Exercise challenge alters Default Mode Network dynamics in Gulf War Illness

Abstract Background Gulf War Illness (GWI) affects 30% of veterans from the 1991 Gulf War and has no known cause. Everyday symptoms include pain, fatigue, migraines, and dyscognition. A striking syndromic feature is post-exertional malaise (PEM). This is recognized as an exacerbation of everyday symptoms following a physically stressful or cognitively demanding activity. The underlying mechanism of PEM is unknown. We previously reported a novel paradigm that possibly captured evidence of PEM by utilizing fMRI scans taken before and after sub-maximal exercises. We hypothesized that A) exercise would be a sufficient physically stressful activity to induce PEM and B) Comparison of brain activity before and after exercise would provide evidence of PEM’s effect on cognition. We reported two-exercise induced GWI phenotypes with distinct changes in brain activation patterns during the completion of a 2-back working memory task (also known as two-back > zero-back). Results Here we report unanticipated findings from the reverse contrast (zero-back > two-back), which allowed for the identification of task-related deactivation patterns. Following exercise, patients developed a significant increase in deactivation patterns within the Default Mode Network (DMN) that was not seen in controls. The DMN is comprised of regions that are consistently down regulated during external goal-directed activities and is often altered within many neurological disease states. Conclusions Exercise-induced alterations within the DMN provides novel evidence of GWI pathophysiology. More broadly, results suggest that task-related deactivation patterns may have biomarker potential in Gulf War Illness.

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PID https://www.doi.org/10.6084/m9.figshare.c.4410956.v1
PID https://www.doi.org/10.6084/m9.figshare.c.4410956
URL http://dx.doi.org/10.6084/m9.figshare.c.4410956
URL http://dx.doi.org/10.6084/m9.figshare.c.4410956.v1
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Author Rakib Rayhan
Author Washington, Stuart
Author Garner, Richard
Author Zajur, Kristina
Author Addiego, Florencia Martinez
Author VanMeter, John
Author Baraniuk, James
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Collected From Datacite
Hosted By figshare
Publication Date 2019-01-01
Publisher Figshare
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Language UNKNOWN
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keyword FOS: Sociology
keyword FOS: Biological sciences
keyword FOS: Health sciences
system:type other
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Source https://science-innovation-policy.openaire.eu/search/other?orpId=dedup_wf_001::eb942bb01e41ff55aa964cabefc3bac5
Author jsonws_user
Last Updated 19 December 2020, 16:20 (CET)
Created 19 December 2020, 16:20 (CET)