Dynamic flexibility and controllability of network communities in juvenile myoclonic epilepsy
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2023-11-01 20:37
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VATAMAN, Anatolie, CIOLAC, Dumitru, CHIOSA, Vitalie, AFTENE, Daniela, LEAHU, Pavel, WINTER, Yaroslav, GROPPA, Stanislav, GONZALEZ-ESCAMILLA, Gabriel, MUTHURAMAN, Muthuraman, GROPPA, Sergiu. Dynamic flexibility and controllability of network communities in juvenile myoclonic epilepsy. In: Neurobiology of Disease, 2023, vol. 179, pp. 1-12. ISSN 0969-9961. DOI: https://doi.org/10.1016/j.nbd.2023.106055
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Neurobiology of Disease
Volumul 179 / 2023 / ISSN 0969-9961 /ISSNe 1095-953X

Dynamic flexibility and controllability of network communities in juvenile myoclonic epilepsy

DOI:https://doi.org/10.1016/j.nbd.2023.106055

Pag. 1-12

Vataman Anatolie123, Ciolac Dumitru132, Chiosa Vitalie23, Aftene Daniela23, Leahu Pavel23, Winter Yaroslav1, Groppa Stanislav23, Gonzalez-Escamilla Gabriel1, Muthuraman Muthuraman1, Groppa Sergiu1
 
1 Johannes Gutenberg University Mainz,
2 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
3 Emergency Institute of Medicine
 
 
Disponibil în IBN: 16 martie 2023


Rezumat

Juvenile myoclonic epilepsy (JME) is the most common syndrome within the idiopathic generalized epilepsy spectrum, manifested by myoclonic and generalized tonic-clonic seizures and spike-and-wave discharges (SWDs) on electroencephalography (EEG). Currently, the pathophysiological concepts addressing SWD generation in JME are still incomplete. In this work, we characterize the temporal and spatial organization of functional networks and their dynamic properties as derived from high-density EEG (hdEEG) recordings and MRI in 40 JME patients (25.4 ± 7.6 years, 25 females). The adopted approach allows for the construction of a precise dynamic model of ictal transformation in JME at the cortical and deep brain nuclei source levels. We implement Louvain algorithm to attribute brain regions with similar topological properties to modules during separate time windows before and during SWD generation. Afterwards, we quantify how modular assignments evolve and steer through different states towards the ictal state by measuring characteristics of flexibility and controllability. We find antagonistic dynamics of flexibility and controllability within network modules as they evolve towards and undergo ictal transformation. Prior to SWD generation, we observe concomitantly increasing flexibility (F(1,39) = 25.3, corrected p < 0.001) and decreasing controllability (F(1,39) = 55.3, p < 0.001) within the fronto-parietal module in γ-band. On a step further, during interictal SWDs as compared to preceding time windows, we notice decreasing flexibility (F(1,39) = 11.9, p < 0.001) and increasing controllability (F(1,39) = 10.1, p < 0.001) within the fronto-temporal module in γ-band. During ictal SWDs as compared to prior time windows, we demonstrate significantly decreasing flexibility (F(1,14) = 31.6; p < 0.001) and increasing controllability (F(1,14) = 44.7, p < 0.001) within the basal ganglia module. Furthermore, we show that flexibility and controllability within the fronto-temporal module of the interictal SWDs relate to seizure frequency and cognitive performance in JME patients. Our results demonstrate that detection of network modules and quantification of their dynamic properties is relevant to track the generation of SWDs. The observed flexibility and controllability dynamics reflect the reorganization of de−/synchronized connections and the ability of evolving network modules to reach a seizure-free state, respectively. These findings may advance the elaboration of network-based biomarkers and more targeted therapeutic neuromodulatory approaches in JME.

Cuvinte-cheie
controllability, flexibility, Juvenile myoclonic epilepsy, Network community