Abstract
With great progress of space navigation technology, it becomes possible to travel beyond Earth’s gravity. So far, it remains unclear whether the human brain can function normally within an environment of microgravity and confinement. Particularly, it is a challenge to figure out some neuroimaging-based markers for rapid screening diagnosis of disrupted brain function in microgravity environment. In this study, a 7-day −6° head down tilt bed rest experiment was used to simulate the microgravity, and twenty healthy male participants underwent resting-state functional magnetic resonance imaging scans at baseline and after the simulated microgravity experiment. We used a multivariate pattern analysis approach to distinguish the brain states with simulated microgravity from normal gravity based on the functional connectivity within the default network, resulting in an accuracy of no less than 85 % via cross-validation. Moreover, most discriminative functional connections were mainly located between the limbic system and cortical areas and were enhanced after simulated microgravity, implying a self-adaption or compensatory enhancement to fulfill the need of complex demand in spatial navigation and motor control functions in microgravity environment. Overall, the findings suggest that the brain states in microgravity are likely different from those in normal gravity and that brain connectome could act as a biomarker to indicate the brain state in microgravity.
Keywords: Microgravity, Functional magnetic resonance imaging, Connectome, Multivariate pattern analysis, Default network
Introduction
With great progress of space navigation technology, it becomes possible to travel beyond Earth’s gravity. Maintaining astronauts’ performance at a good level is a hot topic among space medical and psychological researchers. It is known that astronauts’ performance would be impaired due to potential harmful factors in the outer space such as radiation, noise, changed circadian rhythm, weightlessness and so on (Eddy et al. 1998). Among these factors, weightlessness exhibits the most significant difference between space environment and earth environment, thus the astronauts’ performance degradation caused by weightlessness has become a common focus.
A number of previous studies reported various performance degradations happened to astronauts in weightlessness and attempted to seek the mechanism (Mallis and De Roshia 2005; Manzey et al. 2000; Moore et al. 2010; Pavy-Le Traon et al. 2007; Vaitl et al. 1996; Zhao et al. 2011). Some researchers lay their sight on the common known redistribution of body fluid effect induced by gravity change (Grigoriev and Egorov 1992; Liao et al. 2012; Messerotti Benvenuti et al. 2011; Vaitl et al. 1996). Especially, the cephalad fluid shift may alter the hemodynamics of the brain, including increase in cerebral blood flow (CBF), intracranial pressure, and oxygenated hemoglobin (Kawai et al. 2003), all of which may influence the function of the human brain. Liao et al. (2013) tentatively used resting-state functional magnetic resonance imaging (fMRI) to investigate brain activity change after 3-day head down tilt (HDT) bed rest and observed decreased local activity in thalamus and declined regional homogeneity in left inferior parietal lobule which may attribute to reduced motor control abilities and declined abilities of mental transformation. Recently, Zhou et al. (2014) carried out a groundbreaking research to discuss the effects of long-term microgravity on the functional architecture of the brain. In this 45-day HDT bed rest study, a functional network anchored in the anterior insula and middle cingulate cortex was found to be influenced by simulated microgravity. The authors suggested that these functional anomalies may reflect variation in cognitive function, autonomic neural function and central neural activity (Zhou et al. 2014). In a recent study, Liao et al. (2015) figured out the time trend of brain activity change in a 7-day HDT period. These imaging studies further our insight in performance decline happened to astronauts under microgravity, describing the cumulative effects of microgravity in different time span. The aforementioned studies came out to a single truth that the brain activity is changing with microgravity and could be quantifiably measured by resting-state fMRI. Then a new challenge is coming, could we figure out some suitable neuroimaging-based markers to effectively distinguish the brain states in microgravity and normal gravity? This may contribute to the rapid screening diagnosis of disrupted brain function in microgravity environment.
The default network (DN) is demonstrated to support autobiographical memory retrieval, prospection, monitoring, and other internal mentation (Buckner et al. 2008). The alterations associated with DN play promising biomarkers in neuropsychiatric disorders (Garrity et al. 2007; Zeng et al. 2012), so we speculate that the default connectivity can be used as an indicator of brain states with simulated microgravity. In the current study, twenty healthy male subjects underwent a 7-day-6° HDT bed rest experiment, which is generally accepted to simulate the microgravity effect of body fluid redistribution toward the head (Baisch et al. 1992). So we can study the effects of microgravity on brain function on the Earth. The participants underwent resting-state fMRI scanning at baseline and after 7-day HDT simulated microgravity experiment. We tested whether the default functional connectivity could distinguish brain states with simulated microgravity from baseline (normal gravity).
