Neurobiology of osteoarthritis: a systematic review and activation likelihood estimation meta-analysis

Bibliographic Details
Title: Neurobiology of osteoarthritis: a systematic review and activation likelihood estimation meta-analysis
Authors: Michelle Hall, Fiona Dobson, David Murray Klyne, Carmen Jiamin Zheng, Yuri Lopes Lima, Natalia Egorova-Brumley
Source: Scientific Reports, Vol 13, Iss 1, Pp 1-17 (2023)
Publisher Information: Nature Portfolio, 2023.
Publication Year: 2023
Collection: LCC:Medicine
LCC:Science
Subject Terms: Medicine, Science
More Details: Abstract Osteoarthritis (OA) affects 240 million people worldwide. Neuroimaging has been increasingly used to investigate brain changes in OA, however, there is considerable heterogeneity in reported results. The goal of this systematic review and meta-analysis was to synthesise existing literature and identify consistent brain alterations in OA. Six databases were searched from inception up to June, 2022. Full-texts of original human studies were included if they had: (i) neuroimaging data by site of OA (e.g. hand, knee, hip); (ii) data in healthy controls (HC); (iii) > 10 participants. Activation likelihood estimation (ALE) was conducted using GingerALE software on studies that reported peak activation coordinates and sample size. Our search strategy identified 6250 articles. Twenty-eight studies fulfilled the eligibility criteria, of which 18 were included in the meta-analysis. There were no significant differences in brain structure or function between OA and healthy control contrasts. In exploratory analysis, the right insula was associated with OA vs healthy controls, with less activity, connectivity and brain volume in OA. This region was implicated in both knee and hip OA, with an additional cluster in the medial prefrontal cortex observed only in the contrast between healthy controls and the hip OA subgroup, suggesting a possible distinction between the neural correlates of OA subtypes. Despite the limitations associated with heterogeneity and poor study quality, this synthesis identified neurobiological outcomes associated with OA, providing insight for future research. PROSPERO registration number: CRD42021238735.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2045-2322
Relation: https://doaj.org/toc/2045-2322
DOI: 10.1038/s41598-023-39245-9
Access URL: https://doaj.org/article/25c9154bb5064e4b936a2c684fc0f751
Accession Number: edsdoj.25c9154bb5064e4b936a2c684fc0f751
Database: Directory of Open Access Journals
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More Details
ISSN:20452322
DOI:10.1038/s41598-023-39245-9
Published in:Scientific Reports
Language:English