纤维肌痛患者与默认模式网络的功能连接发生改变。
Functional Connectivity with the Default Mode Network Is Altered in Fibromyalgia Patients.
作者信息
Fallon Nicholas, Chiu Yee, Nurmikko Turo, Stancak Andrej
机构信息
Department of Psychological Sciences, Institute of Psychology, Health, and Society, University of Liverpool, Liverpool, United Kingdom.
Wirral University Teaching Hospital NHS Foundation Trust, Wirral, United Kingdom.
出版信息
PLoS One. 2016 Jul 21;11(7):e0159198. doi: 10.1371/journal.pone.0159198. eCollection 2016.
Fibromyalgia syndrome (FMS) patients show altered connectivity with the network maintaining ongoing resting brain activity, known as the default mode network (DMN). The connectivity patterns of DMN with the rest of the brain in FMS patients are poorly understood. This study employed seed-based functional connectivity analysis to investigate resting-state functional connectivity with DMN structures in FMS. Sixteen female FMS patients and 15 age-matched, healthy control subjects underwent T2-weighted resting-state MRI scanning and functional connectivity analyses using DMN network seed regions. FMS patients demonstrated alterations to connectivity between DMN structures and anterior midcingulate cortex, right parahippocampal gyrus, left superior parietal lobule and left inferior temporal gyrus. Correlation analysis showed that reduced functional connectivity between the DMN and the right parahippocampal gyrus was associated with longer duration of symptoms in FMS patients, whereas augmented connectivity between the anterior midcingulate and posterior cingulate cortices was associated with tenderness and depression scores. Our findings demonstrate alterations to functional connectivity between DMN regions and a variety of regions which are important for pain, cognitive and emotional processing in FMS patients, and which may contribute to the development or maintenance of chronic symptoms in FMS.
纤维肌痛综合征(FMS)患者与维持大脑持续静息活动的网络(即默认模式网络,DMN)之间的连接性发生了改变。FMS患者中DMN与大脑其他部分的连接模式尚不清楚。本研究采用基于种子点的功能连接分析来研究FMS患者与DMN结构的静息态功能连接。16名女性FMS患者和15名年龄匹配的健康对照者接受了T2加权静息态MRI扫描,并使用DMN网络种子区域进行功能连接分析。FMS患者表现出DMN结构与前扣带回中部皮质、右侧海马旁回、左侧顶上小叶和左侧颞下回之间的连接性改变。相关性分析表明,FMS患者中DMN与右侧海马旁回之间功能连接的降低与症状持续时间较长有关,而前扣带回中部与后扣带回皮质之间连接性的增强与压痛和抑郁评分有关。我们的研究结果表明,FMS患者中DMN区域与对疼痛、认知和情绪处理很重要的各种区域之间的功能连接发生了改变,这可能有助于FMS慢性症状的发展或维持。