Materials and methods
Participants
Twenty healthy male participants were recruited for the present study. Their mean age was 24 years with a range from 20 to 32 years and their mean weight was 62.5 kg with a range from 51 to 82 kg. All participants were right-handed Chinese speakers, as measured by the Handedness Questionnaire (Annett 1970). The participants reported no history of neurological injury, genetic mental disorders or substance abuse. With a high-resolution T1- and T2-weighted MRI examination, no participant was observed to have significant pathological changes in their brains. The study was approved by the Ethical Committee of the Fourth Military Medical University and all participants provided their written informed consent before the experiment.
Design
The whole experiment was divided into three periods: prior bed rest period (HDT0, baseline), bed rest period (HDT1–HDT7) and post bed rest period (7 days after bed rest, HDT14). Resting-state fMRI scans were taken at 19:00 every experiment day, which means that every participant received MRI scans for 9 times in total. During the HDT bed rest, adequate water and food were supplied, but the participants’ heads were prevented from moving from the bed to keep the redistribution of the individual’s body fluid toward the head. The experimental room was air-conditioned, and the temperature was maintained around 22 °C. All of the testers are well educated with medical knowledge and skills, thus they could provide nursing care to the participants. Additionally, the participants were pared and they were allowed to communicate with each other or take some recreational activities (such as reading, watching TV or movies, surfing on the internet and so on) in their leisure time. In this study, only the data of the HDT0 and HDT7 were used.
Image acquisition and preprocessing
All data were collected by an experienced radiologist on a 3.0-T Philips Achieva MRI scanner with an 8-channel phased-array head coil in the Radiology Department of the P.L.A. 303 Hospital. Images were acquired using a gradient-echo echo-planar pulse sequence sensitive to blood oxygenation level-dependent (BOLD) contrast [repetition time (TR)/echo time (TE) = 2000/35 ms, flip angle (FA) = 90°, matrix = 96 × 93, field of view (FOV) = 230, thickness = 4 mm, slices = 36 with no gap]. The resting-state fMRI runs lasted 6 min and 40 s, resulting in 200 fMRI time points. Each session had two resting-state fMRI runs. Structural data used a high-resolution multi-echo T1-weighted magnetization-prepared gradient-echo image (TR/TE = 7.6/3.5 ms, flip angle = 8°, FOV = 250, matrix = 512 × 512, slice thickness = 0.6 mm with no gap, and 301 slices). Subjects were instructed to stay awake, keep their eyes closed, and minimize head movement; no other task instruction was provided.
Data were preprocessed using previously described procedures (Zeng et al. 2014) with the statistical parametric mapping software package (SPM8, Welcome Department of Cognitive Neurology, Institute of Neurology, London, UK, http://www.fil.ion.ucl.ac.uk/spm). The first five volumes of each run were discarded to allow for T1-equilibration effects, Then the slicing timing, motion correction, normalization with an EPI template in the Montreal Neurological Institute (MNI) atlas space (3-mm isotropic voxels), spatial smoothing using a 6-mm full-width half-maximum (FWHM) Gaussian kernel, linear detrend and band-pass temporal filtering (0.01–0.08 Hz) were performed. Finally, the nuisance variables including the six parameters obtained by rigid body head motion correction, global signal, ventricular and white matter signals, and the first temporal derivatives of all the above were regressed out.
Default functional connectivity measure
A collection of 19 functional regions of interest (ROIs) was used as default seed regions to define default connectivity (Shirer et al. 2012), including 9 dorsal and 10 ventral default regions (Table 1). Regional time courses were obtained for each session by averaging the BOLD time courses over all voxels in each of the 19 default ROIs. Connectivity has been widely used in the analysis of temporal interactions between cortical regions (Dimitriadis et al. 2015; Seth 2008; Wilmer et al. 2010). We evaluated functional connectivity between each pair of ROIs using Pearson correlation coefficient, and all correlations were then translated to z-values by applying Fisher r-to-z transformation. Thus, we obtained a default connectivity matrix captured by a 19 × 19 symmetric correlation matrix for each session. Finally, the default connectivity matrix for each session was converted to a feature vector containing 171 unique region-to-region connections (19 × 18/2).
