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Erschienen in: Brain Structure and Function 5/2017

06.10.2016 | Original Article

Interhemispheric resting-state functional connectivity of the claustrum in the awake and anesthetized states

verfasst von: Jared B. Smith, Zhifeng Liang, Glenn D. R. Watson, Kevin D. Alloway, Nanyin Zhang

Erschienen in: Brain Structure and Function | Ausgabe 5/2017

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Abstract

The claustrum is a brain region whose function remains unknown, though many investigators suggest it plays a role in conscious attention. Resting-state functional magnetic resonance imaging (RS-fMRI) has revealed how anesthesia alters many functional connections in the brain, but the functional role of the claustrum with respect to the awake versus anesthetized states remains unknown. Therefore, we employed a combination of seed-based RS-fMRI and neuroanatomical tracing to reveal how the anatomical connections of the claustrum are related to its functional connectivity during quiet wakefulness and the isoflurane-induced anesthetic state. In awake rats, RS-fMRI indicates that the claustrum has interhemispheric functional connections with the mediodorsal thalamus (MD) and medial prefrontal cortex (mPFC), as well as other known connections with cortical areas that correspond to the connections revealed by neuroanatomical tracing. During deep isoflurane anesthesia, the functional connections of the claustrum with mPFC and MD were significantly attenuated, while those with the rest of cortex were not significantly altered. These changes in claustral functional connectivity were also observed when seeds were placed in mPFC or MD during RS-fMRI comparisons of the awake and deeply anesthetized states. Collectively, these data indicate that the claustrum has functional connections with mPFC and MD-thalamus that are significantly lessened by anesthesia.
Literatur
Zurück zum Zitat Akeju O, Loggia ML, Catana C, Pavone KJ, Vazquez R, Rhee J, Ramirez VC, Chonde DB, Izquierdo-Garcia D, Arabasz G, Hsu S, Habeeb K, Hooker JM, Napadow V, Brown E, Purdon PL (2014) Disruption of thalamic functional connectivity is a neural correlate of dexmedetomidine-induced unconsciousness. eLife 3:e04499 doi:10.7554/eLife.04499 Akeju O, Loggia ML, Catana C, Pavone KJ, Vazquez R, Rhee J, Ramirez VC, Chonde DB, Izquierdo-Garcia D, Arabasz G, Hsu S, Habeeb K, Hooker JM, Napadow V, Brown E, Purdon PL (2014) Disruption of thalamic functional connectivity is a neural correlate of dexmedetomidine-induced unconsciousness. eLife 3:e04499 doi:10.​7554/​eLife.​04499
Zurück zum Zitat Alloway KD, Smith JB, Beauchemin KJ, Olson ML (2009) Bilateral projections from rat MI whisker cortex to the neostriatum, thalamus, and claustrum: forebrain circuits for modulating whisking behavior. J Comp Neurol 515(5):548–564. doi:10.1002/cne.22073 CrossRefPubMedPubMedCentral Alloway KD, Smith JB, Beauchemin KJ, Olson ML (2009) Bilateral projections from rat MI whisker cortex to the neostriatum, thalamus, and claustrum: forebrain circuits for modulating whisking behavior. J Comp Neurol 515(5):548–564. doi:10.​1002/​cne.​22073 CrossRefPubMedPubMedCentral
