Anterior insular cortex plays a critical role in interoceptive attention

Accumulating evidence indicates that the anterior insular cortex (AIC) mediates interoceptive attention which refers to attention towards physiological signals arising from the body. However, the necessity of the AIC in this process has not been demonstrated. Using a novel task that directs attentio...

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Main Authors: Xingchao Wang, Qiong Wu, Laura Egan, Xiaosi Gu, Pinan Liu, Hong Gu, Yihong Yang, Jing Luo, Yanhong Wu, Zhixian Gao, Jin Fan
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2019-04-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/42265
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author Xingchao Wang
Qiong Wu
Laura Egan
Xiaosi Gu
Pinan Liu
Hong Gu
Yihong Yang
Jing Luo
Yanhong Wu
Zhixian Gao
Jin Fan
author_facet Xingchao Wang
Qiong Wu
Laura Egan
Xiaosi Gu
Pinan Liu
Hong Gu
Yihong Yang
Jing Luo
Yanhong Wu
Zhixian Gao
Jin Fan
author_sort Xingchao Wang
collection DOAJ
description Accumulating evidence indicates that the anterior insular cortex (AIC) mediates interoceptive attention which refers to attention towards physiological signals arising from the body. However, the necessity of the AIC in this process has not been demonstrated. Using a novel task that directs attention toward breathing rhythm, we assessed the involvement of the AIC in interoceptive attention in healthy participants using functional magnetic resonance imaging and examined the necessity of the AIC in interoceptive attention in patients with AIC lesions. Results showed that interoceptive attention was associated with increased AIC activation, as well as enhanced coupling between the AIC and somatosensory areas along with reduced coupling between the AIC and visual sensory areas. In addition, AIC activation was predictive of individual differences in interoceptive accuracy. Importantly, AIC lesion patients showed disrupted interoceptive discrimination accuracy and sensitivity. These results provide compelling evidence that the AIC plays a critical role in interoceptive attention.
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spelling doaj.art-09f28f2cbdf64b2d96f38c0ec098587d2022-12-22T04:32:15ZengeLife Sciences Publications LtdeLife2050-084X2019-04-01810.7554/eLife.42265Anterior insular cortex plays a critical role in interoceptive attentionXingchao Wang0https://orcid.org/0000-0002-1281-1973Qiong Wu1https://orcid.org/0000-0003-2597-4322Laura Egan2Xiaosi Gu3https://orcid.org/0000-0002-9373-987XPinan Liu4Hong Gu5Yihong Yang6Jing Luo7Yanhong Wu8Zhixian Gao9Jin Fan10https://orcid.org/0000-0001-9630-8330Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing, ChinaBeijing Key Lab of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, China; School of Psychological and Cognitive Sciences, Peking University, Beijing, ChinaDepartment of Psychology, Queens College, The City University of New York, New York, United StatesDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, United States; Nash Family Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, United States; The Mental Illness Research, Education, and Clinical Center, The James J. Peter Veterans Affairs Medical Center, New York, United StatesDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing, ChinaNeuroimaging Research Branch, Intramural Research Program, National Institute on Drug Abuse, Baltimore, United StatesNeuroimaging Research Branch, Intramural Research Program, National Institute on Drug Abuse, Baltimore, United StatesBeijing Key Lab of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, ChinaSchool of Psychological and Cognitive Sciences, Peking University, Beijing, China; Beijing Key Laboratory of Behavior and Mental Health, Peking University, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing, ChinaDepartment of Psychology, Queens College, The City University of New York, New York, United States; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, United States; Nash Family Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, United States; Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, United StatesAccumulating evidence indicates that the anterior insular cortex (AIC) mediates interoceptive attention which refers to attention towards physiological signals arising from the body. However, the necessity of the AIC in this process has not been demonstrated. Using a novel task that directs attention toward breathing rhythm, we assessed the involvement of the AIC in interoceptive attention in healthy participants using functional magnetic resonance imaging and examined the necessity of the AIC in interoceptive attention in patients with AIC lesions. Results showed that interoceptive attention was associated with increased AIC activation, as well as enhanced coupling between the AIC and somatosensory areas along with reduced coupling between the AIC and visual sensory areas. In addition, AIC activation was predictive of individual differences in interoceptive accuracy. Importantly, AIC lesion patients showed disrupted interoceptive discrimination accuracy and sensitivity. These results provide compelling evidence that the AIC plays a critical role in interoceptive attention.https://elifesciences.org/articles/42265anterior insular cortexinteroceptive attentionfMRIlesion patients
spellingShingle Xingchao Wang
Qiong Wu
Laura Egan
Xiaosi Gu
Pinan Liu
Hong Gu
Yihong Yang
Jing Luo
Yanhong Wu
Zhixian Gao
Jin Fan
Anterior insular cortex plays a critical role in interoceptive attention
eLife
anterior insular cortex
interoceptive attention
fMRI
lesion patients
title Anterior insular cortex plays a critical role in interoceptive attention
title_full Anterior insular cortex plays a critical role in interoceptive attention
title_fullStr Anterior insular cortex plays a critical role in interoceptive attention
title_full_unstemmed Anterior insular cortex plays a critical role in interoceptive attention
title_short Anterior insular cortex plays a critical role in interoceptive attention
title_sort anterior insular cortex plays a critical role in interoceptive attention
topic anterior insular cortex
interoceptive attention
fMRI
lesion patients
url https://elifesciences.org/articles/42265
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