diff --git a/iis-wf/iis-wf-ingest-pmc/src/main/java/eu/dnetlib/iis/wf/ingest/pmc/plaintext/NlmToDocumentTextConverter.java b/iis-wf/iis-wf-ingest-pmc/src/main/java/eu/dnetlib/iis/wf/ingest/pmc/plaintext/NlmToDocumentTextConverter.java
index 7c77f50eb..eff3b425a 100644
--- a/iis-wf/iis-wf-ingest-pmc/src/main/java/eu/dnetlib/iis/wf/ingest/pmc/plaintext/NlmToDocumentTextConverter.java
+++ b/iis-wf/iis-wf-ingest-pmc/src/main/java/eu/dnetlib/iis/wf/ingest/pmc/plaintext/NlmToDocumentTextConverter.java
@@ -37,7 +37,7 @@ public static String getDocumentText(Element source, Namespace namespace) {
private static Element getArticleElement(Element source, Namespace oaiNamespace) {
Element metadata = source.getChild("metadata", oaiNamespace);
if (metadata != null) {
- Element article = metadata.getChild("article");
+ Element article = metadata.getChild("article", null);
if (article != null) {
return article;
} else {
@@ -52,18 +52,18 @@ private static Element getArticleElement(Element source, Namespace oaiNamespace)
}
private static String getMetadataText(Element source) {
- return source.getChild("front") == null ? null
- : getText(source.getChild("front"), Lists.newArrayList("journal-meta", "article-meta", "abstract"));
+ return source.getChild("front", null) == null ? null
+ : getText(source.getChild("front", null), Lists.newArrayList("journal-meta", "article-meta", "abstract"));
}
private static String getBodyText(Element source) {
- return source.getChild("body") == null ? null
- : getText(source.getChild("body"), Lists.newArrayList("sec", "p", "title"));
+ return source.getChild("body", null) == null ? null
+ : getText(source.getChild("body", null), Lists.newArrayList("sec", "p", "title"));
}
private static String getReferencesText(Element source) {
- return source.getChild("back") == null ? null
- : "References\n" + getText(source.getChild("back"), Lists.newArrayList("ref"));
+ return source.getChild("back", null) == null ? null
+ : "References\n" + getText(source.getChild("back", null), Lists.newArrayList("ref"));
}
/**
diff --git a/iis-wf/iis-wf-ingest-pmc/src/test/java/eu/dnetlib/iis/wf/ingest/pmc/metadata/JatsXmlHandlerTest.java b/iis-wf/iis-wf-ingest-pmc/src/test/java/eu/dnetlib/iis/wf/ingest/pmc/metadata/JatsXmlHandlerTest.java
index 2c11b46d4..41279d046 100644
--- a/iis-wf/iis-wf-ingest-pmc/src/test/java/eu/dnetlib/iis/wf/ingest/pmc/metadata/JatsXmlHandlerTest.java
+++ b/iis-wf/iis-wf-ingest-pmc/src/test/java/eu/dnetlib/iis/wf/ingest/pmc/metadata/JatsXmlHandlerTest.java
@@ -179,6 +179,109 @@ public void testParsingJats23NestedInOAI() throws Exception {
assertEquals("Chicago, IL", meta.getAffiliations().get(5).getAddress());
}
+ @Test
+ public void testParsingJats23NestedInOAIWithArticleNamespace() throws Exception {
+ fileReader = ClassPathResourceProvider
+ .getResourceReader(xmlResourcesRootClassPath + "document_jats23_nested_in_oai_with_article_namespace.xml");
+ InputSource inputSource = new InputSource(fileReader);
+ saxParser.parse(inputSource, jatsXmlHandler);
+ ExtractedDocumentMetadata meta = metaBuilder.build();
+ assertEquals("research-article", meta.getEntityType());
+ assertEquals("Frontiers in Neuroscience", meta.getJournal());
+ assertEquals(1, meta.getExternalIdentifiers().size());
+ assertEquals("10.3389/fnins.2014.00351", meta.getExternalIdentifiers().get("doi"));
+ assertNull(meta.getPages());
+ assertNotNull(meta.getReferences());
+ assertEquals(130, meta.getReferences().size());
+ // checking first reference
+ assertEquals(1, meta.getReferences().get(0).getPosition().intValue());
+ assertEquals(
+ "Abrams D. A. Nicol T. Zecker S. Kraus N. (2009). "
+ + "Abnormal cortical processing of the syllable rate of speech in poor readers. "
+ + "J. Neurosci. 29, 7686–7693. 10.1523/JNEUROSCI.5242-08.2009 19535580",
+ meta.getReferences().get(0).getText());
+ ReferenceBasicMetadata basicMeta = meta.getReferences().get(0).getBasicMetadata();
+ assertEquals("Abnormal cortical processing of the syllable rate of speech in poor readers",
+ basicMeta.getTitle());
+ assertEquals(4, basicMeta.getAuthors().size());
+ assertEquals("Abrams, D. A.", basicMeta.getAuthors().get(0));
+ assertEquals("Nicol, T.", basicMeta.getAuthors().get(1));
+ assertEquals("Zecker, S.", basicMeta.getAuthors().get(2));
+ assertEquals("Kraus, N.", basicMeta.getAuthors().get(3));
+ assertEquals("7686", basicMeta.getPages().getStart());
+ assertEquals("7693", basicMeta.getPages().getEnd());
+ assertEquals("J. Neurosci", basicMeta.getSource());
+ assertEquals("29", basicMeta.getVolume());
+ assertEquals("2009", basicMeta.getYear());
+ assertNull(basicMeta.getIssue());
+ assertEquals(2, basicMeta.getExternalIds().size());
+ assertEquals("10.1523/JNEUROSCI.5242-08.2009", basicMeta.getExternalIds().get("doi"));
+ assertEquals("19535580", basicMeta.getExternalIds().get("pmid"));
+
+ assertNotNull(meta.getAffiliations());
+ assertEquals(6, meta.getAffiliations().size());
+ // checking all affiliations
+ assertEquals(
+ "Auditory Neuroscience Laboratory, Northwestern University, Evanston, IL, USA",
+ meta.getAffiliations().get(0).getRawText());
+ assertEquals(
+ "Auditory Neuroscience Laboratory, Northwestern University",
+ meta.getAffiliations().get(0).getOrganization());
+ assertEquals("USA", meta.getAffiliations().get(0).getCountryName());
+ assertEquals("US", meta.getAffiliations().get(0).getCountryCode());
+ assertEquals("Evanston, IL", meta.getAffiliations().get(0).getAddress());
+
+ assertEquals(
+ "Department of Communication Sciences, Northwestern University, Evanston, IL, USA",
+ meta.getAffiliations().get(1).getRawText());
+ assertEquals(
+ "Department of Communication Sciences, Northwestern University",
+ meta.getAffiliations().get(1).getOrganization());
+ assertEquals("USA", meta.getAffiliations().get(1).getCountryName());
+ assertEquals("US", meta.getAffiliations().get(1).getCountryCode());
+ assertEquals("Evanston, IL", meta.getAffiliations().get(1).getAddress());
+
+ assertEquals(
+ "Neuroscience Program, Northwestern University, Evanston, IL, USA",
+ meta.getAffiliations().get(2).getRawText());
+ assertEquals(
+ "Neuroscience Program, Northwestern University",
+ meta.getAffiliations().get(2).getOrganization());
+ assertEquals("USA", meta.getAffiliations().get(2).getCountryName());
+ assertEquals("US", meta.getAffiliations().get(2).getCountryCode());
+ assertEquals("Evanston, IL", meta.getAffiliations().get(2).getAddress());
+
+ assertEquals(
+ "Department of Neurobiology and Physiology, Northwestern University, Evanston, IL, USA",
+ meta.getAffiliations().get(3).getRawText());
+ assertEquals(
+ "Department of Neurobiology and Physiology, Northwestern University",
+ meta.getAffiliations().get(3).getOrganization());
+ assertEquals("USA", meta.getAffiliations().get(3).getCountryName());
+ assertEquals("US", meta.getAffiliations().get(3).getCountryCode());
+ assertEquals("Evanston, IL", meta.getAffiliations().get(3).getAddress());
+
+ assertEquals(
+ "Department of Otolaryngology, Northwestern University, Chicago, IL, USA",
+ meta.getAffiliations().get(4).getRawText());
+ assertEquals(
+ "Department of Otolaryngology, Northwestern University",
+ meta.getAffiliations().get(4).getOrganization());
+ assertEquals("USA", meta.getAffiliations().get(4).getCountryName());
+ assertEquals("US", meta.getAffiliations().get(4).getCountryCode());
+ assertEquals("Chicago, IL", meta.getAffiliations().get(4).getAddress());
+
+ assertEquals(
+ "Data Sense LLC, Chicago, IL, USA",
+ meta.getAffiliations().get(5).getRawText());
+ assertEquals(
+ "Data Sense LLC",
+ meta.getAffiliations().get(5).getOrganization());
+ assertEquals("USA", meta.getAffiliations().get(5).getCountryName());
+ assertEquals("US", meta.getAffiliations().get(5).getCountryCode());
+ assertEquals("Chicago, IL", meta.getAffiliations().get(5).getAddress());
+ }
+
@Test
public void testParsingLargeFile() throws Exception {
fileReader = ClassPathResourceProvider
diff --git a/iis-wf/iis-wf-ingest-pmc/src/test/java/eu/dnetlib/iis/wf/ingest/pmc/plaintext/NlmToDocumentTextConverterTest.java b/iis-wf/iis-wf-ingest-pmc/src/test/java/eu/dnetlib/iis/wf/ingest/pmc/plaintext/NlmToDocumentTextConverterTest.java
index d23bac112..8fc27ed8f 100644
--- a/iis-wf/iis-wf-ingest-pmc/src/test/java/eu/dnetlib/iis/wf/ingest/pmc/plaintext/NlmToDocumentTextConverterTest.java
+++ b/iis-wf/iis-wf-ingest-pmc/src/test/java/eu/dnetlib/iis/wf/ingest/pmc/plaintext/NlmToDocumentTextConverterTest.java
@@ -23,6 +23,9 @@ public class NlmToDocumentTextConverterTest {
private static final String testXmlNestedInOAI = "/eu/dnetlib/iis/wf/ingest/pmc/plaintext/document_nested_in_oai.nxml";
private static final String testTxtNestedInOAI = "/eu/dnetlib/iis/wf/ingest/pmc/plaintext/document_nested_in_oai.txt";