Zurück zum Zitat Alloway KD, Smith JB, Watson GDR (2014) Thalamostriatal projections from the medial posterior and parafasicular nuclei have distinct topographic and physiologic properties. J Neurophysiol 111:36–50. doi:10.1152/jn.00399.2013 CrossRefPubMed Alloway KD, Smith JB, Watson GDR (2014) Thalamostriatal projections from the medial posterior and parafasicular nuclei have distinct topographic and physiologic properties. J Neurophysiol 111:36–50. doi:10.​1152/​jn.​00399.​2013 CrossRefPubMed
Zurück zum Zitat Arrigo A, Mormina E, Calamuneri A, Gaeta M, Granata F, Marino S, Anastasi GP, Milardi D, Quartarone A (2015) Inter-hemispheric claustral connections in human brain: a constrained spherical deconvolution-based study. Clin Neuroradiol. doi:10.1007/s00062-015-0492-x (in press) Arrigo A, Mormina E, Calamuneri A, Gaeta M, Granata F, Marino S, Anastasi GP, Milardi D, Quartarone A (2015) Inter-hemispheric claustral connections in human brain: a constrained spherical deconvolution-based study. Clin Neuroradiol. doi:10.​1007/​s00062-015-0492-x (in press)
Zurück zum Zitat Boveroux MD, Vanhaudenhuyse A, Bruno M-A, Noirhomme Q, Lauwick S, Luxen A, Degueldre C, Plenevaux A, Schnakers C, Phillips C, Brichant J-F, Bonhomme V, Maquet P, Greicius MD, Laureys S, Boly M (2010) Breakdown of within- and between network resting state functional magnetic resonance imaging connectivity during propofol-induced loss of consciousness. Anesthesiology 113:1038–1053. doi:10.1097/ALN.0b013e3181f697f5 CrossRefPubMed Boveroux MD, Vanhaudenhuyse A, Bruno M-A, Noirhomme Q, Lauwick S, Luxen A, Degueldre C, Plenevaux A, Schnakers C, Phillips C, Brichant J-F, Bonhomme V, Maquet P, Greicius MD, Laureys S, Boly M (2010) Breakdown of within- and between network resting state functional magnetic resonance imaging connectivity during propofol-induced loss of consciousness. Anesthesiology 113:1038–1053. doi:10.​1097/​ALN.​0b013e3181f697f5​ CrossRefPubMed
Zurück zum Zitat Deco G, Jirsa VK, McIntosh AR (2011) Emerging concepts for the dynamical organization of resting-state activity in the brain. Nat Rev Neuro 12:43–56. doi:10.1038/nrn2961 CrossRef Deco G, Jirsa VK, McIntosh AR (2011) Emerging concepts for the dynamical organization of resting-state activity in the brain. Nat Rev Neuro 12:43–56. doi:10.​1038/​nrn2961 CrossRef
Zurück zum Zitat Detsch O, Vahle-Hinz C, Kochs E, Siemers M, Bromm B (1999) Isoflurane induces dose-dependent changes of thalamic somatosensory information transfer. Brain Res 829(1–2):77–89CrossRefPubMed Detsch O, Vahle-Hinz C, Kochs E, Siemers M, Bromm B (1999) Isoflurane induces dose-dependent changes of thalamic somatosensory information transfer. Brain Res 829(1–2):77–89CrossRefPubMed
Zurück zum Zitat Detsch O, Kochs E, Siemers M, Bromm B, Vahle-Hinz C (2002) Differential effects of isoflurane on excitatory and inhibitory synaptic inputs to thalamic neurons in vivo. Br J Anaesth 89(2):294–300CrossRefPubMed Detsch O, Kochs E, Siemers M, Bromm B, Vahle-Hinz C (2002) Differential effects of isoflurane on excitatory and inhibitory synaptic inputs to thalamic neurons in vivo. Br J Anaesth 89(2):294–300CrossRefPubMed
Zurück zum Zitat Diamond ME, Armstrong-James M, Budway MJ, Ebner FF (1992) Somatic sensory responses in the rostral sector of the posterior group (POm) and in the ventral posterior medial nucleus (VPM) of the rat thalamus: dependence on the barrel field cortex. J Comp Neurol 319:66–84. doi:10.1002/cne.903190108 CrossRefPubMed Diamond ME, Armstrong-James M, Budway MJ, Ebner FF (1992) Somatic sensory responses in the rostral sector of the posterior group (POm) and in the ventral posterior medial nucleus (VPM) of the rat thalamus: dependence on the barrel field cortex. J Comp Neurol 319:66–84. doi:10.​1002/​cne.​903190108 CrossRefPubMed
