal of operant control tasks. This is thought to be due to the antagonism, or hindrance, of orexin receptors in the basal forebrain releasing acetylcholine in the neocortex.
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Putting it all together

Attention, Learning &

Memory

ACh & the Basal

Forebrain

Orexin & ACh

Orexin

Next Steps

Presenter
Presentation Notes
To put it all together, we have the cholinergic hypothesis of Alzheimer’s Disease, which suggests that acetylcholine in the basal forebrain cholinergic system is necessary for cognitively-demanding tasks. The lack of acetylcholine transmission in this system has been seen time and time again to demonstrate cognitive inflexibility, a common symptom of Alzheimer’s Disease. With a clear picture of the role of orexin’s modulation of acetylcholine and its role in the basal forebrain cholinergic system, research is being performed to examine how orexin influences acetylcholine release in the neocortex, which would ultimately impact behaviors of cognitive flexibility.
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Piantadosi, P. T., Holmes, A., Roberts, B. M., & Bailey, A. M. (2015)

▪ Olfactory reversal discrimination task

▪ Reversal of rule– Trials to criteria

▪ Antagonist > control

Presenter
Presentation Notes
Patrick Piantadosi, also under the mentorship of Dr. Bailey, recently published the results of his SMP, also looking at the effects of orexin antagonist, SB-334867, on cognitive flexibility in the basal forebrain. He measured cognitive flexibility through an olfactory reversal discrimination task in which rats were trained to dig in a cup of sand, baited with a reward, depending on the odor mixed in with the sand. During each time period of testing, the ‘correct’ odor would change. The graph here indicates that on the reversal, or shift of the original rule, rats receiving the orexin antagonist, SB-334867 required significantly more trials to reach criteria than the control group. Similarly, during the shift, rats made more errors in reaching criteria. These results are promising in research pertaining to the influence of orexin in thinking, learning and memory, or cognitively-demanding tasks, and shapes the study I performed.
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Hypotheses

Rule Predictionh1 Trials to Set Control = Antagonist

Trials to Shift Control < Antagonist

h2 Errors to Set Control = Antagonist

Errors to Shift Control < Antagonist

Presenter
Presentation Notes
Using similar methodology, I inhibited orexin in the basal forebrain to determine the influence in another task of cognitive flexibility, a set-shift task. I hypothesized that before administration of the orexin antagonist or a control, rats would perform similarly in the trials and errors it took to reach criteria on the first rule. Following drug administration, I predicted that the antagonist group would require more trials and and make more errors to reach criteria during shift when learning the new rule.
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Methods: Subjects▪ 9 male Sprague-Dawley rats

▪ 56 PND upon arrival

Control Antagonist n = 3 n = 6

Presenter
Presentation Notes
I used nine adult male albino rats for my study. Upon arrival, they were transferred into cages in pairs and handled every day prior to the beginning of the study. All conditions were approved and maintained under the guidelines of the St. Mary’s Institutional Animal Care and Use Committee. Pretraining -FR-1 schedule w/ both levers out and lights on -pair light and lever extension in psedo random order Surgery -stereotaxic surgery -bilateral cannula -bregma -AP = -0.92 -M/L = +/-3.8 -DV = -7.0 Learning the first rule -side rule Infusion Shift -light rule
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Methods: PretrainingPhase 1▪ FR-1 schedule of reinforcement ▪ Both levers extended▪ House light + cue lights illuminated▪ Criteria: 50 consecutive presses 2 days

in a row

Phase 2▪ FR-1 schedule of reinforcement▪ Light cue + lever extension paired,

alternating sides ▪ Criteria: ≥ 5 omissions 2 days in a row

Side Bias▪ Both levers extended▪ Side preference by left or right lever

pressed first most often

Presenter
Presentation Notes
Before any surgical manipulations were performed, rats were trained to press a lever for a food reward during two phases. In the first phase, rats were placed into the operant box, shown here, with both levers extended and both lights illuminated. In 30 minute sessions, rats were placed into the operant chambers and eventually associated a lever press with a food reward. Once rats made 50 lever presses for two sessions in a row, they were moved onto the next phase. The next phase was similar to the first in that one lever press prompted a reward. However, the lights and levers were paired and would illuminate and extend in a pseudorandom order. The purpose of this phase was to ensure that the rats knew that both levers would prompt a reward, and they weren’t just attending to one lever over the other. After completion of the second phase, I determined the side preference of the rat by observing which lever, the left or right, was pressed first more often. This affected a testing period later on in the study.
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Methods: Cannulation▪ Stereotaxic surgery

