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Yang M, Baser RE, Khanin R, Autuori I, Li QS, Panageas KS, Orlow I, Mao JJ. COMT Val158Met Affects the Analgesic Response to Acupuncture Among Cancer Survivors With Chronic Pain. THE JOURNAL OF PAIN 2023; 24:1721-1730. [PMID: 37187218 DOI: 10.1016/j.jpain.2023.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 03/30/2023] [Accepted: 05/11/2023] [Indexed: 05/17/2023]
Abstract
Catechol-O-methyltransferase (COMT) is the major enzyme involved in the catabolism of dopamine, a neurotransmitter in the brain's reward system. The common COMT polymorphism Val158Met (rs4680 G>A) modulates pain response to opioids through a reward-motivated mechanism; however, its role in nonpharmacological pain medicine has not been clinically characterized. We genotyped 325 participants from a randomized controlled trial of cancer survivors with chronic musculoskeletal pain. We found that carrying methionine at position 158 (158Met) of COMT, encoded by the A allele, significantly increased the analgesic response to electroacupuncture (74% vs 50%; odds ratio [OR]: 2.79; 95% confidence interval [CI]: 1.31, 6.05; P < .01), but not to auricular acupuncture (68% vs 60%; OR: 1.43; 95% CI: .65, 3.12; P = .37) or usual care (24% vs 18%; OR: 1.46; 95% CI: .38, 7.24; P = .61) compared to Val/Val. These findings raise the possibility that COMT Val158Met might be an important predictor of analgesic response to electroacupuncture, providing novel insights into precision nonpharmacologic pain management tailored to individual genetic backgrounds. PERSPECTIVE: This work suggests the modulating effects of the polymorphism in COMT Val158Met on the response to acupuncture. Further research needs to validate these findings, increase the mechanistic understanding of acupuncture, and guide further development of acupuncture as a precision pain management strategy.
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Affiliation(s)
- Mingxiao Yang
- Integrative Medicine Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Raymond E Baser
- Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Raya Khanin
- Bioinformatics Core Computational Biology Program, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Isidora Autuori
- Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Qing S Li
- Integrative Medicine Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Katherine S Panageas
- Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Irene Orlow
- Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Jun J Mao
- Integrative Medicine Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
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Huang FF, Wang PC, Yang XY, Luo J, Yang XJ, Li ZJ. Predicting responses to cognitive behavioral therapy in obsessive-compulsive disorder based on multilevel indices of rs-fMRI. J Affect Disord 2023; 323:345-353. [PMID: 36470552 DOI: 10.1016/j.jad.2022.11.073] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 10/28/2022] [Accepted: 11/20/2022] [Indexed: 12/12/2022]
Abstract
OBJECTIVE This study aimed to identify neuroimaging predictors to predict the response of cognitive behavioral therapy (CBT) in patients with obsessive-compulsive disorder (OCD) based on indices of resting-state functional magnetic resonance imaging (rs-fMRI). METHODS Fifty patients with OCD were enrolled and allocated to either high or low responder groups after CBT using a 50 % response rate as the delineator. The pre-treatment amplitude of low-frequency fluctuation (ALFF), fractional ALFF (fALFF), regional homogeneity (ReHo), and degree centrality (DC) in each cerebrum region, defined by automated anatomical labeling atlas, were extracted. Least absolute shrinkage and selection operator and logistic regression were used to select features and establish models. RESULTS The combination of multilevel rs-fMRI indices achieved the best performance, with a cross-validation area under the receiver operating characteristic curve (AUC) of 0.900. In this combined model, an increase of interquartile range (IQR) in fALFF of right inferior orbital frontal gyrus (IOFG), and ReHo of left hippocampus and superior occipital gyrus (SOG) corresponded to a 26.52 %, 38.67 % and 24.38 % increase in the possibility to be high responders of CBT, respectively. ALFF of left thalamus and ReHo of left putamen were negatively associated with the response to CBT, with a 14.30 % and 19.91 % decrease per IQR increase of the index value. CONCLUSION The combination of ALFF, fALFF and ReHo achieved a better predictive performance than separate index. Pre-treatment ALFF of the left thalamus, fALFF of the right IOFG, ReHo of the left hippocampus, SOG and putamen can be used as predictors of CBT response.
