Potential Alterations of Functional Connectivity Analysis in the Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome

Background. Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is one of the most common diseases in urology, but its pathogenesis remains unclear. As a kind of chronic pain which the patients suffered for more than 3 months, we investigated the influence on patients’ brain functional connec...

Full description

Saved in:
Bibliographic Details
Main Authors: Shengyang Ge, Qingfeng Hu, Yijun Guo, Ke Xu, Guowei Xia, Chuanyu Sun
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2021/6690414
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850170130871353344
author Shengyang Ge
Qingfeng Hu
Yijun Guo
Ke Xu
Guowei Xia
Chuanyu Sun
author_facet Shengyang Ge
Qingfeng Hu
Yijun Guo
Ke Xu
Guowei Xia
Chuanyu Sun
author_sort Shengyang Ge
collection DOAJ
description Background. Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is one of the most common diseases in urology, but its pathogenesis remains unclear. As a kind of chronic pain which the patients suffered for more than 3 months, we investigated the influence on patients’ brain functional connectivity in resting state. Methods. We recruited a cohort of 18 right-handed male patients with CP/CPPS and 21 healthy male right-handed age-matched controls. Their resting-state fMRI data and structural MRI data were preprocessed and processed by RESTPlus V1.22. To assess the integrity of the default mode network (DMN), we utilized the voxel-wised analysis that we set medial prefrontal cortex (mPFC) and posterior cingulate gyrus (PCC) as seed points to compare the global functional connectivity (FC) strength. Results. Compared with healthy control, the FC strength between left mPFC and posterior DMN decreased in the group of CP/CPPS (P<0.05, GFR correction, voxel P<0.01, cluster P<0.05), and the FC strength between the left anterior cerebellar lobe and posterior DMN increased (P<0.05, GFR correction, voxel P<0.01, cluster P<0.05). In the patient group, there was a positive correlation between the increased FC strength and the score of the Hospital Anxiety and Depression Scale (HADS) anxiety subscale (r=0.5509, P=0.0178) in the left anterior cerebellar lobe, a negative correlation between the decreased FC strength and the score of the National Institutes of Health Chronic Prostatitis Symptom Index (r=−0.6281, P=0.0053) in the area of left mPFC, and a negative correlation between the decreased FC strength and the score of HADS anxiety subscale (r=−0.5252, P=0.0252). Conclusion. Patients with CP/CPPS had alterations in brain function, which consisted of the default mode network’s compromised integrity. These alterations might play a crucial role in the pathogenesis and development of CP/CPPS.
format Article
id doaj-art-a94fc0b7938d42a1852a8e34c3c855c5
institution OA Journals
issn 2090-5904
1687-5443
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Neural Plasticity
spelling doaj-art-a94fc0b7938d42a1852a8e34c3c855c52025-08-20T02:20:33ZengWileyNeural Plasticity2090-59041687-54432021-01-01202110.1155/2021/66904146690414Potential Alterations of Functional Connectivity Analysis in the Patients with Chronic Prostatitis/Chronic Pelvic Pain SyndromeShengyang Ge0Qingfeng Hu1Yijun Guo2Ke Xu3Guowei Xia4Chuanyu Sun5Department of Urology, Huashan Hospital, Fudan University, 12 Central Urumqi Rd, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital, Fudan University, 12 Central Urumqi Rd, Shanghai 200040, ChinaDepartment of Urology, Jing’an District Center Hospital of Shanghai, 259 Xikang Rd, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital, Fudan University, 12 Central Urumqi Rd, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital, Fudan University, 12 Central Urumqi Rd, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital, Fudan University, 12 Central Urumqi Rd, Shanghai 200040, ChinaBackground. Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is one of the most common diseases in urology, but its pathogenesis remains unclear. As a kind of chronic pain which the patients suffered for more than 3 months, we investigated the influence on patients’ brain functional connectivity in resting state. Methods. We recruited a cohort of 18 right-handed male patients with CP/CPPS and 21 healthy male right-handed age-matched controls. Their resting-state fMRI data and structural MRI data were preprocessed and processed by RESTPlus V1.22. To assess the integrity of the default mode network (DMN), we utilized the voxel-wised analysis that we set medial prefrontal cortex (mPFC) and posterior cingulate gyrus (PCC) as seed points to compare the global functional connectivity (FC) strength. Results. Compared with healthy control, the FC strength between left mPFC and posterior DMN decreased in the group of CP/CPPS (P<0.05, GFR correction, voxel P<0.01, cluster P<0.05), and the FC strength between the left anterior cerebellar lobe and posterior DMN increased (P<0.05, GFR correction, voxel P<0.01, cluster P<0.05). In the patient group, there was a positive correlation between the increased FC strength and the score of the Hospital Anxiety and Depression Scale (HADS) anxiety subscale (r=0.5509, P=0.0178) in the left anterior cerebellar lobe, a negative correlation between the decreased FC strength and the score of the National Institutes of Health Chronic Prostatitis Symptom Index (r=−0.6281, P=0.0053) in the area of left mPFC, and a negative correlation between the decreased FC strength and the score of HADS anxiety subscale (r=−0.5252, P=0.0252). Conclusion. Patients with CP/CPPS had alterations in brain function, which consisted of the default mode network’s compromised integrity. These alterations might play a crucial role in the pathogenesis and development of CP/CPPS.http://dx.doi.org/10.1155/2021/6690414
spellingShingle Shengyang Ge
Qingfeng Hu
Yijun Guo
Ke Xu
Guowei Xia
Chuanyu Sun
Potential Alterations of Functional Connectivity Analysis in the Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome
Neural Plasticity
title Potential Alterations of Functional Connectivity Analysis in the Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome
title_full Potential Alterations of Functional Connectivity Analysis in the Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome
title_fullStr Potential Alterations of Functional Connectivity Analysis in the Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome
title_full_unstemmed Potential Alterations of Functional Connectivity Analysis in the Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome
title_short Potential Alterations of Functional Connectivity Analysis in the Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome
title_sort potential alterations of functional connectivity analysis in the patients with chronic prostatitis chronic pelvic pain syndrome
url http://dx.doi.org/10.1155/2021/6690414
work_keys_str_mv AT shengyangge potentialalterationsoffunctionalconnectivityanalysisinthepatientswithchronicprostatitischronicpelvicpainsyndrome
AT qingfenghu potentialalterationsoffunctionalconnectivityanalysisinthepatientswithchronicprostatitischronicpelvicpainsyndrome
AT yijunguo potentialalterationsoffunctionalconnectivityanalysisinthepatientswithchronicprostatitischronicpelvicpainsyndrome
AT kexu potentialalterationsoffunctionalconnectivityanalysisinthepatientswithchronicprostatitischronicpelvicpainsyndrome
AT guoweixia potentialalterationsoffunctionalconnectivityanalysisinthepatientswithchronicprostatitischronicpelvicpainsyndrome
AT chuanyusun potentialalterationsoffunctionalconnectivityanalysisinthepatientswithchronicprostatitischronicpelvicpainsyndrome