– nbM bilateral guide cannula – Coordinates

▪ AP = -0.92 mm ▪ M/L = ±3.8 mm▪ DV = -0.92 mm

Cannula placement

Presenter
Presentation Notes
I performed surgery under aseptic conditions and inserted a bilateral guide cannula into the rat’s brain. This is a tiny tube used to administer the drug or the orexin antagonist directly into the correct area of the brain, the basal forebrain. Rats were under gaseous anesthesia during the course of the surgery. Body temperature was monitored and pain relievers were delivered through injections. During a ten day recovery period, body weight, food intake, and overall health was monitored.
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Methods: Set

Figure reproduced with permission (Brady & Floresco, 2015)

Presenter
Presentation Notes
After recovery from surgery, rats were re-exposed to the operant chamber and learned the first rule, which I will refer to as ‘set.’ Depending on the training task in which the preferred lever side was determined, rats were required to ignore the light cue and only press the lever that was less preferred. For example, this rat pictured here preferred the right lever before surgery. Now during set, the rat needed to ignore the illuminated light and only press the left lever to receive a reward. Rats performed this task until the rat made 10 correct consecutive responses AND completed at least 30 trials.
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Methods: Infusioncontrol

Orexin antagonist: SB-334867aCSF

n = 3 n = 6

Presenter
Presentation Notes
24 hours after establishing criteria for ‘set,’ rats received an infusion of either artificial cerebrospinal fluid as the control or the orexin antagonist through the guide cannula implanted prior. Following the infusion, rats were placed back into the operant chamber to learn the new rule.
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Methods: Shift

Figure reproduced with permission (Brady & Floresco, 2015)

Presenter
Presentation Notes
The new rule, ‘shift,’ required rats to ignore the set rule, in which they had to ignore the light cue and now pair the light cue with the lever they were supposed to press. Rats needed to pay attention to the light and which lever it was illuminated over. If the rat pressed the lever underneath the illuminated light, they would now get the reward. Again, a successful shift was to make ten correct responses in a row. Rats had two days to meet this goal in which they were infused immediately before each testing period. If they did not meet this criteria on either day, the rat was considered to not have shifted.
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Results: Trials to Criteria• No significant main effects

• time F(1,7) = .480, p = .511, η2 = .084

• drug F(1,7) = .300, p = .601, η2 = .041

• No group x time interaction F(1,7) = .148, p = .712, η2 = .021

• Between-group difference during shift not significant, t(7) = .640, p > .05, ƞ2 = .055

Presenter
Presentation Notes
Results showed there IS a noticeable trend during the shift phase as hypothesized. Rats receiving the orexin antagonist did require more trials than the control group to meet criteria. However, this difference was not statistically significant. Though it seems as though the control and antagonist group have a significant difference in the number of trials to reach criteria during the shift, error bars represent standard error and a t-test indicates a p-value greater than .05. �
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Results: Errors to Criteria

• No significant main effects• time F(1,7) = .660, p = .443, η2 = .086

• drug F(1,7) = .216, p = .656, η2 = .030

• No group x time interactionF(1,7) = .220, p = .653, η2 = .030

Presenter
Presentation Notes
Similar to the trend in the previous graph, rats who received the orexin antagonist did make more errors during shift than rats in the control group. However, when looking at these differences between the antagonist and control groups in the number of errors made, no statistically significant differences were observed.
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Results: Types of Errors

• No significant main effect • error typeF(1,7) = 1.401, p = .275, η2 = .167• drugF(1,7) = .116, p = .744, η2 = .016

• No group x error type interaction

F(1,7) = .497, p = .504, η2 = .066

• Control rats made less perservative errors than antagonist group

Presenter
Presentation Notes
Rats were able to make two types of errors: perseverative, in which rats failed to shift to the new rule even after receiving feedback that the rule had shifted and regressive which the rat was able to shift to the new rule but unable to maintain that shift. Perseverative errors are indicative of deficits in cognitive flexibility, commonly seen in Alzheimer’s Disease. Like the other two result categories, there is a trend demonstrating a greater number of perseverative errors in rats receiving the orexin antagonist than control rats. These results provide further evidence of orexin’s role in cognitive flexibility.
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Results: Histology