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Affiliation(s)
- Fang-Fang Huang
- Department of Clinical Psychology, The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China; Department of Preventive Medicine, School of Basic Medical Sciences, Henan University of Science and Technology, Henan, China
| | - Peng-Chong Wang
- Department of Clinical Psychology, The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Xiang-Yun Yang
- Department of Clinical Psychology, The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Jia Luo
- Department of Clinical Psychology, The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Xiao-Jie Yang
- Department of Clinical Psychology, The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Zhan-Jiang Li
- Department of Clinical Psychology, The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.
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Gibb BE, Tsypes A, Israel E, Owens M. Age differences in neural response to reward and loss in children. Psychophysiology 2022; 59:e14039. [PMID: 35239980 PMCID: PMC9918855 DOI: 10.1111/psyp.14039] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Revised: 02/11/2022] [Accepted: 02/16/2022] [Indexed: 01/25/2023]
Abstract
The goal of this study was to examine age-related differences in children's reward processing. Focusing on reward outcome processing, we used event-related potentials to examine substages of neural response to gain versus loss feedback in a sample of 7-11-year-old children (M = 9.67, SD = 1.40) recruited from the community (N = 234; 47.6% girls, 66.2% non-Hispanic European American). Using principal components analysis (PCA), we focused on temporospatial combinations that closely resembled the RewP, fb-P3, and fb-LPP in temporal and spatial distributions. Two of these, the PCA factors reflecting the RewP and fb-LPP, demonstrated age-related differences in response to gains versus losses. Age-related changes in the RewP were specific to gain feedback, with RewP amplitudes to gain, but not loss, increasing from middle to late childhood. In contrast, age-related changes in fb-LPP were specific to loss feedback, with fb-LPP amplitudes to losses, but not gains, decreasing from middle to late childhood. Follow-up analyses revealed that children younger than age 8 exhibited larger fb-LPP responses to loss than gain, whereas children older than age 10 exhibited larger RewP responses to gain than loss. Similar results were obtained using mean amplitude-based ERP indices and the results do not appear to have been due to age-related differences in the latency or location of the ERPs themselves. These results highlight the importance of examining distinct substages of reward outcome processing and suggest that robust neural responses to loss feedback may emerge earlier in childhood than responses to gains.
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Affiliation(s)
| | | | | | - Max Owens
- University of South Florida Saint Petersburg campus
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Du H, Xia J, Fan J, Gao F, Wang X, Han Y, Tan C, Zhu X. Spontaneous neural activity in the right fusiform gyrus and putamen is associated with consummatory anhedonia in obsessive compulsive disorder. Brain Imaging Behav 2022; 16:1708-1720. [DOI: 10.1007/s11682-021-00619-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2021] [Indexed: 11/28/2022]
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Luciana M, Collins PF. Is Adolescence a Sensitive Period for the Development of Incentive-Reward Motivation? Curr Top Behav Neurosci 2021; 53:79-99. [PMID: 34784026 DOI: 10.1007/7854_2021_275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Human adolescence is broadly construed as a time of heightened risk-taking and a vulnerability period for the emergence of psychopathology. These tendencies have been attributed to the age-related development of neural systems that mediate incentive motivation and other aspects of reward processing as well as individual difference factors that interact with ongoing development. Here, we describe the adolescent development of incentive motivation, which we view as an inherently positive developmental progression, and its associated neural mechanisms. We consider challenges in applying the sensitive period concept to these maturational events and discuss future directions that may help to clarify mechanisms of change.