Table 1.
ROI name | Side | Brodmann area | MNI coordinates (x, y, z) |
Subsystem |
---|---|---|---|---|
Medial prefrontal cortex | 9, 10, 24, 32, 11 | −3, 49, 14 | Dorsal default | |
Inferior parietal lobule | L | 39 | −48, −68, 35 | Dorsal default |
Superior frontal gyrus | R | 9 | 19, 38, 47 | Dorsal default |
Posterior cingulate cortex | 23, 30 | 1, −53, 28 | Dorsal default | |
Midcingulate cortex | 23 | 2, −15, 36 | Dorsal default | |
Right angular cortex | R | 39 | 50, −64, 32 | Dorsal default |
Thalamus | −1, −8, 4 | Dorsal default | ||
Hippocampus | L | 20, 36, 30 | −24, −29, −13 | Dorsal default |
Hippocampus | R | 20, 36, 30 | 27, −23, −17 | Dorsal default |
Retrosplenial cortex | L | 29, 30, 23 | −12, −58, 15 | Ventral default |
Middle frontal gyrus | L | 8, 6 | −24, 12, 55 | Ventral default |
Parahippocampal gyrus | L | 37, 20 | −28, −37, −15 | Ventral default |
Middle occipital gyrus | L | 19, 39 | −36, −81, 32 | Ventral default |
Retrosplenial cortex | R | 30, 23 | 13, −53, 14 | Ventral default |
Precuneus | 7, 5 | 1, −57, 54 | Ventral default | |
Superior frontal gyrus | R | 9, 8 | 26, 26, 45 | Ventral default |
Parahippocampal gyrus | R | 37, 30 | 28, −33, −19 | Ventral default |
Inferior parietal lobule | R | 39, 19 | 43, −74, 32 | Ventral default |
Cerebellar lobule 9 | R | 15, −46, −53 | Ventral default |
Multivariate pattern classification
First, two-tailed paired t tests were used during training to identify the features that are most distinct between baseline and simulated microgravity. Considering the feature number as a parameter, the optimal number of features with the lowest p values would be obtained when the classifier achieved peak accuracy. Then support vector machines (SVMs) with linear and polynomial (nonlinear) kernel functions combined with locally linear embedding (LLE) were trained and tested based on the features defined as region-to-region connections (Roweis and Saul 2000; Vapnik 1995), respectively. All classification analyses were implemented in MATLAB using the SVM toolbox developed by S. Gunn (http://www.isis.ecs.soton.ac.uk/resources/svminfo/), and the slack parameter C in the SVMs was set as the default value (C = 1). The algorithms were reported with the best parameter settings (The manifold dimensionality in LLE was 32, and the number of nearest neighbors in LLE for linear and polynomial SVMs were 4 and 5, respectively).
Due to the limited number of samples, we used a leave-one-subject-out cross-validation strategy to estimate the generalization ability of the classification algorithms, i.e., the connectivity feature vectors at baseline and with simulated microgravity of a given subject were used as testing data (one subject, two sessions) and the remainder were used as training data (18 subjects, 36 sessions). The performance of a classifier can be quantified using the generalization rate (GR), sensitivity (SS), and specificity (SC) based on the results of cross-validation (Fawcett 2006). Note that the SS represents the proportion of samples correctly predicted with simulated microgravity, while the SC represents the proportion of samples correctly predicted at baseline. The overall proportion of samples correctly predicted is evaluated by the GR. In addition, a receiver operating characteristic (ROC) curve was generated to evaluate the classification performance (Fawcett 2006). A classifier better than random should yield an area under the curve (AUC) greater than 0.5. The flowchart of the classification can be seen in Fig. 1.
To illuminate which default connections most contributed to the classification, consensus connections were defined as the connectivity features appearing in the final feature set of each cross-validation iteration (Dosenbach et al. 2010). To enhance the reliability of the discriminative default connections, we defined the most discriminative default connections as the consensus connections with p value less than 0.05 in paired t tests.
