Disrupted functional connectivity density in irritable bowel syndrome patients.

Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder resulting from a dysregulation of the brain-gut axis. However, its exact neural substrate still remains unclear. This study investigated the changes of intrinsic whole brain functional connectivity pattern in IBS using f...

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Publicado en:Brain Imaging & Behavior Vol. 11; no. 6; pp. 1812 - 1823
Autores principales: Weng, Yifei, Qi, Rongfeng, Liu, Chang, Ke, Jun, Xu, Qiang, Wang, Fangyu, Zhang, Long, Lu, Guang, Zhang, Long Jiang, Lu, Guang Ming
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Springer Nature Dec2017
Acceso en línea:Ver este registro en EBSCOhost
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          Weng, Yifei
          Qi, Rongfeng
          Liu, Chang
          Ke, Jun
          Xu, Qiang
          Wang, Fangyu
          Zhang, Long
          Lu, Guang
          Zhang, Long Jiang
          Lu, Guang Ming
        affil: Department of Medical Imaging, Jinling Hospital , Nanjing University School of Medicine , 305 Zhongshan East Road, Xuanwu District, Nanjing Jiangsu Province 210002 China
      sug:
        subj:
          Brain Physiopathology
          Irritable Bowel Syndrome Physiopathology
          Neural Pathways Physiopathology
          Neural Pathways
          Male
          Brain Mapping
          Female
          Irritable Bowel Syndrome
          Relaxation
          Magnetic Resonance Imaging
          Adult
          Brain
          Funding Source
          Human
          Adult: 19-44 years
          Male
          Female
      ab: Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder resulting from a dysregulation of the brain-gut axis. However, its exact neural substrate still remains unclear. This study investigated the changes of intrinsic whole brain functional connectivity pattern in IBS using functional connectivity density (FCD). We acquired resting-state functional magnetic resonance imaging (rs-fMRI) data from thirty-two IBS patients and thirty-two healthy controls. Functional connectivity density, a data-driven algorithm, was used to compute the long-range and short-range FCD values for each voxel in the brain of each subject, implying the amount of distant and local functional connections of cortical hubs. The FCD maps were compared between IBS patients and healthy controls. Pearson correlations analysis was also performed between abnormal FCD values and clinical/psychometric scores in patients. Compared to healthy controls, IBS patients showed concurrently decreased long- and short-range FCD in bilateral anterior midcingulate cortices (aMCC) and inferior parietal lobules (IPL), and decreased long-range FCD in right anterior insula, and decreased short-range FCD in bilateral prefrontal cortices, subgenual anterior cingulate cortices and caudates. IBS patients also had concurrently increased long- and short-range FCD mainly in primary sensorimotor cortices, as well as increased long-range FCD in right supplementary motor area and increased short-range FCD in occipital lobe. In addition, some regions with altered FCD showed abnormal functional connectivity in brain regions involved in pain matrix of IBS patients. Furthermore, the abnormal FCD values in right anterior insula and left caudate showed significant correlation with severity of symptoms and disease duration of IBS patients respectively. In conclusion, patients with IBS have widely disrupted FCD, which decreased in brain regions involved in homeostatic afferent network, emotional arouse, and cognitive regulation, while increased in regions associated with sensorimotor modulation. And the observed functional connectivity alterations unveiled complicated working patterns of pain matrix in IBS patients. This study may provide us with new insight into the underlying brain network topology of IBS.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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