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Published in: BioPsychoSocial Medicine 1/2015

Open Access 01-12-2015 | Research

Absence of change in the gray matter volume of patients with ulcerative colitis in remission: a voxel based morphometry study

Authors: Alessandro Agostini, Massimo Campieri, Angela Bertani, Antonella Scarcelli, Daniela Ballotta, Carlo Calabrese, Fernando Rizzello, Paolo Gionchetti, Paolo Nichelli, Francesca Benuzzi

Published in: BioPsychoSocial Medicine | Issue 1/2015

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Abstract

Background

Recent neuroimaging studies have investigated the brain involvement in patients with Crohn's disease (CD) and Ulcerative Colitis (UC). Functional studies found abnormalities in cognitive and emotional functions in CD and UC, while a voxel based morphometry (VBM) study found morphological changes in CD. We conducted a VBM study to compare the gray matter (GM) volume of UC patients and controls.

Methods

Eighteen UC patients in remission and eighteen healthy controls underwent structural MRI. VBM is a fully automated technique allowing identification of regional differences in the amount of GM, which enables an objective analysis of the whole brain. VBM was used for comparisons between patients and controls.

Results

UC patients were all in remission and had a mild clinical course. There were no differences between patients and controls in GM volume.

Conclusion

The brain morphology of patients with UC in remission is similar to controls. The lack of GM abnormalities in UC patients might reflect the mild clinical course of the inflammatory bowel disorder. Further research involving patients with different degrees of disease severity or during flares could shed more light on potential brain structural changes in UC.
Literature
1.
go back to reference Agostini A, Moretti M, Calabrese C, Rizzello F, Gionchetti P, Ercolani M, et al. Attachment and quality of life in patients with inflammatory bowel disease. Int J Colorectal Dis. 2014;29(10):1291–6.CrossRefPubMed Agostini A, Moretti M, Calabrese C, Rizzello F, Gionchetti P, Ercolani M, et al. Attachment and quality of life in patients with inflammatory bowel disease. Int J Colorectal Dis. 2014;29(10):1291–6.CrossRefPubMed
2.
go back to reference Agostini A, Filippini N, Benuzzi F, Bertani A, Scarcelli A, Leoni C, et al. Functional magnetic resonance imaging study reveals differences in the habituation to psychological stress in patients with Crohn’s disease versus healthy controls. J Behav Med. 2013;36(5):477–88.CrossRefPubMed Agostini A, Filippini N, Benuzzi F, Bertani A, Scarcelli A, Leoni C, et al. Functional magnetic resonance imaging study reveals differences in the habituation to psychological stress in patients with Crohn’s disease versus healthy controls. J Behav Med. 2013;36(5):477–88.CrossRefPubMed
3.
go back to reference Agostini A, Rizzello F, Ravegnani G, Gionchetti P, Tambasco R, Ercolani M, et al. Parental bonding and inflammatory bowel disease. Psychosomatics. 2010;51:14–21.CrossRefPubMed Agostini A, Rizzello F, Ravegnani G, Gionchetti P, Tambasco R, Ercolani M, et al. Parental bonding and inflammatory bowel disease. Psychosomatics. 2010;51:14–21.CrossRefPubMed
4.
go back to reference Agostini A, Rizzello F, Ravegnani G, Gionchetti P, Tambasco R, Straforini GM, et al. Adult attachment and early parental experiences in patients with Crohn’s disease. Psychosomatics. 2010;51:208–15.PubMed Agostini A, Rizzello F, Ravegnani G, Gionchetti P, Tambasco R, Straforini GM, et al. Adult attachment and early parental experiences in patients with Crohn’s disease. Psychosomatics. 2010;51:208–15.PubMed
5.
go back to reference Agostini A, Filippini N, Cevolani D, Agati R, Leoni C, Tambasco R, et al. Brain functional changes in patients with Ulcerative Colitis: an fMRI study on emotional processing. Inflamm Bowel Dis. 2011;17:1769–77.CrossRefPubMed Agostini A, Filippini N, Cevolani D, Agati R, Leoni C, Tambasco R, et al. Brain functional changes in patients with Ulcerative Colitis: an fMRI study on emotional processing. Inflamm Bowel Dis. 2011;17:1769–77.CrossRefPubMed
6.
go back to reference Dancey PD, Attree EA, Stuart G, Wilson C, Sonnett A. Words fail me: the verbal IQ deficit in inflammatory bowel disease and irritable bowel syndrome. Inflamm Bowel Dis. 2009;15:852–27.CrossRefPubMed Dancey PD, Attree EA, Stuart G, Wilson C, Sonnett A. Words fail me: the verbal IQ deficit in inflammatory bowel disease and irritable bowel syndrome. Inflamm Bowel Dis. 2009;15:852–27.CrossRefPubMed
7.
go back to reference Agostini A, Benuzzi F, Filippini N, Bertani A, Scarcelli A, Farinelli V, et al. New insights into the brain involvement in Crohn's disease: a voxel based morphometry study. Neurogastroenterol Motil. 2013;25(2):147–e82.CrossRefPubMed Agostini A, Benuzzi F, Filippini N, Bertani A, Scarcelli A, Farinelli V, et al. New insights into the brain involvement in Crohn's disease: a voxel based morphometry study. Neurogastroenterol Motil. 2013;25(2):147–e82.CrossRefPubMed
8.
9.