Results
Classification results
The classification results via leave-one-subject-out cross-validation can be seen in Table 2 and Fig. 2. The polynomial SVM classifiers with LLE achieved a peak accuracy of 87.5 % (SS = 90 %, SC = 85 %, AUC = 0.883). Even using linear kernel function, the SVM classifiers could differentiate the brain connectivity states after simulated microgravity from baseline with an accuracy of 85 % (SS = 75 %, SC = 90 %, AUC = 0.820). However, both of the two SVMs (linear and polynomial) achieved accuracies of 70 % without nonlinear dimensionality reduction (LLE).
Table 2.
Algorithm | Training dataset (%) | SS (%) | SC (%) | GR (%) | AUC |
---|---|---|---|---|---|
SVM (linear) | 99.5 | 70 | 70 | 70 | 0.600 |
SVM (polynomial) | 99.9 | 70 | 70 | 70 | 0.625 |
LLE + SVM (linear) | 99.9 | 75 | 95 | 85 | 0.820 |
LLE + SVM (polynomial) | 100 | 90 | 85 | 87.5 | 0.883 |
AUC Area under the receiver operating characteristic (ROC) curve, GR Generalization rate, LLE Local linear embedding, SC Specificity, SS Sensitivity, SVM Support vector machine
To exclude potential confounding effect of scanning interval, we leaved two subjects out in the cross validation, and the one’s HDT0 scanning date is later than the other’s HDT7 scanning date. Then we used the remaining subjects’ data as training data and these two sessions as testing data, discarding two other sessions of the two subjects. In this regard, the date of HDT0 is latter than that of HDT7 in the testing sample, eliminating the scanning interval (in the original analyses, the date of HDT0 is earlier than that of HDT7 in the testing sample). The classification results revealed that both the linear and polynomial SVM classifiers with LLE achieved a peak accuracy of 83.3 % (SS = 88.9 %, SC = 78.8 %, AUC = 0.787), suggesting the confounding effect of scanning interval is limited in the current study.
Most discriminative functional connectivity
The most discriminative default connections were mainly located between the limbic system and cortical areas, as shown in Fig. 3. The left retrosplenial cortex (RSC) exhibited enhanced functional connectivity with the left inferior parietal lobule (IPL, p = 0.023), midcingulate cortex (p = 0.017) and left hippocampus (p = 0.012), and the thalamus showed increased connectivity with the left IPL (p = 0.016) and medial prefrontal cortex (mPFC, p = 0.042) but decreased connectivity with the right IPL (p = 0.039), and the right superior frontal gyrus exhibited increased connectivity with the left IPL (p = 0.026) and middle occipital gyrus (p = 0.044). In addition, the left middle frontal gyrus exhibited enhanced connectivity with the left parahippocampal gyrus (p = 0.028) and midcingulate cortex (p = 0.015).
Discussion
In this study, we used a multivariate pattern analysis approach combining SVM with LLE to distinguish the brain states with simulated microgravity from baseline based on the functional connectivity within the default network, resulting in an accuracy of no less than 85 % via leave-one-subject-out cross-validation. The results suggest that the brain states with simulated microgravity are likely different from that at baseline and that brain connectome could act as a biomarker to indicate the brain state with microgravity.
In this study, it was observed that the SVM classifiers with both linear and polynomial kernel functions could differentiate the brain connectivity states after simulated microgravity from baseline with an accuracy of no less than 85 %, implying the independence of classification performance from the SVM kernel functions to some extent. However, both of the two SVMs (linear and polynomial) achieved accuracies of 70 % without nonlinear dimensionality reduction such as the LLE, suggesting that as a nonlinear manifold learning technique, the LLE is capable of obtaining a low dimensional embedding of the data while preserving the intrinsic data structures and helps to enhance the classification performance. Whatsoever, these results suggest that the brain states after simulated microgravity are indeed likely to be different from baseline and that the default functional connectivity could provide potential evidence for the brain state evaluation within an environment of microgravity.
The DN is believed to support internal mentation (Buckner et al. 2008), and the default-associated abnormalities have been demonstrated in many neuropsychiatric disorders (Garrity et al. 2007; Zeng et al. 2012). In the current study, the default functional connectivity could separate the brain states with simulated microgravity from baseline, suggesting that the microgravity could induce brain connectivity changes within the DN and that the default functional connectivity could be used as an indicator of brain states with microgravity.