Bregma: -0.92 mmtarget

Image derived from http://www.brainmaps.org

Presenter
Presentation Notes
Following data collection, I isolated a small sample of brain tissue of the rats to examine the placement of the cannula that I implanted during surgery. This allowed me to determine where the tube ended so I knew where the drug was being delivered. The red dots indicate the target area, the substantia innominata of the basal forebrain and the yellow dots represent where the cannulas I implanted terminate. While there was slight variation where the cannula tips actually ended in the brain, the basal forebrain is a rather large area and all of the implants were roughly clustered around the target. These data suggest that the cannula placement was successful and the drug was delivered to the target area.
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Discussion: SB-334867 and Performance▪ No group differences were

found

▪ Trends in performance align with hypotheses – Trials to Shift: Control <

Antagonist– Errors to Shift: Control <

Antagonist▪ Antagonist group made

more perseverative errors

Rule Predictionh1 Trials to Set Control = Antagonist

Trials to Shift Control < Antagonisth2 Errors to Set Control = Antagonist

Errors to Shift Control < Antagonist

Presenter
Presentation Notes
To summarize, the general trend of rats in the antagonist group requiring more trials to criteria and making more errors to criteria while learning the new rule, supports the predictions made in the original hypotheses. In addition, rats who received the orexin antagonist made more perseverative errors during the shift phase than the control group. They were unable to successfully learn or maintain performance of the new rule. As the lack of cognitive flexibility in reference to a set-shift task would be the inability to ignore a previously learned rule and adopt the ways of the new one, the results support the lack of cognitive flexibility in rats who received the orexin antagonist. Disruptions, or inability to perform tasks of cognitive flexibility is typically seen in patients with Alzheimer’s Disease. It is likely that due to the pattern of greater numbers of perseverative errors, errors to shift, and trials to criteria within the experimental groups, the orexin antagonist that blocked acetylcholine release was overall successful in inhibiting the cognitive flexibility behavior. Using these results, we can infer that the basal forebrain cholinergic system, which can be modulated by orexin, is involved in some of the deficits in cognition seen in Alzheimer’s Disease.
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Discussion: Implications▪ Patterns in performance (and errors)

mimics that of previous research– Piantadosi et al. (2015)– Cabrera et al. (2006)

▪ Patterns in performance (and errors) mimics the reversal of previous research– Fadel et al. (2005)– Zajo et al. (2016)

▪ ACh is implicated in cognitively-demanding tasks (Arnold et al., 2002)

▪ ACh is likely transmitted through the BFCS during performance of operant control tasks (Arnold et al., 2002)

Attention, Learning &

Memory

ACh & the Basal

Forebrain

Orexin & ACh

Orexin

Presenter
Presentation Notes
The pattern of performance in rats between the two groups is similar to previous research examining the role of orexin in modulating acetylcholine transmission in the basal forebrain cholinergic system. Orexin, whose receptors originate in the basal forebrain, project to the neocortex to control the release of acetylcholine. In addition, previous research has indicated an ENHANCEMENT of cognitive flexibility in rats administered an orexin promoting drug. The results I found complemented this data in that blocking the orexin receptors in the basal forebrain will disrupt cognitive flexibility. The data also supports the evidence that acetylcholine is implicated in cognitively-demanding tasks through the basal forebrain cholinergic system, especially during completion of operant control tasks.
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Discussion: Limitations▪ Inadequate sample size

▪ Histology

▪ Did not perform microdialysis

▪ Administration of a limited dose of SB-334867 only

Presenter
Presentation Notes
My sample size was rather limited, likely contributing to some of the nonsignificant statistical findings. While histology was performed, the results were only observational and information was not compared to each rat’s individual performance during the task. I did not perform microdialysis which would enable me to observe the direct chemical affects of orexin on acetylcholine transmission in the basal forebrain cholinergic system, so it can only be assumed that acetylcholine release was in fact reduced. And finally, only a limited dose of the antagonist was administered prior to performance of the shift task. Although one dose was sufficient in the Piantadosi study that my study was based upon, a set-shit task that is a bit more cognitively-demanding may require a different level of chemical manipulation.
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Discussion: Future Directions ▪ More subjects!