+ private static final String testXmlNestedInOAIWithArticleNamespace = "/eu/dnetlib/iis/wf/ingest/pmc/plaintext/document_nested_in_oai_with_article_namespace.nxml";
+ private static final String testTxtNestedInOAIWithArticleNamespace = "/eu/dnetlib/iis/wf/ingest/pmc/plaintext/document_nested_in_oai_with_article_namespace.txt";
+
@Test
public void testConvertFull() throws Exception {
SAXBuilder builder = new SAXBuilder();
@@ -60,4 +63,24 @@ public void testConvertFullNestedInOAI() throws Exception {
assertEquals(expectedText, testText);
}
+
+ @Test
+ public void testConvertFullNestedInOAIWithArticleNamespace() throws Exception {
+
+ SAXBuilder builder = new SAXBuilder();
+ builder.setValidation(false);
+ builder.setFeature("http://xml.org/sax/features/validation", false);
+ builder.setFeature("http://apache.org/xml/features/nonvalidating/load-dtd-grammar", false);
+ builder.setFeature("http://apache.org/xml/features/nonvalidating/load-external-dtd", false);
+ InputStreamReader testIS = ClassPathResourceProvider.getResourceReader(testXmlNestedInOAIWithArticleNamespace);
+ Document document = builder.build(testIS);
+ Element sourceDocument = document.getRootElement();
+ String testText = NlmToDocumentTextConverter.getDocumentText(sourceDocument,
+ Namespace.getNamespace("http://www.openarchives.org/OAI/2.0/"));
+ testIS.close();
+
+ String expectedText = ClassPathResourceProvider.getResourceContent(testTxtNestedInOAIWithArticleNamespace).replaceAll(System.getProperty("line.separator"), "\n");
+
+ assertEquals(expectedText, testText);
+ }
}
diff --git a/iis-wf/iis-wf-ingest-pmc/src/test/resources/eu/dnetlib/iis/wf/ingest/pmc/metadata/data/document_jats23_nested_in_oai_with_article_namespace.xml b/iis-wf/iis-wf-ingest-pmc/src/test/resources/eu/dnetlib/iis/wf/ingest/pmc/metadata/data/document_jats23_nested_in_oai_with_article_namespace.xml
new file mode 100644
index 000000000..cfb4d2802
--- /dev/null
+++ b/iis-wf/iis-wf-ingest-pmc/src/test/resources/eu/dnetlib/iis/wf/ingest/pmc/metadata/data/document_jats23_nested_in_oai_with_article_namespace.xml
@@ -0,0 +1,732 @@
+
+od_______267::02d801518ef00f363ceb34c00a67293coai:pubmedcentral.nih.gov:66441732019-09-10T11:39:54.453Zod_______267oai:pubmedcentral.nih.gov:66441732019-08-27acsomegapmc-open
+
+
+
+
+Front. Neurosci.
+Frontiers in Neuroscience
+Alternative title which should not be taken into account
+Front. Neurosci.
+1662-453X
+
+Frontiers Media S.A.
+
+
+
+10.3389/fnins.2014.00351
+
+
+Psychology
+
+Original Research Article
+
+
+
+
+Auditory learning through active engagement with sound: biological impact of community music lessons in at-risk children
+
+
+
+KrausNina
+1
+2
+3
+4
+5
+*
+
+
+
+SlaterJessica
+1
+2
+
+
+ThompsonElaine C.
+1
+2
+
+
+HornickelJane
+1
+6
+
+
+
+StraitDana L.
+1
+3
+†
+
+
+
+NicolTrent
+1
+2
+
+
+White-SchwochTravis
+1
+2
+
+
+
+1Auditory Neuroscience Laboratory, www.brainvolts.northwestern.edu, Northwestern UniversityEvanston, IL, USA
+2Department of Communication Sciences, Northwestern UniversityEvanston, IL, USA
+3Neuroscience Program, Northwestern UniversityEvanston, IL, USA
+4Department of Neurobiology and Physiology, Northwestern UniversityEvanston, IL, USA
+5Department of Otolaryngology, Northwestern UniversityChicago, IL, USA
+6Data Sense LLCChicago, IL, USA
+
+
Edited by: Mari Tervaniemi, University of Helsinki, Finland
+
Reviewed by: Mireille Besson, Institut de Neurosciences Cognitives de la Meditarranée, France; Titia Van Zuijen, University of Amsterdam, Netherlands; Vesa Putkinen, University of Helsinki, Finland
+
*Correspondence: Nina Kraus, Auditory Neuroscience Laboratory, Northwestern University, 2240 Campus Dr., Evanston, IL 60208, USA e-mail: nkraus@northwestern.eduwww.brainvolts.northwestern.edu
+
This article was submitted to Auditory Cognitive Neuroscience, a section of the journal Frontiers in Neuroscience.
+
†Present address: Dana L. Strait, Neural Systems Laboratory, Institute for Systems Research, University of Maryland, College Park, USA
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
+
+
+
The young nervous system is primed for sensory learning, facilitating the acquisition of language and communication skills. Social and linguistic impoverishment can limit these learning opportunities, eventually leading to language-related challenges such as poor reading. Music training offers a promising auditory learning strategy by directing attention to meaningful acoustic elements of the soundscape. In light of evidence that music training improves auditory skills and their neural substrates, there are increasing efforts to enact community-based programs to provide music instruction to at-risk children. Harmony Project is a community foundation that has provided free music instruction to over 1000 children from Los Angeles gang-reduction zones over the past decade. We conducted an independent evaluation of biological effects of participating in Harmony Project by following a cohort of children for 1 year. Here we focus on a comparison between students who actively engaged with sound through instrumental music training vs. students who took music appreciation classes. All children began with an introductory music appreciation class, but midway through the year half of the children transitioned to the instrumental training. After the year of training, the children who actively engaged with sound through instrumental music training had faster and more robust neural processing of speech than the children who stayed in the music appreciation class, observed in neural responses to a speech sound /d/. The neurophysiological measures found to be enhanced in the instrumentally-trained children have been previously linked to reading ability, suggesting a gain in neural processes important for literacy stemming from active auditory learning. Despite intrinsic constraints on our study imposed by a community setting, these findings speak to the potential of active engagement with sound (i.e., music-making) to engender experience-dependent neuroplasticity and may inform the development of strategies for auditory learning.
The developing brain is hungry to engage with diverse and meaningful sensory input. Hearing sounds, and actively making meaning from those sounds, bootstraps language development, provides a framework for socioemotional bonding, and contributes to the development of auditory, as well as some non-auditory, cognitive skills (Kuhl, 2004; Kral and Eggermont, 2007; Conway et al., 2009; Kral and Sharma, 2012). Early acoustic experiences also play a formative role in guiding an individual's life of listening and learning, for better or worse. Although it has been clear for a long time that auditory deprivation, such as hearing loss, can hamper auditory development (Northern and Downs, 2002; Sharma et al., 2002; Roberts et al., 2004; Conway et al., 2009; Whitton and Polley, 2011), recent research has highlighted that a lack of meaningful, effective, and consistent auditory input can hurt as well—even in cases of normal hearing thresholds (Ahissar et al., 2006; Moore et al., 2010; Hornickel and Kraus, 2013). Moreover, animals reared in environmentally degraded or noisy environments, and those subjected to a transient hearing loss, have less precise auditory processing later life (Engineer et al., 2004; Zhou and Merzenich, 2008; Polley et al., 2013; Mowery et al., 2014).
+
Children who grow up in poverty have less developed language and cognitive skills than their peers, putatively reflecting some degree of linguistic deprivation (Bradley and Corwyn, 2002; Stevens et al., 2009). This is likely due to a confluence of factors, including greater environmental noise in low-income neighborhoods, poorer nutrition, and potentially fewer enriching auditory interactions with caregivers. As a group, these children have less precise neural processing of speech, creating special challenges for listening and learning. In particular, children whose mothers have lower levels of education than their peers have increased non-stimulus evoked activity in their neural responses (“neural noise”), an increase in trial-by-trial variability of their responses, and less robust encoding of spectral formant features in speech (Skoe et al., 2013a). Interestingly, children who grow up in poverty have particular deficiencies in neural processing that are evocative of those found in children with language based learning problems, which in some cases may be another variety of auditory impairment (Kraus et al., 1996; Temple et al., 2003; Sandak et al., 2004; Abrams et al., 2009; Anderson et al., 2010; Goswami, 2011; Chobert et al., 2012a; Conant et al., 2013).
