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Altered Dorsolateral Prefrontal Activation in Response to Verbal Fluency Task and Whole-Brain Resting-State Functional Connectivity Strength in Acute Carbon Monoxide Poisoning.

Overview

Authors: Jian‐Qing Pan1,2, Qun‐Jun Liang3,4, Ming‐Xing Tang5, Lian Duan6, Qing‐Ping Zhang7
ORCID iDs: Jian‐Qing Pan
  1. Department of Hyperbaric Oxygen Affiliated Nanshan Hospital of Shenzhen University Shenzhen Guangdong China
  2. Department of Hyperbaric Oxygen Shenzhen Nanshan People's Hospital Shenzhen Guangdong China
  3. School of Marxism Guangxi University of Science and Technology Liuzhou Guangxi China
  4. Department of Radiology Shenzhen Nanshan People's Hospital Shenzhen Guangdong China
  5. Department of Otorhinolaryngology Shenzhen Nanshan People's Hospital Shenzhen Guangdong China
  6. Shenzhen Key Laboratory of Affective and Social Neuroscience, Center for Brain Disorders and Cognitive Sciences Shenzhen University Shenzhen Guangdong China
  7. Department of Neurosurgery Affiliated Nanshan Hospital of Shenzhen University Shenzhen Guangdong China
Journal: Brain and behavior, volume 16, issue 6, article e71536
Dates: received 26 August 2025; accepted 26 May 2026; published online 12 June 2026; in print June 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.1002/brb3.71536 · PMID 42287011 · PMCID PMC13263633 · OpenAlex W7164653624
Open access: gold, a free copy (OpenAlex)
Status: code on request
Categories: fMRI (modality), fNIRS (modality), human (organism), systems (subfield)
Methods: Spectral & time-frequency, Statistics, Connectivity, Graphs, Smoothing, state filtering, decompositions
Keywords: carbon monoxide poisoning, dorsolateral prefrontal cortex, functional connectivity change, functional near‐infrared spectroscopy, resting‐state functional connectivity, verbal fluency task
MeSH: Carbon Monoxide Poisoning*, Dorsolateral Prefrontal Cortex*, Adult, Brain, Cognition, Cross-Sectional Studies, Female, Humans, Hyperbaric Oxygenation, Male, Middle Aged, Nerve Net, Prospective Studies, Spectroscopy, Near-Infrared, Verbal Behavior (* major topic)
Topic: Heme Oxygenase-1 and Carbon Monoxide (Molecular Biology, Biochemistry, Genetics and Molecular Biology), according to OpenAlex
Funding: National Natural Science Foundation of China (32500027); Shenzhen Science and Technology Innovation Program (JCYJ20240813114519026, JCYJ20250604175713018, JCYJ20250604175740053); Shenzhen Nanshan District Program (NSZD2024034, NSZD2025010, NS2025008); Municipal Financial Subsidy of Nanshan District Medical Key Discipline Construction Shenzhen Nanshan District
Citations: cited by 1 paper (Europe PMC); 33 references in the paper

Abstract

Objective: The study aims to investigate changes in brain activity during the verbal fluency task (VFT) and resting‐state brain network features in patients with acute carbon monoxide (CO) poisoning using functional near‐infrared spectroscopy (fNIRS). We also explored the relationship between cognitive function and the fNIRS‐derived features of oxyhemoglobin (Oxy‐Hb) concentration curves in the cerebral cortex.

Methods: We first performed a cross‐sectional study in patients with acute CO poisoning and healthy controls between January and December 2024. The fNIRS‐derived features (centroid and mean) of the Oxy‐Hb curve in the frontotemporal cortex during VFT were compared between CO poisoning patients and healthy controls.

The functional connectivity of brain networks in patients with acute CO poisoning during the resting state was also analyzed to identify factors representing network features of the cerebral cortex in patients with acute CO poisoning.

We then performed a prospective cohort study to compare the brain activity changes after the hyperbaric oxygen therapy in patients with acute CO poisoning.

Results: The study included 29 patients with CO poisoning and 28 healthy controls. During the VFT, the centroid of the Oxy‐Hb curve in Brodmann area 46 was significantly lower in CO poisoning patients compared to the healthy controls (p < 0.01). The centroid and mean values of Brodmann area 46 exhibited a significant positive correlation with Mini‐Mental State Examination scores, while the mean value was positively correlated with VFT scores. Mean values in Brodmann areas 11 and 38 were significantly lower in CO poisoning patients (both p < 0.05). The average whole‐brain resting‐state functional connectivity strength (FCS) was significantly lower in CO poisoning patients compared to healthy controls (p < 0.05), with significant differences in FCS observed in 39 pairs of channels (p < 0.01). Twenty sessions of hyperbaric oxygen therapy resulted in improved FCS (p < 0.01) and centroid values for the Oxy‐Hb curve in the left dorsolateral prefrontal cortex during the VFT (p < 0.05).

Conclusions: The centroid values of the Oxy‐Hb curve in the left dorsolateral prefrontal cortex during the VFT, along with the average whole‐brain resting‐state FCS, potentially could serve as characteristic indicators of brain function in patients with acute CO poisoning.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

The paper says that its authors' code is available on request: it was not published with the paper, so there is nothing to verify.

The paper's code and data availability statement is in the Data section.

Tracing map

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Data

No dataset and no data link were found in the paper.

Data Availability Statement

The dataset and codes are available upon reasonable request to the corresponding author.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

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Version 1, 27 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 5 authors, 6 keywords, 15 MeSH terms, 4 funders, 33 references.

Cite

This paper

Pan, J., Liang, Q., Tang, M., Duan, L., & Zhang, Q. (2026). Altered Dorsolateral Prefrontal Activation in Response to Verbal Fluency Task and Whole-Brain Resting-State Functional Connectivity Strength in Acute Carbon Monoxide Poisoning. Brain and behavior, 16(6), e71536. https://doi.org/10.1002/brb3.71536

BibTeX

@article{pan2026altered,
author = {Pan, Jian‐Qing and Liang, Qun‐Jun and Tang, Ming‐Xing and Duan, Lian and Zhang, Qing‐Ping},
title = {{Altered Dorsolateral Prefrontal Activation in Response to Verbal Fluency Task and Whole-Brain Resting-State Functional Connectivity Strength in Acute Carbon Monoxide Poisoning}},
journal = {Brain and behavior},
year = {2026},
month = jun,
volume = {16},
number = {6},
pages = {e71536},
publisher = {Wiley},
issn = {2162-3279},
doi = {10.1002/brb3.71536},
url = {https://doi.org/10.1002/brb3.71536},
pmid = {42287011},
pmcid = {PMC13263633}
}

RIS

TY - JOUR
AU - Pan, Jian‐Qing
AU - Liang, Qun‐Jun
AU - Tang, Ming‐Xing
AU - Duan, Lian
AU - Zhang, Qing‐Ping
TI - Altered Dorsolateral Prefrontal Activation in Response to Verbal Fluency Task and Whole-Brain Resting-State Functional Connectivity Strength in Acute Carbon Monoxide Poisoning
T2 - Brain and behavior
J2 - Brain Behav
PY - 2026
DA - 2026/06/01
VL - 16
IS - 6
SP - e71536
SN - 2162-3279
PB - Wiley
DO - 10.1002/brb3.71536
UR - https://doi.org/10.1002/brb3.71536
LA - en
ER -

CSL-JSON

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