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Combining Transcranial Magnetic Stimulation and fMRI to Examine the Default Mode Network
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Biophysical mechanisms of default mode network function and dysfunction.

Trang-Anh E Nghiem1,2, Vinod Menon1,3,4

  • 1Department of Psychiatry & Behavioral Sciences, Stanford University.

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|February 27, 2026
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Summary
This summary is machine-generated.

Brain simulations reveal how the insula suppresses the default mode network (DMN) and how disruptions in excitatory-inhibitory balance cause DMN dysfunction in brain disorders. This work links cellular mechanisms to large-scale network dynamics.

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Area of Science:

  • Neuroscience
  • Computational Neuroscience
  • Systems Neuroscience

Background:

  • The default mode network (DMN) is crucial for internal cognition but its suppression by external stimuli is poorly understood at the cellular level.
  • Disruptions in the DMN are linked to various brain disorders, often associated with imbalances in neuronal excitation and inhibition.

Purpose of the Study:

  • To elucidate the cellular mechanisms underlying DMN suppression by salient stimuli.
  • To investigate how disruptions in neuronal excitatory-inhibitory balance affect DMN function and robustness.
  • To model the link between cellular-level alterations and large-scale network dynamics in the brain.

Main Methods:

  • Whole-brain computational modeling incorporating neuronal biophysics.
  • Integration of retrograde tracer-derived directional mouse brain connectomics.
  • Systematic brain-wide analysis and parameter space exploration of network dynamics.

Main Results:

  • Insula stimulation effectively suppresses DMN activity, while cingulate cortex stimulation shows antagonistic effects.
  • DMN integrity is robust across a wide range of excitatory-inhibitory balance and cholinergic modulation.
  • Distinct failure modes of DMN function were identified, including loss of responsiveness and network fragmentation, with specific brain hubs showing differential vulnerability.

Conclusions:

  • The study provides a mechanistic framework linking cellular excitatory-inhibitory balance to DMN robustness and vulnerability.
  • The findings highlight the insula's critical role in DMN suppression and identify specific regulatory hubs like the retrosplenial cortex as vulnerable points.
  • The model offers insights into the heterogeneous patterns of DMN dysfunction observed in brain disorders and suggests potential therapeutic targets.