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Affiliation(s)
- Monica Luciana
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA.
| | - Paul F Collins
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
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Cooke EK, White SA. Learning in the time of COVID: insights from the zebra finch - a social vocal-learner. Curr Opin Neurobiol 2021; 68:84-90. [PMID: 33571938 DOI: 10.1016/j.conb.2021.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2020] [Revised: 01/06/2021] [Accepted: 01/08/2021] [Indexed: 11/26/2022]
Affiliation(s)
- Elizabeth K Cooke
- Interdepartmental Program in Neuroscience, University of California, Los Angeles, 90095, USA
| | - Stephanie A White
- Interdepartmental Program in Neuroscience, University of California, Los Angeles, 90095, USA; Department of Integrative Biology & Physiology, University of California, Los Angeles, 90095, USA.
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Zhen S, Chowdhury A, Yu R. The neural underpinnings of allocentric thinking in a novel signaling task. Neuroimage 2021; 230:117808. [PMID: 33524583 DOI: 10.1016/j.neuroimage.2021.117808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2020] [Revised: 11/13/2020] [Accepted: 01/24/2021] [Indexed: 11/19/2022] Open
Abstract
The ability to adopt the perspectives of others is fundamental to effective communication in social interactions. However, the neural correlates of allocentric thinking in communicative signaling remain unclear. We adapted a novel signaling task in which the signaler was given the target word and must choose a one-word signal to help the receiver guess the target. Behavioral results suggest that speakers can use allocentric thinking to choose signals that are salient from the perspective of the receiver rather than their own point of view. At the neural level, functional magnetic resonance imaging (fMRI) data reveal that the medial prefrontal cortex (mPFC), ventral striatum, and temporal-parietal junction are more activated when signalers engage in allocentric than egocentric thinking. Moreover, functional connectivity between the mPFC and ventral striatum predicted individuals' perspective-taking ability during successful communication. These findings reveal that neural representations in the mPFC-striatum network support perspective-taking in complex social decision making, providing a new perspective on how the brain arbitrates between allocentric thinking and egocentric thinking in communication and social coordination.
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Affiliation(s)
- Shanshan Zhen
- Department of Psychology, National University of Singapore, Singapore
| | - Avijit Chowdhury
- Department of Psychology, National University of Singapore, Singapore
| | - Rongjun Yu
- Department of Management, School of Business, Hong Kong Baptist University, Hong Kong, China; Department of Sport, Physical Education and Health, Faculty of Social Sciences, Hong Kong Baptist University, Hong Kong, China; Department of Physics, Faculty of Science, Hong Kong Baptist University, Hong Kong, China.
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Yaple ZA, Yu R, Arsalidou M. Spatial migration of human reward processing with functional development: Evidence from quantitative meta-analyses. Hum Brain Mapp 2020; 41:3993-4009. [PMID: 32638450 PMCID: PMC7469823 DOI: 10.1002/hbm.25103] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 06/02/2020] [Accepted: 06/04/2020] [Indexed: 11/30/2022] Open
Abstract
Functional magnetic resonance imaging (fMRI) studies have shown notable age‐dependent differences in reward processing. We analyzed data from a total of 554 children, 1,059 adolescents, and 1,831 adults from 70 articles. Quantitative meta‐analyses results show that adults engage an extended set of regions that include anterior and posterior cingulate gyri, insula, basal ganglia, and thalamus. Adolescents engage the posterior cingulate and middle frontal gyri as well as the insula and amygdala, whereas children show concordance in right insula and striatal regions almost exclusively. Our data support the notion of reorganization of function over childhood and adolescence and may inform current hypotheses relating to decision‐making across age.
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Affiliation(s)
- Zachary A Yaple
- Department of Psychology, National University of Singapore, Singapore, Singapore
| | - Rongjun Yu
- Department of Psychology, National University of Singapore, Singapore, Singapore.,NUS Graduate School for Integrative Sciences and Engineering, National University of Singapore, Singapore, Singapore
| | - Marie Arsalidou
- Department of Psychology, National Research University Higher School of Economics, Moscow, Russian Federation.,Department of Psychology, Faculty of Health, York University, Toronto, Canada
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