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肠易激综合征患者的功能连接密度紊乱。

Disrupted functional connectivity density in irritable bowel syndrome patients.

机构信息

Department of Medical Imaging, Jinling Hospital, Nanjing University School of Medicine, 305 Zhongshan East Road, Xuanwu District, Nanjing, Jiangsu Province, 210002, China.

Department of Gastroenterology, Jinling Hospital, Nanjing University School of Medicine, 305 Zhongshan East Road, Xuanwu District, Nanjing, Jiangsu Province, 210002, China.

出版信息

Brain Imaging Behav. 2017 Dec;11(6):1812-1822. doi: 10.1007/s11682-016-9653-z.


DOI:10.1007/s11682-016-9653-z
PMID:27848148
Abstract

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.

摘要

肠易激综合征(IBS)是一种常见的功能性胃肠疾病,源于脑-肠轴的失调。然而,其确切的神经基础仍不清楚。本研究使用功能连接密度(FCD)来研究 IBS 患者全脑内在功能连接模式的变化。我们从 32 名 IBS 患者和 32 名健康对照者中获得了静息状态功能磁共振成像(rs-fMRI)数据。功能连接密度是一种数据驱动的算法,用于计算每个被试大脑中每个体素的远距离和短程 FCD 值,提示皮质中枢的远距离和局部功能连接量。将 IBS 患者与健康对照者的 FCD 图谱进行比较。还对患者异常 FCD 值与临床/心理计量学评分之间进行了 Pearson 相关性分析。与健康对照组相比,IBS 患者双侧前扣带回中部(aMCC)和下顶叶(IPL)的长程和短程 FCD 同时降低,右侧前岛叶的长程 FCD 降低,双侧前额叶皮质、前扣带回皮质下区和尾状核的短程 FCD 降低。IBS 患者还同时表现出初级感觉运动皮质的长程和短程 FCD 增加,右侧辅助运动区的长程 FCD 增加,枕叶的短程 FCD 增加。此外,一些 FCD 改变的区域显示出与 IBS 患者疼痛矩阵相关的脑区异常功能连接。此外,右侧前岛叶和左侧尾状核的异常 FCD 值与 IBS 患者症状严重程度和疾病持续时间呈显著相关。总之,IBS 患者的 FCD 广泛紊乱,与自主传入网络、情绪唤醒和认知调节相关的脑区 FCD 降低,而与感觉运动调节相关的脑区 FCD 增加。观察到的功能连接改变揭示了 IBS 患者疼痛矩阵的复杂工作模式。本研究可能为我们提供了 IBS 潜在脑网络拓扑结构的新见解。

相似文献

[1]
Disrupted functional connectivity density in irritable bowel syndrome patients.

Brain Imaging Behav. 2017-12

[2]
Intrinsic brain abnormalities in irritable bowel syndrome and effect of anxiety and depression.

Brain Imaging Behav. 2016-12

[3]
Resting-state functional connectivity density mapping of etiology confirmed unilateral pulsatile tinnitus patients: Altered functional hubs in the early stage of disease.

Neuroscience. 2015-12-3

[4]
[Mind-regulating and spleen-strengthening needling technique improves abdominal hypersensitivity and emotion by enhancing functional connectivity between hippocampus and brain regions in diarrhea-predominant irritable bowel syndrome patients].

Zhen Ci Yan Jiu. 2021-4-25

[5]
Altered long- and short-range functional connectivity in the patients with end-stage renal disease: a resting-state functional MRI study.

Metab Brain Dis. 2015-10

[6]
Abnormal regional homogeneity in patients with irritable bowel syndrome: A resting-state functional MRI study.

Neurogastroenterol Motil. 2015-12

[7]
Long-and short-range functional connectivity density alteration in non-alcoholic cirrhotic patients one month after liver transplantation: A resting-state fMRI study.

Brain Res. 2015-9-16

[8]
Altered brain spontaneous activity and connectivity network in irritable bowel syndrome patients: A resting-state fMRI study.

Clin Neurophysiol. 2014-10-12

[9]
[Regional homogeneity in the patients of irritable bowel syndrome complicated with depression: a resting-state functional magnetic resonance imaging study].

Zhonghua Yi Xue Za Zhi. 2018-1-16

[10]
Short- and long-range functional connectivity density alterations in adolescents with pure conduct disorder at resting-state.

Neuroscience. 2017-5-20

引用本文的文献

[1]
Cognitive Decline in Patients With Trigeminal Neuralgia: A Resting-State fMRI Study.

Brain Behav. 2025-3

[2]
Aberrant intrinsic brain activities in functional gastrointestinal disorders revealed by seed-based d mapping with permutation of subject images.

Front Neurosci. 2024-11-15

[3]
Neuroplasticity of the white matter tracts underlying recovery of diarrhea-predominant irritable bowel syndrome following acupuncture treatment.

Front Neurosci. 2024-9-19

[4]
Long-Term Implicit Epigenetic Stress Information in the Enteric Nervous System and its Contribution to Developing and Perpetuating IBS.

Curr Neuropharmacol. 2024

[5]
Abnormalities of white matter network properties in middle-aged and elderly patients with functional constipation.

Front Neurol. 2024-3-27

[6]
Altered intrinsic functional brain architecture in patients with functional constipation: a surface-based network study.

Front Neurosci. 2023-9-21

[7]
A psychological symptom based machine learning model for clinical evaluation of irritable bowel syndrome.

Open Res Eur. 2023-1-27

[8]
Hypnotherapy and IBS: Implicit, long-term stress memory in the ENS?

Heliyon. 2022-12-30

[9]
Alterations in functional connectivity and interactions in resting-state networks in female patients with functional constipation.

Neurol Sci. 2022-11

[10]
Altered Resting Brain Functions in Patients With Irritable Bowel Syndrome: A Systematic Review.

Front Hum Neurosci. 2022-4-29

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