David M. & Tracy S. Holtzman Professor, Neurology @ WashU School of Medicine; precision #neuroimaging, network plasticity, BWAS ≠ fMRI, action mode

St Louis, MO
Joined November 2012
Ritalin works, but not how we thought it did. Out today @CellCellPress : cell.com/cell/fulltext/S0092… No effect on attention systems. Boosts arousal and anticipated reward. It doesn't help you pay attention better, but it lets you persist in boring tasks. bsky.app/profile/benjaminkay…
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New research led by David Holtzman, MD, suggests Alzheimer's-related brain damage may begin outside the brain. His team found that immune cells activated in lymph nodes can drive inflammation and neurodegeneration in the brain. bit.ly/3VpkmYT
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Nico Dosenbach retweeted
The outpouring of interest in our paper has been … a bit insane. May I make four points? 1. We have not shown that “consciousness has a frame rate.” I can see why people draw this conclusion: we report that inferotemporal and prefrontal cortex alternate between conscious and suppressed states roughly every 60 ms during binocular rivalry. Consciousness depends on many brain areas, and our paper reports results from only a few select nodes. We still don’t know how conscious access works--the actual recipe for generating conscious experience. What we have shown is that deep in the brain there is an extremely strong signal, rich enough to reconstruct a high-dimensional face in detail, that is inaccessible to consciousness. As I argued in the original tweet, this makes the problem of conscious access a lot more experimentally tractable. But to claim “consciousness has a frame rate,” one would need to have actually solved the mechanism for conscious access and shown that this mechanism operates at a frame rate. While we currently don’t know conclusively one way or the other (see VanRullen & Koch, 2003 for a review of positive evidence), I personally am skeptical that consciousness has a frame rate. I believe the brain, within posterior parietal cortex, has continuous tracking mechanisms that actively represent the persistence of matter, including ourselves as physical bodies. The coupling between these persistent tracking processes and feature representations across the brain (like those in face patches) is, I think, the essential mechanism of conscious access. This coupling need not happen at the rate of inferotemporal alternations (and inferotemporal cortex itself may not even alternate outside of the artificial situation of binocular rivalry). As an analogy: imagine the area crucial for conscious access holding a steady drone note, while inferotemporal cortex alternates between two notes, one in harmony and one dissonant. Inferotemporal content might couple to the drone only at moments of harmony, yet experience would still be continuous, because the drone itself (the tracking process that I believe is at the core of conscious perception) never stops. And areas without conflicting content, like auditory cortex during visual rivalry, could stay in continuous harmony with the drone. In sum, there is no reason to conclude from our study that consciousness is discrete, with a "frame rate." 2. Our results resemble Jezek et al. 2011 (as @jjsakon notes). Jezek et al. trained rats in two boxes that were identical except for their lighting cues, so that hippocampal place cells formed two distinct maps, one per box. They then “teleported” the rat by abruptly switching the lights. For a few seconds afterwards, CA3 place-cell activity flickered between the two maps, synced to the theta cycle (~125 ms). @StanDehaene first pointed this paper out to me, and reading it blew me away. To my mind it is the strongest evidence for a bistable attractor in the brain, because the competing maps are stored within the hippocampus itself. I think the phenomenon we see may be very similar at the circuit level: a bistable attractor network within inferotemporal cortex that alternately converges to one of two patterns, as cells in face patches work together to build a coherent representation of the input. In our case, both images are present in the input, so the competition could arise within IT or be inherited from earlier areas such as V1--recording there is an important next step. (It also still puzzles me that we didn’t see strong coherence between face patches ML and AM.) More broadly, what’s different about our paper is the brain area (inferotemporal cortex, often modeled as a feedforward DNN) and the ability to relate the two competing patterns to consciousness, with one granted conscious access and the other not. 3. Please comment on bioRxiv! The Twitter attention has been cool, but I really hope colleagues will be generous enough to post detailed commentary on bioRxiv, where there are currently 0 comments. As @seemaychou points out, peer review doesn’t have to come from just three anonymous reviewers. We would be truly grateful for your critical feedback. 4. Stay tuned This work was done at Caltech, Berkeley, in collaboration with @EngelTatiana at Princeton, funded by NIH and HHMI. I hope to share our vision soon for how we can solve consciousness @AsteraInstitute
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Nico Dosenbach retweeted
My new favorite scientific study of all times. If you’re interested in your lived experience as a human you have to check this out. & it finally makes sense to me how I will randomly & suddenly have a better solution to a problem I hadn’t thought about in days.
Very excited to share the most important discovery of my career yet: your brain switches between a conscious and an unconscious mode ~15 times every second. Consciousness may depend not on where in the brain activity occurs but when. Find out more below. bit.ly/3WvA6di
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My new favorite scientific study of all times. If you’re interested in your lived experience as a human you have to check this out. & it finally makes sense to me how I will randomly & suddenly have a better solution to a problem I hadn’t thought about in days.
