Impaired effective functional connectivity of the sensorimotor network in interictal episodic migraineurs without aura

Abstract Background Resting-state functional magnetic resonance imaging (Rs-fMRI) has confirmed sensorimotor network (SMN) dysfunction in migraine without aura (MwoA). However, the underlying mechanisms of SMN effective functional connectivity in MwoA remain unclear. We aimed to explore the associat...

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Main Authors: Heng-Le Wei, Jing Chen, Yu-Chen Chen, Yu-Sheng Yu, Xi Guo, Gang-Ping Zhou, Qing-Qing Zhou, Zhen-Zhen He, Lian Yang, Xindao Yin, Junrong Li, Hong Zhang
Format: Article
Language:English
Published: BMC 2020-09-01
Series:The Journal of Headache and Pain
Subjects:
Online Access:http://link.springer.com/article/10.1186/s10194-020-01176-5
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author Heng-Le Wei
Jing Chen
Yu-Chen Chen
Yu-Sheng Yu
Xi Guo
Gang-Ping Zhou
Qing-Qing Zhou
Zhen-Zhen He
Lian Yang
Xindao Yin
Junrong Li
Hong Zhang
author_facet Heng-Le Wei
Jing Chen
Yu-Chen Chen
Yu-Sheng Yu
Xi Guo
Gang-Ping Zhou
Qing-Qing Zhou
Zhen-Zhen He
Lian Yang
Xindao Yin
Junrong Li
Hong Zhang
author_sort Heng-Le Wei
collection DOAJ
description Abstract Background Resting-state functional magnetic resonance imaging (Rs-fMRI) has confirmed sensorimotor network (SMN) dysfunction in migraine without aura (MwoA). However, the underlying mechanisms of SMN effective functional connectivity in MwoA remain unclear. We aimed to explore the association between clinical characteristics and effective functional connectivity in SMN, in interictal patients who have MwoA. Methods We used Rs-fMRI to acquire imaging data in 40 episodic patients with MwoA in the interictal phase and 34 healthy controls (HCs). Independent component analysis was used to profile the distribution of SMN and calculate the different SMN activity between the two groups. Subsequently, Granger causality analysis was used to analyze the effective functional connectivity between the SMN and other brain regions. Results Compared to the HCs, MwoA patients showed higher activity in the bilateral postcentral gyri (PoCG), but lower activity in the left midcingulate cortex (MCC). Moreover, MwoA patients showed decreased effective functional connectivity from the SMN to left middle temporal gyrus, right putamen, left insula and bilateral precuneus, but increased effective functional connectivity to the right paracentral lobule. There was also significant effective functional connectivity from the primary visual cortex, right cuneus and right putamen to the SMN. In the interictal period, there was positive correlation between the activity of the right PoCG and the frequency of headache. The disease duration was positively correlated with abnormal effective functional connectivity from the left PoCG to right precuneus. In addition, the headache impact scores were negatively correlated with abnormal effective functional connectivity from the left MCC to right paracentral lobule, as well as from the right precuneus to left PoCG. Conclusions These differential, resting-state functional activities of the SMN in episodic MwoA may contribute to the understanding of migraine-related intra- and internetwork imbalances associated with nociceptive regulation and chronification.
