Harry Costello

@drharrycostello.bsky.social

Academic neuropsychiatrist | MD PhD | Clinical Lecturer @UCLPsychiatry | Mood, Motivation & Neurodegeneration | Aspiring apiarist

Super excited by this manuscript led by the amazing @brissend.bsky.social By combining fMRI, TMS, and modeling, we finally have causal evidence that the cerebellum is contributing to brain-wide working memory representations and recall performance! 1/n

Plot showing that the read-out of visual working memory information from cerebellum is degraded following stimulation to cerebellum, IPS, or FEF
bioRxiv Neuroscience@biorxiv-neursci.bsky.social · 3mo ago

Cerebellar perturbation impairs human working memory and degrades spatial tuning throughout cortex https://www.biorxiv.org/content/10.64898/2026.05.14.724968v1

Real privilege to play a small part in this project (led by Jennifer Foley & Alison Cartier) and collaborate with such brilliant clinicians, artists, and patients living with young-onset #Parkinsons. Hopefully demonstrates the potential power of creative interdisciplinary collaboration.

UCL Grand Challenges@uclgrandchallenges.bsky.social · 3mo ago

🎶Graphic Scores brings together young people living with Parkinson’s to co-create visual representations of music. Watch the impact below 👇 https://bit.ly/4cNez4C @uclbrainscience.bsky.social @drharrycostello.bsky.social #MentalHealthAwarenessWeek #MentalHealth #UCLMentalHealth

Does early autonomic burden in prodromal Parkinson’s disease predict later cognitive (thinking) impairment? Martinez Nunez and colleagues describe in a new paper in Movement Disorders how early autonomic symptoms in prodromal Parkinson’s disease may be linked to later cognitive (thinking) decline.

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Chinese whispers, genetic edition. This is a fascinating reminder that "genetic determination", at the level of organism behaviour, is not just about the genome inherited in the zygote, but about millions/billions of cells, each with a prob unique take on that foundational genome, working together.

Mark James Adams@markjamesadams.bsky.social · 8mo ago

One for the heredity scolds: construct a multi-tissue GRM where people are differentially related to themselves. www.nature.com/articles/d41...

Evoke trial of @novonordisk’s #semaglutide for AD fails to slow progression: www.sciencemediacentre.org/expert-react... A second large #GLP1 agonist trial in neurodegeneration with another disappointing result. Why isn’t the promise (& hype) of observational data translating to trials?

expert reaction to news from Novo Nordisk that semaglutide does not reduce Alzheimer’s Disease progression | Science Media Centre

sciencemediacentre.org

Harry Costello@drharrycostello.bsky.social · last yr.

The first phase III trial of a #GLP-1 drug (Exenatide) for a neurodegenerative disease (#Parkinson's disease) found no effect: www.thelancet.com/journals/lan... Epidemiological studies had shown large effects. Potential implications for the repurposing of GLP-1 drugs in other conditions?

This does feel like a major crossing of the Rubicon – the world's best-funded and in many ways most powerful public health agency is now actively pushing disinformation. I know there's a *lot* going on to care about at the moment, but this one really is significant, and matters well beyond the US.

Miranda Yaver@mirandayaver.bsky.social · 9mo ago

The CDC website now disseminates disinformation about vaccines, claiming erroneously that infant vaccines might cause autism, when we know conclusively that they do not. It is difficult to overstate just how dangerous this is. www.cdc.gov/vaccine-safe...

My first post into the bsky void, the first preprint of my PhD! A novel task to bridge learning and effort decision-making. Of course, we find that effort choice is sensitive to prior learning, but this integration of beliefs into action is affected by anhedonia. doi.org/10.1101/2025...

Effort choices are sensitive to prior learning

Motivated behaviour relies on both learning and effort-based decision-making, yet these processes are often studied in isolation. We developed a novel paradigm combining probabilistic associative lear...

doi.org

New paper out in @journal_ad (led by Guy Gitlin-Leigh). @profrobhoward.bsky.social We conducted the first systematic review + meta-analysis on whether monoclonal antibody therapies for #Alzheimer’s (AD) & #Parkinson’s (PD) affect risk of depression. Link: journals.sagepub.com/doi/10.1177/...

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How does the brain decide? 🧠 Our new @nature.com paper shows that neural activity switches from an 'evidence gathering' to a 'commitment' state at a precise moment we call nTc. After nTc, new evidence is ignored, revealing a neural marker for the instant when the mind is made up. rdcu.be/eGUrv

Transitions in dynamical regime and neural mode during perceptual decisions - Nature

Simultaneous recordings were made of hundreds of neurons in the rat frontal cortex and striatum, showing that decision commitment involves a rapid, coordinated transition in dynamical regime and neura...

nature.com