Evidence map›Paper›PMID 32631425›Full record

ArticleAlzheimer's research & therapy2020

The insula, a grey matter of tastes: a volumetric MRI study in dementia with Lewy bodies.

Nathalie Philippi, Vincent Noblet, Malik Hamdaoui, David Soulier, Anne Botzung, Emmanuelle Ehrhard, Benjamin Cretin, Frédéric Blanc, AlphaLewyMA study group

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's research & therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
20.8field-weighted citation impact, top 1% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Nathalie PhilippiNeurology Department, Neuropsychology Unit, University Hospital of Strasbourg, Strasbourg, France. nathalie.philippi@chru-strasbourg.fr.ORCID 0000-0002-6483-9222
Vincent NobletICube Laboratory (UMR 7357) and FMTS, University of Strasbourg and CNRS, Strasbourg, France.
Malik HamdaouiNeurology Department, Neuropsychology Unit, University Hospital of Strasbourg, Strasbourg, France.
David SoulierStroke Unit, University Hospital of Strasbourg, Strasbourg, France.
Anne BotzungCMRR (Memory Resources and Research Centre), University Hospital of Strasbourg, Strasbourg, France.
Emmanuelle EhrhardCMRR (Memory Resources and Research Centre), University Hospital of Strasbourg, Strasbourg, France.
Benjamin CretinNeurology Department, Neuropsychology Unit, University Hospital of Strasbourg, Strasbourg, France.
Frédéric BlancCMRR (Memory Resources and Research Centre), University Hospital of Strasbourg, Strasbourg, France.
AlphaLewyMA study group
Centre National de la Recherche Scientifique · FRUniversité de Strasbourg · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the growing number of discoveries during the past decades about its functions, the insula remains a mysterious 'island'. In addition to its involvement in basic functions such as gustation and interoception, the insular cortex is now considered a key region for integrated functions such as emotion/motivation processing, decision-making and self-consciousness. We hypothesized that this structure, standing at the crossroads of such functions, could ground personal tastes in general, beyond food preferences and aesthetic judgements. Given that dementia with Lewy bodies is characterized by a focal atrophy within the insular cortex from the early stages, this condition provides an opportunity to test such a hypothesis.

methodsWe developed a questionnaire to assess potential changes in personal tastes, submitted it to a cohort of 23 patients with early-stage dementia with Lewy bodies and compared their questionnaire results to those of 20 age-matched healthy controls. Furthermore, we performed a global and regional neuroimaging study to test for a potential correlation between the patients' scores for changes in personal tastes and their insular cortex volumes.

resultsOur results indicate that the patients presented significant changes in personal tastes compared to the controls, in both food and non-food domains. Moreover, imaging analyses confirmed the involvement of the insular cortex atrophy in the changes in personal tastes using global analysis, and in both food and non-food domains using regional analysis.

conclusionsThese results bring new insights into the role of the insula as a 'grey matter of tastes', this structure supporting personal preferences in general, beyond the food domain. The insular cortex could be involved through its role in motivational processes by the representation of subjective awareness of bodily states during the phenomenological experience of stimulus appraisal. However, we also argue that it could support the abstract representations of personal tastes as self-concepts, acutely exemplifying embodied cognition. Finally, the questionnaire on changes in tastes could constitute an interesting tool to help early diagnosis of dementia with Lewy bodies and to assess insular dysfunction more generally.

Indexed as

Gray MatterLewy Body DiseaseCerebral CortexHumansMagnetic Resonance ImagingTasteDementia with Lewy bodiesInsulaPersonal preferencesPersonal tastesSelf

Identifiers

PMID32631425
PMCPMC7336457
OpenAlexW3039088192

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.