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spelling doaj.art-f010eacac9044f9bb091ee3155e9f9d92022-12-21T23:19:22ZengBMCThe Journal of Headache and Pain1129-23691129-23772020-09-012111910.1186/s10194-020-01176-5Impaired effective functional connectivity of the sensorimotor network in interictal episodic migraineurs without auraHeng-Le Wei0Jing Chen1Yu-Chen Chen2Yu-Sheng Yu3Xi Guo4Gang-Ping Zhou5Qing-Qing Zhou6Zhen-Zhen He7Lian Yang8Xindao Yin9Junrong Li10Hong Zhang11Department of Radiology, The Affiliated Jiangning Hospital with Nanjing Medical UniversityDepartment of Neurology, The Affiliated Jiangning Hospital with Nanjing Medical UniversityDepartment of Radiology, Nanjing First Hospital, Nanjing Medical UniversityDepartment of Radiology, The Affiliated Jiangning Hospital with Nanjing Medical UniversityDepartment of Radiology, The Affiliated Jiangning Hospital with Nanjing Medical UniversityDepartment of Radiology, The Affiliated Jiangning Hospital with Nanjing Medical UniversityDepartment of Radiology, The Affiliated Jiangning Hospital with Nanjing Medical UniversityDepartment of Radiology, The Affiliated Jiangning Hospital with Nanjing Medical UniversityDepartment of Radiology, The Affiliated Jiangning Hospital with Nanjing Medical UniversityDepartment of Radiology, Nanjing First Hospital, Nanjing Medical UniversityDepartment of Neurology, The Affiliated Jiangning Hospital with Nanjing Medical UniversityDepartment of Radiology, The Affiliated Jiangning Hospital with Nanjing Medical UniversityAbstract Background Resting-state functional magnetic resonance imaging (Rs-fMRI) has confirmed sensorimotor network (SMN) dysfunction in migraine without aura (MwoA). However, the underlying mechanisms of SMN effective functional connectivity in MwoA remain unclear. We aimed to explore the association between clinical characteristics and effective functional connectivity in SMN, in interictal patients who have MwoA. Methods We used Rs-fMRI to acquire imaging data in 40 episodic patients with MwoA in the interictal phase and 34 healthy controls (HCs). Independent component analysis was used to profile the distribution of SMN and calculate the different SMN activity between the two groups. Subsequently, Granger causality analysis was used to analyze the effective functional connectivity between the SMN and other brain regions. Results Compared to the HCs, MwoA patients showed higher activity in the bilateral postcentral gyri (PoCG), but lower activity in the left midcingulate cortex (MCC). Moreover, MwoA patients showed decreased effective functional connectivity from the SMN to left middle temporal gyrus, right putamen, left insula and bilateral precuneus, but increased effective functional connectivity to the right paracentral lobule. There was also significant effective functional connectivity from the primary visual cortex, right cuneus and right putamen to the SMN. In the interictal period, there was positive correlation between the activity of the right PoCG and the frequency of headache. The disease duration was positively correlated with abnormal effective functional connectivity from the left PoCG to right precuneus. In addition, the headache impact scores were negatively correlated with abnormal effective functional connectivity from the left MCC to right paracentral lobule, as well as from the right precuneus to left PoCG. Conclusions These differential, resting-state functional activities of the SMN in episodic MwoA may contribute to the understanding of migraine-related intra- and internetwork imbalances associated with nociceptive regulation and chronification.http://link.springer.com/article/10.1186/s10194-020-01176-5Magnetic resonance imagingMigraineSensorimotor networkEffective functional connectivity
spellingShingle Heng-Le Wei
Jing Chen
Yu-Chen Chen
Yu-Sheng Yu
Xi Guo
Gang-Ping Zhou
Qing-Qing Zhou
Zhen-Zhen He
Lian Yang
Xindao Yin
Junrong Li
Hong Zhang
Impaired effective functional connectivity of the sensorimotor network in interictal episodic migraineurs without aura
The Journal of Headache and Pain
Magnetic resonance imaging
Migraine
Sensorimotor network
Effective functional connectivity
title Impaired effective functional connectivity of the sensorimotor network in interictal episodic migraineurs without aura
title_full Impaired effective functional connectivity of the sensorimotor network in interictal episodic migraineurs without aura
title_fullStr Impaired effective functional connectivity of the sensorimotor network in interictal episodic migraineurs without aura
title_full_unstemmed Impaired effective functional connectivity of the sensorimotor network in interictal episodic migraineurs without aura
title_short Impaired effective functional connectivity of the sensorimotor network in interictal episodic migraineurs without aura
title_sort impaired effective functional connectivity of the sensorimotor network in interictal episodic migraineurs without aura
topic Magnetic resonance imaging
Migraine
Sensorimotor network
Effective functional connectivity
url http://link.springer.com/article/10.1186/s10194-020-01176-5
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