A framework for quantifying the coupling between brain connectivity and heartbeat dynamics: Insights into the disrupted network physiology in Parkinson's disease
Résumé
Abstract Parkinson's disease (PD) often shows disrupted brain connectivity and autonomic dysfunctions, progressing alongside with motor and cognitive decline. Recently, PD has been linked to a reduced sensitivity to cardiac inputs, that is, cardiac interoception. Altogether, those signs suggest that PD causes an altered brain–heart connection whose mechanisms remain unclear. Our study aimed to explore the large‐scale network disruptions and the neurophysiology of disrupted interoceptive mechanisms in PD. We focused on examining the alterations in brain–heart coupling in PD and their potential connection to motor symptoms. We developed a proof‐of‐concept method to quantify relationships between the co‐fluctuations of brain connectivity and cardiac sympathetic and parasympathetic activities. We quantified the brain–heart couplings from electroencephalogram and electrocardiogram recordings from PD patients on and off dopaminergic medication, as well as in healthy individuals at rest. Our results show that the couplings of fluctuating alpha and gamma connectivity with cardiac sympathetic dynamics are reduced in PD patients, as compared to healthy individuals. Furthermore, we show that PD patients under dopamine medication recover part of the brain–heart coupling, in proportion with the reduced motor symptoms. Our proposal offers a promising approach to unveil the physiopathology of PD and promoting the development of new evaluation methods for the early stages of the disease.
Mots clés
brain-heart interaction dopamine interoception network physiology Parkinson's disease gastrointestinal cardiovascular urinary erectile thermoregulatory and pupil contraction systems (Jain 2011
brain-heart interaction
dopamine
interoception
network physiology
Parkinson's disease gastrointestinal
cardiovascular
urinary
erectile
thermoregulatory
and pupil contraction systems (Jain
2011
Domaines
Sciences du Vivant [q-bio]
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Human Brain Mapping - 2024 - Candia‐Rivera - A framework for quantifying the coupling between brain connectivity and.pdf (6.3 Mo)
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