Dynamic Changes of Functional Pain Connectome in Women with Primary Dysmenorrhea

Primary dysmenorrhea (PDM) is the most prevalent gynecological problem. Many key brain systems are engaged in pain processing. In light of dynamic communication within and between systems (or networks) in shaping pain experience and behavior, the intra-regional functional connectivity (FC) in the hu...

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Published inScientific reports Vol. 6; no. 1; p. 24543
Main Authors Wu, Ting-Hsuan, Tu, Cheng-Hao, Chao, Hsiang-Tai, Li, Wei-Chi, Low, Intan, Chuang, Chih-Ying, Yeh, Tzu-Chen, Cheng, Chou-Ming, Chou, Chih-Che, Chen, Li-Fen, Hsieh, Jen-Chuen
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 19.04.2016
Nature Publishing Group
Subjects
45/77
59/36
631/378/1689/2610
692/1807/410/2610
Adult
Brain - diagnostic imaging
Brain - physiopathology
Cognitive ability
Connectome - methods
Dysmenorrhea - etiology
Dysmenorrhea - physiopathology
Executive function
Female
Functional plasticity
Humanities and Social Sciences
Humans
Magnetic Resonance Imaging - methods
Menstrual cycle
Menstruation
multidisciplinary
Nerve Net - physiopathology
Neural networks
Neuroplasticity
Pain
Pain - diagnostic imaging
Pain - physiopathology
Prefrontal cortex
Science
Science (multidisciplinary)
Sensorimotor system
Online AccessGet full text
ISSN2045-2322
2045-2322
DOI10.1038/srep24543