In the present study, RSC showed enhanced connectivity with IPL, midcingulate cortex, and hippocampus in HDT period. Recent human functional imaging studies suggest that RSC is one of brain areas underlying spatial navigation (Bar 2004; Epstein 2008; Epstein et al. 2007; Henderson et al. 2007, 2008; Spiers and Maguire 2006; Spreng et al. 2009). Particularly, cooperating with hippocampus, RSC plays an important role in representing the shape of the environment and detecting the geometric relationships, which make it possible to use landmarks to navigate or orient in both novel and familiar environments (Aggleton et al. 2009; Aguirre and D’Esposito 1999; Kosaki et al. 2014; Maguire 2001; Pearce et al. 2004). Additionally, lesion studies have indicated that RSC is engaged in translating and changing spatial frames of reference from translating egocentric intraparietal into allocentric hippocampal multisensory representations of self-location (Burgess et al. 2001; Byrne et al. 2007; Vann and Aggleton 2002, 2004; Vann et al. 2009). In microgravity environment, human’s body is always in inversion or tilted position, egocentric reference frame used on earth is no longer suitable for spatial navigation, an allocentric reference frame is in need. Actually, astronauts do use equipment in the cab as land markers during spaceflight. In this regard, the enhanced connectivity between RSC and hippocampus during HDT period in the present study may reflect a self-adaption process in spatial navigation function corresponding to environment change in microgravity. The thalamus was found to alter functional connectivity with mPFC and IPL in simulated microgravity. As a consensus, thalamus serves as an important center of information integration in brain. The thalamus has extensive connections with frontal regions and basal ganglia structure in anatomy and it modulate behaviors via several different pathways in function (Haber and Calzavara 2009). Additionally, both mPFC and IPL have been proved to engaged in motor control in previous structural and functional imaging studies (Alexander and Brown 2011; Andersen 2011; Borra et al. 2012; Desmurget and Sirigu 2012). Thus the altered connectivity between thalamus and the other two brain areas after HDT may partly account for motor function degeneration happened to astronauts during spaceflight, consistent with our previous studies (Liao et al. 2012).
Superior frontal gyrus and IPL have been testified to work together as part of parietal-frontal pathway which subserve spatial awareness in humans, participating the integration of auditory and visual inputs of spatial information (Bushara et al. 1999; de Schotten et al. 2005). In contrast, Middle occipital gyrus was only found to be sensitive to nonvisual inputs of spatial information (Renier et al. 2010). As visuospatial processing is more complex in microgravity than on earth, the proper processing of nonvisual inputs of spatial information may ease the dilemma in some extent. Comprehensively, the hyperactivity between superior frontal gyrus and those parietal and occipital areas after HDT may reflect the enhancement of auditory-spatial processing, which may serve as a supplement of visual orientation in microgravity environment. Due to the lack of data of auditory-spatial task in the present study, this assumption is still need to be clarified.
Middle frontal gyrus has been proved to be activated when humans represent spatial locations in short-term memory (Leung et al. 2002; Lockhart et al. 2015). Parahippocampal gyrus also plays an important role in spatial information progress, such as processing of the spatial location of objects, processing environmental landmarks and scene and spatial navigation (Aguirre et al. 1996; Owen et al. 1996). The enhanced functional connectivity between middle frontal gyrus and parahippocampal gyrus during HDT period may also reflect a self-adaption or compensatory enhancement process to fulfill the need of complex demand in spatial navigation function during spaceflight. Recent neuroimaging studies suggest that midcingulate cortex has a key role for cognitive aspects of movement generation, i.e., intentional motor control (Hoffstaedter et al. 2014). Increased connectivity between midcingulate cortex and middle frontal gyrus were found during HDT period, perhaps serving as a compensatory process to remission the problem of sensorimotor coordination in microgravity.
There are several limitations in the study. First, a control study should be done to exclude the potential confounding effect of the scanning interval, though we did a control analysis in the current study. Second, some specific neuropsychological tests should be designed and done to test whether there are relevant fine cognitive impairments after simulated microgravity experiment. Finally, the link between the default connectivity changes and cognitive behavioral performance needs to be explored in the future.
Funding
This work was supported by the National Science Foundation of China (61503397, 61420106001, 91420302, 61375111, and 81272174) and National Basic Research Program of China (2013CB329401).
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
Footnotes
Ling-Li Zeng and Yang Liao have contributed equally to this work.
Contributor Information
Xufeng Liu, Email: lllfmmu@fmmu.edu.cn.
Dewen Hu, Email: dwhu@nudt.edu.cn.
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