Abstract
Increased synchrony within neuroanatomical networks is often observed in neurophysiologic studies of human brain disease. Most often, this phenomenon is ascribed to a compensatory process in the face of injury, though evidence supporting such accounts is limited. Given the known dependence of resting-state functional connectivity (rsFC) on underlying structural connectivity (SC), we examine an alternative hypothesis: that topographical changes in SC, specifically particular patterns of disconnection, contribute to increased network rsFC. We obtain measures of rsFC using fMRI and SC using probabilistic tractography in 50 healthy and 28 multiple sclerosis subjects. Using a computational model of neuronal dynamics, we simulate BOLD using healthy subject SC to couple regions. We find that altering the model by introducing structural disconnection patterns observed in those multiple sclerosis subjects with high network rsFC generates simulations with high rsFC as well, suggesting that disconnection itself plays a role in producing high network functional connectivity. We then examine SC data in individuals. In multiple sclerosis subjects with high network rsFC, we find a preferential disconnection between the relevant network and wider system. We examine the significance of such network isolation by introducing random disconnection into the model. As observed empirically, simulated network rsFC increases with removal of connections bridging a community with the remainder of the brain. We thus show that structural disconnection known to occur in multiple sclerosis contributes to network rsFC changes in multiple sclerosis and further that community isolation is responsible for elevated network functional connectivity.
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Acknowledgements
Data collection and sharing for this project was provided by the MGH-USC Human Connectome Project (Principal Investigators: Bruce Rosen, M.D., Ph.D., Arthur W. Toga, Ph.D., Van J. Weeden, MD). HCP funding was provided by the National Institute of Dental and Craniofacial Research (NIDCR), the National Institute of Mental Health (NIMH), and the National Institute of Neurological Disorders and Stroke (NINDS). HCP data are disseminated by the Laboratory of Neuro Imaging at the University of California, Los Angeles.
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The authors disclosed receipt of the following financial support for the research and/or authorship of this article: This work was supported by grants from the National Multiple Sclerosis Society PP1853 (ECK), and FG 20131-A-1 (KRP) and the National Institutes of Health K23NS078044-04 (ECK).
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Eric Klawiter has received research grants from Atlas5D, Biogen, EMD Serono and Roche; and consulting fees from Acorda, Atlas5D, Biogen, EMD Serono, Genentech and Shire. The remaining authors declare they have no conflicts of interest.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. All subjects provided written informed consent under institutional board approval. This article does not contain any studies with animals performed by any of the authors.
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Patel, K.R., Tobyne, S., Porter, D. et al. Structural disconnection is responsible for increased functional connectivity in multiple sclerosis. Brain Struct Funct 223, 2519–2526 (2018). https://doi.org/10.1007/s00429-018-1619-z
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DOI: https://doi.org/10.1007/s00429-018-1619-z