Dynamic spectral signatures of mirror movements in the sensorimotor functional connectivity network of patients with Kallmann syndrome

In Kallmann syndrome (KS), the peculiar phenomenon of bimanual synkinesis or mirror movement (MM) has been associated with a spectral shift, from lower to higher frequencies, of the resting-state fMRI signal of the large-scale sensorimotor brain network (SMN). To possibly determine whether a similar...

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Main Authors: Federica Di Nardo, Renzo Manara, Antonietta Canna, Francesca Trojsi, Gianluca Velletrani, Antonio Agostino Sinisi, Mario Cirillo, Gioacchino Tedeschi, Fabrizio Esposito
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2022.971809/full
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author Federica Di Nardo
Renzo Manara
Antonietta Canna
Francesca Trojsi
Gianluca Velletrani
Antonio Agostino Sinisi
Mario Cirillo
Gioacchino Tedeschi
Fabrizio Esposito
author_facet Federica Di Nardo
Renzo Manara
Antonietta Canna
Francesca Trojsi
Gianluca Velletrani
Antonio Agostino Sinisi
Mario Cirillo
Gioacchino Tedeschi
Fabrizio Esposito
author_sort Federica Di Nardo
collection DOAJ
description In Kallmann syndrome (KS), the peculiar phenomenon of bimanual synkinesis or mirror movement (MM) has been associated with a spectral shift, from lower to higher frequencies, of the resting-state fMRI signal of the large-scale sensorimotor brain network (SMN). To possibly determine whether a similar frequency specificity exists across different functional connectivity SMN states, and to capture spontaneous transitions between them, we investigated the dynamic spectral changes of the SMN functional connectivity in KS patients with and without MM symptom. Brain MRI data were acquired at 3 Tesla in 39 KS patients (32 without MM, KSMM-, seven with MM, KSMM+) and 26 age- and sex-matched healthy control (HC) individuals. The imaging protocol included 20-min rs-fMRI scans enabling detailed spectro-temporal analyses of large-scale functional connectivity brain networks. Group independent component analysis was used to extract the SMN. A sliding window approach was used to extract the dynamic spectral power of the SMN functional connectivity within the canonical physiological frequency range of slow rs-fMRI signal fluctuations (0.01–0.25 Hz). K-means clustering was used to determine (and count) the most recurrent dynamic states of the SMN and detect the number of transitions between them. Two most recurrent states were identified, for which the spectral power peaked at a relatively lower (state 1) and higher (state 2) frequency. Compared to KS patients without MM and HC subjects, the SMN of KS patients with MM displayed significantly larger spectral power changes in the slow 3 canonical sub-band (0.073–0.198 Hz) and significantly fewer transitions between state 1 (less recurrent) and state 2 (more recurrent). These findings demonstrate that the presence of MM in KS patients is associated with reduced spontaneous transitions of the SMN between dynamic functional connectivity states and a higher recurrence and an increased spectral power change of the high-frequency state. These results provide novel information about the large-scale brain functional dynamics that could help to understand the pathologic mechanisms of bimanual synkinesis in KS syndrome and, potentially, other neurological disorders where MM may also occur.
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spelling doaj.art-7060ef1cae894065938f741c2fef44ed2022-12-22T02:17:48ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2022-08-011610.3389/fnins.2022.971809971809Dynamic spectral signatures of mirror movements in the sensorimotor functional connectivity network of patients with Kallmann syndromeFederica Di Nardo0Renzo Manara1Antonietta Canna2Francesca Trojsi3Gianluca Velletrani4Antonio Agostino Sinisi5Mario Cirillo6Gioacchino Tedeschi7Fabrizio Esposito8Department of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli,”Naples, ItalyDepartment of Neuroscience, University of Padova, Padova, ItalyDepartment of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli,”Naples, ItalyDepartment of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli,”Naples, ItalyDepartment of Medicine, Surgery and Dentistry, University of Salerno, Salerno, ItalyDepartment of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli,”Naples, ItalyDepartment of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli,”Naples, ItalyDepartment of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli,”Naples, ItalyDepartment of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli,”Naples, ItalyIn Kallmann syndrome (KS), the peculiar phenomenon of bimanual synkinesis or mirror movement (MM) has been associated with a spectral shift, from lower to higher frequencies, of the resting-state fMRI signal of the large-scale sensorimotor brain network (SMN). To possibly determine whether a similar frequency specificity exists across different functional connectivity SMN states, and to capture spontaneous transitions between them, we investigated the dynamic spectral changes of the SMN functional connectivity in KS patients with and without MM symptom. Brain MRI data were acquired at 3 Tesla in 39 KS patients (32 without MM, KSMM-, seven with MM, KSMM+) and 26 age- and sex-matched healthy control (HC) individuals. The imaging protocol included 20-min rs-fMRI scans enabling detailed spectro-temporal analyses of large-scale functional connectivity brain networks. Group independent component analysis was used to extract the SMN. A sliding window approach was used to extract the dynamic spectral power of the SMN functional connectivity within the canonical physiological frequency range of slow rs-fMRI signal fluctuations (0.01–0.25 Hz). K-means clustering was used to determine (and count) the most recurrent dynamic states of the SMN and detect the number of transitions between them. Two most recurrent states were identified, for which the spectral power peaked at a relatively lower (state 1) and higher (state 2) frequency. Compared to KS patients without MM and HC subjects, the SMN of KS patients with MM displayed significantly larger spectral power changes in the slow 3 canonical sub-band (0.073–0.198 Hz) and significantly fewer transitions between state 1 (less recurrent) and state 2 (more recurrent). These findings demonstrate that the presence of MM in KS patients is associated with reduced spontaneous transitions of the SMN between dynamic functional connectivity states and a higher recurrence and an increased spectral power change of the high-frequency state. These results provide novel information about the large-scale brain functional dynamics that could help to understand the pathologic mechanisms of bimanual synkinesis in KS syndrome and, potentially, other neurological disorders where MM may also occur.https://www.frontiersin.org/articles/10.3389/fnins.2022.971809/fullKallmann syndromemirror movementsdynamic functional connectivitysensorimotor networkK-meansconnectivity states
spellingShingle Federica Di Nardo
Renzo Manara
Antonietta Canna
Francesca Trojsi
Gianluca Velletrani
Antonio Agostino Sinisi
Mario Cirillo
Gioacchino Tedeschi
Fabrizio Esposito
Dynamic spectral signatures of mirror movements in the sensorimotor functional connectivity network of patients with Kallmann syndrome
Frontiers in Neuroscience
Kallmann syndrome
mirror movements
dynamic functional connectivity
sensorimotor network
K-means
connectivity states
title Dynamic spectral signatures of mirror movements in the sensorimotor functional connectivity network of patients with Kallmann syndrome
title_full Dynamic spectral signatures of mirror movements in the sensorimotor functional connectivity network of patients with Kallmann syndrome
title_fullStr Dynamic spectral signatures of mirror movements in the sensorimotor functional connectivity network of patients with Kallmann syndrome
title_full_unstemmed Dynamic spectral signatures of mirror movements in the sensorimotor functional connectivity network of patients with Kallmann syndrome
title_short Dynamic spectral signatures of mirror movements in the sensorimotor functional connectivity network of patients with Kallmann syndrome
title_sort dynamic spectral signatures of mirror movements in the sensorimotor functional connectivity network of patients with kallmann syndrome
topic Kallmann syndrome
mirror movements
dynamic functional connectivity
sensorimotor network
K-means
connectivity states
url https://www.frontiersin.org/articles/10.3389/fnins.2022.971809/full
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