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Insula under the influence: Alcohol-induced changes in resting state functional connectivity.

Adriana K Cushnie1, Nicholas J Bush1,2,3, Landrew S Sevel1

  • 1Department of Anesthesiology, University of Minnesota, Minneapolis, Minnesota, USA.

Alcohol, Clinical & Experimental Research
|April 19, 2025
PubMed
Summary

Acute alcohol consumption alters brain connectivity in the insular cortex (IC) for social drinkers. This study found widespread changes in resting-state functional connectivity (rsFC) but no moderation by sex or family history.

Keywords:
acute alcoholfMRIfunctional connectivityinsular cortex

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Area of Science:

  • Neuroscience
  • Brain Imaging
  • Alcohol Research

Background:

  • The insular cortex (IC) is crucial for various functions and is implicated in alcohol consumption.
  • Understanding acute alcohol's impact on IC functional connectivity (FC) is vital.

Purpose of the Study:

  • To investigate acute alcohol effects on the resting-state functional connectivity (rsFC) of the insular cortex (IC) in healthy social drinkers.
  • To examine how alcohol differentially affects the anterior (AIC) and posterior (PIC) IC subdivisions' rsFC.
  • To explore associations between alcohol-induced IC rsFC changes, subjective intoxication, and potential moderators like sex and family history of alcohol problems.

Main Methods:

  • 107 healthy social drinkers (25-45 years) underwent fMRI scans after consuming placebo or alcohol (targeting 0.08% BAC).
  • Resting-state functional connectivity (rsFC) was analyzed using the CONN toolbox with IC regions of interest (ROIs) from the AICHA atlas.
  • Subjective intoxication was measured using a visual analog scale.

Main Results:

  • Alcohol intake significantly altered widespread rsFC of the IC, notably increasing connectivity with salience network regions.
  • Alcohol consumption attenuated the distinct rsFC differences between the anterior (AIC) and posterior (PIC) insular cortex.
  • Neither sex nor family history of alcohol problems significantly moderated the observed alcohol-induced changes in IC rsFC.

Conclusions:

  • Acute alcohol intake demonstrably alters the functional connectivity of the insular cortex and its network interactions.
  • Alcohol consumption tends to reduce connectivity distinctions between the AIC and PIC, aligning with broader evidence of alcohol-induced neural disorganization.
  • Further research is necessary to elucidate the neurobehavioral implications of these alcohol-induced alterations in IC functional connectivity.