Increased Glutamate in Somatosensory Cortex in Functional Dyspepsia

Abstract Functional Dyspepsia-Post-prandial Distress Syndrome (FD-PDS) was associated with mood-related increases in resting activity and lowered activation threshold in the somatosensory cortex (SSC), insula and perigenual anterior cingulate cortex(pgACC) in functional imaging studies. The underlyi...

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Autores principales: Arthur D. P. Mak, Georg Northoff, David K. W. Yeung, Winnie C. W. Chu, Steve C. N. Hui, Cynthia Cheung, Jessica Ching, Linda Lam, Sing Lee, Justin Wu
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Publicado: Nature Portfolio 2017
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spelling oai:doaj.org-article:58c92f9e91cf44a0a84411757a79e7632021-12-02T15:05:47ZIncreased Glutamate in Somatosensory Cortex in Functional Dyspepsia10.1038/s41598-017-04405-12045-2322https://doaj.org/article/58c92f9e91cf44a0a84411757a79e7632017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-04405-1https://doaj.org/toc/2045-2322Abstract Functional Dyspepsia-Post-prandial Distress Syndrome (FD-PDS) was associated with mood-related increases in resting activity and lowered activation threshold in the somatosensory cortex (SSC), insula and perigenual anterior cingulate cortex(pgACC) in functional imaging studies. The underlying cortical neurochemical changes are unknown. We performed proton Magnetic Resonance Spectroscopy (1H-MRS) on 17 consecutive tertiary clinic-recruited psychotropic-naïve Rome III FD-PDS female and 17 age-sex matched healthy controls. Voxels were placed on bilateral pgACC, left insula and SSC. Water-suppressed spectra were acquired using PRESS with short echo time (TE) (T = 24 ms) to separately quantify glutamate (Glu) and glutamine (Gln). Main outcome measure was regional Glu/Cr + PCr. Severity of depression, anxiety, somatization, and dyspepsia were also assessed. We found significantly increased SSC Glu/Cr + PCr in FD-PDS subjects compared to controls. SSC Glu/Cr + PCr correlated significantly with postprandial distress chronicity, dyspeptic symptoms severity and anxiety. The SSC Glu/Cr + PCr - dyspepsia correlations became insignificant after controlling for anxiety but were independent of depression. Gln/Glu ratio, which indicates glial Glu cycling failure, was unchanged. No between-group differences were noted in other regional metabolite concentrations. Our findings suggested enhanced SSC glutamate transmission in FD-PDS that was linked to post-prandial distress chronicity and severity and anxiety.Arthur D. P. MakGeorg NorthoffDavid K. W. YeungWinnie C. W. ChuSteve C. N. HuiCynthia CheungJessica ChingLinda LamSing LeeJustin WuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-11 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Arthur D. P. Mak
Georg Northoff
David K. W. Yeung
Winnie C. W. Chu
Steve C. N. Hui
Cynthia Cheung
Jessica Ching
Linda Lam
Sing Lee
Justin Wu
Increased Glutamate in Somatosensory Cortex in Functional Dyspepsia
description Abstract Functional Dyspepsia-Post-prandial Distress Syndrome (FD-PDS) was associated with mood-related increases in resting activity and lowered activation threshold in the somatosensory cortex (SSC), insula and perigenual anterior cingulate cortex(pgACC) in functional imaging studies. The underlying cortical neurochemical changes are unknown. We performed proton Magnetic Resonance Spectroscopy (1H-MRS) on 17 consecutive tertiary clinic-recruited psychotropic-naïve Rome III FD-PDS female and 17 age-sex matched healthy controls. Voxels were placed on bilateral pgACC, left insula and SSC. Water-suppressed spectra were acquired using PRESS with short echo time (TE) (T = 24 ms) to separately quantify glutamate (Glu) and glutamine (Gln). Main outcome measure was regional Glu/Cr + PCr. Severity of depression, anxiety, somatization, and dyspepsia were also assessed. We found significantly increased SSC Glu/Cr + PCr in FD-PDS subjects compared to controls. SSC Glu/Cr + PCr correlated significantly with postprandial distress chronicity, dyspeptic symptoms severity and anxiety. The SSC Glu/Cr + PCr - dyspepsia correlations became insignificant after controlling for anxiety but were independent of depression. Gln/Glu ratio, which indicates glial Glu cycling failure, was unchanged. No between-group differences were noted in other regional metabolite concentrations. Our findings suggested enhanced SSC glutamate transmission in FD-PDS that was linked to post-prandial distress chronicity and severity and anxiety.
format article
author Arthur D. P. Mak
Georg Northoff
David K. W. Yeung
Winnie C. W. Chu
Steve C. N. Hui
Cynthia Cheung
Jessica Ching
Linda Lam
Sing Lee
Justin Wu
author_facet Arthur D. P. Mak
Georg Northoff
David K. W. Yeung
Winnie C. W. Chu
Steve C. N. Hui
Cynthia Cheung
Jessica Ching
Linda Lam
Sing Lee
Justin Wu
author_sort Arthur D. P. Mak
title Increased Glutamate in Somatosensory Cortex in Functional Dyspepsia
title_short Increased Glutamate in Somatosensory Cortex in Functional Dyspepsia
title_full Increased Glutamate in Somatosensory Cortex in Functional Dyspepsia
title_fullStr Increased Glutamate in Somatosensory Cortex in Functional Dyspepsia
title_full_unstemmed Increased Glutamate in Somatosensory Cortex in Functional Dyspepsia
title_sort increased glutamate in somatosensory cortex in functional dyspepsia
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/58c92f9e91cf44a0a84411757a79e763
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