+
In light of this evidence, there are increasing efforts to provide community interventions to at-risk youth that might counteract the lifelong challenges presented by poverty (Neville et al., 2013; Campbell et al., 2014). Central to these efforts is a principle of actively engaging children in their sensory environments to drive learning. However, there have been relatively few empirical evaluations of this tenet outside of the laboratory, presenting a roadblock to the development of effective strategies for auditory learning. One domain of attention has come from studies of music training, which has emerged as a potential direction for these efforts thanks to evidence that playing music augments auditory function and that these enhancements carry over to advantages for everyday communication (Gaser and Schlaug, 2003; Peretz and Zatorre, 2005; Magne et al., 2006; Kraus and Chandrasekaran, 2010; Chobert et al., 2011; Patel, 2011; Herholz and Zatorre, 2012; Strait and Kraus, 2014). Music training need not be lifelong to engender lasting improvements in the nervous system (Skoe and Kraus, 2012; White-Schwoch et al., 2013), and there is evidence that school-based programs initiated as late as high school can spark changes in auditory processing (Moreno et al., 2009, 2011; Chobert et al., 2012b; Tierney et al., 2013). Pragmatically, music training lends itself to large-scale community-based interventions due to the ease of providing simultaneous instruction to large groups (see Johnson et al., 2013). For example, El Sistema, the Venezuelan program, provides music instruction to hundreds of thousands of children annually (Majno, 2012). Moreover, there is mounting evidence that music training can also improve reading and its chief sub-skills, providing a practical benefit to music instruction for children both in and out of school (for review see Tierney and Kraus, 2014).
+
Harmony Project (Los Angeles, California) is a non-profit organization that has used a public health model to provide free music instruction to at-risk children from gang reduction zones for over a decade. Harmony's mission is to promote child growth and development, to build healthy communities, and to develop children as community citizens by providing students opportunities for free music instruction, appreciation, and performance (www.harmony-project.org). These children come from schools where ≥90% of students qualify for free or reduced lunch, reflecting the pernicious poverty that pervades the lives of children in this demographic1. Once a child is enrolled in Harmony Project, s/he receives free instruments, music instruction, and performance opportunities through high school. Harmony Project has enjoyed tremendous success and currently has 14 programs in Los Angeles, in addition to satellites in Ventura County (California), New Orleans (Louisiana), and Miami (Florida). According to its 2013–2014 annual report, Harmony enrolls >1600 students each year. From 2010 to 2014, 93% of graduating seniors matriculated to college, compared to 44% in Los Angeles County as a whole2 and in an internal survey >80% of Harmony Project parents reported that their children's grades, behavior, and mood had improved since enrollment.
+
Despite this promising evidence, it was unknown whether participation in Harmony Project confers improvements in nervous system functions important for listening and learning, similar to those reported in laboratory, classroom, and school-based studies of music training (Moreno et al., 2009, 2011; Strait et al., 2010, 2012; Chobert et al., 2012b; Skoe and Kraus, 2013; Tierney et al., 2013; Putkinen et al., 2014). Many of these functions are aspects of neural processing linked to reading abilities (Banai et al., 2009; Hornickel et al., 2009, 2012a; Hornickel and Kraus, 2013; White-Schwoch and Kraus, 2013; Kraus and Nicol, 2014), suggesting a potential for music training to generalize to literacy skills (Strait et al., 2011; Tierney and Kraus, 2014). Moreover, it was unknown which learning strategy would prove most efficacious in this population. On the one hand, music appreciation classes can engage students in elements of music training that might be beneficial for auditory function, such as timing and melodic sensitivity to auditory cues. From a pragmatic standpoint, this might lend itself to large group classes suitable for community engagement. But on the other hand, active music-making that integrates these elements may be critical for effective auditory learning that could improve communication skills.
+
Our laboratory was invited to conduct an independent investigation of the biological impact of participation in Harmony Project. Uniquely, this research program has allowed us to evaluate the effects of an existing and successful community-based music program instead of relying on one developed by scientists for the purposes of laboratory study. This unprecedented ecological validity allows us to put an established music program “to the test” vis-à-vis its outcomes for nervous system function. We have previously reported that 2 years' participation in Harmony Project enhances the neural distinction of consonant-vowel syllables, reflecting more precise neural encoding of fine consonant features (Kraus et al., 2014). Here, as a follow-up, we focused on a comparison of children who underwent a short course of active music training to those who only took Harmony's music appreciation class. We hypothesized that active engagement with sound is a key ingredient to engender biological changes in auditory processing. To test this hypothesis, we followed a cohort of children (ages 7–10 years old) as they enrolled in Harmony Project and measured neural responses to speech before and after an intervening year of training. Instead of our laboratory assigning children to training groups, Harmony staff followed their typical procedures unadulterated by our study activities. One group of children spent part of their time in introductory music appreciation classes and progressed to group instrumental instruction ~6 months later, as a function of ongoing programmatic constraints (e.g., availability of instruments and instructors, student progress, etc.; see Methods for details on the music training). The second group spent the entire year in music appreciation classes. We only determined each child's group membership after all data collection activities were completed. Motivated by evidence of the importance of active engagement during auditory learning (Ahissar and Hochstein, 1997; Polley et al., 2006; Wright et al., 2010; Anderson et al., 2013b), we predicted that we would observe biological changes only in the group that actively made music. In particular, we predicted that this group would have more precise neural encoding of formant features in consonants, namely, faster neural response latencies and more robust encoding of high frequency spectral features in speech—aspects of neural coding previously linked to both language skills (Banai et al., 2009) and music experience (Parbery-Clark et al., 2009a; Skoe and Kraus, 2013; Strait and Kraus, 2014).
+
+
+Methods
+
All study procedures were approved by the Institutional Review Board of Northwestern University. Legal guardians provided written consent for their children to participate. The subjects themselves provided written assent and were remunerated for their participation in study activities.
+
+Subjects
+
Nineteen students (12 female) in Harmony Project received perceptual, cognitive, and neurophysiological tests before (Year 1) and after (Year 2) their enrollment in Harmony Project. The children ranged from age 7 years 9 months to 10 years 2 months at Year 1 (mean, 9 years 1 month). Children were taken from Harmony Project's waitlist and guaranteed a seat in a Harmony Project class in exchange for enrolling in the study. Years of maternal education, as an estimate of socioeconomic status (Bradley and Corwyn, 2002), was collected from parents via a questionnaire.
+
+
+Group formation
+
Because a number of facilities and sites participate in Harmony project, there is some variation in how the music curriculum is applied. Consequently, the 19 participants naturally formed two groups based on these programmatic constraints. Our research team was blind to these assignments, and all testing was conducted at a central location provided by Harmony Project. The “Mus” group comprised 10 children who spent the entire year in the “Music appreciation” class (described below). The “Mus+Inst” comprised nine children who participated in the “Music appreciation” during the first half of the year and matriculated to “Instrumental” classes for the second half of the year, after an appropriate number of instruments became available at that project site and/or instructors judged the students to be ready to progress in the program. These children came from several Harmony Project sites, each of which faced its own constraints on instrument availability and used slightly different curricula; therefore, detailed information on what motivated each child's matriculation to instrumental training is not available. Students in the Mus+Inst group were given string instruments and participated in group music classes, sectionals, and in ensemble groups. These children received between 28 and 39 h of hands-on instrumental practice (plus home practice) over the course of the year, while children in group Mus had no hands-on instrumental experience beyond the basic recorder usage described below as a component of the Music appreciation class.
+
At Year 1, the two groups were matched on age, hearing thresholds, years of maternal education, and a variety of cognitive tests (see Table 1A). The two groups were similarly matched at Year 2 (see Table 1B).
+
+
+
Means (standard deviations) of behavioral measures for Group Mus+Inst and Mus at Year 1 and Year 2.
+
+
+
+
Measure
+
Mus+Inst
+
Mus
+
p-value
+
+
+
+
+
(A) YEAR 1
+
+
+
Age (months)
+
109.11 (8.85)
+
109.56 (6.09)
+
0.903
+
+
+
Boys:Girls
+
1:8
+
6:4
+
0.027
+
+
+
Years of Maternal Education
+
12.89 (1.62)
+
10.89 (4.57)
+
0.233
+
+
+
Pure tone average (dB NHL)
+
4.03 (4.58)
+
7.92 (5.23)
+
0.113
+
+
+
WASI
+
96.89 (11.20)
+
101.78 (12.51)
+
0.395
+
+
+
TOWRE
+
104.89 (18.05)
+
101.33 (14.75)
+
0.653
+
+
+
(B) YEAR 2
+
+
+
Age (months)
+
121.11 (9.20)
+
121.20 (5.85)
+
0.904
+
+
+
Pure tone average (dB NHL)
+
5.42 (6.70)
+
6.39 (8.25)
+
0.787
+
+
+
TOWRE
+
105.11 (16.38)
+
102.00 (15.86)
+
0.688
+
+
+
+
+
The two groups were matched on age, years of maternal education, hearing, IQ, and reading fluency, before musical training. There was a greater proportion of girls in the Mus + Inst group (χ2 = 4.866, p = 0.027).
+
+
+
+
+Music training
+
Participants underwent Harmony Project's standard introductory curriculum. This music appreciation class met for 1 h, twice a week, covering fundamental pitch and rhythm skills, vocal performance, basics of improvisation and composition, and awareness of musical styles and notation. Basic recorder skills are also a part of this class. In some cases, depending on instrument availability and students' readiness, students progressed to instrumental instruction within this first year. The instrumental instruction was ~ 2 h/wk of group instrumental instruction with opportunities for ensemble practice and performance.
+
+
+Audiological tests
+
At Years 1 and 2, participants received an audiological screening. Air-conduction thresholds were measured bilaterally at octaves from 0.125 to 8 kHz (and interoctaves at 3 and 6 kHz), and all participants had thresholds ≤20 dB nHL, normal tympanograms (Type A), and normal distortion product otoacoustic emissions (DPs ≥6 dB above the noise floor from 1 to 4 kHz). The Year 1 pure tone average (PTA) of octaves from 500 to 4000 Hz was calculated for the right ear for group comparisons.
+
+
+Cognitive tests
+
Students were administered the Test of Word Reading Efficiency (TOWRE, Pearson) as a measure of reading fluency; the block design and similarities tests of the Wechsler Abbreviated Scale of Intelligence (WASI, Pearson) were used to generate a 2-scaled estimate of intelligence quotient (IQ).
