scholarly journals Alterations in the Excitatory and Inhibitory Coupling in Migraine: A Magnetic Resonance Study

2020 ◽  
Author(s):  
Yiwen Cai ◽  
Yingying Tang ◽  
Jijun Wang ◽  
Qinhui Fu ◽  
Min Hang Gan ◽  
...  
Keyword(s):  
Pain Modulation ◽  
Anterior Cingulate ◽  
Healthy Controls ◽  
Gamma Aminobutyric Acid ◽  
Excitatory Neurotransmitter ◽  
Inhibitory Neurotransmitter ◽  
Subgenual Anterior Cingulate Cortex ◽  
Inhibitory Coupling ◽  
The Right ◽  
Bilateral Thalamus

Abstract Background: There is evidence suggesting that an imbalance between the levels of the excitatory neurotransmitter, glutamate, and inhibitory neurotransmitter, gamma aminobutyric acid (GABA), leads to migraine attacks; however, the pathophysiology and specific diagnostic markers remain unknown. Methods: Twenty-one migraine patients (18 female, 3 male, mean age=40.63 14.23years) and 11 healthy controls (9 female, 2 male, mean age=39.78 15.31 years) were included in this study. We used 1H-MRS at 3 Tesla with voxels-of-interest located in the bilateral thalamus and subgenual anterior cingulate cortex (SG ACC) to quantify the GABA and GLX (glutamate-glutamine complex) concentrations measured via the Mescher-Garwood point-resolved spectroscopy (MEGA-PRESS) sequence in migraineurs and healthy controls. Result: Statistical analyses revealed significantly decreased GLX/NAA (N-acetylaspartate) in the right thalamus of migraine patients compared to healthy controls. However, we found no group differences in GABA levels in the SG ACC and bilateral thalamus.Conclusion: The right thalamus may be involved in the pain modulation process of migraineurs through changes in the GLX levels. Decreased GLX levels within the right thalamus might be associated with the disruption of "excitation-inhibition" homeostasis in migraine.Trial registration: ClinicalTrials.gov, NCT02580968. Registered 30 October 2015, https://clinicaltrials.gov/ct2/show/study/NCT02580968

scholarly journals Neurochemical Correlates of Brain Atrophy in Fibromyalgia Syndrome: A Magnetic Resonance Spectroscopy and Cortical Thickness Study

2020 ◽  
Vol 10 (6) ◽  
pp. 395
Author(s):  
Paola Feraco ◽  
Salvatore Nigro ◽  
Luca Passamonti ◽  
Alessandro Grecucci ◽  
Maria Eugenia Caligiuri ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Cortical Thickness ◽  
Inferior Frontal Gyrus ◽  
Pain Modulation ◽  
Anterior Cingulate ◽  
Resonance Spectroscopy ◽  
Dependent Manner ◽  
Cingulate Gyrus ◽  
Concentration Dependent Manner ◽  
The Right

(1) Background: Recently, a series of clinical neuroimaging studies on fibromyalgia (FM) have shown a reduction in cortical volume and abnormally high glutamate (Glu) and glutamate + glutamine (Glx) levels in regions associated with pain modulation. However, it remains unclear whether the volumetric decreases and increased Glu levels in FM are related each other. We hypothesized that higher Glu levels are related to decreases in cortical thickness (CT) and volume in FM patients. (2) Methods: Twelve females with FM and 12 matched healthy controls participated in a session of combined 3.0 Tesla structural magnetic resonance imaging (MRI) and single-voxel MR spectroscopy focused on the thalami and ventrolateral prefrontal cortices (VLPFC). The thickness of the cortical and subcortical gray matter structures and the Glu/Cr and Glx/Cr ratios were estimated. Statistics included an independent t-test and Spearman’s test. (3) Results: The Glu/Cr ratio of the left VLPFC was negatively related to the CT of the left inferior frontal gyrus (pars opercularis (p = 0.01; r = −0.75) and triangularis (p = 0.01; r = −0.70)). Moreover, the Glx/Cr ratio of the left VLPFC was negatively related to the CT of the left middle anterior cingulate gyrus (p = 0.003; r = −0.81). Significantly lower CTs in FM were detected in subparts of the cingulate gyrus on both sides and in the right inferior occipital gyrus (p < 0.001). (4) Conclusions: Our findings are in line with previous observations that high glutamate levels can be related, in a concentration-dependent manner, to the morphological atrophy described in FM patients.

scholarly journals Effective Connectivity of the Hippocampus Can Differentiate Patients with Schizophrenia from Healthy Controls: A Spectral DCM Approach

