Leon Lotter

Leon Lotter

@leondlotter.de

👨‍💻 Physician scientist (MD) 📊 What does brain imaging measure biologically? 🧠 ADHD | ASD 🏫 INM-7, Research Centre Juelich 🎓 Max Planck School of Cognition 🛠️ NiSpace | https://nispace.readthedocs.io 🐮 Vegan | 👤 He/him | 📷 By N. Brade 🌐 https://leondlotter.de

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Hello Bluesky! Below this post, you will find all my very interesting "new paper" threads. 🤓 Note that some of these are much older than the timestamp because I rescued them from Twitter to make them accessible for everyone.

Leon Lotter reposted

Hello Bluesky! Below this post, you will find all my very interesting "new paper" threads. 🤓 Note that some of these are much older than the timestamp because I rescued them from Twitter to make them accessible for everyone.

Linking human brain functional connectivity to underlying neurotransmission Preprint on bioRxiv, 2026 bsky.app/profile/leon...

Leon Lotter@leondlotter.de

My most recent and biggest work so far is finally out as a preprint! 🧠🧵 *Linking human brain functional connectivity to underlying neurotransmission* doi.org/10.64898/202... 1/n TL;DR below ↓ #neuroskyence #neuroimaging #MedSky #PsySciSky

My most recent and biggest work so far is finally out as a preprint! 🧠🧵 *Linking human brain functional connectivity to underlying neurotransmission* doi.org/10.64898/202... 1/n TL;DR below ↓ #neuroskyence #neuroimaging #MedSky #PsySciSky

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My most recent and biggest work so far is finally out as a preprint! 🧠🧵 *Linking human brain functional connectivity to underlying neurotransmission* doi.org/10.64898/202... 1/n TL;DR below ↓ #neuroskyence #neuroimaging #MedSky #PsySciSky

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Limitations: Correlative design, dependence on PET map quality, intercorrelated neurotransmitter maps, and small pharmacological cohorts. Effects nonetheless replicate across 6 cohorts, two imaging modalities, multiple parcellations, and are present at the individual subject level! 15/n

Here, we apply our approach to resting-state fMRI and MEG data on one side, and PET maps on the other. A strength of the approach is its flexibility. I'm excited to see it extended to other biological priors, EEG (think about clinical applicability), and task fMRI (e.g., a reward paradigm)! 16/n

My most recent and biggest work so far is finally out as a preprint! 🧠🧵 *Linking human brain functional connectivity to underlying neurotransmission* doi.org/10.64898/202... 1/n TL;DR below ↓ #neuroskyence #neuroimaging #MedSky #PsySciSky

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Application: Pharmaco-fMRI data for 3/4 substances show AUC score modulation largely in line with expected receptor targets (risperidone, ketamine, midazolam). For ketamine and midazolam administered intravenously during scans, NEOFC scores change dynamically during infusion (lower right). 13/n

Another one: In patients with early psychosis, AUC+ scores are reduced across neurotransmitter systems, but most prominently for serotonergic and dopaminergic indices! As far as we could test, reductions are independent of antipsychotic medication and may be associated with symptom severity. 14/n

My most recent and biggest work so far is finally out as a preprint! 🧠🧵 *Linking human brain functional connectivity to underlying neurotransmission* doi.org/10.64898/202... 1/n TL;DR below ↓ #neuroskyence #neuroimaging #MedSky #PsySciSky

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... Such local patterns may then show as negative associations (fMRI AUC–). Only ultra-slow fluctuations, producing networks with high spatial coherence – such as those supported by long-range projecting neurons – may actually "survive" in fMRI (→ NET AUC+). 11/n

Back to a core finding: The NET effect is driven by a sensorimotor-insular network. In two independent samples, NET AUC+ is inversely associated with autonomic arousal – heart rate variability and pupil unrest – indicating a physiologically relevant signal. Correlation: 0.6 for pupil unrest! 12/n

My most recent and biggest work so far is finally out as a preprint! 🧠🧵 *Linking human brain functional connectivity to underlying neurotransmission* doi.org/10.64898/202... 1/n TL;DR below ↓ #neuroskyence #neuroimaging #MedSky #PsySciSky