Zurück zum Zitat Edelstein LR, Denaro FJ (2004) The claustrum: a historical review of its anatomy, physiology, cytochemistry and functional significance. Cell Mol Biol (Noisy-le-grand) 50(6):675–702 Edelstein LR, Denaro FJ (2004) The claustrum: a historical review of its anatomy, physiology, cytochemistry and functional significance. Cell Mol Biol (Noisy-le-grand) 50(6):675–702
Zurück zum Zitat Friedberg MH, Lee SM, Ebner FF (1999) Modulation of receptive field properties of thalamic somatosensory neurons by the depth of anesthesia. J Neurophysiol 81(5):2243–2252PubMed Friedberg MH, Lee SM, Ebner FF (1999) Modulation of receptive field properties of thalamic somatosensory neurons by the depth of anesthesia. J Neurophysiol 81(5):2243–2252PubMed
Zurück zum Zitat He JH, Cui Y, Song M, Yang Y, Dang YY, Jiang TZ, Xu RX (2015) Decreased functional connectivity between the mediodorsal thalamus and default mode network in patients with disorders of consciousness. Acta Neurol Scand 131(3):145–151. doi:10.1111/ane.12299 CrossRefPubMed He JH, Cui Y, Song M, Yang Y, Dang YY, Jiang TZ, Xu RX (2015) Decreased functional connectivity between the mediodorsal thalamus and default mode network in patients with disorders of consciousness. Acta Neurol Scand 131(3):145–151. doi:10.​1111/​ane.​12299 CrossRefPubMed
Zurück zum Zitat Hintiryan H, Foster NN, Bowman I, Bay M, Song MY, Gou L, Yamashita S, Bienkowski MS, Zingg B, Zhu M, Yang XW, Shih JC, Toga AW, Dong H-W (2016) The mouse cortico-striatal projectome. Nat Neurosci 19:1100–1114. doi:10.1038/nn.4332 CrossRefPubMed Hintiryan H, Foster NN, Bowman I, Bay M, Song MY, Gou L, Yamashita S, Bienkowski MS, Zingg B, Zhu M, Yang XW, Shih JC, Toga AW, Dong H-W (2016) The mouse cortico-striatal projectome. Nat Neurosci 19:1100–1114. doi:10.​1038/​nn.​4332 CrossRefPubMed
Zurück zum Zitat Hoover JE, Hoffer ZS, Alloway KD (2003) Projections from primary somatosensory cortex to the neostriatum: the role of somatotopic continuity in corticostriatal convergence. J Neurophysiol 89:1576–1687. doi:10.1152/jn.01009.2002 CrossRefPubMed Hoover JE, Hoffer ZS, Alloway KD (2003) Projections from primary somatosensory cortex to the neostriatum: the role of somatotopic continuity in corticostriatal convergence. J Neurophysiol 89:1576–1687. doi:10.​1152/​jn.​01009.​2002 CrossRefPubMed
Zurück zum Zitat Künzle H (1975) Bilateral projections from precentral motor cortex to the putamen and other parts of the basal ganglia: an autoradiographic study in Macaca fascicularis. Brain Res 88(2):195–209CrossRefPubMed Künzle H (1975) Bilateral projections from precentral motor cortex to the putamen and other parts of the basal ganglia: an autoradiographic study in Macaca fascicularis. Brain Res 88(2):195–209CrossRefPubMed
Zurück zum Zitat Langmoen IA, Larsen M, Berg-Johnsen J (1995) Volatile anaesthetics: cellular mechanisms of action. Eur J Anaesthesiol 12:51–58PubMed Langmoen IA, Larsen M, Berg-Johnsen J (1995) Volatile anaesthetics: cellular mechanisms of action. Eur J Anaesthesiol 12:51–58PubMed
