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中枢自主神经系统再探——来自神经影像学荟萃分析的岛叶和中央扣带回皮质具有调节作用的汇聚证据。

The central autonomic system revisited - Convergent evidence for a regulatory role of the insular and midcingulate cortex from neuroimaging meta-analyses.

机构信息

Center of Psychosomatic Medicine, Sichuan Provincial Center for Mental Health, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China; School of Life Science and Technology, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China.

School of Life Science and Technology, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China.

出版信息

Neurosci Biobehav Rev. 2022 Nov;142:104915. doi: 10.1016/j.neubiorev.2022.104915. Epub 2022 Oct 13.

Abstract

The autonomic nervous system regulates dynamic body adaptations to internal and external environment changes. Capitalizing on two different algorithms (that differ in empirical assumptions), we scrutinized the meta-analytic convergence of human neuroimaging studies investigating the neural basis of peripheral autonomic signal processing. Among the selected studies, we identified 42 records reporting 44 different experiments and testing 758 healthy individuals. The results of the two different algorithms converge in identifying the bilateral dorsal anterior insula and midcingulate cortex as the critical areas of the central autonomic system (CAN). Applying an unbiased approach, we were able to identify a single condition-independent functional circuit that supports CAN activity. Partially overlapping with the salience network this functional circuit includes the bilateral insular cortex and midcingulate cortex as well as the bilateral inferior parietal lobules. Remarkably, the critical regions of the CAN observed in this meta-analysis overlapped with the salience network as well as regions commonly reported across different cognitive and affective neuroimaging paradigms and regions being dysregulated across different mental and neurological disorders.

摘要

自主神经系统调节身体对内部和外部环境变化的动态适应。利用两种不同的算法(在经验假设上有所不同),我们仔细研究了人类神经影像学研究调查外周自主信号处理的神经基础的荟萃分析收敛性。在所选择的研究中,我们确定了 42 份报告 44 个不同实验并测试了 758 名健康个体的记录。两种不同算法的结果在确定双侧背侧前岛叶和中扣带皮层作为中央自主神经系统(CAN)的关键区域方面趋于一致。应用无偏方法,我们能够确定一个支持 CAN 活动的单一条件独立功能回路。该功能回路部分与突显网络重叠,包括双侧岛叶和中扣带皮层以及双侧下顶叶。值得注意的是,在这项荟萃分析中观察到的 CAN 的关键区域与突显网络以及在不同认知和情感神经影像学范式中普遍报告的区域以及在不同精神和神经障碍中失调的区域重叠。

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