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Indeed, they do! AUC profiles correlate 0.8 – 0.9 between rsfMRI datasets, ICC approaches 0.9. MEG mirrors MRI results, but with a twist: We find high correspondence in the beta band (scatter plots). But especially gamma bands show pronounced AUC+ effects not present in MRI. 9/n

Interpretation? fMRI and MEG may reflect the same signal: Assume regions interact at high frequencies such as found in MEG gamma (AUC+). The same neural sources in fMRI are observed through heavy filtering, which may reduce interregional info and leave a local-appearing BOLD pattern. ... 10/n

My most recent and biggest work so far is finally out as a preprint! 🧠🧵 *Linking human brain functional connectivity to underlying neurotransmission* doi.org/10.64898/202... 1/n TL;DR below ↓ #neuroskyence #neuroimaging #MedSky #PsySciSky

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During our exploration, we realized: Our approach is intrinsically sensitive to positive associations (high connectivity in regions with high PET density: "AUC+"), but to test for negative associations, we can invert the PET maps. A range of transmitter systems showed strong "AUC–" effects! 7/n

Before going into interpretation, we look at reproducibility and external validation. Do the AUC profiles across neurotransmitter systems replicate in independent samples? And do we find the same associations in a different imaging modality? 8/n

My most recent and biggest work so far is finally out as a preprint! 🧠🧵 *Linking human brain functional connectivity to underlying neurotransmission* doi.org/10.64898/202... 1/n TL;DR below ↓ #neuroskyence #neuroimaging #MedSky #PsySciSky

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With this approach, we evaluate 25 PET atlases for their associations with individual connectome architecture. We test for statistical significance with spatial nulls of the PET maps. But first, we run a positive control confirming that we can trace underlying canonical resting-state networks. 5/n

Next, we find that, across 6 independent cohorts, rsfMRI connectivity aligns with neurobiology. Importantly, the strongest effect by far emerges for the noradrenaline transporter (NET), significant in every individual subject! AUC scores showed good-to-excellent 1-day-test-retest reliability! 6/n

My most recent and biggest work so far is finally out as a preprint! 🧠🧵 *Linking human brain functional connectivity to underlying neurotransmission* doi.org/10.64898/202... 1/n TL;DR below ↓ #neuroskyence #neuroimaging #MedSky #PsySciSky

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Resting-state (rs)fMRI connectivity has been measured for 30 years. But its neurobiological basis remains poorly understood - BOLD is indirect, unspecific, and shaped by neurovascular coupling. Which neurotransmitter systems drive the networks we observe remains largely an open question. 3/n

We introduce the NEOFC framework: if a receptor contributes to regional signals, regions with higher density should show more synchronization. We quantify this by masking an individual's connectome by receptor/transporter density percentiles, producing a curve and a subject-level "AUC" score. 4/n

My most recent and biggest work so far is finally out as a preprint! 🧠🧵 *Linking human brain functional connectivity to underlying neurotransmission* doi.org/10.64898/202... 1/n TL;DR below ↓ #neuroskyence #neuroimaging #MedSky #PsySciSky

TL;DR: We develop a framework linking fMRI & MEG connectivity to underlying neurotransmitter distributions. It is robust, reproducible, applicable at the individual level, sensitive to pharmacological manipulation & clinical alterations. A step toward biologically informed connectome analysis. 2/n

Hello Bluesky! Below this post, you will find all my very interesting "new paper" threads. 🤓 Note that some of these are much older than the timestamp because I rescued them from Twitter to make them accessible for everyone.

The many-to-many problem of endophenotypes in psychiatry - a biological perspective Molecular Psychiatry, 2026 bsky.app/profile/leon...

Leon Lotter@leondlotter.de

Catching up on my paper threads 🧵 Here is a perspective from this year, lead-authored by my supervisor, @juergendukart.bsky.social The many-to-many problem of endophenotypes in psychiatry - a biological perspective doi.org/10.1038/s413... #neuroskyence #neuroimaging #MedSky #PsychSciSky 1/n

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Pathway-specific imaging biomarkers – multimodal colocalization, multi-tracer PET, advanced MRS – interrogate that grid, linking genes X environment X brain to the individual. A step toward precision psychiatry with heterogeneity built in as a feature, rather than dealing with it post-hoc. 5/n

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If altered neurotransmission underlies psychiatric disorders, we identify a problem: neurotransmitter systems are strongly colocalized – GABAa and 5-HT2a share ~80% of spatial variance. The same imaging signal can reflect entirely different pathophysiology in two patients. But you'd never know. 3/n