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Abstract Primary dysmenorrhea (PDM) is the most prevalent gynecological problem. Many key brain systems are engaged in pain processing. In light of dynamic communication within and between systems (or networks) in shaping pain experience and behavior, the intra-regional functional connectivity (FC) in the hub regions of the systems may be altered and the functional interactions in terms of inter-regional FCs among the networks may be reorganized to cope with the repeated stress of menstrual pain in PDM. Forty-six otherwise healthy PDM subjects and 49 age-matched, healthy female control subjects were enrolled. Intra- and inter-regional FC were assessed using regional homogeneity (ReHo) and ReHo-seeded FC analyses, respectively. PDM women exhibited a trait-related ReHo reduction in the ventromedial prefrontal cortex, part of the default mode network (DMN), during the periovulatory phase. The trait-related hypoconnectivity of DMN-salience network and hyperconnectivity of DMN-executive control network across the menstrual cycle featured a dynamic transition from affective processing of pain salience to cognitive modulation. The altered DMN-sensorimotor network may be an ongoing representation of cumulative menstrual pain. The findings indicate that women with long-term PDM may develop adaptive neuroplasticity and functional reorganization with a network shift from affective processing of salience to the cognitive modulation of pain.
AbstractList Primary dysmenorrhea (PDM) is the most prevalent gynecological problem. Many key brain systems are engaged in pain processing. In light of dynamic communication within and between systems (or networks) in shaping pain experience and behavior, the intra-regional functional connectivity (FC) in the hub regions of the systems may be altered and the functional interactions in terms of inter-regional FCs among the networks may be reorganized to cope with the repeated stress of menstrual pain in PDM. Forty-six otherwise healthy PDM subjects and 49 age-matched, healthy female control subjects were enrolled. Intra- and inter-regional FC were assessed using regional homogeneity (ReHo) and ReHo-seeded FC analyses, respectively. PDM women exhibited a trait-related ReHo reduction in the ventromedial prefrontal cortex, part of the default mode network (DMN), during the periovulatory phase. The trait-related hypoconnectivity of DMN-salience network and hyperconnectivity of DMN-executive control network across the menstrual cycle featured a dynamic transition from affective processing of pain salience to cognitive modulation. The altered DMN-sensorimotor network may be an ongoing representation of cumulative menstrual pain. The findings indicate that women with long-term PDM may develop adaptive neuroplasticity and functional reorganization with a network shift from affective processing of salience to the cognitive modulation of pain.
Primary dysmenorrhea (PDM) is the most prevalent gynecological problem. Many key brain systems are engaged in pain processing. In light of dynamic communication within and between systems (or networks) in shaping pain experience and behavior, the intra-regional functional connectivity (FC) in the hub regions of the systems may be altered and the functional interactions in terms of inter-regional FCs among the networks may be reorganized to cope with the repeated stress of menstrual pain in PDM. Forty-six otherwise healthy PDM subjects and 49 age-matched, healthy female control subjects were enrolled. Intra- and inter-regional FC were assessed using regional homogeneity (ReHo) and ReHo-seeded FC analyses, respectively. PDM women exhibited a trait-related ReHo reduction in the ventromedial prefrontal cortex, part of the default mode network (DMN), during the periovulatory phase. The trait-related hypoconnectivity of DMN-salience network and hyperconnectivity of DMN-executive control network across the menstrual cycle featured a dynamic transition from affective processing of pain salience to cognitive modulation. The altered DMN-sensorimotor network may be an ongoing representation of cumulative menstrual pain. The findings indicate that women with long-term PDM may develop adaptive neuroplasticity and functional reorganization with a network shift from affective processing of salience to the cognitive modulation of pain.
Primary dysmenorrhea (PDM) is the most prevalent gynecological problem. Many key brain systems are engaged in pain processing. In light of dynamic communication within and between systems (or networks) in shaping pain experience and behavior, the intra-regional functional connectivity (FC) in the hub regions of the systems may be altered and the functional interactions in terms of inter-regional FCs among the networks may be reorganized to cope with the repeated stress of menstrual pain in PDM. Forty-six otherwise healthy PDM subjects and 49 age-matched, healthy female control subjects were enrolled. Intra- and inter-regional FC were assessed using regional homogeneity (ReHo) and ReHo-seeded FC analyses, respectively. PDM women exhibited a trait-related ReHo reduction in the ventromedial prefrontal cortex, part of the default mode network (DMN), during the periovulatory phase. The trait-related hypoconnectivity of DMN-salience network and hyperconnectivity of DMN-executive control network across the menstrual cycle featured a dynamic transition from affective processing of pain salience to cognitive modulation. The altered DMN-sensorimotor network may be an ongoing representation of cumulative menstrual pain. The findings indicate that women with long-term PDM may develop adaptive neuroplasticity and functional reorganization with a network shift from affective processing of salience to the cognitive modulation of pain.Primary dysmenorrhea (PDM) is the most prevalent gynecological problem. Many key brain systems are engaged in pain processing. In light of dynamic communication within and between systems (or networks) in shaping pain experience and behavior, the intra-regional functional connectivity (FC) in the hub regions of the systems may be altered and the functional interactions in terms of inter-regional FCs among the networks may be reorganized to cope with the repeated stress of menstrual pain in PDM. Forty-six otherwise healthy PDM subjects and 49 age-matched, healthy female control subjects were enrolled. Intra- and inter-regional FC were assessed using regional homogeneity (ReHo) and ReHo-seeded FC analyses, respectively. PDM women exhibited a trait-related ReHo reduction in the ventromedial prefrontal cortex, part of the default mode network (DMN), during the periovulatory phase. The trait-related hypoconnectivity of DMN-salience network and hyperconnectivity of DMN-executive control network across the menstrual cycle featured a dynamic transition from affective processing of pain salience to cognitive modulation. The altered DMN-sensorimotor network may be an ongoing representation of cumulative menstrual pain. The findings indicate that women with long-term PDM may develop adaptive neuroplasticity and functional reorganization with a network shift from affective processing of salience to the cognitive modulation of pain.
ArticleNumber 24543
Author Li, Wei-Chi
Chen, Li-Fen
Chou, Chih-Che
Hsieh, Jen-Chuen
Tu, Cheng-Hao
Yeh, Tzu-Chen
Cheng, Chou-Ming
Chuang, Chih-Ying
Wu, Ting-Hsuan
Chao, Hsiang-Tai
Low, Intan
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  email: jchsieh@ym.edu.tw
  organization: Institute of Brain Science, School of Medicine, National Yang-Ming University, Division of Clinical Research, Department of Medical Research, Integrated Brain Research Unit, Taipei Veterans General Hospital
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Snippet Primary dysmenorrhea (PDM) is the most prevalent gynecological problem. Many key brain systems are engaged in pain processing. In light of dynamic...
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SubjectTerms 45/77
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692/1807/410/2610
Adult
Brain - diagnostic imaging
Brain - physiopathology
Cognitive ability
Connectome - methods
Dysmenorrhea - etiology
Dysmenorrhea - physiopathology
Executive function
Female
Functional plasticity
Humanities and Social Sciences
Humans
Magnetic Resonance Imaging - methods
Menstrual cycle
Menstruation
multidisciplinary
Nerve Net - physiopathology
Neural networks
Neuroplasticity
Pain
Pain - diagnostic imaging
Pain - physiopathology
Prefrontal cortex
Science
Science (multidisciplinary)
Sensorimotor system
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Title Dynamic Changes of Functional Pain Connectome in Women with Primary Dysmenorrhea
URI https://link.springer.com/article/10.1038/srep24543
https://www.ncbi.nlm.nih.gov/pubmed/27089970
https://www.proquest.com/docview/1898676509
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https://pubmed.ncbi.nlm.nih.gov/PMC4835697
Volume 6
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