Reviewer #1 (Public review):
Summary:
This manuscript by Xie and colleagues presents an intriguing behavioral finding for the field of perceptual learning (PL): combining the reactivation-based training paradigm with anodal tDCS induces complete generalization of the learning effect. Notably, this generalization is achieved without compromising the magnitude of learning effects and with an 80% reduction in total training time. The experimental design is well-structured, and the observed complete generalization is robustly replicated across two stimulus dimensions (orientation and motion direction).
However, while the empirical results are methodologically valid and scientifically surprising, the theoretical framework proposed to explain them appears underdeveloped and, in some cases, difficult to reconcile with the existing literature. Several arguments are insufficiently justified. In addition, the introduction of a non-standard metric (NGI: normalized learning gain index) raises concerns about the interpretability and comparability with existing PL literature.
Strengths:
(1) Rigorous experimental design
In this study, Xie and colleagues employed a 2×2 factorial design (Training paradigm: Reactivation vs. Full-Practice × tDCS protocols: Anodal vs. Sham), which allowed clear dissociation of the main and interaction effects.
(2) High statistical credibility
Sample sizes were predetermined using G*Power, non-significant effects were evaluated using the Bayes factor, and the core behavioral findings were replicated in a second stimulus dimension. These strengthen the credibility of the findings.
(3) Strong translational potential
The observed complete generalization could have useful implications for sensory rehabilitation. The large reduction (80%) in total training time is particularly compelling.
Weaknesses:
(1) NGI (Normalized learning gain index) is a non-standard behavioral metric and may distort interpretability.
NGI (pre - post / ((pre + post) / 2)) is rarely used in PL studies to measure learning effects. Almost all PL studies rely on raw thresholds and percent improvements (pre - post / pre), making it difficult to contextualize the current NGI-based results within the broader field. The current manuscript provides no justification for adopting NGI.
A more critical issue is the NGI's nonlinearity: by normalizing to the mean of pre- and post-test thresholds, it disproportionately inflates learning effects for participants with lower post-test thresholds. Notably, the "complete generalization" claims are illustrated mainly with NGI plots. Although the authors also analyze thresholds directly and the results also support the core claim, the interpretation in the text relies heavily on NGI.
The authors may consider rerunning key analyses using the standard percent improvement metric. If retaining NGI, the authors should provide explicit justification for why NGI is superior to standard measures.
(2) The proposed theoretical framework is sometimes unclear and insufficiently supported.
The authors propose the following mechanistic chain:
(a) reactivation-based learning depends on offline consolidation mediated by GABA (page 4 line 73);
(b) online a-tDCS reduces GABA (page 4, line 76), thereby disrupting offline consolidation (page 11, line 225);
(c) disrupted offline consolidation reduces perceptual overfitting (page 4, line 77; page 11, line 225), thereby enabling generalization;
(d) under full-practice training, a-tDCS increases specificity via a different mechanism (page 11 line 235).
While this framework is plausible in broad terms, several components are speculative at best in the absence of neurochemical or neural measurements.
(3) Several reasoning steps require further clarification.
(a) Mechanisms of Reactivation-based Learning.
The manuscript focuses on the neurochemical basis of reactivation-based learning. However, reactivation-induced neurochemical changes differ across brain regions. In the motor cortex, Eisenstein et al. (2023) reported that after reactivation, increased GABA and decreased E/I ratio were associated with offline gains. In contrast, Bang et al. (2018) demonstrated that, in the visual cortex, reactivation decreased GABA and increased E/I ratio. While both studies are consistent with GABA involvement, the direction of GABA modulation differs. The authors should clarify this discrepancy.<br />
More importantly, Bang et al. (2018) demonstrated that reactivation-based (3 blocks) and full-practice (16 blocks) training produced similar time courses of E/I ratio changes in V1: an initial increase followed by a decrease. Given this similarity, the manuscript would benefit from a more thorough discussion of how the two paradigms diverge mechanistically. For example, behaviorally, Song et al. (2021) reported greater generalization with reactivation-based training than with full-practice training, aligning with Kondat et al. (2025). Neurally, Kondat et al. (2024) showed that reactivation-based training increased activity in higher-order brain regions (e.g., IPS), whereas full practice training reduced connectivity between temporal and parietal regions.
(b) tDCS Mechanisms and Protocols.
The effect of a-tDCS on GABA is not consistent across brain regions. While a-tDCS reliably reduces GABA in the motor cortex, recently, a more related work (Abuleli et al., 2025) reports no significant modulation of GABA or Glx in V1, challenging the authors' assumption of tDCS-induced GABA reduction in the visual cortex.
The manuscript proposes that online a-tDCS disrupts offline consolidation is somewhat difficult to interpret conceptually. Online tDCS typically modulates processes occurring during stimulation (e.g., encoding process, attentional state), whereas consolidation occurs afterward. Thus, stating that online tDCS protocols only disrupt offline consolidation without considering the possibility that they first modulate the encoding process is difficult to interpret. Even if tDCS has prolonged effects, the link between online stimulation and disruption of offline consolidation remains unelucidated.
(c) Missing links between GABA modulation and perceptual overfitting.
The proposed chain ("tDCS disrupts consolidation → reduced overfitting → improved generalization") skips a critical step: how GABA modulation translates to changes in neural representational properties (e.g., tuning width, representational overlap between trained/untrained stimuli) that define "perceptual overfitting." The PL literature has not established a link between GABA levels and these representational changes, leaving a key component of the mechanistic explanation underspecified.
(d) Insufficient explanation of the opposite effects.
The manuscript does not fully explain why the same a-tDCS promotes generalization in reactivation-based training but increases specificity in full-practice training. Both paradigms engage offline consolidations, and, as mentioned above, the time courses of E/I ratio changes are similar for 3-block reactivation-based or 16-block training. Thus, if offline consolidation mechanisms (and their associated E/I changes) are comparable across paradigms, it is unclear why identical a-tDCS would produce opposite outcomes in the two paradigms.