Brain Structural and Functional Changes Associated with Addiction

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Brain Structural and Functional Changes

Associated with Addiction and Recovery

Qinghua He, Ph.D.

Associate Professor

Southwest University, Chongqing, China

Agenda

Addiction and its underlying neural mechanism

MRI and fMRI background

Structural and Functional changes associated with

Food Addiction

Structural and Functional changes associated with

Facebook Addiction

Structural and Functional changes associated with

Cocaine Addiction and Recovery

Agenda

Addiction and its underlying neural mechanism

Addiction

Substance Dependence

Cocaine; Heroin; Methamphetamine; Nicotine; etc.

Behavior Addiction

Internet Addiction; Overeating; Pathological gambling;

Compulsive shopping; etc.

Neural Mechanisms underlying Addiction

Noel, Brevers, Bechara, 2013, Current Opinions in Nueorbiology

Agenda

Addiction and its underlying neural mechanism

MRI and fMRI background

MRI scanner

Superconducting

1-7 Tesla for human magnets

f/MRI scanning

Source: http://www.cis.rit.edu/class/schp730/lect/lect-2.htm

Gray Matter Analysis

Source: http://www.martinos.org/neurorecovery/technology.htm

Borrowed from FSL Course 2012, Bristol, UK

Agenda

Addiction and its underlying neural mechanism

MRI and fMRI background

Structural and Functional changes associated with

Food Addiction

Food Addiction

Compulsive eating

Binge eating

Obesity

Brain Structure Bases

He et al., 2015, Brain Structure and Function

Brain Structure Bases

He et al., 2015, Brain Structure and Function

Brain Structure Bases

He et al., 2015, Brain Structure and Function

Brain Structure Bases

Regression Analysis all three factors made unique contributions to BMI

Mediation Analysis

IGT score in the first 40 trials mediated the association between GMV in the MCC region and BMI (indirect effect = -0.23, p<0.05) as well as between the number of white matter tracks passing this region and BMI

(indirect effect = -0.27, p<0.05).

He et al., 2015, Brain Structure and Function

Functional Bases

He et al., 2014, Nutrition Journal

Functional Bases

He et al., 2014, Nutrition Journal

Functional Bases

He et al., 2014, Nutrition Journal

Functional Bases

He et al., 2014, Frontiers in Neuroscience

Functional Bases

He et al., 2014, Frontiers in Neuroscience

Food Addiction

Impulsive System

Hyper-active

Inhibition Control System

Hypo-active

Agenda

Addiction and its underlying neural mechanism

MRI and fMRI background

Structural and Functional changes associated with

Food Addiction

Structural and Functional changes associated with

Facebook Addiction

Facebook Addiction

Turel & He et al., 2014, Psychological Reports

Facebook Addiction

Turel & He et al., 2014, Psychological Reports

Facebook Addiction

Turel & He et al., 2014, Psychological Reports

Facebook Addiction

Impulsive System

Hyper-active

Control System

Maybe intact

Agenda

Addiction and its underlying neural mechanism

MRI and fMRI background

Structural and Functional changes associated with

Food Addiction

Structural and Functional changes associated with

Facebook Addiction

Structural and Functional changes associated with

Cocaine Addiction and Recovery

The Cocaine study

Purpose

Combine fMRI, sMRI and DTI to understand the neurocognitive mechanism and recovery of drug addiction sMRI

Gray matter volume, cortical thickness

DTI

White matter tractography fMRI

Cue Task

Cup Task

Resting State

Method Summary

Group Difference

A VS Controls; difference between users and control

A VS D | A VS BCD effects of recover

D VS Controls the brain region not showing recover

Correlation with Years of recovery

Positive

Negative

Cue Task (BOLD)

Cocaine-related pictures VS Nature pictures

Block design

Cocaine Addiction

Actually, the ACC activation showed a positive activation with recover; but VMPFC does not

The activation of ACC seems recover

But the activation of the VMPFC never recover

Summary

Substance Addiction is like a brain disease

Some of the brain function were damaged permanently

Some functions could recover

Different neural systems were engaged in different types of addictions

Impulsive system mostly engaged in the Facebook Addiction

Impulsive system and reflective system engaged in the food

Addiction

The decision making process doesn’t seem to recover in Cocaine

Addiction

Acknowledgements

UCLA

Prof. Yih-Ing Hser

USC

Prof. Antoine Bechara

Dr. Lin Xiao

Beijing Normal University

Prof. Qi Dong

Prof. Gui Xue

Dr. Chunhui Chen

UC Irvine

Prof. Chuansheng Chen

The Ohio State University

Prof. Zhong-Lin Lu

Cal State Fullerton

Prof. Ofir Turel

Questions?

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