We propose a solution: a "vulnerability search grid", intersecting pathway-specific genetic risk (single-ontology PRS) with individual environmental exposures. Not a diagnosis, but a biologically informed prior that narrows the search space for what's actually going on in a given patient. 4/n

Despite decades of research, no reliable (imaging) biomarkers exist for any major psychiatric diagnosis. Why? Current neuroimaging markers like fMRI connectivity or cortical thickness are too unspecific – E/I imbalance and accelerated brain age have been reported for nearly every disorder. 2/n

Hello Bluesky! Below this post, you will find all my very interesting "new paper" threads. 🤓 Note that some of these are much older than the timestamp because I rescued them from Twitter to make them accessible for everyone.

Regional patterns of human cortex development correlate with underlying neurobiology Nature Communications, 2024 bsky.app/profile/leon...

Leon Lotter@leondlotter.de

*Rescuing Twitter threads* series 2024: *Regional patterns of human cortex development correlate with underlying neurobiology* doi.org/10.1038/s414... 1/n #neuroskyence #neuroimaging #AcademicSky #SciSky

Hello Bluesky! Below this post, you will find all my very interesting "new paper" threads. 🤓 Note that some of these are much older than the timestamp because I rescued them from Twitter to make them accessible for everyone.

Temporal dissociation between local and global functional adaptations of the maternal brain to childbirth: A longitudinal assessment Neuropsychopharmacology, 2024 doi.org/10.1038/s413... bsky.app/profile/leon...

Leon Lotter@leondlotter.de

So, let's share some science. 🤓 This is my latest preprint, first-authored by Natalia Chechko. We tracked temporal trajectories of resting brain-function in healthy mothers from 1 week to 6 months after childbirth. doi.org/10.1101/2023... #Neuroscience #MedSky #PsychSciSky #Neuroimaging 🧵1/n

Hello Bluesky! Below this post, you will find all my very interesting "new paper" threads. 🤓 Note that some of these are much older than the timestamp because I rescued them from Twitter to make them accessible for everyone.

Revealing the neurobiology underlying interpersonal neural synchronization with multimodal data fusion Neuroscience & Biobehavioral Reviews, 2023 bsky.app/profile/leon...

Leon Lotter@leondlotter.de

*Rescuing Twitter Threads* series 2023: *Revealing the neurobiology underlying interpersonal neural synchronization with multimodal data fusion* doi.org/10.1016/j.ne... 1/n #neuroskyence #neuroimaging #AcademicSky #SciSky

Hello Bluesky! Below this post, you will find all my very interesting "new paper" threads. 🤓 Note that some of these are much older than the timestamp because I rescued them from Twitter to make them accessible for everyone.

Recovery-Associated Resting-State Activity and Connectivity Alterations in Anorexia Nervosa Biological Psychiatry: CNNI, 2021 bsky.app/profile/leon...

Leon Lotter@leondlotter.de

*Rescuing Twitter Threads* series 2021: This was my first fist-author and MD thesis paper! *Recovery-Associated Resting-State Activity and Connectivity Alterations in Anorexia Nervosa* doi.org/10.1016/j.bp... PDF: leondlotter.de/doc/2021_ANR... 1/n #neuroskyence #neuroimaging #AcademicSky #SciSky

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While grey matter volume alterations demonstrated similar recovery dynamics, voxel-wise controlling did barely affect rsfMRI group differences, suggesting differing mechanisms in place (panel C). Correlations with clinical variables did not survive multiple comparison correction. 4/n

Concluding, resting-state alterations in Anorexia nervosa seem to be a temporary phenomenon independent of grey matter volume decreases. Limitations: Mainly the small sample size. 🤏 Replication in a larger sample is needed. 👀 Edit 2026: An ENIGMA meta-analysis is on the way! 5/fin

We were interested in how resting-state fMRI alterations in Anorexia nervosa develop from starvation to weight-recovered state and how they relate to grey matter volume changes. Different rsfMRI metrics in acute, partially and long-term weight-recovered patients showed: 2/n

Strong widespread resting-state activity and connectivity decreases in severely underweight patients (T1acu) that nearly resolved after inpatient treatment (T2acu) and were normalized in long-term recovered patients (T3rec). 3/n