+
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+Neurophysiological testing & analysis
+
An Intelligent Hearing Systems SmartEP (Miami, FL, USA) system, equipped with the auditory brainstem response to complex sounds (“cABR”) research module, was used to record brainstem responses to a suprathreshold square-wave click and a 40 ms synthesized syllable /d/ (Banai et al., 2009; Skoe et al., 2013a). The /d/ contains an initial stop burst and rapid consonant transition; although it does not include a vowel portion, it is nevertheless perceived as a [da]. Both sounds were presented at 80 dB SPL to the right ear through electromagnetically-shielded insert earphones (ER-3As, Etymōtic Research, Elk Grove Village, IL, USA) and responses were digitized at 40 kHz. Rarefaction clicks were presented at 31.1 Hz and responses were filtered from 0.1 to 3 kHz. Latencies of waves I, III, and V were recorded and verified to be within clinically-normal limits (Hall III, 2006). Alternating-polarity /d/ syllables were presented at 10.9 Hz and responses were filtered from 0.1 to 1.5 kHz in Year 1 and from 0.05 to 3 kHz in Year 2. As this longitudinal project evolved, it was decided to open the response filters for the /d/ at Year 2 in order to capture a richer response. Consequently, no direct claims can be made about within-group improvements between years; however, group differences within a given year are valid for both years. Latencies of waves V, A, C, D, E, F, and O were recorded. Peaks were chosen on anonymized waveforms; all neurophysiological data were sent by the testing team back to Northwestern University where they were processed by a team blind to participant group. Peak latencies and amplitudes were extracted from the waveforms and the slope of the onset complex (peaks V and A) was calculated. Spectral amplitudes were calculated with a fast Fourier transform applied over a 20–42 ms time range with a 2 ms ramp on either side (Hanning window) using custom software written in MATLAB (The Mathworks, Natick, MA, USA). Spectral energy from 455 to 720 Hz was averaged to compute the middle harmonics, and from 720 to 1154 Hz for the high harmonics. This speech stimulus has been employed in several previous experiments and the neural response is well-stereotyped (Russo et al., 2004; Banai et al., 2009; Skoe and Kraus, 2013).
+
+
+Statistical analyses
+
Statistical analyses were performed in SPSS (IBM, Chicago, IL, USA). Due to the differences in filter settings between years, repeated measures analyses were not statistically appropriate. Instead we compared the two groups using multivariate ANOVAs at Years 1 and 2 separately. Another multivariate ANOVA was used to confirm matching between the groups at Year 1 on behavioral measures. A chi-square test was used to assess the balance of males and females between the two groups. Effect sizes reported are Cohen's d. Neural variables of interest included those previously linked to reading ability in children. These include all peak latencies (Banai et al., 2009), the slope of the VA peak complex (Wible et al., 2004), middle harmonics (Banai et al., 2009), and high harmonics (Hornickel et al., 2012a).
+
We discovered that the two groups differed on the latencies of the click-evoked wave V at Year 1, a measure of peripheral auditory function [t(17) = 3.075, p = 0.007]. This is likely due to the higher proportion of females in group Mus+Inst (χ2 = 4.866, p = 0.027), for females are known to have faster neurophysiological responses than males (Jerger and Hall, 1980). To control for the sex differences in auditory neural response properties that may influence our speech-evoked measures (Krizman et al., 2012), in addition to potential individual differences in cochlear function that may affect response latency, we covaried for click-evoked wave V latency in all neurophysiological analyses.
+
+
+
+Results
+
As discussed above, group membership was not randomly assigned by the authors but was based on the natural progression of students through the Harmony program and programmatic constraints (e.g., instrument availability). Therefore, we investigated potential preexisting differences between students before undergoing musical training. A multivariate analysis of age, socio-economic status, hearing acuity, IQ, and reading fluency at Year 1 showed no differences between the two groups [F(5, 12) = 1.065, p = 0.426]. None of the individual measures approached significance (see Table 1A). Additionally, the two groups did not differ in age or hearing thresholds at Year 2 [F(3, 14) = 0.069, p = 0.976; see Table 1B].
+
Similarly, we investigated potential differences between the groups in their speech-evoked brainstem responses before undergoing musical training (see Table 2A). A multivariate analysis of V, A, C, D, E, F, O, latencies, VA slope, and harmonics at Year 1 revealed no differences between the two groups prior to training [F(10, 1) = 0.128, p = 0.981; see Figure 1]. No individual measures showed group differences, with all p-values greater than 0.106 (see Table 2A). This confirms that the groups did not differ in their speech-evoked responses before music training.
+
+
+
Means (standard deviations) of neural measures at Year 1 (A) and Year 2 (B).
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+
+
The groups are matched at Year 1, but at Year 2 group Mus+Inst has significantly faster responses and better representation of speech harmonics than group Mus. P-values and effect sizes (Cohen's d) reflect group differences after accounting for physiological differences in click-evoked responses. Shading: light gray p < 0.1; medium gray p < 0.05; dark gray p < 0.01.
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+
+
+
+
Neural responses to the speech sound /d/ are presented in the time (Top) and frequency (Bottom) domains; grand averages are presented from children prior to training. Response peaks of interest are labeled with a lettering system, and the small boxes illustrate standard errors between the two groups prior to training (Mus, black; Mus+Inst, red). When accounting for differences in click-evoked response latency, the two groups are matched on response timing. Boxes in the lower panel illustrate the two frequency domains of interest.
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+
+
After undergoing a year of musical training, the children who participated in instrumental training showed faster and more robust brainstem responses to speech than children who participated only in music appreciation classes (see Table 2B). Although there were no group differences in reading fluency (p = 0.688, see Table 1B), participants in group Mus+Inst had faster response timing for peaks V [F(1, 13) = 7.393, p = 0.018, Cohen's d = 1.706], E [F(1, 13) = 10.511, p = 0.006, Cohen's d = 2.034], and F [F(1, 13) = 6.811, p = 0.022, Cohen's d = 1.637] with a trending group effect for wave A [F(1, 13) = 3.354, p = 0.090, Cohen's d = 1.149; see Figure 2]. Additionally, there was a trend for group Mus+Inst to have stronger representation of high harmonics [F(1, 13) = 3.441, p = 0.086, Cohen's d = 1.164; see Figure 3]. Although group differences at waves A and for high harmonics were only trending, following Cohen's conventions these would still be considered “large” effects, placing the Mus+Inst group in the ≥90th percentile relative to the Mus group on these neurophysiological measures (Cohen, 1988).
+
+
+
Children who engaged in music appreciation and instrumental music training (Mus + Inst, red) have faster speech-evoked brainstem responses than do children who participated in music appreciation classes only (Mus, black). The particular aspects of the response that are faster in children with instrument training are those previously linked to reading ability (Banai et al., 2009). The shaded bars in the insets represent the mean peak timing ± 1 SE for each group.
+
+
+
+
+
Children who engaged in music appreciation and instrumental music training (Mus + Inst, red) have more robust brainstem representation of speech harmonics than children who participated in music appreciation classes only (Mus, black). The groups differ on harmonic ranges that have been previously linked to reading (Hornickel et al., 2012a). The hashed lines represent the mean + 1 SE for each group.
+
+
+
+
+Discussion
+
Children who actively made music (in group instrumental lessons) after enrolling in Harmony Project had stronger neural processing of speech than their peers who only participated in a music appreciation class. This, to our knowledge, is the first comparison of instrumental music training vs. basic music appreciation classes in at-risk children in a community setting. Our results are a testament to the importance of active engagement with sound through its generation and online manipulation to drive auditory learning, especially through music (Kraus and Chandrasekaran, 2010; Patel, 2011). Uniquely, this investigation was in a community setting with an at-risk population and provides biological evidence as to these programs' potential.
+
Our group has delineated a series of “neural signatures”—constellations of enhancements and degradations to minute aspects of auditory processing—that reflect life experience and the quality of auditory processing at-large (Kraus and Nicol, 2014). Here, the musician signature has begun to emerge, reflecting a systemic change to a state of expertise—namely, faster neural coding of consonants and more robust encoding of high frequency spectral content in speech (as reviewed in Strait and Kraus, 2014). By engaging these children in repeated and positive interactions with sound, active music-making may have strengthened fundamental mechanisms of auditory processing, as has been reported in previous longitudinal studies of music training (Moreno et al., 2009; Chobert et al., 2012b). Although future work is needed with a larger sample size, better sex distribution, and more detailed information as to what guided students' progression through Harmony Project's curriculum (see below) these findings complement Harmony's success combatting the learning and social challenges their students face on a daily basis, and suggest the biological tractability of their programs. From a theoretical standpoint, our findings highlight the likely role active auditory engagement plays in auditory learning and by extension inform the development of strategies for learning in and out of the laboratory by emphasizing active auditory experience.
+
+Music, reading & auditory learning
+
Our finding fits well within a diverse series of longitudinal studies that have demonstrated the positive impact of music training on reading and its substrate skills in children this age (for review see Tierney and Kraus, 2014). These studies run the gamut from correlational studies (Peynircioglu et al., 2002; Trainor and Corrigall, 2010; Strait et al., 2011; Banai and Ahissar, 2013; Flaugnacco et al., 2014) to longitudinal experiments considering existing (Hurwitz et al., 1975; Rauscher and Hinton, 2011; Lorenzo et al., 2014) and experimenter-designed (Overy, 2000, 2003; Fisher, 2001; Gromko, 2005; Moreno et al., 2009; Bhide et al., 2013; Moritz et al., 2013) training regimens. By using an existing and successful community music training strategy, our findings fit with a growing movement toward investigations of ecologically-valid music training (Chobert et al., 2012b; Putkinen et al., 2013, 2014; Tierney et al., 2013). Uniquely, our findings present a conceptual advance by demonstrating that these training strategies affect the rapid neural processing of speech—processing that has been linked in previous investigations to language skills.
