Disrupted and reorganized connectivity of brain networks in multiple sclerosis: a systematic review and meta-analysis

Bingyi Qu1,2,3, Siyi Li1,2,3, Hongxi Chen4

  • 1Department of Radiology, Huaxi MR Research Center (HMRRC), Institute of Radiology and Medical Imaging, West China Hospital of Sichuan University, No. 37 Guoxue Xiang, Chengdu, 610041, Sichuan, China.

Journal of Neurology
|February 11, 2026
PubMed
Abstract

Insights

Multiple sclerosis (MS) shows widespread brain functional network abnormalities, particularly in the default mode (DMN) and sensorimotor (SMN) networks. These resting-state functional connectivity (rsFC) changes may reflect underlying neuropathology, but were not linked to clinical variables in this meta-analysis.

Area of Science:

  • Neuroimaging
  • Systems Neuroscience
  • Clinical Neurology

Background:

  • Large-scale brain functional network abnormalities are linked to multiple sclerosis (MS) and its clinical impairments.
  • Existing findings on these abnormalities are heterogeneous due to variations in methodology and sample size.

Purpose of the Study:

  • To meta-analyze resting-state functional connectivity (rsFC) changes in major brain networks in MS patients compared to healthy controls (HCs).
  • To assess heterogeneity and explore correlations between rsFC alterations and clinical variables in MS.

Main Methods:

  • A meta-analysis of 25 resting-state functional magnetic resonance imaging (rsfMRI) studies involving 1,524 MS patients and 886 HCs.
  • Independent component analysis (ICA) was used to evaluate rsFC in default mode (DMN), sensorimotor (SMN), salience (SN), and visual (VN) networks.
  • Anisotropic effect size seed mapping (AES-SDM) software and meta-regression were employed.

Main Results:

  • MS patients exhibited increased rsFC in parts of the DMN, SMN, and SN compared to HCs.
  • Hypoconnectivity was observed in core regions of the DMN, SMN, VN, and SN in MS patients.
  • Meta-regression analysis found no significant correlation between altered rsFC and clinical variables like age or disease duration.

Conclusions:

  • This meta-analysis reveals widespread and complex rsFC abnormalities across multiple neural networks in MS.
  • These disruptions and reorganizations in functional connectivity likely represent intrinsic neuropathological alterations in MS.
  • The findings enhance understanding of the pathophysiological mechanisms underlying functional abnormalities in MS.

Related Concept Videos

Functions of Connective Tissues01:17

Functions of Connective Tissues

Connective tissues perform a broad range of functions in the body. Their primary function is to connect and link different tissues in the body and act as packaging material between tissues. The areolar tissue, a connective tissue prototype, commonly cements various tissue types in diverse body organs. In contrast, adipose tissue cushions internal organs while insulating the body from heat loss.
Hard connective tissues, such as bones and cartilage, provide structure and support to the body.
17.1K
Protein Networks02:26

Protein Networks

An organism can have thousands of different proteins, and these proteins must cooperate to ensure the health of an organism. Proteins bind to other proteins and form complexes to carry out their functions. Many proteins interact with multiple other proteins creating a complex network of protein interactions.
These interactions can be represented through maps depicting protein-protein interaction networks, represented as nodes and edges. Nodes are circles that are representative of a protein,...
4.6K
Network Function of a Circuit01:25

Network Function of a Circuit

Frequency response analysis in electrical circuits provides vital insights into a circuit's behavior as the frequency of the input signal changes. The transfer function, a mathematical tool, is instrumental in understanding this behavior. It defines the relationship between phasor output and input and comes in four types: voltage gain, current gain, transfer impedance, and transfer admittance. The critical components of the transfer function are the poles and zeros.
876
The Resting Membrane Potential01:21

The Resting Membrane Potential

Overview
143.3K
Review and Preview01:10

Review and Preview

In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
8.4K
Review and Preview01:13

Review and Preview

Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.6K