2021 ◽  
Author(s):  
Lavinia Carmen Uscătescu ◽  
Lisa Kronbichler ◽  
Renate Stelzig-Schöler ◽  
Brandy-Gale Pearce ◽  
Sarah Said-Yürekli ◽  
...  
Keyword(s):  
Negative Symptoms ◽  
Effective Connectivity ◽  
Anterior Insula ◽  
Anterior Cingulate ◽  
Frontal Eye Fields ◽  
Healthy Controls ◽  
Dorsal Anterior Cingulate Cortex ◽  
Left Hippocampus ◽  
Male Patients ◽  
The Right

AbstractWe applied spectral dynamic causal modelling (Friston et al. in Neuroimage 94:396–407. 10.1016/j.neuroimage.2013.12.009, 2014) to analyze the effective connectivity differences between the nodes of three resting state networks (i.e. default mode network, salience network and dorsal attention network) in a dataset of 31 male healthy controls (HC) and 25 male patients with a diagnosis of schizophrenia (SZ). Patients showed increased directed connectivity from the left hippocampus (LHC) to the: dorsal anterior cingulate cortex (DACC), right anterior insula (RAI), left frontal eye fields and the bilateral inferior parietal sulcus (LIPS & RIPS), as well as increased connectivity from the right hippocampus (RHC) to the: bilateral anterior insula (LAI & RAI), right frontal eye fields and RIPS. In SZ, negative symptoms predicted the connectivity strengths from the LHC to: the DACC, the left inferior parietal sulcus (LIPAR) and the RHC, while positive symptoms predicted the connectivity strengths from the LHC to the LIPAR and from the RHC to the LHC. These results reinforce the crucial role of hippocampus dysconnectivity in SZ pathology and its potential as a biomarker of disease severity.

scholarly journals Increased activation of the pregenual anterior cingulate cortex to citalopram challenge in migraine: an fMRI study

BMC Neurology ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Andrea Edit Edes ◽  
Shane McKie ◽  
Edina Szabo ◽  
Gyongyi Kokonyei ◽  
Dorottya Pap ◽  
...  
Keyword(s):  
Anterior Cingulate Cortex ◽  
Brain Area ◽  
Region Of Interest ◽  
Cingulate Cortex ◽  
Stress Sensitivity ◽  
Anterior Cingulate ◽  
Healthy Controls ◽  
Significant Difference ◽  
Acute Increase ◽  
The Right

Abstract Background The anterior cingulate cortex (ACC) is a key structure of the pain processing network. Several structural and functional alterations of this brain area have been found in migraine. In addition, altered serotonergic neurotransmission has been repeatedly implicated in the pathophysiology of migraine, although the exact mechanism is not known. Thus, our aim was to investigate the relationship between acute increase of brain serotonin (5-HT) level and the activation changes of the ACC using pharmacological challenge MRI (phMRI) in migraine patients and healthy controls. Methods Twenty-seven pain-free healthy controls and six migraine without aura patients participated in the study. All participant attended to two phMRI sessions during which intravenous citalopram, a selective serotonin reuptake inhibitor (SSRI), or placebo (normal saline) was administered. We used region of interest analysis of ACC to compere the citalopram evoked activation changes of this area between patients and healthy participants. Results Significant difference in ACC activation was found between control and patient groups in the right pregenual ACC (pgACC) during and after citalopram infusion compared to placebo. The extracted time-series showed that pgACC activation increased in migraine patients compared to controls, especially in the first 8–10 min of citalopram infusion. Conclusions Our results demonstrate that a small increase in 5-HT levels can lead to increased phMRI signal in the pregenual part of the ACC that is involved in processing emotional aspects of pain. This increased sensitivity of the pgACC to increased 5-HT in migraine may contribute to recurring headache attacks and increased stress-sensitivity in migraine.

scholarly journals Differential Activation Patterns of fMRI in Sleep-Deprived Brain: Restoring Effects of Acupuncture

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Lei Gao ◽  
Ming Zhang ◽  
Honghan Gong ◽  
Lijun Bai ◽  
Xi-jian Dai ◽  
...  
Keyword(s):  
Sleep Deprivation ◽  
Sham Group ◽  
Anterior Cingulate ◽  
Activation Patterns ◽  
Unique Role ◽  
Postcentral Gyrus ◽  
Normal Sleep ◽  
The Right ◽  
Bilateral Thalamus