+
We show biological improvements in neural processes thought to be important for reading, demonstrated through a longstanding series of studies that have revealed correlations between auditory function and literacy skills (Tallal, 1980; Kraus et al., 1996; Tallal et al., 1996; Wright et al., 1997; Benasich and Tallal, 2002; Goswami et al., 2002; Ahissar et al., 2006; White-Schwoch and Kraus, 2013; Woodruff Carr et al., 2014). Children with learning problems (dyslexia, auditory processing disorder, language delays, and attention deficit hyperactivity disorder) have slower and less refined neural responses to the same speech stimulus used in the current study (Wible et al., 2004, 2005; Banai et al., 2009; Jafari et al., 2014; Malayeri et al., 2014). In fact, there is a systematic relationship between performance on reading tests and neural timing of the response to this speech sound (Banai et al., 2009). Therefore, although we do not show behavioral gains, it is encouraging that instrumental music training was associated with faster neural timing. It is important to keep in mind that the children in our study were, on average, normal readers (group average of ~100 on the TOWRE, which is the 50th percentile). Although there is room for improvement in our cohort, these are not disordered systems which might be especially prone to rapid behavioral recovery following intervention, as has been observed in longitudinal studies that found a potential for auditory training to generalize to reading skills (cf. Tallal et al., 1996; Hornickel et al., 2012b).
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In addition, evidence from the auditory learning literature indicates that neurophysiological changes precede behavioral changes, suggesting that the biological enhancements we observe may eventually lead to salient outcomes for literacy (Tremblay et al., 1998; Ross et al., 2013). Here, we observe a neurophysiological effect of music training in about 6 months. Were we to follow these children for longer periods of time, behavioral advantages might emerge in the Mus+Inst group. Notably, we did not observe faster timing in the Mus+Inst group for all response peaks; in fact, we observed stronger differences as the processing demands of the /d/ stimulus increased; peaks E and F, for example, correspond to the neural encoding of the rapidly-changing consonant transition period, which is more difficult to process than peaks V and A (corresponding to the stop burst) (Tallal, 1980). Auditory learning, especially through music, may favorably improve the neural coding of behaviorally salient, yet acoustically complex, components of speech such as the consonant transition (Tallal et al., 1996; Russo et al., 2005; Song et al., 2008, 2012; Carcagno and Plack, 2011; Anderson et al., 2013a,b). During training, these salient-yet-complex elements of the soundscape may have been favorably enhanced for future automatic processing—but only under conditions of active auditory engagement through meaningful sound production and manipulation (Ahissar and Hochstein, 1997; Nahum et al., 2008; Strait et al., 2009, 2012).
+
Our interpretation is further motivated by complementary investigations of the overlap between neural systems that are deficient in poor readers, yet enhanced through music training. Whereas our techniques offer unique insight into very fast auditory processing (neural phaselocking exceeding 100 Hz), processing of slower phonemic features also carries this reading-music overlap. For example, a mismatch negativity study found that neural coding of voice onset time discrimination and syllable duration cues are deficient in children with dyslexia (Chobert et al., 2012a; see also Kraus et al., 1996). However, one year of active music training (adapted from the Kodály and Orff methods) improved these same neural functions (Chobert et al., 2012b; see also Zuk et al., 2013). The rich overlap between neural systems devoted to language and music likely underlies the benefits music training confers on reading, and its neural correlates across multiple timescales of auditory processing (Levitin and Menon, 2003; Patel, 2008; Kraus and Chandrasekaran, 2010). Besson et al. (2011) have argued that attentional and working memory networks, which are strengthened through music making (Parbery-Clark et al., 2009b; Strait et al., 2010; Kraus et al., 2012; Strait and Kraus, 2014), play a major role in this music-speech transfer over time. By engaging these networks in making sound-meaning connections, music can make important auditory cues behaviorally salient, affecting subsequent automatic auditory processing even when not making music.
+
+
+Providing enrichment to at-risk children
+
It is noteworthy that the children in whom we observed improvements in neural function are predominantly from low-income backgrounds. The majority of students from these children's schools qualifies for free or reduced lunch, a proxy that reflects an overall low-income level of a study body. Growing up in poverty has been linked to a series of biopsychosocial challenges, including for language learning and literacy. For example, children whose mothers have lower levels of education (another proxy for familial socioeconomic status) are estimated to have heard 30 million fewer words by age three than their peers, and at home to hear approximately two-fifths the number of different words per hour than their peers, reflecting a reduction in both the quantity and quality of linguistic experience (Hart and Risley, 2003; see also Fernald et al., 2013). A lack of linguistic input can stymie the development of literacy skills, eventually scaling to a large series of cognitive domains (Ritchie and Bates, 2013).
+
These behavioral challenges are also instantiated neurophysiologically (Noble et al., 2006; Raizada et al., 2008; Hackman et al., 2010). Just as our group has previously identified neural signatures of music training and reading ability, there is a signature biological impact of poverty on auditory processing (as indexed by maternal education; Skoe et al., 2013a). Children from lower socioeconomic backgrounds have less consistent and noisier responses to speech. Germane to the current study, these children also have less precise representation of formant features in response to the same /d/ sound used here. It is therefore encouraging to find that improvements in these biological domains are associated with instrumental music training in an at-risk population. In this regard, our findings complement a burgeoning line of research considering the promise of community interventions such as Head Start to stanch the health disparities caused by growing up in poverty (Neville et al., 2013; Campbell et al., 2014; Lorenzo et al., 2014; Zhu et al., 2014).
+
+
+Active engagement with sound: making music matters
+
Here we provide biological evidence that actively making music matters. This, to our knowledge, is one of the first demonstrations of the importance of active music practice in effecting changes in neurophysiology in a community setting with at-risk children. Active training was associated with faster neural timing and more robust neural encoding of speech harmonics relative to music appreciation classes alone. This comparison of active vs. academic in a community setting stands against the backdrop of a large series of studies that have demonstrated the potential for active music making to engender changes in neurophysiological and behavioral functions during childhood. Many of these longitudinal studies have compared active music making to other forms of activity such as painting training (Moreno et al., 2009; Chobert et al., 2012b; François et al., 2013) and have revealed a role for active music making to change neural function. Taken together with these studies and more, it would appear that actively making music may have a unique potential to positively affect neural functions (Norton et al., 2005; Schlaug et al., 2005; Fujioka et al., 2006; Forgeard et al., 2008; Hyde et al., 2009; Ellis et al., 2013; Putkinen et al., 2013, 2014; Strait et al., 2013; Tierney et al., 2013; Kraus et al., 2014).
+
The distinction between making music and studying music is an important consideration in the development of strategies for learning, suggesting these strategies should emphasize active experience that integrates sensory, cognitive, and reward circuits. Children from our two groups did not differ demographically, and both cohorts were highly motivated to participate in Harmony Project. The key difference between our training groups was in the type and engagement of their auditory training. Evidence from animal models supports the view that active, cognitive engagement with training stimuli gates the potential for neuroplasticity, and guides the form said plasticity ultimately takes (Ahissar et al., 1992; Polley et al., 1999, 2006). With respect to music training, it would appear that playing an instrument might be a key ingredient for engendering neurophysiological changes.
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While to our knowledge there have been no empirical considerations of instrumental vs. music appreciation training in a community setting, our findings are consistent with experiments that have compared a training group to an active control group. For example, Anderson et al. (2013b) evaluated the biological impact of computer training on older adults. Active computer training that directed attention to fast changing speech sounds led to faster neural timing in processing speech, whereas viewing educational films and answering questions about the content did not (see also Anderson et al., 2013a, 2014; Anguera et al., 2013). Germane to music training, Tierney et al. (2013) demonstrated that two years of high school music lessons (instrumental or choir practice) also improved neural timing in response to speech, but no changes were observed in an active control group that participated in intense physical education classes and military drills. Comparisons of musical training vs. visual arts-based (painting) training have also found neurophysiological and behavioral enhancements only following music (Moreno et al., 2009).
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Taken together, these results demonstrate the importance of active engagement with sound to drive neural plasticity in the auditory system. In the context of community or co-curricular music programs, our results provide solid evidence as to the importance of actively engaging students in making music. Theoretically, this active engagement with sound may not only set the stage for more precise automatic sensory processing, but also to benefit more from future passive auditory experiences later on in life. For example, interspersing periods of perceptual training with passive stimulus exposure can boost end performance on basic auditory tasks (Wright et al., 2010; see also Molloy et al., 2012). Auditory training in statistical learning paradigms is biased by past auditory experience (Lew-Williams and Saffran, 2012), including music training (François et al., 2013; Skoe et al., 2013b) and bilingualism (Bartolotti et al., 2011). Finally, older adults with past music experience have enhanced neural function up to 50 years after music training has stopped; this enhancement may reflect a training-induced change in automatic auditory processing, such that listeners profit from passive sensory experiences to recapitulate and reinforce enhanced auditory function (White-Schwoch et al., 2013). Much like action video games (Green and Bavelier, 2012), music may therefore help an individual “learn to learn,” changing putatively passive auditory experiences into actively engaging training as listeners navigate the everyday sensory world.
+
+
+Concluding remarks & future directions
+
We show that children who underwent instrumental music training in a community setting had faster and more robust neural processing of rapid speech elements than peers who only participated in a general music appreciation class over a single intervening year. This provides new evidence as to the efficacy of community music programs to instill changes in neural processing and highlights the importance of active engagement with sound in driving experience-dependent neuroplasticity.