Very excited to share the most important discovery of my career yet: your brain switches between a conscious and an unconscious mode ~15 times every second. Consciousness may depend not on where in the brain activity occurs but when. Find out more below. bit.ly/3WvA6di
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Nico Dosenbach retweeted
One of the coolest electrophysiology results ever... rapidly flickering neural representations reflecting conscious perception Huge congrats @doristsao & @HesseJanis!
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Nico Dosenbach retweeted
Very excited to share the most important discovery of my career yet: your brain switches between a conscious and an unconscious mode ~15 times every second. Consciousness may depend not on where in the brain activity occurs but when. Find out more below. bit.ly/3WvA6di
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Nico Dosenbach retweeted
1/ We discovered something totally unexpected about the neural structure of consciousness that overturns decades of thinking on its biological basis and brings us significantly closer to the recipe for generating conscious awareness. New preprint: biorxiv.org/content/10.64898… (led by @HesseJanis, with @FrankLanfranchi, @_conor_mcgrory, @Yuelin_Shi, and @EngelTatiana)
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In today’s #GrandRounds, Eva Klinman, MD, PhD, discussed her work using neuronal cells created from skin cells to study the aging processes in humans and shared her key discoveries about changes in mitochondria and other organelles, and potential ways to combat those changes.
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We are so proud to announce that Tim Miller, MD, PhD, was selected as this year’s recipient of the Cori Award! alumni.washu.edu/news-awards…
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Nico Dosenbach retweeted
I am doing a series of articles (“Therapeutic Window”) for the Science desk at The New York Times. The first article is about whether ADHD is better understood as a disorder of “attention” or something else: nytimes.com/2026/09/29/scien…
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Nico Dosenbach retweeted
After a long journey through review, our paper is finally out in Nature Communications. We started with a simple problem: The visual cortex is strongly modulated by movement. So how can it represent the visual world without movement interfering with everything? 🧵
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Nico Dosenbach retweeted
We recently learned that blood monocytes replace brain microglia immune cells beginning around age 50. Today, it's blood T cells infiltrate the brain to promote inflammation and Alzheimer's disease in the mouse model @NatureNeuro nature.com/articles/s41593-0…
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Nico Dosenbach retweeted
We have 15 open positions at Astera Neuro! We're hiring experimental and computational neuroscientists and engineers to build a large-scale research effort aimed at understanding consciousness = the brain's internal model of world and self. astera.org/careers/#box=neur… We're looking for: • Experimental Neuroscientists • Computational Neuroscientists • Optical Engineers • Hardware Engineers • Software Engineers • Probe Engineers • and more! I'll share much more about our scientific vision soon. For now: I know we could never have built this in academia. The confluence of talent across different domains, the purposive design of the org structure and open science approach, and the deep, long-term support, all aimed at cracking the brain's internal model, is unprecedented. If you want to understand consciousness, if you sense a huge gap between our internal experience of the world and our scientific understanding of it, if you believe systems neuroscience needs a fundamentally different, collaborative, and scaled up approach, we are building the ideal research environment for you. I've never been more excited in my life. Across Astera Neuro, Astera AI, and Astera Simplex, we're creating a whole new discipline around one question: how does the brain build a world model: a symbolic system that perceives the real world from flickering sensory input streams and can think, plan, and experience? Everyone here is converging on this question from a different direction. The degree of conceptual focus combined with tactical breadth is thrilling. If this sounds like you, come join us. astera.org/careers/#box=neur…
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Nico Dosenbach retweeted
📢My lab at NYU currently has two open post-doc positions. We are interested in understanding perception, thinking, and hallucinations. We employ a range of cutting-edge techniques in human neuroscience (eg, 7T fMRI, MEG, iEEG/DES) and computational approaches (eg, DNN modeling)
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Nico Dosenbach retweeted
Combining data to study lifespan brain aging is tempting: more data and wider age range! But mixing data across scanners/protocols without proper harmonization can bias age effects, including studies using high-quality HCP data. Imaging Neuroscience 🔔doi.org/10.1162/IMAG.a.1338
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Nico Dosenbach retweeted
Examining lifespan differences in functional brain activity or network organization using HCP data? ➡️ Take a look below! A reminder that even subtle differences in data acquisition between cohorts can change the conclusions we draw. More broadly, I think the issue highlighted here will become increasingly important as the field moves toward pooled datasets, normative modeling, and imaging biomarkers.
Combining data to study lifespan brain aging is tempting: more data and wider age range! But mixing data across scanners/protocols without proper harmonization can bias age effects, including studies using high-quality HCP data. Imaging Neuroscience 🔔doi.org/10.1162/IMAG.a.1338
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Nico Dosenbach retweeted
Rather than just scrambling neural activity, the psychedelic substance psilocybin also reorganizes brain dynamics so as to align with a person’s context and experiences go.nature.com/4qu8j8e
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