Effective connectivity hierarchically links temporoparietal and frontal areas of the auditory dorsal stream with the motor cortex lip area during speech perception.

A left-hemispheric cortico-cortical network involving areas of the temporoparietal junction (Tpj) and the posterior inferior frontal gyrus (pIFG) is thought to support sensorimotor integration of speech perception into articulatory motor activation, but how this network links with the lip area of the primary motor cortex (M1) during speech perception is unclear. Using paired-coil focal transcranial magnetic stimulation (TMS) in healthy subjects, we demonstrate that Tpj→M1 and pIFG→M1 effective connectivity increased when listening to speech compared to white noise. A virtual lesion induced by continuous theta-burst TMS (cTBS) of the pIFG abolished the task-dependent increase in pIFG→M1 but not Tpj→M1 effective connectivity during speech perception, whereas cTBS of Tpj abolished the task-dependent increase of both effective connectivities. We conclude that speech perception enhances effective connectivity between areas of the auditory dorsal stream and M1. Tpj is situated at a hierarchically high level, integrating speech perception into motor activation through the pIFG.