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In a companion study, we found that 2 years of active music training in Harmony Project, but not one, resulted in enhanced neurophysiological distinction of the contrastive speech syllables [ba] and [ga] on the basis of their formant features (Kraus et al., 2014). Unlike the current findings, the syllable-differentiation analysis employed a randomized control design to assign children to enroll in music making or to wait a year; we only observed changes in children who underwent 2 years of music training. Here, we observe an effect on different aspects of auditory function after several months of music training, namely, faster responses and more robust encoding of formant features in a single sound /d/. Future work is needed to disambiguate these effects. It may be the case that an initial enhancement in consonant encoding occurs following training that eventually underlies the more precise distinction between contrastive syllables. Unfortunately, with our small sample sizes we were unable to match groups on our previous findings' neural metric, making it difficult to map out the time course of auditory learning with respect to community music training. A large-scale randomized control study with frequent neurophysiological assays is needed to delineate this time course of how music training influences auditory brain function.
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Our study cohorts are relatively small and poorly balanced with respect to sex; this sample size cautions us against making definitive recommendations for music-based auditory training. Moreover, our students came from multiple Harmony Project sites and, regretfully, we were unable to collect detailed information from instructors on what motivated each child's placement in different classes and matriculation to instrumental training. Finally, we cannot conclusively rule out the possibility that the group differences following training were affected by the different recording parameters; however we think it unlikely that these would only affect the group that underwent music training. Our findings highlight the biological potential of these programs, but also highlight the intrinsic challenges of this kind of research. Follow-up studies are needed to better answer these questions, with larger cohorts, a passive control, and careful tracking of programmatic constraints and curricula. It is also of strong interest to thoroughly investigate whether and how these effects may generalize to other speech sounds (cf. Kraus et al., 2014) and, hopefully, to behavior.
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Broadly speaking, our goal is to understand what happens in the real world—what biological changes may be attributed to music in a community setting, away from the laboratory. This collaboration was a unique opportunity to assess the impact of an enrichment program on the developing brain that has already proven its viability and sustainability outside the laboratory. This community setting imposed some challenges to our study implementation, and teaches lessons not only about the biological potential of music training, but also about enacting community-based studies. Nevertheless, we see our study as a proof-of-concept that demonstrates the potential of community-based interventions to support children growing up in at-risk conditions. When considered against the backdrop of Harmony Project's success and the constellation of independent investigations that have established the positive associations between music training and literacy, we generalize our findings to provide encouraging support for the promise of community and co-curricular music programs during childhood, especially for children who come from underserved backgrounds. In general, independent of literacy and auditory processing, these community programs offer children an avocation that can provide personal satisfaction and enjoyment for many years.
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+
+
+Author contributions
+
Nina Kraus and Dana L. Strait designed the study; Jessica Slater, Elaine C. Thompson, and Dana L. Strait collected the data; Trent Nicol provided reagents and analytic techniques; Jane Hornickel analyzed the data; Nina Kraus, Jane Hornickel, Trent Nicol, and Travis White-Schwoch prepared the manuscript; all authors provided input on the interpretation of the results the final manuscript.
+
+Conflict of interest statement
+
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Our thanks go to Samantha R. O'Connell, Shivani Bhatia, Jason V. Thompson, and Emily Spitzer for their assistance collecting data. We also thank Erika Skoe, Jennifer Krizman, and Steven G. Zecker for their contributions and support throughout the project. We are grateful to everybody involved in Harmony Project (www.harmony-project.org), especially Harmony founder, Margaret Martin, Dr. P.H., M.P.H.; Harmony Project staff for facilitating this research, including Executive Director Myka Miller, Monk Turner, Sara Flores, and Jeremy Drake; and the children and their families for participating. This work is supported by the National Association of Music Merchants, the GRAMMY Foundation, and the Hugh Knowles Center.
+
+
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1The current United States requirements to qualify for reduced lunch stipulate that families earn ≤185% of the federally-defined poverty line and ≤130% to qualify for free lunch (http://www.fns.usda.gov/school-meals/income-eligibility-guidelines).
To understand the immunomodulatory effects of Lactobacillus acidophilus L-92 cells suggested from our previous
+study of in vivo anti-allergy and anti-virus effects, host immune responses in macrophage-like THP-1 cells after
+4 h (the early phase) and 24 h (the late phase) of cocultivation with L-92 cells were investigated by transcriptome analysis. In
+the early phase of L-92 treatment, various transcription regulator genes, such as, NFkB1, NFkB2, JUN, HIVEP2 and
+RELB, and genes encoding chemokines and cytokines, such as CCL4, CXCL11, CCL3 and
+TNF, were upregulated. Two transmembrane receptor genes, TLR7 and ICAM1, were
+also upregulated in the early phase of treatment. In contrast, many transmembrane receptor genes, such as IL7R, CD80,
+CRLF2, CD86, CD5, HLA-DQA1, IL2RA, IL15RA and CSF2RA, and some cytokine genes, including IL6,
+IL23A and CCL22, were significantly upregulated in the late phase after L-92 exposure. Some genes
+encoding cytokines, such as IL1A, IL1B and IL8, and the enzyme IDO1 were
+upregulated at both the early and the late phases of treatment. These results suggest that probiotic L-92 might promote Th1 and
+regulatory T-cell responses by activation of the MAPK signaling pathway, followed by the NOD-like receptor signaling pathway in
+THP-1 cells.
A variety of lactic acid bacteria (LAB) have been isolated and used in mainly dairy foods and supplements for their health benefits
+in humans. One of the most important probiotic effects of LAB in a host would be its action on the gastrointestinal immune system,
+which may be beneficial in the prevention of gastrointestinal infections [1, 2], and inflammatory bowel diseases [3] and the alleviation
+of allergic diseases [4]. Among many probiotic strains that have been developed,
+Lactobacillus strains have been characterized as strong inducers of pro-inflammatory cytokines, such as IL-12 and
+tumor necrosis factor (TNF-α) [5, 6], and they seem to
+be different from the weak IL-12 inducer bifidobacteria.
+
Lactobacillus acidophilus L-92 has been developed as a strain with anti-allergy effects for pollen allergy [7], perennial allergy [8], and atopic dermatitis [9, 10], and it also has the ability to control
+gastrointestinal disorders [11]. To explain these in vivo anti-allergy
+effects, various mechanisms have been proposed, including an improvement in the balance of T helper 1 (Th1) cells and T helper 2
+(Th2) cells, induction of apoptosis, induction or activation of regulatory T cells, and activation of the innate immune system
+[9, 12,13,14]. Our recent study demonstrated that surface layer protein A (SlpA) on the
+cell wall of the L. acidophilus L-92 strain is important for enhancement of the release of IL-12, known as a
+Th1-type cytokine, from splenocytes [15]. However, the detailed mechanisms of such immune
+modulation events are unknown.
+
The Peyer’s patch, lamina propria and mesenteric lymph nodes of the gastrointestinal tract play a crucial role in controlling the
+gastrointestinal immune system. In the gastrointestinal immune system, contact between LAB and antigen-presenting cells (APCs), such
+as dendritic cells (DCs) and macrophages, is likely to be a particularly important process for initiation of host immune responses
+by priming innate and adaptive immunity [16]. Probiotic microbial signals are thought to be
+transmitted to DCs via Toll-like receptors [17]; however, few reports have addressed the
+action of probiotics on cells of the immune system. To improve understanding of the events in DCs, transcriptome analyses have been
+conducted both in animal studies and in human trials [18,19,20]. Macrophage-like THP-1 cells represent a well responding and physiologically
+meaningful model system for investigation of the context of innate immunity.
+
We herein report a detailed analysis of cell metabolism of macrophages in response to L-92 by using transcriptomic analysis on
+THP-1 cells, which show a response to L-92 cells similar to that of splenocytes by releasing IL-12. The present study suggests that
+probiotic L-92 might activate Th1 and regulatory T-cell responses by engaging the MAPK and NOD-like receptor signaling pathways.
The human monocyte cell line THP-1 [21, 22] was
+obtained from the Health Science Research Resources Bank (Tokyo, Japan) and maintained in RPMI-1640 (Sigma, St. Louis, MO, USA)
+containing 10% (V/V) of heat-inactivated fetal bovine serum (FBS; Hana-Nesco Bio, Tokyo, Japan), streptomycin (100 µg/ml) and
+penicillin (100 U/ml) (GIBCO, Grand Island, NY, USA) at 37°C in 5% CO2/95% air.
+
+
+ Preparation of heat-killed L-92 cells
+
Lactobacillus acidophilus L-92 from our stock culture collection was cultured anaerobically at 37°C for 20 hr in
+de Man, Rogosa and Sharpe (MRS) broth (Difco Laboratories, Detroit, MI, USA), and washed with phosphate-buffered saline (PBS).
+Bacteria were suspended in PBS and killed by heating at 100°C for 10 min.
+
+
+ L-92 treatment of THP-1 cells
+
For transcriptome analysis of THP-1 metabolism, THP-1 cells were grown in RPMI-1640 containing 10% (V/V) of heat-inactivated FBS,
+streptomycin (100 µg/ml) and penicillin (100 U/ml) in a 250 mL flask (Sumitomo Bakelite Co., Ltd., Tokyo, Japan) at 37°C in 5%
+CO2/95% air and stimulated to macrophage-like cells by a method described previously, with some modifications [23]. Briefly, THP-1 cells were suspended in 2 mL of RPMI-1640 at a cell density of 5 ×
+106 cells/ml and cultivated in a 6-well plate (Asahi Glass Co., Ltd., Tokyo, Japan). The cells were differentiated by
+cultivation in 1.2% (V/V) Me2SO containing RPMI-1640 for 24 hr and stimulated with IFN-γ (5000 U/ml) for 16 hr.
