Increased interregional functional connectivity of anterior insula is associated with improved smoking cessation outcome.

Damage to the insular cortex has been shown to disrupt smoking behavior. However, whether smoking cessation outcomes are associated with abnormal functions of insula and its subregions remains unclear. In this study, we investigated the relationship between insular functions (interregional functiona...

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Published in:Brain Imaging & Behavior Vol. 14; no. 2; pp. 408 - 416
Main Authors: Wang, Chao, Shen, Zhujing, Huang, Peiyu, Qian, Wei, Zhou, Cheng, Li, Kaicheng, Zeng, Qingze, Luo, Xiao, Gu, Quanquan, Yu, Hualiang, Yang, Yihong, Zhang, Minming
Format: Journal Article
Published: Springer Nature Apr2020
Online Access:View this record in EBSCOhost
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      dt: Apr2020
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      pub: Springer Nature
      place: New York, New York
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        atl: Increased interregional functional connectivity of anterior insula is associated with improved smoking cessation outcome.
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          Wang, Chao
          Shen, Zhujing
          Huang, Peiyu
          Qian, Wei
          Zhou, Cheng
          Li, Kaicheng
          Zeng, Qingze
          Luo, Xiao
          Gu, Quanquan
          Yu, Hualiang
          Yang, Yihong
          Zhang, Minming
        affil: Department of Radiology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
      sug:
        subj:
          Cerebral Cortex Physiopathology
          Substance Use Disorders Physiopathology
          Smoking Physiopathology
          Magnetic Resonance Imaging Methods
          Brain Physiopathology
          China
          Smoking Cessation
          Neural Pathways Physiopathology
          Parietal Lobe Physiopathology
          Brain Mapping Methods
          Asians
          Frontal Lobe Physiopathology
          Middle Age
          Male
          Adult
          Clinical Assessment Tools
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Male
      ab: Damage to the insular cortex has been shown to disrupt smoking behavior. However, whether smoking cessation outcomes are associated with abnormal functions of insula and its subregions remains unclear. In this study, we investigated the relationship between insular functions (interregional functional connectivity and regional activity) and treatment outcomes of cigarette smoking. Thirty treatment-seeking smokers were recruited into the treatment study and underwent magnetic resonance imaging (MRI) scans immediately before and after the treatment. Sixteen participants remained abstinent from smoking (quitters), while 14 relapsed to smoking (relapers). Changes in resting-state functional connectivity and fractional amplitude of low frequency fluctuation (fALFF) across groups and visits were assessed using repeated measures ANCOVA. Significant interaction effects were detected: 1) between the left anterior insula and left precuneus; and 2) between the right anterior insula and left precuneus and medial frontal gyrus. Post-hoc region-of-interest analyses in brain areas showing interaction effects indicated significantly increased functional connectivity after treatment compared with before treatment in quitters but opposite longitudinal changes in relapsers. However, no significant effects in fALFF were observed. These novel findings suggest that increased interregional functional connectivity of the anterior insula is associated with improved smoking cessation outcome: individuals with increased functional connectivity of the anterior insula during the treatment would more likely quit smoking successfully. These insular circuits may serve as therapeutic targets for more efficacious treatment of nicotine addiction.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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