Evidence map›Paper›PMID 28649489›Full record

ArticleNeuroImage. Clinical2017

Brain functional connectivity is associated with visceral sensitivity in women with Irritable Bowel Syndrome.

Adriane Icenhour, Suzanne T Witt, Sigrid Elsenbruch, Mats Lowén, Maria Engström, Kirsten Tillisch, Emeran A Mayer, Susanna Walter

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% 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

56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Irritable bowel syndrome.Nature reviews. Disease primers · 2026
    Review
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  8. Review
  9. Article
  10. Article
  11. Article
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  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Interoceptive Processing in Functional Gastrointestinal Disorders.International journal of molecular sciences · 2024
    Review
  19. Re-examining the Mysterious Role of the Cerebellum in Pain.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Review
  20. Review
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 4 institutions in 3 countries.

Adriane IcenhourInstitute of Clinical and Experimental Medicine, Division of Gastroenterology, Linköping University, Linköping, Sweden; Center for Medical Image Science and Visualization (CMIV), Linköping University, Linköping, Sweden. Electronic address: adriane.icenhour@uk-essen.de.
Suzanne T WittCenter for Medical Image Science and Visualization (CMIV), Linköping University, Linköping, Sweden.
Sigrid ElsenbruchInstitute of Medical Psychology & Behavioral Immunobiology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Mats LowénInstitute of Clinical and Experimental Medicine, Division of Gastroenterology, Linköping University, Linköping, Sweden.
Maria EngströmCenter for Medical Image Science and Visualization (CMIV), Linköping University, Linköping, Sweden; Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Kirsten TillischOppenheimer Center for Neurobiology of Stress, University of California, Los Angeles, CA, USA.
Emeran A MayerOppenheimer Center for Neurobiology of Stress, University of California, Los Angeles, CA, USA.
Susanna WalterInstitute of Clinical and Experimental Medicine, Division of Gastroenterology, Linköping University, Linköping, Sweden; Center for Medical Image Science and Visualization (CMIV), Linköping University, Linköping, Sweden.
Linköping University · SECenter for Neurologic Study · USUniversity of California, Los Angeles · USUniversity of Duisburg-Essen · DE

Funding

PERCEPTION AND MODULATION OF VISCERAL SENSATIONSR01DK048351 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MAYER, EMERAN A · 1996 to 2019
$8.2M
NIDDK NIH HHS R01 DK048351
6 · The paper itself

Abstract

Increased perception of visceral stimuli is a key feature of Irritable Bowel Syndrome (IBS). While altered resting-state functional connectivity (rsFC) has been also reported in IBS, the relationship between visceral hypersensitivity and aberrant rsFC is unknown. We therefore assessed rsFC within the salience, sensorimotor and default mode networks in patients with and without visceral hypersensitivity and in healthy controls (HCs). An exploratory resting-state functional magnetic resonance imaging study was performed in 41 women with IBS and 20 HCs. Group independent component analysis was used to derive intrinsic brain networks. Rectal thresholds were determined and patients were subdivided into groups with increased (hypersensitive IBS, N = 21) or normal (normosensitive IBS, N = 20) visceral sensitivity. Between-group comparisons of rsFC were carried-out using region-of-interest analyses and peak rsFC values were extracted for correlational analyses. Relative to normosensitive IBS, hypersensitive patients showed increased positive rsFC of pregenual anterior cingulate cortex and thalamus within the salience network and of posterior insula within the sensorimotor network. When compared to both hypersensitive IBS and HCs, normosensitive IBS showed decreased positive rsFC of amygdala and decreased negative rsFC in dorsal anterior insula within the DMN. DMN and sensorimotor network rsFC were associated with rectal perception thresholds, and rsFC in posterior insula was correlated with reported symptom severity in IBS. Our exploratory findings suggest that visceral sensitivity in IBS is related to changes in FC within resting-state networks associated with interoception, salience and sensory processing. These alterations may play an important role in hypervigilance and hyperalgesia in IBS.

Indexed as

AdultBrainFemaleHumansIrritable Bowel SyndromeMagnetic Resonance ImagingMaleNerve NetPain MeasurementVisceral PainDefault mode networkFunctional connectivityIrritable Bowel SyndromeResting-state fMRISalience networkSensorimotor networkVisceral hypersensitivity

Identifiers

PMID28649489
PMCPMC5470568
OpenAlexW2620623365

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.