Reorganization of functional brain network architecture in chronic osteoarthritis pain

• Tipo: Artigo em Revista Científica Internacional
• Data: 2020

Autores

Barroso, J (Autor) Outra; Wakaizumi, K (Autor) Outra; Reis, AM (Autor) Outra; Baliki, M (Autor) Outra; Schnitzer, TJ (Autor) Outra; Vasco Galhardo (Autor) FMUP; Apkarian, AV (Autor) Outra

Revista

Título: Human Brain Mapping

ISSN: 1065-9471

Editora: Wiley-Blackwell

Indexação

ISI Web of Knowledge - 24 Citações

Scopus - 23 Citações

Outras Informações

ID Authenticus: P-00T-269

DOI: 10.1002/hbm.25287

Abstract (EN): Osteoarthritis (OA) manifests with chronic pain, motor impairment, and proprioceptive changes. However, the role of the brain in the disease is largely unknown. Here, we studied brain networks using the mathematical properties of graphs in a large sample of knee and hip OA (KOA, n = 91; HOA, n = 23) patients. We used a robust validation strategy by subdividing the KOA data into discovery and testing groups and tested the generalizability of our findings in HOA. Despite brain global topological properties being conserved in OA, we show there is a network wide pattern of reorganization that can be captured at the subject-level by a single measure, the hub disruption index. We localized reorganization patterns and uncovered a shift in the hierarchy of network hubs in OA: primary sensory and motor regions and parahippocampal gyrus behave as hubs and insular cortex loses its central placement. At an intermediate level of network structure, frontoparietal and cingulo-opercular modules showed preferential reorganization. We examined the association between network properties and clinical correlates: global disruption indices and isolated degree properties did not reflect clinical parameters; however, by modeling whole brain nodal degree properties, we identified a distributed set of regions that reliably predicted pain intensity in KOA and generalized to hip OA. Together, our findings reveal that while conserving global topological properties, brain network architecture reorganizes in OA, at both global and local scale. Network connectivity related to OA pain intensity is dissociated from the major hub disruptions, challenging the extent of dependence of OA pain on nociceptive signaling.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 17