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Brain-heart interactions in the neurobiology of consciousness.

作者信息

Candia-Rivera Diego

机构信息

Bioengineering and Robotics Research Center E. Piaggio and the Department of Information Engineering, School of Engineering, University of Pisa, Pisa, Italy.

出版信息

Curr Res Neurobiol. 2022 Aug 6;3:100050. doi: 10.1016/j.crneur.2022.100050. eCollection 2022.


DOI:10.1016/j.crneur.2022.100050
PMID:36685762
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9846460/
Abstract

Recent experimental evidence on patients with disorders of consciousness revealed that observing brain-heart interactions helps to detect residual consciousness, even in patients with absence of behavioral signs of consciousness. Those findings support hypotheses suggesting that visceral activity is involved in the neurobiology of consciousness, and sum to the existing evidence in healthy participants in which the neural responses to heartbeats reveal perceptual and self-consciousness. More evidence obtained through mathematical modeling of physiological dynamics revealed that emotion processing is prompted by an initial modulation from ascending vagal inputs to the brain, followed by sustained bidirectional brain-heart interactions. Those findings support long-lasting hypotheses on the causal role of bodily activity in emotions, feelings, and potentially consciousness. In this paper, the theoretical landscape on the potential role of heartbeats in cognition and consciousness is reviewed, as well as the experimental evidence supporting these hypotheses. I advocate for methodological developments on the estimation of brain-heart interactions to uncover the role of cardiac inputs in the origin, levels, and contents of consciousness. The ongoing evidence depicts interactions further than the cortical responses evoked by each heartbeat, suggesting the potential presence of non-linear, complex, and bidirectional communication between brain and heartbeat dynamics. Further developments on methodologies to analyze brain-heart interactions may contribute to a better understanding of the physiological dynamics involved in homeostatic-allostatic control, cognitive functions, and consciousness.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee29/9846460/7102cbcbed18/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee29/9846460/afc5864443b1/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee29/9846460/7102cbcbed18/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee29/9846460/afc5864443b1/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee29/9846460/7102cbcbed18/gr1.jpg

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[4]
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[6]
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引用本文的文献

[1]
Brain activation and heart rate variability as markers of autonomic function under stress.

Sci Rep. 2025-8-1

[2]
Interplay Between Cortical and Neurocardiac Interoceptive Processes and its Association with Self-Reported Interoceptive Sensibility.

Brain Topogr. 2025-6-3

[3]
Cardiac signals inform auditory regularity processing in the absence of consciousness.

Proc Natl Acad Sci U S A. 2025-5-20

[4]
Advanced and long-term meditation and the autonomic nervous system: A review and synthesis.

Neurosci Biobehav Rev. 2025-6

[5]
Central Thalamic Deep Brain Stimulation Modulates Autonomic Nervous System Responsiveness in Disorders of Consciousness.

CNS Neurosci Ther. 2025-3

[6]
Linking heartbeats with the cortical network dynamics involved in self-social touch distinction.

Commun Biol. 2025-1-14

[7]
Interoception, cardiac health, and heart failure: The potential for artificial intelligence (AI)-driven diagnosis and treatment.

Physiol Rep. 2025-1

[8]
Brain Regulates Neuronal Activity Directly through the Heartbeat: A New Pathway of Heart-Brain Interaction.

Aging Dis. 2024-11-12

[9]
Ultra-overt therapy: a novel medical approach centered on patient consciousness.

Front Integr Neurosci. 2024-8-16

[10]
Measures of the coupling between fluctuating brain network organization and heartbeat dynamics.

Netw Neurosci. 2024-7-1

本文引用的文献

[1]
Consciousness and complexity: a consilience of evidence.

Neurosci Conscious. 2021-8-30

[2]
Cardiac activity impacts cortical motor excitability.

PLoS Biol. 2023-11

[3]
Cognitive processing of a common stimulus synchronizes brains, hearts, and eyes.

PNAS Nexus. 2022-3-10

[4]
Generative Models of Brain Dynamics.

Front Artif Intell. 2022-7-15

[5]
Interoception as independent cardiac, thermosensory, nociceptive, and affective touch perceptual submodalities.

Biol Psychol. 2022-7

[6]
Cardiac sympathetic-vagal activity initiates a functional brain-body response to emotional arousal.

Proc Natl Acad Sci U S A. 2022-5-24

[7]
I overthink-Therefore I am not: An active inference account of altered sense of self and agency in depersonalisation disorder.

Conscious Cogn. 2022-5

[8]
Chemogenetic stimulation of tonic locus coeruleus activity strengthens the default mode network.

Sci Adv. 2022-4-29

[9]
Consciousness matters: phenomenal experience has functional value.

Neurosci Conscious. 2022-4-25

[10]
The role of the locus coeruleus in shaping adaptive cortical melodies.

Trends Cogn Sci. 2022-6

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