Functional network connectivity predicts treatment outcome during treatment of nicotine use disorder

Claire E. Wilcox, Vince Daniel Calhoun, Srinivas Rachakonda, Eric D. Claus, Rae A. Littlewood, Jessica Mickey, Pamela B. Arenella, Kent E. Hutchison

Research output: Contribution to journalArticle

Abstract

Altered resting state functional connectivity (rsFC) and functional network connectivity (FNC), which is a measure of coherence between brain networks, may be associated with nicotine use disorder (NUD). We hypothesized that higher connectivity between insula and 1) dorsal anterior cingulate cortex (dACC) and 2) dorsolateral prefrontal cortex (dlPFC) would predict better treatment outcomes. We also performed an exploratory analysis of the associations between FNC values between additional key frontal and striatal regions and treatment outcomes. One hundred and forty four individuals with NUD underwent a resting state session during functional MRI prior to randomization to treatment with varenicline (n=82) or placebo. Group independent component analysis (ICA) was utilized to extract individual subject components and time series from intrinsic connectivity networks in aforementioned regions, and FNC between all possible pairs were calculated. Higher FNC between insula and dACC (rho=0.21) was significantly correlated with lower levels of baseline smoking quantity but did not predict treatment outcome upon controlling for baseline smoking. Higher FNC between putamen and dACC, caudate and dACC, and caudate and dlPFC significantly predicted worse treatment outcome in participants reporting high subjective withdrawal before the scan. FNC between key regions hold promise as biomarkers to predict outcome in NUD.

Original languageEnglish (US)
Pages (from-to)45-53
Number of pages9
JournalPsychiatry Research - Neuroimaging
Volume265
DOIs
StatePublished - Jul 30 2017
Externally publishedYes

Keywords

  • Functional network connectivity
  • Nicotine dependence
  • Prediction
  • Resting state
  • Treatment
  • Treatment outcome

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Radiology Nuclear Medicine and imaging
  • Psychiatry and Mental health

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  • Cite this

    Wilcox, C. E., Calhoun, V. D., Rachakonda, S., Claus, E. D., Littlewood, R. A., Mickey, J., Arenella, P. B., & Hutchison, K. E. (2017). Functional network connectivity predicts treatment outcome during treatment of nicotine use disorder. Psychiatry Research - Neuroimaging, 265, 45-53. https://doi.org/10.1016/j.pscychresns.2017.04.011