Nicotine Abstinence Influences the Calculation of Salience in Discrete Insular Circuits.
Nicotine Abstinence Influences the Calculation of Salience in Discrete Insular Circuits.
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DOI:
10.1016/j.bpsc.2017.09.010
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发表时间:
2018-03
期刊:
影响因子:
--
通讯作者:
Stein EA
中科院分区:
文献类型:
--
作者:
Fedota JR;Ding X;Matous AL;Salmeron BJ;McKenna MR;Gu H;Ross TJ;Stein EA
Insular subdivisions show distinct patterns of resting state functional connectivity (rsFC) with specific brain regions, each with different functional significance. Seeds in these subdivisions are employed to characterize the effects of acute nicotine abstinence on rsFC between insula subdivisions and brain networks implicated in addiction and attentional control. In a within subjects design, resting-state BOLD data were collected from treatment-seeking smokers (n=20) following smoking satiety and again following 48 hours of nicotine abstinence. Three right hemisphere insular regions of interest (dorsal, ventral, and posterior) served as seeds for analyses. Indices of both static and dynamic rsFC were obtained and correlated with indices of subjective withdrawal and behavioral performance. Abstinence-induced physiological, subjective, and cognitive differences were observed. Overall dynamic rsFC was reduced during abstinence, and circuits containing each insular seed showed changes in rsFC as a function of nicotine abstinence. Specifically, dorsal and posterior insular connections to the default mode and salience networks were enhanced, while a previously undescribed ventral insular connection to the executive control network was reduced. Further, static rsFC was significantly correlated with subjective ratings of aversive affect and withdrawal in the modified ventral and posterior insular-seeded circuits. As predicted, divergent connections between insula subdivisions and anticorrelated resting brain networks were observed during abstinence. These changes reflect an attentional bias toward aversive affective processing and not directly away from exogenous cognitive processing, suggesting a coordinated modulation of circuits associated with interoceptive and affective processing that instantiates an aversive state during nicotine abstinence.
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