Previous studies suggested a remediation role of acupuncture in insomnia, and acupuncture also has been used in insomnia empirically and clinically. In this study, we employed fMRI to test the role of acupuncture in sleep deprivation (SD). Sixteen healthy volunteers (8 males) were recruited and scheduled for three fMRI scanning procedures, one following the individual’s normal sleep and received acupuncture SP6 (NOR group) and the other two after 24 h of total SD with acupuncture on SP6 (SD group) or sham (Sham group). The sessions were counterbalanced approximately two weeks apart. Acupuncture stimuli elicited significantly different activation patterns of three groups. In NOR group, the right superior temporal lobe, left inferior parietal lobule, and left postcentral gyrus were activated; in SD group, the anterior cingulate cortex, bilateral insula, left basal ganglia, and thalamus were significantly activated while, in Sham group, the bilateral thalamus and left cerebellum were activated. Different activation patterns suggest a unique role of acupuncture on SP6 in remediation of SD. SP6 elicits greater and anatomically different activations than those of sham stimuli; that is, the salience network, a unique interoceptive autonomic circuit, may indicate the mechanism underlying acupuncture in restoring sleep deprivation.

scholarly journals Dysfunctional energy metabolisms in fibromyalgia compared with healthy subjects

2021 ◽  
Vol 17 ◽  
pp. 174480692110128
Author(s):  
Ye-Ha Jung ◽  
Hyeonjin Kim ◽  
Dasom Lee ◽  
Jae-Yeon Lee ◽  
Jee Youn Moon ◽  
...  
Keyword(s):  
Anterior Cingulate ◽  
Mcgill Pain Questionnaire ◽  
Resonance Spectroscopy ◽  
Healthy Controls ◽  
Post Traumatic Stress ◽  
Pain Questionnaire ◽  
Total Pain ◽  
Post Traumatic ◽  
Left Thalamus ◽  
The Right

This study aimed to investigate the levels of creatine (Cr) metabolites in the anterior cingulate cortex (ACC), thalamus, and insula of patients with fibromyalgia (FM) using proton magnetic resonance spectroscopy (MRS). The levels of Cr and phosphocreatine (PCr) relative to total Cr (tCr), which includes Cr and PCr, in the ACC, thalamus, and insula were determined using MRS in 12 patients with FM and in 13 healthy controls. The FM group had lower levels of PCr/tCr in the ACC and right insula compared to healthy controls. There was a negative correlation between Cr/tCr in the ACC and total pain levels (McGill Pain Questionnaire-Total; r = −0.579, p = 0.049) and between Cr/tCr in the left insula and affective pain levels (McGill Pain Questionnaire-Affective; r = −0.638, p = 0.047) in patients with FM. In addition, there were negative correlations between stress levels (Stress Response Inventory) and Cr/tCr in the right (r = −0.780, p = 0.005) and left thalamus (r = −0.740, p = 0.006), as well as in the right insula (r = −0.631, p = 0.028) in patients with FM. There were negative correlations between symptom levels of post-traumatic stress disorder (PTSD; PTSD checklist) and Cr/tCr in the right (r = −0.783, p = 0.004) and left thalamus (r = −0.642, p = 0.024) of patients with FM. These findings are paramount to understanding the decisive pathologies related to brain energy metabolism in patients with FM.

scholarly journals Visual cortex cTBS increases mixed percept duration while a-tDCS has no effect on binocular rivalry

2020 ◽  
Author(s):  
Dania Abuleil ◽  
Daphne McCulloch ◽  
Benjamin Thompson
Keyword(s):  
Visual Cortex ◽  
Binocular Rivalry ◽  
Gamma Aminobutyric Acid ◽  
Gaba Concentration ◽  
Excitatory Neurotransmitter ◽  
Inhibitory Neurotransmitter ◽  
Before And After ◽  
Visual Cortices ◽  
Cortical Excitation ◽  
Theta Burst

AbstractNeuromodulation of the primary visual cortex using anodal transcranial direct current stimulation (a-tDCS) can alter visual perception and enhance neuroplasticity. However, the mechanisms that underpin these effects are currently unknown. When applied to the motor cortex, a-tDCS reduces the concentration of the inhibitory neurotransmitter gamma aminobutyric acid (GABA), an effect that has been linked to increased neuroplasticity. The aim of this study was to assess whether a-tDCS also reduces GABA-mediated inhibition when applied to the human visual cortex. Changes in visual cortex inhibition were measured using the mixed percept duration in binocular rivalry. Binocular rivalry mixed percept duration has recently been advocated as a direct and sensitive measure of visual cortex inhibition whereby GABA agonists decrease mixed percept durations and agonists of the excitatory neurotransmitter acetylcholine increase them. Our hypothesis was that visual cortex a-tDCS would increase mixed percept duration by reducing GABA-mediated inhibition and increasing cortical excitation. In addition, we measured the effect of continuous theta-burst transcranial magnetic stimulation (cTBS) of the visual cortex on binocular rivalry dynamics. When applied to the motor or visual cortex, cTBS increases GABA concentration and we therefore hypothesized that visual cortex cTBS would decrease the mixed percept duration. Binocular rivalry dynamics were recorded before and after active and sham a-tDCS (N=15) or cTBS (N=15). Contrary to our hypotheses, a-tDCS had no effect, whereas cTBS significantly increased mixed percepts during rivalry. These results suggest that the neurochemical mechanisms of a-tDCS may differ between the motor and visual cortices.

