INTRODUCTION: Abnormal cerebrospinal fluid amyloid beta (Aβ)42 and tau levels have been revealed decades before symptoms onset in Alzheimer's disease (AD); however, the examination is usually invasive and inaccessible to most people. We thus aimed to develop a non-invasive behavioral test that targets early potential cognitive changes to gauge cognitive decline. Specifically, we hypothesized that older cognitive healthy participants would exhibit comparable performance when the task was explicit and relied on conscious cognition. However, when the task was implicit, the performance of participants at high and low risks for AD would bifurcate. That is, early changes in unconscious cognition could be linked to cognitive health. METHODS: We measured implicit interference elicited by an imperceptible distractor in cognitively healthy elderly participants with normal (low risk) and pathological (high risk) Aβ42/total tau ratio. Participants were required to perform a Stroop task (word-naming or color-naming on an ink-semantics inconsistent word) with a visually masked distractor presented prior to the target task. RESULTS: We found that, under a high-effort task (i.e., color-naming in the Stroop task), high-risk participants suffered interference when the imperceptible distractor and the subsequent target were incongruent in the responses they triggered. Their reaction times were slowed down by approximately 4%. This implicit interference was not found in the low-risk participants. DISCUSSION: These findings indicate that weakened inhibition of distracting implicit information can be a potential behavioral biomarker of early identification of AD pathology. Our study thus offers a new experimental paradigm to reveal early pathological aging by assessing how individuals respond to subperceptual threshold visual stimuli.

Electroencephalographic (EEG) alpha oscillations have been related to heart rate variability (HRV) and both change in Alzheimer's disease (AD). We explored if task switching reveals altered alpha power and HRV in cognitively healthy individuals with AD pathology in cerebrospinal fluid (CSF) and whether HRV improves the AD pathology classification by alpha power alone. We compared low and high alpha event-related desynchronization (ERD) and HRV parameters during task switch testing between two groups of cognitively healthy participants classified by CSF amyloid/tau ratio: normal (CH-NAT, n = 19) or pathological (CH-PAT, n = 27). For the task switching paradigm, participants were required to name the color or word for each colored word stimulus, with two sequential stimuli per trial. Trials include color (cC) or word (wW) repeats with low load repeating, and word (cW) or color switch (wC) for high load switching. HRV was assessed for RR interval, standard deviation of RR-intervals (SDNN) and root mean squared successive differences (RMSSD) in time domain, and low frequency (LF), high frequency (HF), and LF/HF ratio in frequency domain. Results showed that CH-PATs compared to CH-NATs presented: 1) increased (less negative) low alpha ERD during low load repeat trials and lower word switch cost (low alpha: p = 0.008, Cohen's d = -0.83, 95% confidence interval -1.44 to -0.22, and high alpha: p = 0.019, Cohen's d = -0.73, 95% confidence interval -1.34 to -0.13); 2) decreasing HRV from rest to task, suggesting hyper-activated sympatho-vagal responses. 3) CH-PATs classification by alpha ERD was improved by supplementing HRV signatures, supporting a potentially compromised brain-heart interoceptive regulation in CH-PATs. Further experiments are needed to validate these findings for clinical significance.

Whether unconscious complex visual information integration occurs over time remains largely unknown and highly controversial. Previous studies have tended to use a combination of strong masking or suppression and a weak stimulus signal (e.g., low luminance), resulting in a low signal-to-noise ratio during unconscious stimulus presentation. To lengthen the stimulus exposure, we introduced intermittent presentation into interocular suppression. This discontinuous suppression allowed us to insert a word during each suppression period and deliver multiple words over time unconsciously. We found that, after participants received the subliminal context, they responded faster to a syntactically incongruent target word in a lexical decision task. We later replicated the finding in a separate experiment where participants exhibited chance performance on locating the subliminal context. These results confirmed that the sentential context was both subjectively and objectively subliminal. Critically, the effect disappeared when the context was disrupted by presenting only partial sentences or sentences with a reversed word order. These control experiments showed that the effect was not merely driven by word-word association but instead required integration over multiple words in the correct order. These findings support the possibility of unconscious high-level, complex information integration.

The tight relationship between attention and conscious perception has been extensively researched in the past decades. However, whether attentional modulation extended to unconscious processes remained largely unknown, particularly when it came to abstract and high-level processing. Here we use a double Stroop paradigm to demonstrate that attention load gates unconscious semantic processing. We find that word and color incongruencies between a subliminal prime and a supraliminal target cause slower responses to non-Stroop target words-but only if the task is to name the target word (low-load task), and not if the task is to name the target's color (high-load task). The task load hypothesis is confirmed by showing that the word-induced incongruence effect can be detected in the color-naming task, but only in the late, practiced trials. We further replicate this task-induced attentional modulation phenomenon in separate experiments with colorless words (word-only) and words with semantic relationship but no orthographic similarities (semantics-only).

