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Tahedl, Marlene ; Levine, Seth M. ; Weissert, Robert ; Kohl, Zacharias ; Lee, De-Hyung ; Linker, Ralf A. ; Schwarzbach, Jens V.

Early remission in multiple sclerosis is linked to altered coherence of the Cerebellar Network

Tahedl, Marlene, Levine, Seth M., Weissert, Robert , Kohl, Zacharias, Lee, De-Hyung, Linker, Ralf A. and Schwarzbach, Jens V. (2022) Early remission in multiple sclerosis is linked to altered coherence of the Cerebellar Network. Journal of Translational Medicine 20, art.no.488.

Date of publication of this fulltext: 28 Nov 2022 08:39
Article
DOI to cite this document: 10.5283/epub.53151


Abstract

Background The development of permanent disability in multiple sclerosis (MS) is highly variable among patients, and the exact mechanisms that contribute to this disability remain unknown. Methods Following the idea that the brain has intrinsic network organization, we investigated changes of functional networks in MS patients to identify possible links between network reorganization and ...

Background The development of permanent disability in multiple sclerosis (MS) is highly variable among patients, and the exact mechanisms that contribute to this disability remain unknown. Methods Following the idea that the brain has intrinsic network organization, we investigated changes of functional networks in MS patients to identify possible links between network reorganization and remission from clinical episodes in MS. Eighteen relapsing-remitting MS patients (RRMS) in their first clinical manifestation underwent resting-state functional MRI and again during remission. We used ten template networks, identified from independent component analysis, to compare changes in network coherence for each patient compared to those of 44 healthy controls from the Human Connectome Project test-retest dataset (two-sample t-test of pre-post differences). Combining a binomial test with Monte Carlo procedures, we tested four models of how functional coherence might change between the first clinical episode and remission: a network can change its coherence (a) with itself ("one-with-self"), (b) with another network ("one-with-other"), or (c) with a set of other networks ("one-with-many"), or (d) multiple networks can change their coherence with respect to one common network ("many-with-one"). Results We found evidence supporting two of these hypotheses: coherence decreased between the Executive Control Network and several other networks ("one-with-many" hypothesis), and a set of networks altered their coherence with the Cerebellar Network ("many-with-one" hypothesis). Conclusion Given the unexpected commonality of the Cerebellar Network's altered coherence with other networks (a finding present in more than 70% of the patients, despite their clinical heterogeneity), we conclude that remission in MS may result from learning processes mediated by the Cerebellar Network.



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Details

Item typeArticle
Journal or Publication TitleJournal of Translational Medicine
Publisher:BMC
Place of Publication:LONDON
Volume:20
Page Range:art.no.488
Date27 October 2022
InstitutionsMedicine > Lehrstuhl für Neurologie
Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Human Sciences > Institut für Psychologie
Identification Number
ValueType
10.1186/s12967-022-03576-4DOI
KeywordsHUMAN CONNECTOME PROJECT; FUNCTIONAL CONNECTIVITY; PURKINJE-CELL; CORTICOPONTINE PROJECTION; BRAIN; CORTEX; REHABILITATION; PLASTICITY; RECOVERY; ROBUST; Cerebellar Network; Functional connectivity; Independent component analysis; Multiple sclerosis; Remission
Dewey Decimal Classification100 Philosophy & psychology > 150 Psychology
600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgPartially
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-531519
Item ID53151

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