Ultra-high field imaging reveals increased whole brain connectivity underpins cognitive strategies that attenuate pain

  1. Enrico Schulz  Is a corresponding author
  2. Anne Stankewitz
  3. Anderson M Winkler
  4. Stephanie Irving
  5. Viktor Witkovský
  6. Irene Tracey
  1. Ludwig-Maximilians-Universität München, Germany
  2. University of Oxford, United Kingdom
  3. Institute of Measurement Science, Slovak Academy of Sciences, Slovakia

Abstract

We investigated how the attenuation of pain with cognitive interventions affects brain connectivity using neuroimaging and a whole brain novel analysis approach. While receiving tonic cold pain, 20 healthy participants performed three different pain attenuation strategies during simultaneous collection of functional imaging data at 7 tesla. Participants were asked to rate their pain after each trial. We related the trial-by-trial variability of the attenuation performance to the trial-by-trial functional connectivity strength change of brain data. Across all conditions, we found that a higher performance of pain attenuation was predominantly associated with higher functional connectivity. Of note, we observed an association between low pain and high connectivity for regions that belong to brain regions long associated with pain processing, i.e. the insular and cingulate cortices. For one of the cognitive strategies (safe place), the performance of pain attenuation was explained by diffusion tensor imaging metrics of increased white matter integrity.

Data availability

The dataset has been made available at Open Science Framework (https://osf.io/tbc2u/). The source data files to generate the figures are included in the submission (Source data 1 - 7).

The following data sets were generated
    1. Enrico Schulz
    (2020) Pain Attentuation
    OSF, doi:10.17605/OSF.IO/TBC2U.

Article and author information

Author details

  1. Enrico Schulz

    Department of Neurology, Ludwig-Maximilians-Universität München, Martinsried, Germany
    For correspondence
    es@pain.sc
    Competing interests
    The authors declare that no competing interests exist.
    ORCID icon "This ORCID iD identifies the author of this article:" 0000-0001-8188-380X
  2. Anne Stankewitz

    Department of Neurology, Ludwig-Maximilians-Universität München, Martinsried, Germany
    Competing interests
    The authors declare that no competing interests exist.
  3. Anderson M Winkler

    Wellcome Centre For Integrative Neuroimaging, University of Oxford, Oxford, United Kingdom
    Competing interests
    The authors declare that no competing interests exist.
  4. Stephanie Irving

    Department of Neurology, Ludwig-Maximilians-Universität München, Martinsried, Germany
    Competing interests
    The authors declare that no competing interests exist.
  5. Viktor Witkovský

    Department of Theoretical Methods, Institute of Measurement Science, Slovak Academy of Sciences, Bratislava, Slovakia
    Competing interests
    The authors declare that no competing interests exist.
  6. Irene Tracey

    FMRIB Centre, University of Oxford, Oxford, United Kingdom
    Competing interests
    The authors declare that no competing interests exist.

Funding

Deutsche Forschungsgemeinschaft (2879/1-1)

  • Enrico Schulz

Wellcome (090955/Z/09/Z)

  • Irene Tracey

Wellcome (083259/Z/07/Z)

  • Irene Tracey

Medical Research Council (G0700399)

  • Irene Tracey

The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.

Ethics

Human subjects: Informed consent and consent to publish was obtained in accordance with ethical standards set out by the Declaration of Helsinki (1964) and with procedures approved by the Medical Sciences Interdivisional Research Ethics Committee of the University of Oxford (REC ref: MSD-IDREC- C1-2014-157).

Copyright

This is an open-access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.

Metrics

  • 1,911
    views
  • 227
    downloads
  • 15
    citations

Views, downloads and citations are aggregated across all versions of this paper published by eLife.

Download links

A two-part list of links to download the article, or parts of the article, in various formats.

Downloads (link to download the article as PDF)

Open citations (links to open the citations from this article in various online reference manager services)

Cite this article (links to download the citations from this article in formats compatible with various reference manager tools)

  1. Enrico Schulz
  2. Anne Stankewitz
  3. Anderson M Winkler
  4. Stephanie Irving
  5. Viktor Witkovský
  6. Irene Tracey
(2020)
Ultra-high field imaging reveals increased whole brain connectivity underpins cognitive strategies that attenuate pain
eLife 9:e55028.
https://doi.org/10.7554/eLife.55028

Share this article

https://doi.org/10.7554/eLife.55028

Further reading

    1. Developmental Biology
    2. Neuroscience
    Ev L Nichols, Joo Lee, Kang Shen
    Research Article

    During development axons undergo long-distance migrations as instructed by guidance molecules and their receptors, such as UNC-6/Netrin and UNC-40/DCC. Guidance cues act through long-range diffusive gradients (chemotaxis) or local adhesion (haptotaxis). However, how these discrete modes of action guide axons in vivo is poorly understood. Using time-lapse imaging of axon guidance in C. elegans, we demonstrate that UNC-6 and UNC-40 are required for local adhesion to an intermediate target and subsequent directional growth. Exogenous membrane-tethered UNC-6 is sufficient to mediate adhesion but not directional growth, demonstrating the separability of haptotaxis and chemotaxis. This conclusion is further supported by the endogenous UNC-6 distribution along the axon’s route. The intermediate and final targets are enriched in UNC-6 and separated by a ventrodorsal UNC-6 gradient. Continuous growth through the gradient requires UNC-40, which recruits UNC-6 to the growth cone tip. Overall, these data suggest that UNC-6 stimulates stepwise haptotaxis and chemotaxis in vivo.

    1. Neuroscience
    Mihály Vöröslakos, Yunchang Zhang ... György Buzsáki
    Tools and Resources

    Brain states fluctuate between exploratory and consummatory phases of behavior. These state changes affect both internal computation and the organism’s responses to sensory inputs. Understanding neuronal mechanisms supporting exploratory and consummatory states and their switching requires experimental control of behavioral shifts and collecting sufficient amounts of brain data. To achieve this goal, we developed the ThermoMaze, which exploits the animal’s natural warmth-seeking homeostatic behavior. By decreasing the floor temperature and selectively heating unmarked areas, we observed that mice avoided the aversive state by exploring the maze and finding the warm spot. In its design, the ThermoMaze is analogous to the widely used water maze but without the inconvenience of a wet environment and, therefore, allows the collection of physiological data in many trials. We combined the ThermoMaze with electrophysiology recording, and report that spiking activity of hippocampal CA1 neurons during sharp-wave ripple events encode the position of mice. Thus, place-specific firing is not confined to locomotion and associated theta oscillations but persist during waking immobility and sleep at the same location. The ThermoMaze will allow for detailed studies of brain correlates of immobility, preparatory–consummatory transitions, and open new options for studying behavior-mediated temperature homeostasis.