PMID- 35219625 OWN - NLM STAT- MEDLINE DCOM- 20220509 LR - 20220624 IS - 2095-4964 (Print) VI - 20 IP - 3 DP - 2022 May TI - Functional connectivity changes during migraine treatment with electroacupuncture at Shuaigu (GB8). PG - 237-243 LID - S2095-4964(22)00009-7 [pii] LID - 10.1016/j.joim.2022.01.009 [doi] AB - OBJECTIVE: To investigate the changes in the functional connectivity (FC) in the right insula between migraine without aura (MWoA) and healthy controls by using resting-state functional magnetic resonance imaging (rs-fMRI), and to observe the instant alteration of FC in MWoA during electroacupuncture (EA) stimulation at Shuaigu (GB8). METHODS: A total of 30 patients with MWoA (PM group) and 30 healthy controls (HC group) underwent rs-fMRI scans. The PM group underwent a second rs-fMRI scan while receiving EA at GB8. The right insula subregions, including the ventral anterior insula (vAI), dorsal anterior insula (dAI) and posterior insula (PI), were selected as the seed points for FC analysis. RESULTS: Aberrant FC, including dAI with right postcentral gyrus, PI with left precuneus, was found among PM before EA (PMa), PM during EA (PMb) and HC. Meanwhile, decreased FC between dAI and the right postcentral gyrus was found in the PMa compared to the HC and PMb. Increased FC between the PI and left precuneus was found in the PMa compared to the HC and PMb. Correlation analysis showed that the FC value of the right postcentral gyrus in PMa was negatively correlated with the scores of Hamilton Rating Scale for Depression and Hamilton Rating Scale for Anxiety. The FC value of the left precuneus in PMa was positively correlated with the visual analogue scale score. CONCLUSION: The alteration of FC between the right insula subregions and multiple brain regions may be an important index for MWoA. EA at GB8 was able to adjust the FC between the right insula subregions and parietal lobe, namely, the right dAI and right postcentral gyrus, and the right PI and left precuneus, thereby rendering an instant effect in the management of MWoA. CI - Copyright (c) 2022. Published by Elsevier B.V. FAU - Wei, Xiang-Yu AU - Wei XY AD - Department of Radiology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Luo, Shi-Lei AU - Luo SL AD - Department of Radiology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Chen, Hui AU - Chen H AD - Department of Radiology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Liu, Shan-Shan AU - Liu SS AD - Department of Acupuncture & Moxibustion, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Gong, Zhi-Gang AU - Gong ZG AD - Department of Radiology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Zhan, Song-Hua AU - Zhan SH AD - Department of Radiology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China. Electronic address: zhansonghua@sina.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220131 PL - Netherlands TA - J Integr Med JT - Journal of integrative medicine JID - 101603118 SB - IM MH - Brain/diagnostic imaging MH - *Electroacupuncture MH - Humans MH - Magnetic Resonance Imaging/methods MH - *Migraine without Aura OTO - NOTNLM OT - Electroacupuncture OT - Functional magnetic resonance imaging OT - Functional status OT - Migraine OT - Shuaigu (GB8) COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/02/28 06:00 MHDA- 2022/05/10 06:00 CRDT- 2022/02/27 20:28 PHST- 2020/12/24 00:00 [received] PHST- 2022/01/06 00:00 [accepted] PHST- 2022/02/28 06:00 [pubmed] PHST- 2022/05/10 06:00 [medline] PHST- 2022/02/27 20:28 [entrez] AID - S2095-4964(22)00009-7 [pii] AID - 10.1016/j.joim.2022.01.009 [doi] PST - ppublish SO - J Integr Med. 2022 May;20(3):237-243. doi: 10.1016/j.joim.2022.01.009. Epub 2022 Jan 31.