Human CA1 and subiculum activity forecast stroke chronicity

Following a stroke, the brain undergoes a process of neuronal reorganization to compensate for structural damage and cope with functionality loss. Increases in stroke-induced neurogenesis rates in the dentate gyrus and neural migration from the hippocampus towards the affected site have been observed, suggesting that the hippocampus is involved in functionality gains and neural reorganization. Despite the observed hippocampal contributions to structural changes, the hippocampal physiology for stroke recovery has been poorly characterized. To this end, we measured resting-state whole-brain activity from non-hippocampal stroke survivors (n=13) during functional MRI scanning. Analysis of multiple hippocampal subregions revealed that the voxel activity of hippocampal readout sites (CA1 and subiculum) forecast the patients chronicity stage stronger than early regions of the hippocampal circuit. Furthermore, we observed hemispheric-specific contributions to chronicity forecasting, raising the hypothesis that left and right hippocampus are functionally dissociable during recovery. In addition, we suggest that in contrast with whole-brain analysis, the monitoring of segregated and specialized sub-networks after stroke potentially reveals detailed aspects of stroke recovery. Altogether, our results shed light on the contribution of the subcortical-cortical interplay for neural reorganization and highlight new avenues for stroke rehabilitation.