Zurück zum Zitat LeVay S, Sherk H (1981) The visual claustrum of the cat. II. The visual field map. J Neurosci 1(9):981–992PubMed LeVay S, Sherk H (1981) The visual claustrum of the cat. II. The visual field map. J Neurosci 1(9):981–992PubMed
Zurück zum Zitat Mhuircheartaigh RN, Rosenorn-Lanng D, Wise R, Jbabdi S, Rogers R, Tracey I (2010) Cortical and subcortical connectivity changes during decreasing levels of consciousness in humans: a functional magnetic resonance imaging study using propofol. J Neurosci 30(27):9095–9102. doi:10.1523/JNEUROSCI.5516-09.2010 CrossRefPubMed Mhuircheartaigh RN, Rosenorn-Lanng D, Wise R, Jbabdi S, Rogers R, Tracey I (2010) Cortical and subcortical connectivity changes during decreasing levels of consciousness in humans: a functional magnetic resonance imaging study using propofol. J Neurosci 30(27):9095–9102. doi:10.​1523/​JNEUROSCI.​5516-09.​2010 CrossRefPubMed
Zurück zum Zitat Milardi D, Bramanti P, Milazzo C, Finocchio G, Arrigo A, Santoro G, Trimarchi F, Quararone A, Anastasi G, Gaeta M (2013) Cortical and subcortical connections of the human claustrum revealed in vivo by constrained spherical deconvolution tractography. Cereb Cortex 25(2):406–414. doi:10.1093/cercor/bht231 CrossRefPubMed Milardi D, Bramanti P, Milazzo C, Finocchio G, Arrigo A, Santoro G, Trimarchi F, Quararone A, Anastasi G, Gaeta M (2013) Cortical and subcortical connections of the human claustrum revealed in vivo by constrained spherical deconvolution tractography. Cereb Cortex 25(2):406–414. doi:10.​1093/​cercor/​bht231 CrossRefPubMed
Zurück zum Zitat Negyessy L, Hamori J, Bentivoglio M (1998) Contralateral cortical projection to mediodorsal thalamic nucleus: origin and synaptic organization in the rat. Neuroscience 84(3):741–753CrossRefPubMed Negyessy L, Hamori J, Bentivoglio M (1998) Contralateral cortical projection to mediodorsal thalamic nucleus: origin and synaptic organization in the rat. Neuroscience 84(3):741–753CrossRefPubMed
Zurück zum Zitat Paxinos G, Watson C (2006) The rat brain in stereotaxic coordinates, 6th edn. Elsevier Academic Press, New York Paxinos G, Watson C (2006) The rat brain in stereotaxic coordinates, 6th edn. Elsevier Academic Press, New York
Zurück zum Zitat Peltier SJ, Kerssens C, Hamann SB, Sebel PS, Byas-Smith M, Hu X (2005) Functional connectivity changes with concentration of sevoflurane anesthesia. NeuroReport 16(3):285–288CrossRefPubMed Peltier SJ, Kerssens C, Hamann SB, Sebel PS, Byas-Smith M, Hu X (2005) Functional connectivity changes with concentration of sevoflurane anesthesia. NeuroReport 16(3):285–288CrossRefPubMed
Zurück zum Zitat Ries CR, Puil E (1999a) Mechanism of anesthesia revealed by shunting actions of isoflurane on thalamocortical neurons. J Neurophysiol 81:1795–1801PubMed Ries CR, Puil E (1999a) Mechanism of anesthesia revealed by shunting actions of isoflurane on thalamocortical neurons. J Neurophysiol 81:1795–1801PubMed
Zurück zum Zitat Ries CR, Puil E (1999b) Ionic mechanism of isoflurane’s action on thalamocortical neurons. J Neurophysiol 81:1802–1809PubMed Ries CR, Puil E (1999b) Ionic mechanism of isoflurane’s action on thalamocortical neurons. J Neurophysiol 81:1802–1809PubMed