▪ Comparison to administration of OxA agonist

▪ Microdialysis

▪ Different doses of SB-334867

Presenter
Presentation Notes
Based on the limitations, more subjects are needed for further data collection. A larger sample size could account for any abnormal variability seen in the animals. These data need to be compared to the effects of an orexin agonist in order to determine if cognitive flexibility can be enhanced through enhancing acetylcholine transmission within the basal forebrain cholinergic system. Microdialysis studies would be beneficial to observe acetylcholine transmission following administration of an orexin agonist or antagonist. And finally, various doses of the orexin antagonist and at different time periods should be examined.
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A huge thank you to…

Dr. Aileen BaileyJenn Marsh

Lab Assistants: Alyssa VianeseMary Rose Winters

Funding:Psi Chi International Honors Society

Undergraduate Research Grant – Spring 2017SMCM Psychology Department

Presenter
Presentation Notes
I would like to thank Dr. Bailey for her mentorship throughout this process. I could not have completed this project without her encouragement, flexibility, and guidance. I would also like to thank Jenn Marsh for teaching me the ropes in the lab, as well as be there as a human being when I would spend long days doing surgery. And finally, my two lab assistants and close friends, Alyssa Vianese and Mary Rose Winters for lending me a hand with all aspects of the study, especially coming in to feed the rats when I was snowed in and couldn’t make it to campus! You both saved me so much time and sanity!
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References ▪ Arnold, H. M., Burk, J. A., Hodgson, E. M., Sarter, M., & Bruno, J. P. (2002). Differential cortical acetylcholine release in rats performing a sustained attention task versus behavioral control

tasks that do not explicitly tax attention. Neuroscience, 114(2), 451-460. ▪ Brown, V. J., & Tait, D. S. (2016). Attentional Set-Shifting Across Species. Curr Top Behav Neurosci. doi:10.1007/7854_2015_5002▪ Bigl, V., Woolf, N. J., & Butcher, L. L. (1982). Cholinergic projections from the basal forebrain to frontal, parietal, temporal, occipital, and cingulate cortices: a combined fluorescent tracer and

acetylcholinesterase analysis. Brain Res Bull, 8(6), 727-749.▪ Blennow, K., de Leon, M. J., & Zetterberg, H. (2006). Alzheimer's disease. Lancet, 368(9533), 387-403. doi:10.1016/s0140-6736(06)69113-7▪ Brady, A. M. & Floresco, S. B. (2015). Operant Procedures for Assesing Behavioral Flexibility in Rats. Journal of Visualized Experiments, (96).▪ Cabrera, S. M., Chavez, C. M., Corley, S. R., Kitto, M. R., & Butt, A. E. (2006). Selective lesions of the nucleus basalis magnocellularis impair cognitive flexibility. Behav Neurosci, 120(2),

298-306. doi:10.1037/0735-7044.120.2.298▪ Fadel, J., & Burk, J. A. (2010). Orexin/hypocretin modulation of the basal forebrain cholinergic system: role in attention. Brain Res, 1314C, 112. doi:10.1016/j.brainres.2009.08.046▪ Fadel, J., Pasumarthi, R., & Reznikov, L. R. (2005). Stimulation of cortical acetylcholine release by orexin A. Neuroscience, 130(2), 541-547. doi:10.1016/j.neuroscience.2004.09.050▪ Grant, D. A., & Berg, E. (1948). A behavioral analysis of degree of reinforcement and ease of shifting to new responses in a Weigl-type card-sorting problem. Journal of Experimental

Psychology, 38(4), 404-411. doi:10.1037/h0059831▪ Grober, E., Hall, C. B., Lipton, R. B., Zonderman, A. B., Resnick, S. M., & Kawas, C. (2008). Memory impairment, executive dysfunction, and intellectual decline in preclinical Alzheimer's

disease. Journal of the International Neuropsychological Society, 14(02), 266-278.▪ Liu, A. K., Chang, R. C., Pearce, R. K., & Gentleman, S. M. (2015). Nucleus basalis of Meynert revisited: anatomy, history and differential involvement in Alzheimer's and Parkinson's disease.

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