Concurrent brain structural and functional alterations in patients with migraine without aura: an fMRI study.

Functional connectivity (FC) Functional magnetic resonance imaging (fMRI) Median raphe nuclei (MRN) Migraine Regional homogeneity (Reho) Voxel-based Morphometry (VBM)

Journal

The journal of headache and pain
ISSN: 1129-2377
Titre abrégé: J Headache Pain
Pays: England
ID NLM: 100940562

Informations de publication

Date de publication:
07 Dec 2020
Historique:
received: 25 09 2020
accepted: 18 11 2020
entrez: 8 12 2020
pubmed: 9 12 2020
medline: 22 12 2020
Statut: epublish

Résumé

To explore the possible concurrent brain functional and structural alterations in patients with migraine without aura (MwoA) patients compared to healthy subjects (HS). Seventy-two MwoA patients and forty-six HS were recruited. 3D-T1 and resting state fMRI data were collected during the interictal period for MwoA and HS. Voxel-based morphometry (VBM) for structure analysis and regional homogeneity (Reho) for fMRI analysis were applied. The VBM and Reho maps were overlapped to determine a possible brain region with concurrent functional and structural alteration in MwoA patients. Further analysis of resting state functional connectivity (FC) alteration was applied with this brain region as the seed. Compared with HS, MwoA patients showed decreased volume in the bilateral superior and inferior colliculus, periaqueductal gray matter (PAG), locus ceruleus, median raphe nuclei (MRN) and dorsal pons medulla junction. MwoA patients showed decreased Reho values in the middle occipital gyrus and inferior occipital gyrus, and increased Reho values in the MRN. Only a region in the MRN showed both structural and functional alteration in MwoA patients. Pearson correlation analysis showed that there was no association between volume or Reho values of the MRN and headache frequency, headache intensity, disease duration, self-rating anxiety scale or self-rating depression scale in MwoA patients. Resting state functional connectivity (FC) with the MRN as the seed showed that MwoA patients had increased FC between the MRN and PAG. MRN are involved in the pathophysiology of migraine during the interictal period. This study may help to better understand the migraine symptoms. NCT01152632 . Registered 27 June 2010.

Identifiants

pubmed: 33287704
doi: 10.1186/s10194-020-01203-5
pii: 10.1186/s10194-020-01203-5
pmc: PMC7720576
doi:

Banques de données

ClinicalTrials.gov
['NCT01152632']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

141

Subventions

Organisme : National Natural Science Foundation of China
ID : No.81973958
Organisme : National Natural Science Foundation of China
ID : No.81590951
Organisme : National Natural Science Foundation of China
ID : No.81774400
Organisme : China Postdoctoral Science Foundation
ID : No.2017M610593
Organisme : China Postdoctoral Science Foundation
ID : No.2018T110954
Organisme : China Postdoctoral Science Foundation
ID : No.20190037
Organisme : Major Program of Sichuan Provincial Education Department
ID : No.17ZA0157

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Auteurs

Zhengjie Li (Z)

Acupuncture & Tuina School / The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, 610036, Sichuan, China.
Radiology Department, Stanford University, Stanford, California, 94305, USA.

Jun Zhou (J)

Acupuncture & Tuina School / The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, 610036, Sichuan, China.

Lei Lan (L)

Acupuncture & Tuina School / The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, 610036, Sichuan, China.

Shirui Cheng (S)

Acupuncture & Tuina School / The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, 610036, Sichuan, China.

Ruirui Sun (R)

Acupuncture & Tuina School / The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, 610036, Sichuan, China.

Qiyong Gong (Q)

Huaxi MR Research Center, West China Hospital of Sichuan University, Chengdu, 610041, Sichuan, China.

Max Wintermark (M)

Radiology Department, Stanford University, Stanford, California, 94305, USA.

Fang Zeng (F)

Acupuncture & Tuina School / The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, 610036, Sichuan, China. zeng_fang@126.com.

Fanrong Liang (F)

Acupuncture & Tuina School / The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, 610036, Sichuan, China. acuresearch@126.com.

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