scholarly journals Visual cortex cTBS increases mixed percept duration while a-tDCS has no effect on binocular rivalry

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0239349
Author(s):  
Dania Abuleil ◽  
Daphne McCulloch ◽  
Benjamin Thompson
Keyword(s):  
Visual Cortex ◽  
Binocular Rivalry ◽  
Gamma Aminobutyric Acid ◽  
Gaba Concentration ◽  
Excitatory Neurotransmitter ◽  
Inhibitory Neurotransmitter ◽  
Before And After ◽  
Visual Cortices ◽  
Cortical Excitation ◽  
Theta Burst

Neuromodulation of the primary visual cortex using anodal transcranial direct current stimulation (a-tDCS) can alter visual perception and enhance neuroplasticity. However, the mechanisms that underpin these effects are currently unknown. When applied to the motor cortex, a-tDCS reduces the concentration of the inhibitory neurotransmitter gamma aminobutyric acid (GABA), an effect that has been linked to increased neuroplasticity. The aim of this study was to assess whether a-tDCS also reduces GABA-mediated inhibition when applied to the human visual cortex. Changes in visual cortex inhibition were measured using the mixed percept duration in binocular rivalry. Binocular rivalry mixed percept duration has recently been advocated as a direct and sensitive measure of visual cortex inhibition whereby GABA agonists decrease mixed percept durations and agonists of the excitatory neurotransmitter acetylcholine (ACH) increase them. Our hypothesis was that visual cortex a-tDCS would increase mixed percept duration by reducing GABA-mediated inhibition and increasing cortical excitation. In addition, we measured the effect of continuous theta-burst transcranial magnetic stimulation (cTBS) of the visual cortex on binocular rivalry dynamics. When applied to the motor or visual cortex, cTBS increases GABA concentration and we therefore hypothesized that visual cortex cTBS would decrease the mixed percept duration. Binocular rivalry dynamics were recorded before and after active and sham a-tDCS (N = 15) or cTBS (N = 15). Contrary to our hypotheses, a-tDCS had no effect, whereas cTBS increased mixed percepts during rivalry. These results suggest that the neurochemical mechanisms of a-tDCS may differ between the motor and visual cortices.

scholarly journals Abnormal neurometabolites in fibromyalgia patients: Magnetic resonance spectroscopy study

2021 ◽  
Vol 17 ◽  
pp. 174480692199094
Author(s):  
Ye-Ha Jung ◽  
Hyeonjin Kim ◽  
Dasom Lee ◽  
Jae-Yeon Lee ◽  
Won Joon Lee ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Spectroscopy ◽  
Anterior Cingulate ◽  
Resonance Spectroscopy ◽  
Healthy Controls ◽  
Magnetic Resonance Spectroscopy Study ◽  
Left Thalamus ◽  
Total Creatine ◽  
The Right ◽  
Metabolic Strategies

This study aimed to investigate distinct neurometabolites in the anterior cingulate cortex (ACC), right and left thalamus, and insula of patients with fibromyalgia (FM) compared with healthy controls using proton magnetic resonance spectroscopy (MRS). Levels of N-acetylaspartate (NAA), N-acetylaspartylglutamate (NAAG), total NAA (tNAA = NAA + NAAG), myo-inositol (ml), glutamine (Gln), glutamate (Glu), Glx (Glu + Gln), glycerophosphocholine (GPC), total choline (tCho = GPC + phosphocholine) and glutathione (GSH) levels relative to total creatine (tCr) levels including creatine (Cr) and phosphocreatine (PCr) and relative to Cr levels were determined in the ACC, right and left thalamus, and insula in 12 patients with FM and 13 healthy controls using MRS. In the ACC, NAA/tCr (P = 0.028) and tCho/tCr (P = 0.047) were higher in patients with FM. In the right and left insula, tNAA/tCr (P = 0.019, P = 0.007, respectively) was lower in patients with FM. Patients with FM showed lower levels of ml/Cr (P = 0.037) in the right insula than healthy controls. These findings are paramount to understand decisive pathophysiological mechanisms related to abnormal features in the brain and parasympathetic nervous systems in FM. We suggest that the results presented herein may be essential to understand hidden pathological mechanisms and also life system potential as protective and recovering metabolic strategies in patients with FM.

