Evidence map›Paper›PMID 23587427›Full record

ArticleBiological psychiatry2013

A selective insular perfusion deficit contributes to compromised salience network connectivity in recovering alcoholic men.

Edith V Sullivan, Eva Müller-Oehring, Anne-Lise Pitel, Sandra Chanraud, Ajit Shankaranarayanan, David C Alsop, Torsten Rohlfing, Adolf Pfefferbaum

Abstract read
In one paragraph

Article in Biological psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 87 citations in OpenAlex.

  1. Trial
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  6. Epigenetic manipulation of anterior insular cortex alters neural signals and cognitive control.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
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  7. Article
  8. Retrieval of an Ethanol-Conditioned Taste Aversion Promotes GABAergic Plasticity in the Anterior Insular Cortex.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
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  14. Interspecies and regional variability of alcohol action on large cerebral arteries: regulation by KCNMB1 proteins.American journal of physiology. Regulatory, integrative and comparative physiology · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Edith V SullivanDepartment of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford. Electronic address: edie@stanford.edu.
Eva Müller-Oehring
Anne-Lise Pitel
Sandra Chanraud
Ajit Shankaranarayanan
David C Alsop
Torsten Rohlfing
Adolf Pfefferbaum
Stanford University · USMenlo School · USApplied Sciences Laboratory (United States) · USHarvard University · USSRI International · US

Funding

TRACKING HIV INFECTION AND ALCOHOL ABUSE CNS COMORBIDITY WITH NEUROIMAGINGU01AA017347 · NIAAA · SRI INTERNATIONAL · PI PFEFFERBAUM, ADOLF, SULLIVAN, EDITH VIONI · 2007 to 2021
$16.0M
NEUROIMAGING OF CONNECTIVITY IN ALCOHOLISMR01AA012388 · NIAAA · SRI INTERNATIONAL · PI PFEFFERBAUM, ADOLF, SULLIVAN, EDITH VIONI · 2000 to 2015
$10.6M
CEREBELLAR STRUCTURE AND FUNCTION IN ALCOHOLISMR01AA010723 · NIAAA · STANFORD UNIVERSITY · PI SULLIVAN, EDITH VIONI, ZAHR, NATALIE M · 1996 to 2025
$8.3M
Cerebellar Structure and Function in AlcoholismR37AA010723 · NIAAA · STANFORD UNIVERSITY · PI SULLIVAN, EDITH VIONI · 2010 to 2019
$5.4M
Tracking HIV Infection & Alcohol Abuse CNS Comorbidity with NeuroimagingR01AA017347 · NIAAA · SRI INTERNATIONAL · PI Adolf Pfefferbaum · 2022 to 2026
$5.2M
Perfusion MRI for Multi-site Studies of Brain FunctionR01MH080729 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI ALSOP, DAVID CHARLES, DETRE, JOHN A · 2007 to 2017
$3.8M
US-France Research Collaboration on Neuroimaging Studies of AlcoholismU01AA017923 · NIAAA · STANFORD UNIVERSITY · PI PFEFFERBAUM, ADOLF, SULLIVAN, EDITH VIONI · 2008 to 2017
$2.4M
Translational Studies of Brain Circuitry Disrupted by AlcoholismK05AA017168 · NIAAA · STANFORD UNIVERSITY · PI SULLIVAN, EDITH VIONI · 2008 to 2017
$2.2M
International Research Collaboration on Neuroimaging Studies of AlcoholismR01AA017923 · NIAAA · STANFORD UNIVERSITY · PI PFEFFERBAUM, ADOLF, SULLIVAN, EDITH VIONI · 2018 to 2019
$496k
Continued Development and Maintenance of a Computational Morphometry ToolkitR01EB008381 · NIBIB · SRI INTERNATIONAL · PI ROHLFING, TORSTEN · 2009 to 2010
$249k
NIAAA NIH HHS AA010723NIAAA NIH HHS AA012388NIAAA NIH HHS AA017168NIAAA NIH HHS AA017347NIAAA NIH HHS AA017923NIAAA NIH HHS K05 AA017168NIAAA NIH HHS R01 AA010723NIAAA NIH HHS R01 AA012388NIAAA NIH HHS R01 AA017347NIAAA NIH HHS R01 AA017923NIAAA NIH HHS R37 AA010723NIAAA NIH HHS U01 AA017347NIAAA NIH HHS U01 AA017923NIBIB NIH HHS EB008381NIBIB NIH HHS R01 EB008381NIMH NIH HHS MH80729NIMH NIH HHS R01 MH080729
6 · The paper itself

Abstract

backgroundAlcoholism can disrupt neural synchrony between nodes of intrinsic functional networks that are maximally active when resting relative to engaging in a task, the default mode network (DMN) pattern. Untested, however, are whether the DMN in alcoholics can rebound normally from the relatively depressed task state to the active resting state and whether local perfusion deficits could disrupt network synchrony when switching from conditions of rest to task to rest, thereby indicating a physiological mechanism of neural network adaptation capability.

methodsWhole-brain, three-dimensional pulsed-continuous arterial spin labeling provided measurements of regional cerebral blood flow (CBF) in 12 alcoholics and 12 control subjects under three conditions: pretask rest, spatial working-memory task, and posttask rest.

resultsWith practice, alcoholics and control subjects achieved similar task accuracy and reaction times. Both groups exhibited a high-low-high pattern of perfusion levels in DMN regions during the rest-task-rest runs and the opposite pattern in posterior and cerebellar regions known to be associated with spatial working memory. Alcoholics showed selective differences from control subjects in the rest-task-rest CBF pattern in the anterior precuneus and CBF level in the insula, a hub of the salience network. Connectivity analysis identified activation synchrony from an insula seed to salience nodes (parietal, medial frontal, anterior cingulate cortices) in control subjects only.

conclusionsWe propose that attenuated insular CBF is a mechanism underlying compromised connectivity among salience network nodes. This local perfusion deficit in alcoholics has the potential to impair ability to switch from cognitive states of interoceptive cravings to cognitive control for curbing internal urges.

Indexed as

AlcoholismAttentionBrain MappingCerebral CortexHumansMagnetic Resonance AngiographyMaleMemory, Short-TermMiddle AgedRestAlcoholarterial spin labelingbrainconnectivityMRIperfusionworking memory

Identifiers

PMID23587427
PMCPMC3766441
OpenAlexW2070210519

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.