Zurück zum Zitat Reser DH, Majka P, Snell S, Chan J, Watkins K, Worthy K, Quiroga DM, Rosa, MGP (2016) Topography of claustrum and insula projections to medial prefrontal and anterior cingulate cortex of the common marmoset (Callithrix jacchus). J Comp Neurol. doi:10.1002/cne.24009/cne.24009 (in press) Reser DH, Majka P, Snell S, Chan J, Watkins K, Worthy K, Quiroga DM, Rosa, MGP (2016) Topography of claustrum and insula projections to medial prefrontal and anterior cingulate cortex of the common marmoset (Callithrix jacchus). J Comp Neurol. doi:10.​1002/​cne.​24009/​cne.​24009 (in press)
Zurück zum Zitat Schroter MS, Spoormaker VI, Schorer A, Wohlschlager A, Czisch M, Kochs EF, Zimmer C, Hemmer B, Schneider G, Jordan D, Ilg R (2012) Spatiotemporal reconfiguration of large-scale brain functional networks during propofol-induced loss of consciousness. J Neurosci 32(37):12832–12840. doi:10.1523/JNEUROSCI.6046-11.2012 CrossRefPubMed Schroter MS, Spoormaker VI, Schorer A, Wohlschlager A, Czisch M, Kochs EF, Zimmer C, Hemmer B, Schneider G, Jordan D, Ilg R (2012) Spatiotemporal reconfiguration of large-scale brain functional networks during propofol-induced loss of consciousness. J Neurosci 32(37):12832–12840. doi:10.​1523/​JNEUROSCI.​6046-11.​2012 CrossRefPubMed
Zurück zum Zitat Sforazzini F, Bertero A, Dodero L, David G, Galbusera A, Scattoni M, Pasqualetti M, Gozzi A (2014a) Altered functional connectivity networks in acallosal and socially impaired BTBR mice. Brain Struct Func. doi:10.1007/s00429-014-0948-9 Sforazzini F, Bertero A, Dodero L, David G, Galbusera A, Scattoni M, Pasqualetti M, Gozzi A (2014a) Altered functional connectivity networks in acallosal and socially impaired BTBR mice. Brain Struct Func. doi:10.​1007/​s00429-014-0948-9
Zurück zum Zitat Sherk H (1986) The claustrum and the cerebral cortex. In: Peters A (ed) Jones EG. Plenum, New York, pp 467–499 Sherk H (1986) The claustrum and the cerebral cortex. In: Peters A (ed) Jones EG. Plenum, New York, pp 467–499
Zurück zum Zitat Sherk H (2014) Physiology of the claustrum. In: Smythies JR, Edelstein LR, Ramachandran VS (eds) The claustrum: structural, functional, and clinical neuroscience. Academic Press/Elsevier Inc, San Diego, pp 177–191CrossRef Sherk H (2014) Physiology of the claustrum. In: Smythies JR, Edelstein LR, Ramachandran VS (eds) The claustrum: structural, functional, and clinical neuroscience. Academic Press/Elsevier Inc, San Diego, pp 177–191CrossRef
Zurück zum Zitat Sherman SM, Guillery RW (1998) On the actions that one nerve cell can have on another: distinguishing “drivers” from “modulators”. Proc Natl Acad Sci USA 95:7121–7126CrossRefPubMedPubMedCentral Sherman SM, Guillery RW (1998) On the actions that one nerve cell can have on another: distinguishing “drivers” from “modulators”. Proc Natl Acad Sci USA 95:7121–7126CrossRefPubMedPubMedCentral
Zurück zum Zitat Shima K, Hoshi E, Tanji J (1991) Neuronal activity of the claustrum of the monkey during performance of multiple movements. J Neurophysiol 76(3):2115–2119 Shima K, Hoshi E, Tanji J (1991) Neuronal activity of the claustrum of the monkey during performance of multiple movements. J Neurophysiol 76(3):2115–2119
Zurück zum Zitat Smythies J, Edelstein L, Ramachandran VS (2014) The claustrum: structural, functional, and clinical neuroscience. Academic Press/Elsevier Inc., San Diego Smythies J, Edelstein L, Ramachandran VS (2014) The claustrum: structural, functional, and clinical neuroscience. Academic Press/Elsevier Inc., San Diego
