07 diciembre 2014

Entonces ¿el dolor físico y el dolor social utilizan o no los mismos circuitos neurales?

Social Pain, Physical Pain: Different After All?

En un artículo recientemente publicado, un grupo de neurocientíficos informan de que han cambiado de opinión acerca de cómo el cerebro procesa el dolor social. Aquí está el artículo: Separate neural representations for physical pain and social rejection

Los autores son Choong-Wan Woo y sus colegas de la Universidad de Colorado, Boulder
Woo et al. dicen que, en base a un nuevo análisis de los datos de exploración de resonancia magnética funcional del cerebro, han encontrado evidencia inconsistente con la teoría popular de que el cerebro responde al "dolor" de rechazo social utilizando los mismos circuitos que codifica el dolor físico. Más bien, parece que a pesar de que los dos tipos de dolor se involucran en términos generales en las mismas áreas, lo hacen de maneras muy diferentes.

Curiosamente, hace tres años, este mismo grupo de investigadores argumentó que el dolor social y dolor físico se procesan de la misma forma por el cerebro. Eso fue en 2011 con su trabajo muy citado en PNAS:
Social rejection shares somatosensory representations with physical pain. Woo no contribuyó en el nuevo trabajo, pero tanto el anterior primer autor, Kross, como el viejo autor principal, Wager, son autores sobre en el nuevo trabajo.
By Neuroskeptic | December 7, 2014 5:48 am
In a paper just published, a group of neuroscientists report that they’ve changed their minds about how the brain processes social pain. Here’s the paper: Separate neural representations for physical pain and social rejection

The authors are Choong-Wan Woo and colleagues of the University of Colorado, Boulder. Woo et al. say that, based on a new analysis of fMRI brain scanning data, they’ve found evidence inconsistent with the popular theory that the brain responds to the ‘pain’ of social rejection using the same circuitry that encodes physical pain. Rather, it seems that although the two kinds of pain do engage broadly the same areas, they do so in very different ways.
Interestingly, three years ago this same group of researchers argued that social pain and physical pain are processed in the same way by the brain. That was back in 2011 with their highly-cited paper in PNAS: Social rejection shares somatosensory representations with physical pain. Woo didn’t contribute to that paper, but both the old first author, Kross, and the old senior author, Wager, are authors on the new paper.
In fact, the new paper is more or less just a reanalysis of the same fMRI data from the 2011 article, but using different statistical techniques. Here’s how Woo et al. describe their new approach:
Claims about shared representation in the previous studies have been based on findings of overlapping univariate fMRI activity between pain and rejection, which is not anatomically specific enough to bear on the question of whether the underlying neural representations are similar.
Here we used a more fine-grained analysis technique (MVPA) to demonstrate that the overlapping activity arises from distinct neural representations. MVPA is more likely to reflect population codes across neurons…
We demonstrate that multivariate patterns encoding the intensity of pain and rejection are separately modifiable by showing that pain and rejection each influenced distinct, uncorrelated fMRI patterns at the whole-brain level and within ‘pain-processing’ regions… [this] strongly implies the existence of distinct, non-shared neural representations for pain and rejection.
The image below shows the key finding: while both physical pain and rejection activated the same brain areas (S2, dACC etc.), Woo et al. report that the two kinds of stimuli evoke different patterns of activity within those areas.
The authors further show that these different patterns of activity are each associated with an entirely different pattern of connectivity across other brain areas, which I think helps to counter a potential concern about the interpretation of MVPA.
As we’ve seen, this is all a bit of a volte face. The authors discuss their previous claims as follows:
We reported overlapping fMRI activity across pain and rejection within many pain-processing regions, based on univariate analyses. We interpreted these findings in terms of shared representations between pain and rejection. The co-localized representations may still point to important interactions between pain and rejection. However, the current findings at the multivariate pattern level suggest that the representations of pain and rejection are in fact distinct within and across regions.
Woo et al. have shown commendable scientific integrity in being willing to change their minds and update their theory based on new evidence. That sets an excellent example for researchers. But perhaps we should now also credit those who anticipated this: such as the Neurocritic blog in 2012:
Social Pain and Physical Pain Are Not Interchangeable
… Your anterior insula and anterior cingulate cortex might be very busy in both cases, but they’re also activated in many different situations (Yarkoni et al, 2011) … Sure, the affective components of pain might show some overlap with physical pain (Kross et al., 2011), but distinct networks are likely responsible for the unique aspects of these different qualia.
ResearchBlogging.orgWoo CW, Koban L, Kross E, Lindquist MA, Banich MT, Ruzic L, Andrews-Hanna JR, & Wager TD (2014). Separate neural representations for physical pain and social rejection. Nature communications, 5 PMID: 25400102

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