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| DOI | 10.1016/J.BIOPSYCH.2024.10.013 | ||||
| Año | 2025 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Background: Simultaneous interoceptive, emotional, and social cognition deficits are observed across neurodegenerative diseases. Indirect evidence suggests shared neurobiological bases underlying these impairments, termed the allostatic-interoceptive network (AIN). However, no study has yet explored the convergence of these deficits in neurodegenerative diseases or examined how structural and functional changes contribute to cross-domain impairments. Methods: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) activated likelihood estimate meta-analysis encompassed studies that met the following inclusion criteria: interoception, emotion, or social cognition tasks; neurodegenerative diseases (behavioral variant frontotemporal dementia, primary progressive aphasias, Alzheimer's disease, Parkinson's disease, multiple sclerosis); and neuroimaging (structural: magnetic resonance imaging voxel-based morphometry; functional: magnetic resonance imaging and fluorodeoxyglucose–positron emission tomography). Results: Of 20,593 studies, 170 met inclusion criteria (58 interoception, 65 emotion, and 47 social cognition) involving 7032 participants (4963 patients and 2069 healthy control participants). In all participants combined, conjunction analyses revealed AIN involvement of the insula, amygdala, orbitofrontal cortex, anterior cingulate, striatum, thalamus, and hippocampus across domains. In behavioral variant frontotemporal dementia, this conjunction was replicated across domains, with further involvement of the temporal pole, temporal fusiform cortex, and angular gyrus. A convergence of interoception and emotion in the striatum, thalamus, and hippocampus in Parkinson's disease and the posterior insula in primary progressive aphasias was also observed. In Alzheimer's disease and multiple sclerosis, disruptions in the AIN were observed during interoception, but no convergence with emotion was identified. Conclusions: Neurodegeneration induces dysfunctional AIN across atrophy, connectivity, and metabolism, more accentuated in behavioral variant frontotemporal dementia. Findings bolster the predictive coding theories of large-scale AIN, calling for more synergistic approaches to understanding interoception, emotion, and social cognition impairments in neurodegeneration.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Hazelton, Jessica L. | - |
Universidad Adolfo Ibáñez - Chile
Universidad de San Andrés - Argentina The University of Sydney - Australia Univ San Andres - Argentina UNIV SYDNEY - Australia |
| 2 | Carneiro, Fábio | - |
Universidade do Porto - Portugal
Faculdade de Medicina da Universidade do Porto (FMUP) - Portugal Unidade Local de Saúde do Alto Ave - Portugal Univ Porto - Portugal Unidade Local Saude Alto Ave - Portugal |
| 3 | Maito, Marcelo | - |
Universidad Adolfo Ibáñez - Chile
Universidad de San Andrés - Argentina Univ San Andres - Argentina |
| 4 | Richter, Fabian | - |
Deutsches Herzzentrum Berlin - Alemania
Charité – Universitätsmedizin Berlin - Alemania Deutsch Herzzentrumder Charite - Alemania Charite Univ Med Berlin - Alemania FREE UNIV BERLIN - Alemania Humboldt Univ - Alemania |
| 5 | LEGAZ, AGUSTINA | Mujer |
Universidad Adolfo Ibáñez - Chile
Universidad de San Andrés - Argentina Univ San Andres - Argentina |
| 6 | Altschuler, Florencia | - |
Universidad de San Andrés - Argentina
Univ San Andres - Argentina |
| 7 | Cubillos-Pinilla, Leidy | - |
Technische Universität München - Alemania
TECH UNIV MUNICH - Alemania |
| 8 | Chen, Yu | - |
UCSF School of Medicine - Estados Unidos
UNIV CALIF SAN FRANCISCO - Estados Unidos University of California, San Francisco - Estados Unidos |
| 9 | Doherty, Colin P. | - |
Trinity College Dublin - Irlanda
University of California, San Francisco - Estados Unidos Trinity Coll Dublin - Irlanda UNIV CALIF SAN FRANCISCO - Estados Unidos |
| 10 | Baez, Sandra | - |
Trinity College Dublin - Irlanda
University of California, San Francisco - Estados Unidos Universidad de Los Andes, Colombia - Colombia Trinity Coll Dublin - Irlanda UNIV CALIF SAN FRANCISCO - Estados Unidos Universidad de Los Andes, Chile - Colombia |
| 11 | Ibáñez, Agustín | - |
Universidad Adolfo Ibáñez - Chile
Universidad de San Andrés - Argentina Trinity College Dublin - Irlanda University of California, San Francisco - Estados Unidos Univ San Andres - Argentina Trinity Coll Dublin - Irlanda UNIV CALIF SAN FRANCISCO - Estados Unidos |