Zurück zum Zitat Spector I, Hassmannova J, Albe-Fessard D (1974) Sensory properties of single neurons of cat’s claustrum. Brain Res 66:39–65CrossRef Spector I, Hassmannova J, Albe-Fessard D (1974) Sensory properties of single neurons of cat’s claustrum. Brain Res 66:39–65CrossRef
Zurück zum Zitat Taqliazucchi E, Chialvo DR, Siniatchkin M, Amico E, Brichant JF, Bonhomme V, Noirhomme Q, Laufs H, Laurey S (2016) Large-scale signatures of unconsciousness are consistent with a departure from critical dynamics. J R Soc Interface 13(114). doi:10.1098/rsif.2015.1027 Taqliazucchi E, Chialvo DR, Siniatchkin M, Amico E, Brichant JF, Bonhomme V, Noirhomme Q, Laufs H, Laurey S (2016) Large-scale signatures of unconsciousness are consistent with a departure from critical dynamics. J R Soc Interface 13(114). doi:10.​1098/​rsif.​2015.​1027
Zurück zum Zitat Vanhaudenhuyse A, Noirhomme Q, Tshibanda LJ, Bruno MA, Boveroux P, Schnakers C, Soddu A, Perlbarg V, Ledoux D, Brichant JF, Moonen G, Maquet P, Greicius MD, Laureys S, Boly M (2010) Default network connectivity reflects the level of consciousness in non-communicative brain-damaged patients. Brain 133:161–171. doi:10.1093/brain/awp313 CrossRefPubMed Vanhaudenhuyse A, Noirhomme Q, Tshibanda LJ, Bruno MA, Boveroux P, Schnakers C, Soddu A, Perlbarg V, Ledoux D, Brichant JF, Moonen G, Maquet P, Greicius MD, Laureys S, Boly M (2010) Default network connectivity reflects the level of consciousness in non-communicative brain-damaged patients. Brain 133:161–171. doi:10.​1093/​brain/​awp313 CrossRefPubMed
Zurück zum Zitat Vincent JL, Patel GH, Fox MD, Snyder AZ, Baker JT, Van Essen DC, Zempel JM, Snyder LH, Corbetta M, Raichle ME (2007). Intrinsic functional architecture in the anaesthetized monkey brain. Nature 447(7140):83–86. doi:10.1038/nature05758 Vincent JL, Patel GH, Fox MD, Snyder AZ, Baker JT, Van Essen DC, Zempel JM, Snyder LH, Corbetta M, Raichle ME (2007). Intrinsic functional architecture in the anaesthetized monkey brain. Nature 447(7140):83–86. doi:10.​1038/​nature05758
Zurück zum Zitat Wakamori M, Ikemoto Y, Akaike N (1991) Effects of two volatile anesthetics and a volatile convulsant on the excitatory and inhibitory amino acid responses in dissociated CNS neurons of the rat. J Neurophysiol 66:2014–2021PubMed Wakamori M, Ikemoto Y, Akaike N (1991) Effects of two volatile anesthetics and a volatile convulsant on the excitatory and inhibitory amino acid responses in dissociated CNS neurons of the rat. J Neurophysiol 66:2014–2021PubMed
Zurück zum Zitat Wang Q, Ng L, Harris JA, Feng D, Li Y, Royall JJ, Oh SW, Bernard A, Sunkin SM, Koch C, Zeng H (2016) Organization of the connections between claustrum and cortex in the mouse. J Comp Neurol. doi:10.1002/cne.24047 (in press) Wang Q, Ng L, Harris JA, Feng D, Li Y, Royall JJ, Oh SW, Bernard A, Sunkin SM, Koch C, Zeng H (2016) Organization of the connections between claustrum and cortex in the mouse. J Comp Neurol. doi:10.​1002/​cne.​24047 (in press)
Metadaten
Titel
Interhemispheric resting-state functional connectivity of the claustrum in the awake and anesthetized states
verfasst von
Jared B. Smith
Zhifeng Liang
Glenn D. R. Watson
Kevin D. Alloway
Nanyin Zhang
Publikationsdatum
06.10.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Brain Structure and Function / Ausgabe 5/2017
Print ISSN: 1863-2653
Elektronische ISSN: 1863-2661
DOI
https://doi.org/10.1007/s00429-016-1323-9

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