Abstract

Touch has been always regarded as a powerful communication channel playing a key role in governing our emotional wellbeing and possibly perception of self. Several studies demonstrated that the stimulation of C-tactile afferent fibers, essential neuroanatomical elements of affective touch, activates specific brain areas and the activation pattern is influenced by subject’s attention. However, no research has investigated how the cognitive status of who is administering the touch produces changes in brain functional connectivity of touched subjects. In this functional magnetic resonance imaging (fMRI) study, we investigated brain connectivity while subjects were receiving a static touch by an operator engaged in either a tactile attention or auditory attention task. This randomized-controlled single-blinded study enrolled 40 healthy right-handed adults and randomly assigned to either the operator tactile attention (OTA) or the operator auditory attention (OAA) group. During the five fMRI resting-state runs, the touch was delivered while the operator focused his attention either: (i) on the tactile perception from his hands (OTA group); or (ii) on a repeated auditory stimulus (OAA group). Functional connectivity analysis revealed that prolonged sustained static touch applied by an operator engaged with focused tactile attention produced a significant increase of anticorrelation between posterior cingulate cortex (PCC-seed) and right insula (INS) as well as right inferior-frontal gyrus but these functional connectivity changes are markedly different only after 15 min of touching across the OTA and OAA conditions. Interestingly, data also showed anticorrelation between PCC and left INS with a distinct pattern over time. Indeed, the PCC-left INS anticorrelation is showed to start and end earlier compared to that of PCC-right INS. Taken together, the results of this study showed that if a particular cognitive status of the operator is sustained over time, it is able to elicit significant effects on the subjects’ functional connectivity patterns involving cortical areas processing the interoceptive and attentional value of touch.

Highlights

  • Touch is a critical communication channel across lifespan

  • Seed-based resting state connectivity maps were created for individual subjects calculating the Pearson correlation coefficient (r-value) between the Posterior Cingulate Cortex (PCC) time series and the time series at each voxel

  • Considering the selected regions of interest (ROI), the results of the multivariate modeling (MVM) analyses performed on these values are shown in Table 1 and Figure 2

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Summary

INTRODUCTION

Touch is a critical communication channel across lifespan. The sense of touch is divided into two major categories: proprioceptive and interoceptive (affective), activated by distinct mechanisms with cerebral correlates in somatosensory and insular cortex, respectively (Olausson et al, 2002; McGlone et al, 2012). Neuroimaging studies in neuronopathy patients who have lost all ‘‘fast’’ 1st touch nerves, and healthy controls, showed that gentle stroking touch (later referred as affective touch, see McGlone et al, 2014) applied to hairy skin, but not palmar skin, reliably produces activation in the insular (interoceptive cortex) and orbitofrontal cortex (reward) as opposed to primary somatosensory cortex (Olausson et al, 2002; McGlone et al, 2012). Different tactile attention tasks performed by subjects receiving the touching seem to alter the perception of touch and its brain representation, with observed effects in the default mode network (DMN) and its anticorrelated areas such as the insular cortex (Gallace and Spence, 2014). In particular we compared the effect of the two attention states of the operator on subjects brain connectivity, investigating DMN and its anticorrelated areas

MATERIALS AND METHODS
RESULTS
Postscan Ratings Results
Whole Brain Results
DISCUSSION
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