Reduced interhemispheric resting state functional connectivity in cocaine addiction.

Reduced interhemispheric resting state functional connectivity in cocaine addiction.
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DOI:
10.1016/j.biopsych.2010.11.022
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发表时间:
2011-04-01
影响因子:
10.6
通讯作者:
Milham, Michael P.
Milham, Michael P.
中科院分区:
医学1区
文献类型:
--
作者:
Kelly, Clare;Zuo, Xi-Nian;Gotimer, Kristin;Cox, Christine L.;Lynch, Lauren;Brock, Dylan;Imperati, Davide;Garavan, Hugh;Rotrosen, John;Castellanos, F. Xavier;Milham, Michael P.

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Models of cocaine addiction emphasize the role of disrupted frontal circuitry supporting cognitive control processes. Yet, addiction-related alterations in functional interactions among brain regions, especially between the cerebral hemispheres, are rarely examined directly. Resting state fMRI approaches, which reveal patterns of coherent spontaneous fluctuations in the fMRI signal, offer a means to directly quantify functional interactions between the hemispheres. We examined interhemispheric resting state functional connectivity (RSFC) in cocaine dependence using a recently validated approach named “voxel-mirrored homotopic connectivity.” We compared interhemispheric RSFC between 25 adults (aged 35.0±8.8) meeting DSM-IV criteria for cocaine dependence within the past 12 months, but currently abstaining (>2 weeks) from cocaine, and 24 healthy comparisons (35.1±7.5), group-matched on age, sex, education and employment status. We observed reduced prefrontal interhemispheric RSFC in cocaine dependent participants relative to controls. Further analyses demonstrated a striking cocaine-dependence-related reduction in interhemispheric RSFC among nodes of the dorsal attention network (DAN), comprising bilateral lateral frontal, medial premotor and posterior parietal areas. Further, within the cocaine-dependent group, RSFC within the DAN was associated with self-reported lapses of attention. Our findings provide further evidence of an association between chronic exposure to cocaine and disruptions within large-scale brain circuitry supporting cognitive control. We did not detect group differences in DTI measures, suggesting that alterations in the brain’s functional architecture associated with cocaine exposure can be observed in the absence of detectable abnormalities in the white matter microstructure supporting that architecture.
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