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通过功能磁共振成像评估慢性前列腺炎/慢性盆腔疼痛综合征患者自发性盆腔疼痛的低频振幅改变

The ALFF Alterations of Spontaneous Pelvic Pain in the Patients of Chronic Prostatitis/Chronic Pelvic Pain Syndrome Evaluated by fMRI.

作者信息

Ge Shengyang, Hu Qingfeng, Xia Guowei, Tan Yifan, Guo Yijun, Sun Chuanyu

机构信息

Department of Urology, Huashan Hospital, Fudan University, 12 Urumqi Middle Rd., Shanghai 200040, China.

Department of Urology, Jing'an District Central Hospital, Fudan University, 259 Xikang Rd., Shanghai 200040, China.

出版信息

Brain Sci. 2022 Oct 4;12(10):1344. doi: 10.3390/brainsci12101344.


DOI:10.3390/brainsci12101344
PMID:36291278
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9599805/
Abstract

Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a challenging entity with complicated symptoms for treatment in the male crowd. Accumulating evidence revealed the dysfunction in the central system should be a critical factor for the pathogenesis and development in the CP/CPPS. Therefore, we recruited 20 patients of CP/CPPS and 20 healthy male volunteers, aged 20 to 50 years. Through resting-state functional magnetic resonance imaging (fMRI), we analyzed the mean amplitude of low-frequency fluctuations (mALFF) and the mean fractional amplitude of low-frequency fluctuations (mfALFF) to reflect the spontaneous abnormal activated regions in the brains of CP/CPPS patients. Compared to the healthy controls, the group with CP/CPPS had significantly increased mALFF values in the thalamus and augmented fALFF values in the inferior parietal lobule and cingulate gyrus. Significant positive correlations were observed in the extracted mALFF values in the midbrain periaqueductal gray matter (PAG) and the pain intensity ( = 0.2712, = 0.0019), mALFF values in the thalamus and the scores of Hospital Anxiety and Depression Scale (HADS) anxiety subscale ( = 0.08477, = 0.0461), and mfALFF values in the superior frontal gyrus (SFG) and the scores of the HADS anxiety subscale ( = 0.07102, = 0.0282). Therefore, we delineated the clinical alterations in patients of CP/CPPS that might be attributed to the functional abnormality of the thalamus, inferior parietal lobule, and cingulate gyrus. Among these regions, the PAG, thalamus, and SFG may further play an important role in the pathogenesis, with their regulating effect on pain or emotion.

摘要

慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)是男性群体中一种治疗症状复杂且具有挑战性的病症。越来越多的证据表明,中枢系统功能障碍应是CP/CPPS发病机制和病情发展的关键因素。因此,我们招募了20例CP/CPPS患者和20名年龄在20至50岁之间的健康男性志愿者。通过静息态功能磁共振成像(fMRI),我们分析了低频振幅(mALFF)和低频分数振幅(mfALFF),以反映CP/CPPS患者大脑中的自发异常激活区域。与健康对照组相比,CP/CPPS组丘脑的mALFF值显著升高,顶下小叶和扣带回的fALFF值增大。在中脑导水管周围灰质(PAG)提取的mALFF值与疼痛强度之间观察到显著正相关(r = 0.2712,P = 0.0019),丘脑的mALFF值与医院焦虑抑郁量表(HADS)焦虑分量表得分之间(r = 0.08477,P = 0.0461),以及额上回(SFG)的mfALFF值与HADS焦虑分量表得分之间(r = 0.07102,P = 0.0282)。因此,我们描绘了CP/CPPS患者可能归因于丘脑、顶下小叶和扣带回功能异常的临床改变。在这些区域中,PAG、丘脑和SFG可能在发病机制中进一步发挥重要作用,对疼痛或情绪具有调节作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/9599805/b2f436bab9bf/brainsci-12-01344-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/9599805/4e83ac3e02f8/brainsci-12-01344-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/9599805/02e4d87c1a5c/brainsci-12-01344-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/9599805/b2f436bab9bf/brainsci-12-01344-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/9599805/4e83ac3e02f8/brainsci-12-01344-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/9599805/02e4d87c1a5c/brainsci-12-01344-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/9599805/b2f436bab9bf/brainsci-12-01344-g003.jpg

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引用本文的文献

[1]
The characteristics of brain function alterations in patients with chronic prostatitis/chronic pelvic pain syndrome across varying symptom severities evaluated by NIH-CPSI.

Front Neurosci. 2025-2-26

[2]
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[3]
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Brain Behav. 2024-10

[4]
Abnormal brain activity in lumbar disc herniation patients with chronic pain is associated with their clinical symptoms.

Front Neurosci. 2023-7-28

[5]
Deficits in the thalamocortical pathway associated with hypersensitivity to pain in patients with frozen shoulder.

Front Neurol. 2023-5-17

本文引用的文献

[1]
Effects of Acupuncture at Neiguan in Neural Activity of Related Brain Regions: A Resting-State fMRI Study in Anxiety.

Neuropsychiatr Dis Treat. 2022-7-6

[2]
Alterations in brain activation patterns in women with functional defecatory disorder: A novel fMRI rectal balloon expulsion study.

Neurogastroenterol Motil. 2022-12

[3]
Identification of novel susceptibility factors related to CP/CPPS-like symptoms: Evidence from a multicenter case-control study.

Prostate. 2022-5

[4]
Mechanism of Acupuncture and Moxibustion on Chronic Prostatitis/Chronic Pelvic Pain Syndrome: A Narrative Review of Animal Studies.

Pain Res Manag. 2021

[5]
Shared and Distinct Fractional Amplitude of Low-Frequency Fluctuation Patterns in Major Depressive Disorders With and Without Gastrointestinal Symptoms.

Front Psychiatry. 2021-12-2

[6]
Neuroinflammatory gene expression in chronic prostatitis/chronic pelvic pain syndrome patients: insights into etiology and phenotype biology.

Transl Androl Urol. 2021-8

[7]
Chronic Prostatitis and Pelvic Pain Syndrome: Another Autoimmune Disease?

Arch Immunol Ther Exp (Warsz). 2021-9-14

[8]
Melatonin attenuates prostatic inflammation and pelvic pain via Sirt1-dependent inhibition of the NLRP3 inflammasome in an EAP mouse model.

Prostate. 2021-11

[9]
Potential Alterations of Functional Connectivity Analysis in the Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome.

Neural Plast. 2021

[10]
Experimental Chronic Prostatitis/Chronic Pelvic Pain Syndrome Increases Anxiety-Like Behavior: The Role of Brain Oxidative Stress, Serum Corticosterone, and Hippocampal Parvalbumin-Positive Interneurons.

Oxid Med Cell Longev. 2021

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