go back to reference Brown ES, Woolston DJ, Frol AB. Amygdala volume in patients receiving chronic corticosteroid therapy. Biol Psychiatry. 2008;63:705–9.CrossRefPubMed Brown ES, Woolston DJ, Frol AB. Amygdala volume in patients receiving chronic corticosteroid therapy. Biol Psychiatry. 2008;63:705–9.CrossRefPubMed
10.
go back to reference Younger JW, Chu LF, D'Arcy NT, Trott KE, Jastrzab LE, Mackey SC. Prescription opioid analgesics rapidly changes the human brain. Pain. 2011;152:1803–10.CrossRefPubMedPubMedCentral Younger JW, Chu LF, D'Arcy NT, Trott KE, Jastrzab LE, Mackey SC. Prescription opioid analgesics rapidly changes the human brain. Pain. 2011;152:1803–10.CrossRefPubMedPubMedCentral
11.
go back to reference Farup PG, Hinterleitner TA, Lukás M, Hébuterne X, Rachmilewitz D, Campieri M. Mesalazine 4 g daily given as prolonged-release granules twice daily and four times daily is at least as effective as prolonged-release tablets four times daily in patients with ulcerative colitis. Inflamm Bowel Dis. 2001;7(3):237–42.CrossRefPubMed Farup PG, Hinterleitner TA, Lukás M, Hébuterne X, Rachmilewitz D, Campieri M. Mesalazine 4 g daily given as prolonged-release granules twice daily and four times daily is at least as effective as prolonged-release tablets four times daily in patients with ulcerative colitis. Inflamm Bowel Dis. 2001;7(3):237–42.CrossRefPubMed
12.
go back to reference Mumford JA, Nichols TE. Power calculation for group fMRI studies accounting for arbitrary design and temporal autocorrelation. Neuroimage. 2008;39(1):261–8.CrossRefPubMed Mumford JA, Nichols TE. Power calculation for group fMRI studies accounting for arbitrary design and temporal autocorrelation. Neuroimage. 2008;39(1):261–8.CrossRefPubMed
14.
go back to reference Miller AH, Maletic V, Raison CL. Inflammation and its discontents: the role of cytokines in the pathophysiology of major depression. Biol Psychiatry. 2009;65:732–41.CrossRefPubMedPubMedCentral Miller AH, Maletic V, Raison CL. Inflammation and its discontents: the role of cytokines in the pathophysiology of major depression. Biol Psychiatry. 2009;65:732–41.CrossRefPubMedPubMedCentral
15.
go back to reference Buntinx M, Moreels M, Vandenabeele F, Lambrichts I, Raus J, Steels P, et al. Cytokine-induced cell death in human oligodendroglial cell lines: synergistic effects of IFN-gamma and TNF-alpha on apoptosis. J Neurosci Res. 2004;76:834–45.CrossRefPubMed Buntinx M, Moreels M, Vandenabeele F, Lambrichts I, Raus J, Steels P, et al. Cytokine-induced cell death in human oligodendroglial cell lines: synergistic effects of IFN-gamma and TNF-alpha on apoptosis. J Neurosci Res. 2004;76:834–45.CrossRefPubMed
16.
go back to reference Dantzer R, O'Connor JC, Freund GG, Johnson RW, Kelley KW. From inflammation to sickness and depression: when the immune system subjugates the brain. Nat Rev Neurosci. 2008;9:46–56.CrossRefPubMedPubMedCentral Dantzer R, O'Connor JC, Freund GG, Johnson RW, Kelley KW. From inflammation to sickness and depression: when the immune system subjugates the brain. Nat Rev Neurosci. 2008;9:46–56.CrossRefPubMedPubMedCentral
17.
go back to reference Jones MP, Dilley JB, Drossmann D. Brain-gut connections in functional GI disorders: anatomic and physiologic relationships. Neurogastroenterol Motil. 2006;18:91–103.CrossRefPubMed Jones MP, Dilley JB, Drossmann D. Brain-gut connections in functional GI disorders: anatomic and physiologic relationships. Neurogastroenterol Motil. 2006;18:91–103.CrossRefPubMed
18.
go back to reference Rapps N, Van Oudenhove L, Enck P, Aziz Q. Brain imaging of visceral functions in healthy volunteers and IBS patients. J Psychosom Res. 2008;64:599–604.CrossRefPubMed Rapps N, Van Oudenhove L, Enck P, Aziz Q. Brain imaging of visceral functions in healthy volunteers and IBS patients. J Psychosom Res. 2008;64:599–604.CrossRefPubMed
19.
go back to reference Bonaz BL, Bernstein CN. Brain-gut interactions in inflammatory bowel disease. Gastroenterology. 2013;144(1):36–48.CrossRefPubMed Bonaz BL, Bernstein CN. Brain-gut interactions in inflammatory bowel disease. Gastroenterology. 2013;144(1):36–48.CrossRefPubMed
20.
go back to reference Bonaz B, Picq C, Sinniger V, Mayol JF, Clarençon D. Vagus nerve stimulation: from epilepsy to the cholinergic anti-inflammatory pathway. Neurogastroenterol Motil. 2013;25(3):208–21.CrossRefPubMed Bonaz B, Picq C, Sinniger V, Mayol JF, Clarençon D. Vagus nerve stimulation: from epilepsy to the cholinergic anti-inflammatory pathway. Neurogastroenterol Motil. 2013;25(3):208–21.CrossRefPubMed
Metadata
Title
Absence of change in the gray matter volume of patients with ulcerative colitis in remission: a voxel based morphometry study
Authors
Alessandro Agostini
Massimo Campieri
Angela Bertani
Antonella Scarcelli
Daniela Ballotta
Carlo Calabrese
Fernando Rizzello
Paolo Gionchetti
Paolo Nichelli
Francesca Benuzzi
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BioPsychoSocial Medicine / Issue 1/2015
Electronic ISSN: 1751-0759
DOI
https://doi.org/10.1186/s13030-014-0028-7

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