Abnormal functional connectivity of the salience network in insomnia
Yongxin Cheng1, Ting Xue2,3, Fang Dong1
1Inner Mongolia Key Laboratory of Pattern Recognition and Intelligent Image Processing, School of Information Engineering, Inner Mongolia University of Science and Technology, Baotou, 014010, Inner Mongolia, China.
Insomnia patients exhibit altered salience network connectivity, particularly increased functional connectivity in the dorsal anterior cingulate cortex. This hyperconnectivity may reflect hyperarousal and could serve as a neuroimaging biomarker for sleep quality.
Area of Science:
- Neuroscience
- Sleep Medicine
- Psychiatry
Background:
- The salience network is crucial for detecting behaviorally relevant stimuli and integrating neural processes.
- Insomnia is a prevalent sleep disorder characterized by difficulties with sleep initiation, duration, or quality.
- Understanding the neural underpinnings of insomnia is essential for developing effective treatments.
Purpose of the Study:
- To investigate alterations in the functional connectivity of the salience network in individuals with insomnia.
- To explore the relationship between these connectivity changes and clinical characteristics of insomnia.
Main Methods:
- Utilized independent component analysis (ICA) and dual regression to analyze resting-state functional magnetic resonance imaging (fMRI) data.
- Compared functional connectivity patterns of the salience network between insomnia patients (n=33) and healthy controls (n=33).
- Employed Pearson correlation analysis to assess the relationship between functional connectivity and insomnia severity (e.g., Pittsburgh Sleep Quality Index).
Main Results:
- Insomnia patients demonstrated significantly increased functional connectivity within the salience network, specifically in the dorsal anterior cingulate cortex.
- Elevated connectivity was observed between the salience network and other brain regions, including the dorsolateral prefrontal cortex, superior frontal gyrus, sensorimotor area, and brainstem.
- Increased salience network connectivity with the left dorsolateral prefrontal cortex showed a positive correlation with higher Pittsburgh Sleep Quality Index scores.
Conclusions:
- Altered functional connectivity within and beyond the salience network in insomnia may be associated with underlying hyperarousal mechanisms.
- The salience network's connectivity, particularly with the dorsolateral prefrontal cortex, presents a potential neuroimaging biomarker for assessing sleep quality in insomnia.
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