| Fuente |
|---|
| Consejo Nacional de Investigaciones Científicas y Técnicas |
| CONICET |
| Fondef |
| Fundação para a Ciência e a Tecnologia |
| Fondo Nacional de Desarrollo Científico y Tecnológico |
| Fogarty International Center |
| National Institutes of Health |
| Fondo de Fomento al Desarrollo Científico y Tecnológico |
| Alzheimer's Association |
| National Institute on Aging |
| Takeda |
| Global Brain Health Institute |
| Agencia Nacional de Investigación y Desarrollo |
| Rainwater Charitable Foundation |
| ANID/FONDECYT Regular |
| CARDS-NIH |
| Alz-heimer's Association |
| Portuguese Foundation for Sci-ence and Technology |
| Rainwater Charitable Foundation-The Bluefield project |
| Fogarty International Center, National Institutes of Health, National Institutes of Aging |
| Agradecimiento |
|---|
| JLH is supported by a postdoctoral fellowship granted by the multipartner consortium to expand dementia research in Latin America (ReDLat). FC is supported by a Ph.D. grant funded by the Portuguese Foundation for Science and Technology (Reference No. 2023.00362.BD). AI is supported by grants from CONICET ; ANID/FONDECYT Regular (Grant Nos. 1210195, 1210176, and 1220995); ANID/FONDAP/15150012; ANID/PIA/ANILLOS (Grant No. ACT210096); FONDEF (Grant Nos. ID20I10152 and ID22I10029); ANID/FONDAP (Grant No. 15150012); Takeda (Grant No. CW2680521); and the ReDLat , supported by Fogarty International Center, National Institutes of Health , National Institutes of Aging (Grant Nos. R01 AG057234, R01 AG075775, R01 AG083799), CARDS-National Institutes of Health , Alzheimer's Association (Grant No. SG-20\u2013725707), Rainwater Charitable Foundation\u2014The Bluefield project to cure FTD, and Global Brain Health Institute . |
| JLH is supported by a postdoctoral fellowship granted by the multi-partner consortium to expand dementia research in Latin America (ReDLat). FC is supported by a PhD grant funded by the Portuguese Foundation for Science and Technology with reference 2023.00362.BD. AI is supported by grants from CONICET; ANID/FONDECYT Regular (1210195 and 1210176 and 1220995); ANID/FONDAP/15150012; ANID/PIA/ANILLOS ACT210096; FONDEF ID20I10152, ID22I10029; ANID/FONDAP 15150012; Takeda CW2680521 and the MULTI-PARTNER CONSORTIUM TO EXPAND DEMENTIA RESEARCH IN LATIN AMERICA [ReDLat, supported by Fogarty International Center (FIC), National Institutes of Health, National Institutes of Aging (R01 AG057234, R01 AG075775, R01 AG=21051, R01 AG083799, CARDS-NIH), Alzheimer's Association (SG-20\u2013725707), Rainwater Charitable Foundation \u2013 The Bluefield project to cure FTD, and Global Brain Health Institute)]. |
| JLH is supported by a postdoctoral fellowship granted by the multipartner consortium to expand dementia research in Latin America (ReDLat) . FC is supported by a Ph.D. grant funded by the Portuguese Foundation for Sci-ence and Technology (Reference No. 2023.00362.BD) . AI is supported by grants from CONICET; ANID/FONDECYT Regular (Grant Nos. 1210195, 1210176, and 1220995) ; ANID/FONDAP/15150012; ANID/PIA/ANILLOS (Grant No. ACT210096) ; FONDEF (Grant Nos. ID20I10152 and ID22I10029) ; ANID/FONDAP (Grant No. 15150012) ; Takeda (Grant No. CW2680521) ; and the ReDLat, supported by Fogarty International Center, National Institutes of Health, National Institutes of Aging (Grant Nos. R01 AG057234, R01 AG075775, R01 AG083799) , CARDS-National Institutes of Health, Alz-heimer's Association (Grant No. SG-20-725707) , Rainwater Charitable Foundation-The Bluefield project to cure FTD, and Global Brain Health Institute. We thank the authors of studies included in this meta-analysis for their kind assistance in providing information when required. We also thank all the participants and their families for participating in the studies included in this meta-analysis. JLH, FC, and AI were responsible for conceptualization. JLH, MM, and FA were responsible for methodology. JLH and MM were responsible for formal analysis and data curation. JLH and FC were responsible for inves-tigation. JLH was responsible for writing the original draft of the manuscript, JLH, AL, and FA were responsible for visualization. MM and FR were responsible for software. FR and YC were responsible for methodology. AI was responsible for resources, supervision, and funding acquisition. All authors contributed to reviewing/editing and final approval of the manuscript. The authors report no biomedical financial interests or potential conflicts of interest. |