Oxytocin-Induced Changes in Intrinsic Network Connectivity in Cocaine Use Disorder: Modulation by Gender, Childhood Trauma, and Years of Use

Cocaine use disorder (CUD) is a major public health concern with devastating social, economic, and mental health implications. A better understanding of the underlying neurobiology and phenotypic variations in individuals with CUD is necessary for the development of effective and targeted treatments...

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Main Authors: Jane E. Joseph, Brandon K. Vaughan, Christopher C. Camp, Nathaniel L. Baker, Brian J. Sherman, Megan Moran-Santa Maria, Aimee McRae-Clark, Kathleen T. Brady
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-07-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2019.00502/full
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author Jane E. Joseph
Brandon K. Vaughan
Christopher C. Camp
Nathaniel L. Baker
Brian J. Sherman
Megan Moran-Santa Maria
Aimee McRae-Clark
Aimee McRae-Clark
Kathleen T. Brady
Kathleen T. Brady
author_facet Jane E. Joseph
Brandon K. Vaughan
Christopher C. Camp
Nathaniel L. Baker
Brian J. Sherman
Megan Moran-Santa Maria
Aimee McRae-Clark
Aimee McRae-Clark
Kathleen T. Brady
Kathleen T. Brady
author_sort Jane E. Joseph
collection DOAJ
description Cocaine use disorder (CUD) is a major public health concern with devastating social, economic, and mental health implications. A better understanding of the underlying neurobiology and phenotypic variations in individuals with CUD is necessary for the development of effective and targeted treatments. In this study, 39 women and 54 men with CUD completed a 6-min resting-state functional magnetic resonance imaging scan after intranasal oxytocin (OXY) or placebo administration. Graph-theory network analysis was used to quantify functional connectivity changes caused by OXY in striatum, anterior cingulate cortex (ACC), insula, and amygdala nodes of interest. OXY increased connectivity in the right ACC and left amygdala in males, whereas OXY increased connectivity in the right ACC and right accumbens in females. Machine learning was then used to associate treatment response (placebo minus OXY) in nodes of interest with years of cocaine use and severity of childhood trauma separately for males and females. Childhood trauma and years of cocaine use were associated with OXY-induced changes in ACC connectivity for both men and women, but connectivity changes in the amygdala were associated with years of cocaine use in men and connectivity changes in the right insula were associated with years of cocaine use in women. These findings suggest that salience network nodes (ACC and insula) are potential OXY treatment targets in CUD, with the amygdala as a treatment target for men and the accumbens as a treatment target for women.
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spelling doaj.art-5232407f1f304e61a5f71ae4fcaba1d32022-12-21T19:13:57ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-07-011010.3389/fpsyt.2019.00502446129Oxytocin-Induced Changes in Intrinsic Network Connectivity in Cocaine Use Disorder: Modulation by Gender, Childhood Trauma, and Years of UseJane E. Joseph0Brandon K. Vaughan1Christopher C. Camp2Nathaniel L. Baker3Brian J. Sherman4Megan Moran-Santa Maria5Aimee McRae-Clark6Aimee McRae-Clark7Kathleen T. Brady8Kathleen T. Brady9Department of Neuroscience, Medical University of South Carolina, Charleston, SC, United StatesDepartment of Neuroscience, Medical University of South Carolina, Charleston, SC, United StatesDepartment of Neuroscience, Medical University of South Carolina, Charleston, SC, United StatesDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, United StatesDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United StatesDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United StatesDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United StatesRalph H. Johnson VA Medical Center, Charleston, SC, United StatesDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United StatesRalph H. Johnson VA Medical Center, Charleston, SC, United StatesCocaine use disorder (CUD) is a major public health concern with devastating social, economic, and mental health implications. A better understanding of the underlying neurobiology and phenotypic variations in individuals with CUD is necessary for the development of effective and targeted treatments. In this study, 39 women and 54 men with CUD completed a 6-min resting-state functional magnetic resonance imaging scan after intranasal oxytocin (OXY) or placebo administration. Graph-theory network analysis was used to quantify functional connectivity changes caused by OXY in striatum, anterior cingulate cortex (ACC), insula, and amygdala nodes of interest. OXY increased connectivity in the right ACC and left amygdala in males, whereas OXY increased connectivity in the right ACC and right accumbens in females. Machine learning was then used to associate treatment response (placebo minus OXY) in nodes of interest with years of cocaine use and severity of childhood trauma separately for males and females. Childhood trauma and years of cocaine use were associated with OXY-induced changes in ACC connectivity for both men and women, but connectivity changes in the amygdala were associated with years of cocaine use in men and connectivity changes in the right insula were associated with years of cocaine use in women. These findings suggest that salience network nodes (ACC and insula) are potential OXY treatment targets in CUD, with the amygdala as a treatment target for men and the accumbens as a treatment target for women.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00502/fullconnectomegraph-theoryresting stategender differencesfunctional connectivity
spellingShingle Jane E. Joseph
Brandon K. Vaughan
Christopher C. Camp
Nathaniel L. Baker
Brian J. Sherman
Megan Moran-Santa Maria
Aimee McRae-Clark
Aimee McRae-Clark
Kathleen T. Brady
Kathleen T. Brady
Oxytocin-Induced Changes in Intrinsic Network Connectivity in Cocaine Use Disorder: Modulation by Gender, Childhood Trauma, and Years of Use
Frontiers in Psychiatry
connectome
graph-theory
resting state
gender differences
functional connectivity
title Oxytocin-Induced Changes in Intrinsic Network Connectivity in Cocaine Use Disorder: Modulation by Gender, Childhood Trauma, and Years of Use
title_full Oxytocin-Induced Changes in Intrinsic Network Connectivity in Cocaine Use Disorder: Modulation by Gender, Childhood Trauma, and Years of Use
title_fullStr Oxytocin-Induced Changes in Intrinsic Network Connectivity in Cocaine Use Disorder: Modulation by Gender, Childhood Trauma, and Years of Use
title_full_unstemmed Oxytocin-Induced Changes in Intrinsic Network Connectivity in Cocaine Use Disorder: Modulation by Gender, Childhood Trauma, and Years of Use
title_short Oxytocin-Induced Changes in Intrinsic Network Connectivity in Cocaine Use Disorder: Modulation by Gender, Childhood Trauma, and Years of Use
title_sort oxytocin induced changes in intrinsic network connectivity in cocaine use disorder modulation by gender childhood trauma and years of use
topic connectome
graph-theory
resting state
gender differences
functional connectivity
url https://www.frontiersin.org/article/10.3389/fpsyt.2019.00502/full
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