Nonarbitrary mappings between sound and shape (i.e., the bouba-kiki effect) have been shown across different cultures and early in development; however, the level of processing at which this effect arises remains unclear. Here we show that the mapping occurs prior to conscious awareness of the visual stimuli. Under continuous flash suppression, congruent stimuli (e.g., "kiki" inside an angular shape) broke through to conscious awareness faster than incongruent stimuli. This was true even when we trained people to pair unfamiliar letters with auditory word forms, a result showing that the effect was driven by the phonology, not the visual features, of the letters. Furthermore, visibility thresholds of the shapes decreased when they were preceded by a congruent auditory word form in a masking paradigm. Taken together, our results suggest that sound-shape mapping can occur automatically prior to conscious awareness of visual shapes, and that sensory congruence facilitates conscious awareness of a stimulus being present.

Photic stimulation of rods, cones and intrinsically photosensitive melanopsin-containing retinal ganglion cells (ipRGCs) mediates non-visual light responses, including entrainment of circadian rhythms and pupillary light reflex. Unlike visual responses to photic stimulation, the cerebral correlates of non-visual light responses in humans remains elusive. In this study, we used functional magnetic resonance imaging (fMRI) in 14 healthy young participants, to localize cerebral regions which are differentially activated by metameric light that gave rise to different levels of melanopic excitation. Mean blood oxygen-level dependent (BOLD) responses disclosed bilateral activation of the frontal eye fields during exposure to light geared towards melanopsin. Furthermore, multivariate pattern analyses showed distinct bilateral pattern activity in the inferior temporal gyri and the caudate nuclei. Taken together, our findings suggest that melanopsin-based photoreception activates a cerebral network including frontal regions, classically involved in attention and ocular motor responses.

Past research has proven human's extraordinary ability to extract information from a face in the blink of an eye, including its emotion, gaze direction, and attractiveness. However, it remains elusive whether facial attractiveness can be processed and influences our behaviors in the complete absence of conscious awareness. Here we demonstrate unconscious processing of facial attractiveness with three distinct approaches. In Experiment 1, the time taken for faces to break interocular suppression was measured. The results showed that attractive faces enjoyed the privilege of breaking suppression and reaching consciousness earlier. In Experiment 2, we further showed that attractive faces had lower visibility thresholds, again suggesting that facial attractiveness could be processed more easily to reach consciousness. Crucially, in Experiment 3, a significant decrease of accuracy on an orientation discrimination task subsequent to an invisible attractive face showed that attractive faces, albeit suppressed and invisible, still exerted an effect by orienting attention. Taken together, for the first time, we show that facial attractiveness can be processed in the complete absence of consciousness, and an unconscious attractive face is still capable of directing our attention.

The classical view that multistep rule-based operations require consciousness has recently been challenged by findings that both multiword semantic processing and multistep arithmetic equations can be processed unconsciously. It remains unclear, however, whether pure rule-based cognitive processes can occur unconsciously in the absence of semantics. Here, after presenting 2 words consciously, we suppressed the third with continuous flash suppression. First, we showed that the third word in the subject-verb-verb format (syntactically incongruent) broke suppression significantly faster than the third word in the subject-verb-object format (syntactically congruent). Crucially, the same effect was observed even with sentences composed of pseudowords (pseudo subject-verb-adjective vs. pseudo subject-verb-object) without any semantic information. This is the first study to show that syntactic congruency can be processed unconsciously in the complete absence of semantics. Our findings illustrate how abstract rule-based processing (e.g., syntactic categories) can occur in the absence of visual awareness, even when deprived of semantics.

The Chinese classifier system classifies nouns and builds a relation between classifiers and their corresponding nouns. This functional magnetic resonance imaging (fMRI) study examined brain activation of Chinese classifiers during reading comprehension. Thirty-four participants read and performed semantic congruency judgments on congruent, inside-classifier (IC) violated, and outside-classifier (OC) violated sentences. The IC and OC violations were created by changing the correct classifier to an inappropriate classifier and a non-classifier, respectively. The comparison of the IC violation vs. the congruent condition produced greater activation in the mid-ventral region (BA 45) of the left inferior frontal gyrus (IFG), suggesting an increased demand on semantic processing. Contrasting different subtypes of IC violation produced greater activation in the right IFG (BAs 45 and 47), indicating that processing mass/count classifiers involves distinct brain activations. The OC violation produced greater activation in the left IFG (BAs 45 and 44), suggesting both semantic and syntactic processing. These results indicate that different parts of the IFG contribute to syntactic and semantic processing of classifier phrases in reading Chinese for comprehension.