scholarly journals Effective connectivity of the hippocampus can differentiate patients with schizophrenia from healthy controls: a spectral DCM approach

2020 ◽  
Author(s):  
Lavinia Carmen Uscătescu ◽  
Lisa Kronbichler ◽  
Renate Stelzig-Schöler ◽  
Brandy-Gale Pearce ◽  
Sarah Said-Yürekli ◽  
...  
Keyword(s):  
Negative Symptoms ◽  
Effective Connectivity ◽  
Anterior Insula ◽  
Anterior Cingulate ◽  
Frontal Eye Fields ◽  
Healthy Controls ◽  
Dorsal Anterior Cingulate Cortex ◽  
Left Hippocampus ◽  
Male Patients ◽  
The Right

AbstractWe applied spectral dynamic causal modelling (spDCM; Friston et al., 2014) to analyze the effective connectivity differences between the nodes of three resting state networks (i.e. Default mode network/DMN, Salience network/SAN and Dorsal attention network/DAN) in a dataset of 31 healthy controls (HC) and 25 patients with schizophrenia (SZ), all male. Patients showed increased connectivity from the left hippocampus (LHC) to the dorsal anterior cingulate cortex (DACC), right anterior insula (RAI), left frontal eye fields (LFEF) and the bilateral inferior parietal sulcus (LIPS & RIPS), as well as increased connectivity from the right hippocampus (RHC) to the bilateral anterior insula (LAI & RAI), right frontal eye fields (RFEF) and RIPS. Moreover, negative symptoms predicted the connectivity strengths from the LHC to the DACC, the left inferior parietal sulcus (LIPAR) and the RHC, while positive symptoms predicted the connectivity strengths from the LHC to the LIPAR and from the RHC to the LHC. These results reinforce the crucial role of hippocampus dysconnectivity in SZ pathology and its potential as a biomarker of disease severity.

scholarly journals Aberrant Resting-State Functional Connectivity of the Dorsal Attention Network in Tinnitus

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Haimeng Hu ◽  
Yining Lyu ◽  
Shihong Li ◽  
Zheng Yuan ◽  
Chuntao Ye ◽  
...  
Keyword(s):  
Functional Connectivity ◽  
Brain Regions ◽  
Anterior Cingulate ◽  
Healthy Controls ◽  
Resting State Functional Connectivity ◽  
Attention Network ◽  
Superior Frontal Gyrus ◽  
Functional Connections ◽  
Dorsal Attention Network ◽  
The Right

Previous functional magnetic resonance imaging (fMRI) analyses have shown that the dorsal attention network (DAN) is involved in the pathophysiological changes of tinnitus, but few relevant studies have been conducted, and the conclusions to date are not uniform. The purpose of this research was to test whether there is a change in intrinsic functional connectivity (FC) patterns between the DAN and other brain regions in tinnitus patients. Thirty-one patients with persistent tinnitus and thirty-three healthy controls were enrolled in this study. A group independent component analysis (ICA), degree centrality (DC) analysis, and seed-based FC analysis were conducted. In the group ICA, the tinnitus patients showed increased connectivity in the left superior parietal gyrus in the DAN compared to the healthy controls. Compared with the healthy controls, the tinnitus patients showed increased DC in the left inferior parietal gyrus and decreased DC in the left precuneus within the DAN. The clusters within the DAN with significant differences in the ICA or DC analysis between the tinnitus patients and the healthy controls were selected as regions of interest (ROIs) for seeds. The tinnitus patients exhibited significantly increased FC from the left superior parietal gyrus to several brain regions, including the left inferior parietal gyrus, the left superior marginal gyrus, and the right superior frontal gyrus, and decreased FC to the right anterior cingulate cortex. The tinnitus patients exhibited decreased FC from the left precuneus to the left inferior occipital gyrus, left calcarine cortex, and left superior frontal gyrus compared with the healthy controls. The findings of this study show that compared with healthy controls, tinnitus patients have altered functional connections not only within the DAN but also between the DAN and other brain regions. These results suggest that it may be possible to improve the disturbance and influence of tinnitus by regulating the DAN.

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