Evidence map›Paper›PMID 38009393›Full record

ArticleEuropean journal of pain (London, England)2024

Morphological changes of the limbic system associated with acute and chronic low-back pain: A UK biobank imaging study.

Valeria Sacca, Thalia Celeste Chai-Zhang, Sierra Hodges, Judith Amores, Seyhmus Guler, Nevyana Todorova, Caroline Merritt McDonald, Tian Ge, Jian Kong

Open access · greenAbstract read
In one paragraph

Article in European journal of pain (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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 1 institution in 1 country.

Valeria SaccaDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.ORCID 0000-0003-2497-8110
Thalia Celeste Chai-ZhangDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.
Sierra HodgesDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.
Judith AmoresDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.
Seyhmus GulerDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.
Nevyana TodorovaDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.
Caroline Merritt McDonaldDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.
Tian GeDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.
Jian KongDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.ORCID 0000-0002-2744-6067
Harvard University · US

Funding

Modulation effects of Baduanjin mind-body exercise on subjective cognitive declineR01AG063975 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2019 to 2023
$4.0M
Neuromodulation of placebo and nocebo effectsR01AT008563 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2015 to 2019
$3.9M
Modulation effects of imagined acupuncture and no touch placebo acupunctureR33AT009310 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2018 to 2021
$2.7M
Enhancing acupuncture treatment effect through non-invasive neuromodulationR33AT009341 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2019 to 2021
$2.5M
Spatiotemporal Alterations of Thalamocortical Circuitry Functioning Underlie PainR01NS129059 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI JIAN KONG, Wen Li · 2023 to 2026
$2.4M
Treatment of chronic low back pain with transcutaneous auricular vagus nerve stimulationR34DA046635 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2019 to 2021
$766k
NCCIH NIH HHS R01 AT008563NCCIH NIH HHS R33 AT009310NCCIH NIH HHS R33 AT009341NIA NIH HHS R01 AG063975NIDA NIH HHS R34 DA046635NINDS NIH HHS R01 NS129059
6 · The paper itself

Abstract

backgroundLow back pain (LBP) is a major public health issue that influences physical and emotional factors integral to the limbic system. This study aims to investigate the association between LBP and brain morphometry alterations as the duration of LBP increases (acute vs. chronic).

methodsWe used the UK Biobank data to investigate the morphological features of the limbic system in acute LBP (N = 115), chronic LBP (N = 243) and controls (N = 358), and tried to replicate our findings with an independent dataset composed of 45 acute LBP participants evaluated at different timepoints throughout 1 year from the OpenPain database.

resultsWe found that in comparison with chronic LBP and pain-free controls, acute LBP was associated with increased volumes of the nucleus accumbens, amygdala, hippocampus, and thalamus, and increased grey matter volumes in the hippocampus and posterior cingulate gyrus. In the replication cohort, we found non-significantly larger hippocampus and thalamus volumes in the 3-month visit (acute LBP) compared to the 1-year visit (chronic LBP), with similar effect sizes as the UK Biobank dataset.

conclusionsOur results suggest that acute LBP is associated with dramatic morphometric increases in the limbic system and mesolimbic pathway, which may reflect an active brain response and self-regulation in the early stage of LBP. SIGNIFICANCE: Our study suggests that LBP in the acute phase is associated with the brain morphometric changes (increase) in some limbic areas, indicating that the acute phase of LBP may represent a crucial stage of self-regulation and active response to the disease's onset.

Indexed as

Acute PainChronic PainLow Back PainBiological Specimen BanksBrainHumansLimbic SystemUK Biobank

Identifiers

PMID38009393
PMCPMC10947961
OpenAlexW4389037894

What OpenQuestion holds

Textmetadata
LicenceTDM
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.