Reorganization of functional brain network architecture in chronic osteoarthritis pain

Joana Barroso, Kenta Wakaizumi, Ana Mafalda Reis, Marwan Baliki, Thomas J. Schnitzer, Vasco Galhardo, Apkar Vania Apkarian

研究成果: Article査読

38 被引用数 (Scopus)


Osteoarthritis (OA) manifests with chronic pain, motor impairment, and proprioceptive changes. However, the role of the brain in the disease is largely unknown. Here, we studied brain networks using the mathematical properties of graphs in a large sample of knee and hip OA (KOA, n = 91; HOA, n = 23) patients. We used a robust validation strategy by subdividing the KOA data into discovery and testing groups and tested the generalizability of our findings in HOA. Despite brain global topological properties being conserved in OA, we show there is a network wide pattern of reorganization that can be captured at the subject-level by a single measure, the hub disruption index. We localized reorganization patterns and uncovered a shift in the hierarchy of network hubs in OA: primary sensory and motor regions and parahippocampal gyrus behave as hubs and insular cortex loses its central placement. At an intermediate level of network structure, frontoparietal and cingulo-opercular modules showed preferential reorganization. We examined the association between network properties and clinical correlates: global disruption indices and isolated degree properties did not reflect clinical parameters; however, by modeling whole brain nodal degree properties, we identified a distributed set of regions that reliably predicted pain intensity in KOA and generalized to hip OA. Together, our findings reveal that while conserving global topological properties, brain network architecture reorganizes in OA, at both global and local scale. Network connectivity related to OA pain intensity is dissociated from the major hub disruptions, challenging the extent of dependence of OA pain on nociceptive signaling.

ジャーナルHuman Brain Mapping
出版ステータスPublished - 2021 3月

ASJC Scopus subject areas

  • 解剖学
  • 放射線技術および超音波技術
  • 放射線学、核医学およびイメージング
  • 神経学
  • 臨床神経学


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