Functional connectivity alterations in Parkinson’s disease during the stop-signal task

Abstract

Although deficits in response inhibition are common in Parkinsons disease (PD), studies on their neural correlates are relatively scarce. In our previous study, medication-naive PD patients showed, among others, lower activation of the inhibition-related bilateral inferior frontal gyrus (IFG) compared with healthy controls while performing the stop-signal task. Here we report on a follow-up study in the same cohort.\n\nFourteen medicated PD patients and 16 healthy controls performed the same stop-signal task during MRI; 3.1{+/-}1.0 years after our previous study. During that time, all PD patients had started to use dopaminergic medication. We analyzed task-related functional activity and connectivity in the bilateral IFG and anterior insula, brain regions that are important response inhibition. Task-related functional connectivity was analyzed with generalized psychophysiological interaction.\n\nPD patients were significantly slower on response initiation (GO reaction time) and response inhibition (stop-signal reaction time) than healthy controls. There were no between-group differences in functional activity. On the other hand, functional connectivity of the IFG and anterior insula was significantly lower in PD compared with healthy controls. Mainly the inferior parietal lobule and dorsolateral prefrontal cortex were less connected with these seed regions.\n\nThese results show that early-stage medicated PD patients show lower task-related functional connectivity but not activity of brain regions that are important for response inhibition; the IFG and anterior insula. We tentatively speculate that the use of dopaminergic medication upheld task-related activity but not connectivity.