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Reorganisation of Brain Hubs across Altered States of Consciousness

Deniz Vatansever, Manuel S. Schröter, Ram Adapa, Edward Bullmore, D. K. Menon, E. Stamatakis

Scientific Reports February 25, 2020 DOI: 10.1038/s41598-020-60258-1 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Population Healthy participants
Intervention propofol-induced sedation
Topics Altered states of consciousness
Key findings Reduction in rich-club connectivity strength was significantly associated with participants' performance in a semantic judgment task, indicating the importance of this feature for conscious cognition.

Abstract

Patterns of functional interactions across distributed brain regions are suggested to provide a scaffold for the conscious processing of information, with marked topological alterations observed in loss of consciousness. However, establishing a firm link between macro-scale brain network organisation and conscious cognition requires direct investigations into neuropsychologically-relevant architectural modifications across systematic reductions in consciousness. Here we assessed both global and regional disturbances to brain graphs in a group of healthy participants across baseline resting state fMRI as well as two distinct levels of propofol-induced sedation. We found a persistent modular architecture, yet significant reorganisation of brain hubs that formed parts of a wider rich-club collective. Furthermore, the reduction in the strength of rich-club connectivity was significantly associated with the participants’ performance in a semantic judgment task, indicating the importance of this higher-order topological feature for conscious cognition. These results highlight a remarkable interplay between global and regional properties of brain functional interactions in supporting conscious cognition that is relevant to our understanding of clinical disorders of consciousness.