+Unstained cells were counted as viable cell after treatment with Trypan Blue Solution (0.4%) (Sigma, St. Louis, MO, USA). Next, 1
+× 109 cells of heat-killed L-92, suspended in 0.2 mL of culture buffer, were added to stimulate the THP-1 cells. The
+THP-1 cells were then harvested after 4 and 24 hr of cocultivation with L-92 in the culture medium. The THP-1 cells were collected
+by centrifugation at 4°C for 10 min at 430 × g, and cell pellets were washed twice with cold D-PBS (Sigma) for
+total RNA extraction. Cells untreated with L-92 cells and stimulated with IFN-γ (5000 U/ml) for 16 hr were used as controls. Three
+samples were prepared from three independent experiments for each group.
+
+
+ Microarray analysis
+
Total RNA was extracted by using an RNeasy Mini Kit (QIAGEN, Valencia, CA, USA). Double-stranded cDNA was synthesized from 5 µg
+of total RNA, and the cDNA was subjected to in vitro transcription in the presence of biotinylated nucleotide
+triphosphates. Human genome-wide gene expression was examined by using the GeneChip® Human Gene 1.0 ST Array
+(Affymetrix, Santa Clara, CA, USA), which contains oligonucleotide probe sets for approximately 28,869 full-length genes and
+expressed sequence tags. The biotinylated cDNA was hybridized with a probe array for 16 hr at 45°C. The hybridized products were
+stained with streptavidin-phycoerythrin, and then scanned with a Hewlett-Packard Gene Array Scanner (Palo Alto, CA, USA). The
+fluorescence intensity of each probe was quantified by using the GeneChip Analysis Suite 5.0 software (Affymetrix). The level of
+gene expression was determined as the average difference by using the GeneChip software.
+
+
+ Statistical and functional analysis of microarray data
+
Data analysis was performed with GeneSpring software version 6.1 (Silicon Genetics, San Carlos, CA, USA). Expression data were
+considered significant when they differed at least twofold between L-92-treated and PBS-treated cells, and were statistically
+analyzed by the unpaired t-test with the Benjamini-Hochberg post test. P-values of less than 0.05 were considered significant.
+Biological interaction networks among regulated genes activated in response to L-92 were identified using Ingenuity Pathways
+Analysis (IPA). Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis was used for deeper understanding of the
+metabolism of the altered gene expression.
+
+
+ Quantitative real-time (qRT)-PCR
+
A two-step RT-PCR reaction was employed. cDNA was synthesized according to the protocol of the Superscript III First-Strand cDNA
+Synthesis System (Invitrogen, Carlsbad, CA, USA) using 1 µg of total RNA. cDNA was diluted, and frozen aliquots were stored at
+−20°C. The cDNA generated was amplified using SYBR® Premix Ex TaqTM II (Tli RNaseH Plus) (Takara Bio, Inc.,
+Shiga, Japan). All assays were performed on a TP800 Thermal Cycler Dice® Real Time System (Takara Bio, Inc.). Primers
+were prepared for amplification of specific genes, TNF, CRLF2, GAPDH, CD86, STAT4 and IL-8 genes. The sequences of the primers
+(forward and reverse primers) used in PCR reactions were 5′-AGATGATCTGACTGCCTGGG-3′ and 5′-CTGCTGCACTTTGGAGTGAT-3′ for TNF,
+5′-CTGATGCCACGAAAATCTCA-3′ and 5′-TTCTCCATCAGGAATGGGAC-3′ for CRLF25’, 5′-GCACCGTCAAGGCTGAGAAC-3′ and 5′-TGGTGAAGACGCCAGTGGA -3′
+for GAPDH, 5′-AGAGGAGCAGCACCAGAGAG-3′ and 5′-CAGAAGCAGCCAAAATGGAT-3′ for CD86, 5′-CACAGCTACATGCATTGGATT-3′and
+5′-CGTGTTTCCAAAGAGAAAAACC-3′ for STAT4 and 5′-CTGGCCGTGGCTCTCTTG-3′ and 5′-CCTTGGCAAAACTGCACCTT-3′ for and IL8. A cycle threshold
+(Ct) was assigned at the beginning of the logarithmic phase of PCR amplification. Data were analyzed by ABI software, and the gene
+expression was quantified using the 2−ΔΔCT method and normalized to the constitutively expressed housekeeping gene
+GAPDH.
To understand the host immunomodulatory effects of L. acidophilus L-92 cells suggested from previous studies of
+in vivo anti-allergy and anti-virus effects, responses in THP-1 cells after 4 hr (the early phase) and 24 hr
+(the late phase) of cocultivation with L-92 cells were investigated by transcriptome analysis. For cultivation of THP-1 cells in
+RPMI-1640 medium, a high concentration of IFN-γ was added to enhance IL-12 release for the Th1 type cell response based on our
+previous study. Viability of the THP-1 cells after inoculation in RPMI-1640 medium with IFN-γ at 16 hr was 96.3%. Differential
+expression analysis showed a significant (more than 2-fold) up- or downregulation of 282 genes in the early phase and 2,411 genes
+in the late phase in THP-1 cells caused by treatment with L-92 (data not shown).
+
Next, IPA was used to integrate the transcriptional networks for a more detailed understanding of the main networks linked to
+immunomodulatory responses in THP-1 cells, as described in the Materials and Methods. In the IPA analysis, the most significant
+differences in biological functions, referred to as “hematological process”, were found after 4 hr (66 molecules; p=1.34 ×
+10−28) and 24 hr (253 molecules; p=1.42 × 10−37) of treatment with L-92 cells. At the early phase of the
+treatment (4 hr), transcription regulators, cytokines and transmembrane receptors in particular showed highly altered expression
+(Table 1
Ingenuity pathway analysis for altered gene expression in THP-1 cells treated with heat-killed Lactobacillus
+acidophilus L-92 cells
Category
4 hr
24 hr
Transcription regulator
19
53
Enzyme
5
31
Transmembrane receptor
7
28
Cytokine
14
24
Kinase
4
22
G-protein coupled receptor
2
10
Phosphatase
2
7
Growth factor
1
5
Peptidase
0
4
Ion channel
0
3
Ligand-dependent nuclear receptor
0
3
Transporter
0
1
Other
12
62
66
253
). In the late phase of the treatment with L-92, transcription regulators, enzymes, transmembrane receptors and
+cytokines were mostly upregulated (Table 1). Over the course of the treatment, the
+majority of genes with altered expression were transcription regulators, enzymes, cytokines and transmembrane receptors (Table 1). These results revealed that the genes showing changes in expression in THP-1
+cells caused by L-92 treatment were mainly associated with immune response and transcriptional regulation.
+
+
+ Altered genes in THP-1 cells
+
For a deeper understanding of each cellular response in THP-1 cells caused by L-92 treatment, genes that showed significant
+changes, especially those in the transcription regulator, enzyme, transmembrane receptor and cytokine categories that showed over
+a 4-fold change after 4 hr of treatment and less than a 4-fold change from 4 hr to 24 hr of L-92 treatment, are listed in Table 2
Major altered genes categorized as transcription regulators, enzymes, transmembrane receptors and cytokines in THP-1
+cells after L-92 treatment for 4 hr and 24 hr
Category
Entrez Gene Name
Symbol
Fold change
0–4 hr
4–24 hr
Early responding genes
> 4.0
4.0 >
Cytokine
chemokine (C-C motif) ligand 4
CCL4
58.29
2.02
chemokine (C-X-C motif) ligand 11
CXCL11
27.97
2.28
chemokine (C-C motif) ligand 3
CCL3
20.04
2.77
tumor necrosis factor
TNF
14.57
1.15
interleukin 1 receptor antagonist
IL1RN
5.11
1.95
Transmembrane receptor
intercellular adhesion molecule 1
ICAM1
10.01
2.33
toll-like receptor 7
TLR7
6.63
0.32
Enzyme
superoxide dismutase 2, mitochondrial
SOD2
10.04
2.50
heme oxygenase (decycling) 1
HMOX1
4.26
2.21
Transcription regulator
jun proto-oncogene
JUN
4.99
2.72
nuclear factor of kappa light polypeptide gene enhancer in B-cells 1
NFKB1
5.18
2.21
nuclear factor of kappa light polypeptide gene enhancer in B-cells 2 (p49/p100)
NFKB2
6.10
1.85
human immunodeficiency virus type I enhancer binding protein 2
HIVEP2
4.18
2.29
v-rel reticuloendotheliosis viral oncogene homolog B
RELB
4.34
1.04
Slowly responding genes
0–4 hr
4–24 hr
Transmembrane receptor
4.0 >
> 4.0
interleukin 7 receptor
IL7R
1.83
63.99
CD80 molecule
CD80
1.74
61.40
cytokine receptor-like factor 2
CRLF2
2.02
52.00
CD86 molecule
CD86
0.86
30.10
CD5 molecule
CD5
1.10
16.20
interleukin 15 receptor, alpha
IL15RA
2.06
4.37
major histocompatibility complex, class II, DQ alpha 1
prostaglandin-endoperoxide synthase 2 (prostaglandin G/H synthase and cyclooxygenase)
PTGS2
2.58
14.29
adenosine deaminase
ADA
1.07
9.62
sphingosine-1-phosphate lyase 1
SGPL1
1.06
5.90
3’-phosphoadenosine 5’-phosphosulfate synthase 2
PAPSS2
1.05
5.47
fibronectin 1
FN1
0.95
5.84
coagulation factor XIII, A1 polypeptide
F13A1
–1.33
–12.62
Constitutively responding genes
0–4 hr
4–24 hr
Cytokine
> 4.0
> 4.0
interleukin 1, beta
IL1B
26.00
4.09
interleukin 8
IL8
16.28
4.84
interleukin 1, alpha
IL1A
4.32
16.48
Epstein-Barr virus induced 3
EBI3
6.64
7.44
Enzyme
indoleamine 2,3-dioxygenase 1
IDO1
5.67
30.67
Early responding genes were those altered at 4 hr; slowly responding genes were those altered at 24 hr.
