Second language learning induces grey matter volume increase in people with multiple sclerosis.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2019
Historique:
received: 05 08 2019
accepted: 29 11 2019
entrez: 24 12 2019
pubmed: 24 12 2019
medline: 16 4 2020
Statut: epublish

Résumé

Grey matter volume (GMV) decline is a frequent finding in multiple sclerosis (MS), the most common chronic neurological disease in young adults. Increases of GMV were detected in language related brain regions following second language (L2) learning in healthy adults. Effects of L2 learning in people with MS (pwMS) have not been investigated so far. This study prospectively evaluated the potential of an eight-week L2 training on grey matter plasticity measured by 3T-MRI, L2 proficiency and health-related quality of life (HRQoL) in people with relapsing-remitting MS (pwMS, n = 11) and healthy, sex- and age-matched controls (HCs; n = 12). Categorical voxel-based analysis revealed significantly less GMV bilaterally of the insula extending to the temporal pole in pwMS at baseline. Following L2 training, significant increases of GMV were evident in the right hippocampus, parahippocampus and putamen of pwMS and in the left insula of HCs. L2 training resulted in significant improvements of listening comprehension, speaking fluency and vocabulary knowledge in both pwMS and HCs. GMV increases of right hippocampus and parahippocampus significantly correlated with vocabulary knowledge gain and L2 learning was associated with a significant increase of HRQoL in pwMS. Our findings demonstrate distinct patterns of GMV increases of language related brain regions in pwMS and HCs and indicate disease-related compensatory cortical and subcortical plasticity to acquire L2 proficiency in pwMS.

Sections du résumé

BACKGROUND
Grey matter volume (GMV) decline is a frequent finding in multiple sclerosis (MS), the most common chronic neurological disease in young adults. Increases of GMV were detected in language related brain regions following second language (L2) learning in healthy adults. Effects of L2 learning in people with MS (pwMS) have not been investigated so far.
METHODS
This study prospectively evaluated the potential of an eight-week L2 training on grey matter plasticity measured by 3T-MRI, L2 proficiency and health-related quality of life (HRQoL) in people with relapsing-remitting MS (pwMS, n = 11) and healthy, sex- and age-matched controls (HCs; n = 12).
RESULTS
Categorical voxel-based analysis revealed significantly less GMV bilaterally of the insula extending to the temporal pole in pwMS at baseline. Following L2 training, significant increases of GMV were evident in the right hippocampus, parahippocampus and putamen of pwMS and in the left insula of HCs. L2 training resulted in significant improvements of listening comprehension, speaking fluency and vocabulary knowledge in both pwMS and HCs. GMV increases of right hippocampus and parahippocampus significantly correlated with vocabulary knowledge gain and L2 learning was associated with a significant increase of HRQoL in pwMS.
CONCLUSION
Our findings demonstrate distinct patterns of GMV increases of language related brain regions in pwMS and HCs and indicate disease-related compensatory cortical and subcortical plasticity to acquire L2 proficiency in pwMS.

Identifiants

pubmed: 31869402
doi: 10.1371/journal.pone.0226525
pii: PONE-D-19-22031
pmc: PMC6927643
doi:

Types de publication

Controlled Clinical Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0226525

Déclaration de conflit d'intérêts

The present study was funded by an unrestricted research grant of Merck Austria. None of the authors has an affiliation with Merck Austria. There are no patents, products in development or marketed products to declare. Further, this does not alter our adherence to PLOS ONE policies on sharing data and materials.

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Auteurs

Rainer Ehling (R)

Department of Neurology, Clinic for Rehabilitation Münster, Münster, Austria.
Karl Landsteiner Institut für Interdisziplinäre Forschung am Reha Zentrum Münster, Münster, Austria.
Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.

Matthias Amprosi (M)

Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.

Benjamin Kremmel (B)

Language Testing Research Group Innsbruck, Department for Subject Specific Education, University of Innsbruck, Innsbruck, Austria.

Gabriel Bsteh (G)

Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.

Kathrin Eberharter (K)

Language Testing Research Group Innsbruck, Department for Subject Specific Education, University of Innsbruck, Innsbruck, Austria.

Matthias Zehentner (M)

Language Testing Research Group Innsbruck, Department for Subject Specific Education, University of Innsbruck, Innsbruck, Austria.

Ruth Steiger (R)

Department of Neuroradiology, Medical University of Innsbruck, Innsbruck, Austria.
Neuroimaging Research Core Facility, Medical University Innsbruck, Innsbruck, Austria.

Noora Tuovinen (N)

Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.

Elke R Gizewski (ER)

Department of Neuroradiology, Medical University of Innsbruck, Innsbruck, Austria.
Neuroimaging Research Core Facility, Medical University Innsbruck, Innsbruck, Austria.

Thomas Benke (T)

Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.

Thomas Berger (T)

Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.

Carol Spöttl (C)

Language Testing Research Group Innsbruck, Department for Subject Specific Education, University of Innsbruck, Innsbruck, Austria.

Christian Brenneis (C)

Department of Neurology, Clinic for Rehabilitation Münster, Münster, Austria.
Karl Landsteiner Institut für Interdisziplinäre Forschung am Reha Zentrum Münster, Münster, Austria.

Christoph Scherfler (C)

Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Neuroimaging Research Core Facility, Medical University Innsbruck, Innsbruck, Austria.

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