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Altered functional connectivity of the default mode network by glucose loading in young, healthy participants.

Kenji Ishibashi, Keita Sakurai, Keigo Shimoji, Aya M Tokumaru, Kenji Ishii

BMC Neuroscience May 31, 2018 DOI: 10.1186/s12868-018-0433-0 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Experimental crossover study (within-subject fasting vs glucose loading) Peer reviewed
Sample size 12
Population Young, healthy adults without type 2 diabetes mellitus or insulin resistance
Intervention Glucose loading
Topics Default mode network
Keywords Neural pathways Humans Glucose Magnetic resonance imaging Brain mapping Adult Female Healthy volunteers Cognitive dysfunction Precuneus Posterior cingulate Resting-State Functional MRI
Key findings DMN functional connectivity in the precuneus/posterior cingulate cortex was significantly lower after glucose loading than during fasting (P = 0.014). The authors suggest this decreased DMN connectivity may account for reduced PC/PCC neuronal activity when plasma glucose is elevated, possibly linking glucose increases to cognitive dysfunction.

Abstract

Background: The functional connectivity of the default mode network (DMN) decreases in patients with Alzheimer's disease (AD) as well as in patients with type 2 diabetes mellitus (T2DM). Altered functional connectivity of the DMN is associated with cognitive impairment. T2DM is a known cause of cognitive dysfunction and dementia in the elderly, and studies have established that T2DM is a risk factor for AD. In addition, recent studies with positron emission tomography demonstrated that increased plasma glucose levels decrease neuronal activity, especially in the precuneus/posterior cingulate cortex (PC/PCC), which is the functional core of the DMN. These findings prompt the question of how increased plasma glucose levels decrease neuronal activity in the PC/PCC. Given the association among DMN, AD, and T2DM, we hypothesized that increased plasma glucose levels decrease the DMN functional connectivity, thus possibly reducing PC/PCC neuronal activity. We conducted this study to test this hypothesis.

Results: Twelve young, healthy participants without T2DM and insulin resistance were enrolled in this study. Each participant underwent resting-state functional magnetic resonance imaging in both fasting and glucose loading conditions to evaluate the DMN functional connectivity. The results showed that the DMN functional connectivity in the PC/PCC was significantly lower in the glucose loading condition than in the fasting condition (P = 0.014).

Conclusions: Together with previous findings, the present results suggest that decreased functional connectivity of the DMN is possibly responsible for reduced PC/PCC neuronal activity in healthy individuals with increased plasma glucose levels.

Comparable studies

Other randomized controlled trials on default mode network, most cited first.

Study Year Design Participants
Neural correlates of the psychedelic state as determined by fMRI studies with psilocybin Healthy volunteers 2012 Within-subjects, placebo-controlled, task-free fMRI study n = 30
The effects of psilocybin and MDMA on between-network resting state functional connectivity in healthy volunteers 2014 Placebo-controlled study
Ketamine Decreases Resting State Functional Network Connectivity in Healthy Subjects: Implications for Antidepressant Drug Action Healthy subjects 2012 Randomized, placebo-controlled, double-blind, crossover rsfMRI challenge
Antidepressants Normalize the Default Mode Network in Patients With Dysthymia Subjects with dysthymic disorder and healthy control participants aged 18 to 53 years 2013 Randomized controlled trial n = 41
Functional Connectivity Measures After Psilocybin Inform a Novel Hypothesis of Early Psychosis Healthy volunteers 2012 Within-subject, placebo-controlled experimental study n = 15

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