as “early responding genes”. Among these genes, 6 categorized as “cytokine” were markedly upregulated after 4 hr of
+treatment but were moderately upregulated after 24 hr of treatment. Moreover, 2 genes in the “transmembrane receptor” category, 2,
+2 genes in the “enzyme” category and 5 genes in the “transcription regulator” category were upregulated in THP-1 cells by L-92
+treatment at 4 hr of treatment but showed moderate upregulation at 24 hr of treatment (Table
+2). In contrast, genes that showed less than a 4-fold change after 4 hr, but over a 4-fold increase in expression after
+24 hr of treatment compared with that after 4 hr were categorized as “slowly responding genes” (Table 2). Among these genes, 9 categorized as “transmembranes” were markedly upregulated after 24 hr but
+showed mild changes after 4 hr of treatment. Moreover, 6 genes in the “cytokine” category and 6 genes in “transcription regulator”
+category also showed a significant increase after 24 hr but only mild changes after 4 hr of treatment with L-92 (Table 2). Finally, four genes categorized as “cytokine” and 1 gene categorized as an
+“enzyme” were constitutively expressed after 4 and 24 hr of treatment (“constitutively responding genes” in Table 2). These results suggest that L-92 treatment in THP-1 cells might cause a rapid change in
+expression among genes in the “cytokine” category after 4 hr of treatment and subsequently among genes involved in cell signaling
+categorized here as “transmembrane receptors” and “cytokine” (Table 2). For these cell
+responses, the activation of “transcription regulator” genes observed in the early and late phases of responses seems to be
+important for subsequent gene expression.
+
+
+ Quantitative analysis of the gene expressions in THP-1 cells
+
To validate the gene expression changes observed in THP-1 cells in response to L-92 cell treatment (Table 2), qRT-PCR analysis was performed for 6 randomly selected genes with specific primer pairs:
+TNF (early responding genes), CRLF2, CD86 and STAT4 (slowly responding genes); and
+IL8 and IDO1 (constitutively responding genes). As shown in Fig. 1
Changes in gene expressions from 0 to 4 hr (black bar) and 4 to 24 hr (white bar) observed in THP-1 cells after treatment
+with L-92 cells as shown by qRT-PCR analysis. The dotted line represents a 4-fold change in expression. The mean ± SD levels
+of expression of differentially expressed genes and statistical significance of each gene’s expression between 0 and 4 hr
+(black) and 4 and 24 hr (white) are shown. *p<0.05; **p<0.01 (determined by Student’s t-test).
, statistical changes were confirmed for most of the quantified gene expressions in L-92-treated THP-1 cells. The
+TNF gene categorized as an early responding gene was significantly upregulated at 4 hr after treatment (black)
+but not at 24 hr after treatment (white) (Fig. 1). In contrast, in the genes categorized
+as slowly responding genes, CRLF2, CD86 and STAT4, the change in expression of each upregulated
+gene was bigger at 24 hr (white) than that at 4 hr (black) after treatment (Fig. 1).
+Genes categorized as constitutively responding genes, IL8 and IDO1, were upregulated both at 4
+hr and 24hr (Fig. 1). As shown in Fig. 1, the
+gene expressions randomly quantified by qRT-PCR in THP-1 cells after L-92 treatment showed changes similar to those quantified by
+microarray analysis (Table 2).
+
+
+ Highlighted responses in THP-1 cells
+
These cell responses at 4 hr and 24 hr are illustrated in Fig. 2
Changes in gene expression in THP-1 cells after 4 hr of treatment with Lactobacillus acidophilus L-92
+cells. Genes that were significantly upregulated by L-92 treatment were categorized by the IPA method as described in the
+Materials and Methods. Upregulated genes are indicated by red arrows. Black thin arrows represent the predicted flow of the
+pathway. Genes grouped by KEGG analysis are indicated by the red dotted line.
as the early response and in Fig. 3
Changes in gene expression in THP-1 cells after 24 hr of treatment with Lactobacillus acidophilus L-92
+cells. Genes that were significantly upregulated genes by L-92 treatment were categorized by the IPA method as described in
+the Materials and Methods. Upregulated genes are indicated by red arrows. Black thin arrows represent the predicted flow of
+the pathway. Genes grouped by KEGG analysis are indicated by the red dotted line.
as the slow response. As summarized in Fig. 2, in the early phase of the cellular
+response (4 hr of treatment), various transcription regulator genes, such as JUN, NFkB1,
+NFkB2, HIVEP2 and RELB, as well as genes encoding chemokines and cytokines,
+such as CXCL11, CCL4,, CCL3, IL1B, IL8 and TNF, were upregulated by L-92 treatment. Two
+transmembrane receptor genes, TLR7 and ICAM1, were also upregulated at the early phase of the
+treatment (Fig. 2). Moreover, the NOD2 and MyD88
+genes, which were not involved in the hematological processes in the shown in Table 2,
+were selected as important genes in the MAPK signal pathway and NOD-like receptor signal pathway by KEGG pathway analysis, with
+2.99- fold and 1.25-fold upregulated gene expressions at 4 hr (p<0.05 and p<0.05, respectively) in response to L-92
+treatment (Fig. 2). During the slow response of the THP-1 cells (24 hr of treatment),
+mainly transmembrane receptors, such as IL2RA, IL7R, CD80, CRLF2, CD86, CD5, HLA-DQA1, IL15RA and
+CSF2RA, were activated (Fig. 3). Some cytokine genes, namely
+IL6, IL23A and CCL22, were also significantly upregulated.
+
As listed in Table 2 and Figs. 2 and 3, in the early phase of the response in THP-1 cells, mainly transcription regulator genes
+and cytokines/chemokines were activated. Subsequently, many transmembrane receptor genes were mainly upregulated in THP-1 cells in
+the late phase of treatment.
+
+
+
+ DISCUSSION
+
Increases in some Th1-type cytokines and chemokines have been observed in previous in vitro and in
+vivo studies with L-92 [12, 13], although
+those studies did not include detailed analyses of the underlying mechanisms. In the present study, we first investigated the
+immunomodulatory responses that occurred in THP-1 cells as a model of APCs in response to probiotic L-92 cell exposure by using
+microarray analysis for a detailed understanding of the host gastrointestinal immune response. As expected from a previous study
+showing the probiotic anti-allergy effects of L-92 in vivo, many Th1-type cytokines and chemokines that would be
+expected to increase during anti-allergic and anti-inflammatory events were elevated in THP-1 cells treated with L-92 in the present
+study, as summarized in Figs. 2 and 3. The THP-1
+response in the early phase involved mainly the activation of transcription regulator genes and cytokine/chemokine genes categorized
+as the MAPK signaling pathway and the NOD-like receptor signaling pathway (Fig. 2).
+Subsequently, many transmembrane receptor and transcription regulator genes in the Toll-like receptor signaling pathway were
+upregulated in the late phase of the treatment (Fig. 3). Taking into account the above
+results, the transcriptional upregulation observed in THP-1 cells co-cultured with L-92 seems to well explain the previous
+in vivo immunomodulatory effects of L-92 treatment [7,8,9,10, 13, 15].
+
Regarding the activation of the Th1-type immune response by L-92 in THP-1 cells, one of the first events would be the induction of
+transcription regulator genes involved in TLR-7 signaling; this would trigger the release of some of Th1-type cytokines and
+inflammatory cytokines in the MAPK signaling pathway (Fig. 2). These molecules, together
+with the upregulation of surface markers involved in the maturation of APCs such as CD86, CD80 and
+CD40, stimulate the activation of Th1 cells [5, 23]. These changes in gene expression observed in THP-1 cells strongly suggest that the in vivo
+anti-allergy effect of L-92 might be linked to a Th1-type host response in a phase-dependent manner in the gastrointestinal immune
+system.
+
Considering the constitutive upregulation of the indoleamine 2,3-dioxygenase (IDO) gene observed in the present
+study (Table 2), other upregulated genes encoding cytokines, such as IL8, TNF,
+IL1B and IL12, seem to be closely linked to IDO enhancement. IDO has been identified as a key enzyme
+with immunomodulatory effects, resulting from its enzymatic activity that leads to catabolism of the essential amino acid
+L-tryptophane [24, 25]. This enzyme is expressed in
+epithelial cells, macrophages, and DCs induced by proinflammatory cytokines, including type I and type II IFN [26]. Recent studies suggested the involvement of IL-1β, TNF-α and IL-12 in the induction of IDO in DCs [27, 28] and engagement of CTLA-4 with CD80/CD86 on the
+membrane of DCs in the stimulation of IDO transcriptional expression and activity [29, 30]. These observations suggest that the upregulation of CD80 and CD86 on the membrane of APCs
+caused by treatment with L-92 might be closely linked to activation of the IDO gene. IDO1 is known to induce
+regulatory T cells (Tregs) [31, 32] and to inhibit
+T-cell proliferation and promote T-cell apoptosis by degradation of L-tryptophan to convert into toxic metabolites such as
+quinolinic acid and 3-hydroxy-anthranilic acid [31, 33].
+
In conclusion, key molecules are induced in cultured THP-1 cells by L-92 stimulation that are suggested to play a central role in
+skewing toward Th1 cells and also in inducing T cell suppression networks. The present study on cultured THP-1 cell opens the way
+for understanding the immunomodulatory networks modulated by L-92 in the gastrointestinal immune system in vivo.
+The primary information on both gene profiling and the key genes altered in THP-1 cells after L-92 exposure obtained in the present
+study will be very important for a detailed understanding of the strain-dependent immune responses to other
+Lactobacillus species in future studies.
+
+
+
+
+
This study was supported in part by Grants-in-Aid for Scientific research (A) (H.O.) and Scientific Research on Innovative Areas
+(H.O.) from the Ministry of Education, Culture, Sports, Science and Technology of Japan.