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Abnormalities in motor-control behavior, which have been with concussion and head acceleration events (HAE), can be quantified using virtual reality (VR) technologies. Motor-control behavior has been consistently mapped to the brain's somatomotor network (SM) using both structural (sMRI) and functional MRI (fMRI). However, no studies habe integrated HAE, motor-control behavior, sMRI and fMRI measures. Here, brain networks important for motor-control were hypothesized to show changes in tractography-based diffusion weighted imaging [difference in fractional anisotropy (dFA)] and resting-state fMRI (rs-fMRI) measures in collegiate American football players across the season, and that these measures would relate to VR-based motor-control. We firther tested if nine inflammation-related miRNAs were associated with behavior-structure-function variables. Using permutation-based mediation and moderation methods, we found that across-season dFA from the SM structural connectome (SM-dFA) mediated the relationship between across-season VR-based Sensory-motor Reactivity (dSR) and rs-fMRI SM fingerprint similarity (p = 0.007 and Teff = 47%). The interaction between dSR and SM-dFA also predicted (pF = 0.036, pbeta3 = 0.058) across-season levels of dmiRNA-30d through permutation-based moderation analysis. These results suggest (1) that motor-control is in a feedback relationship with brain structure and function, (2) behavior-structure-function can be connected to HAE, and (3) behavior-structure might predict molecular biology measures., Comment: 62 pages, 4 figures, 2 tables

Recent research has shown there can be detrimental neurological effects of short- and long-term exposure to contact sports. In the present study, metabolomic profiling was combined with inflammatory miRNA quantification, computational behavior with virtual reality (VR) testing of motor control, and head collision event monitoring to explore trans-omic and collision effects on human behavior across a season of players on a collegiate American football team. We integrated permutation-based statistics with mediation analyses to test complex, directional relationships between miRNAs, metabolites, and VR task performance. Fourteen significant mediations (metabolite = mediator; miRNA = independent variable; VR score = dependent variable) were discovered at preseason (N=6) and across season (N=8) with Sobel p-values less than or equal to 0.05 and with total effects at or exceeding 50%. The majority of mediation findings involved long to medium chain fatty acids (2-HG, 8-HOA, UND, sebacate, suberate, and heptanoate). In parallel, TCA metabolites were found to be significantly decreased at postseason relative to preseason. HAEs were associated with metabolomic measures and miRNA levels across-season. Together, these observations suggest a state of chronic HAE-induced neuroinflammation (as evidence by elevated miRNAs) and mitochondrial dysfunction (as observed by abnormal FAs and TCA metabolites) that together produce subtle changes in neurological function (as observed by impaired motor control behavior). These findings point to a shift in mitochondrial metabolism, away from mitochondria function, consistent with other illnesses classified as mitochondrial disorders, suggesting a plausible mechanism underlying HAEs in contact sports and potential avenue for treatment intervention., Comment: 55 pages, 9 figures, 5 tables

Collision sports athletes experience many head acceleration events (HAEs) per season. The effects of these subconcussive events are largely understudied since HAEs may produce no overt symptoms, and are likely to diffusely manifest across multiple scales of study (e.g., molecular, cellular network, and behavior). This study integrated resting-state fMRI with metabolome, transcriptome and computational virtual reality (VR) behavior measures to assess the effects of exposure to HAEs on players in a collegiate American football team. Permutation-based mediation and moderation analysis was used to investigate relationships between network fingerprint, changes in omic measures and VR metrics over the season. Change in an energy cycle fatty acid, tridecenedioate, moderated the relationship between 1) miR-505 and DMN fingerprint and 2) the relationship between DMN fingerprint and worsening VR Balance measures (all p less than or equal to 0.05). In addition, the similarity in DMN over the season was negatively related to cumulative number of HAEs above 80G, and DMN fingerprint was less similar across the season in athletes relative to age-matched non-athletes. miR-505 was also positively related to average number of HAEs above 25G per session. It is important to note that tridecenedioate has a double bond making it a candidate for ROS scavenging. These findings between a candidate ROS-related metabolite, inflammatory miRNA, altered brain imaging and diminished behavioral performance suggests that impact athletes may experience chronic neuroinflammation. The rigorous permutation-based mediation/moderation may provide a methodology for investigating complex multi-scale biological data within humans alone and thus assist study of other functional brain problems., Comment: 64 pages, 4 figures, 1 table. arXiv admin note: text overlap with arXiv:2006.13264

Transcriptomics, regional cerebral blood flow (rCBF), and a spatial motor virtual reality task were integrated using mediation analysis in a novel demonstration of "imaging omics". Data collected in NCAA Division I football athletes cleared for play before in-season training showed significant relationships in a) elevated levels of miR-30d and miR-92a to elevated putamen rCBF, (b) elevated putamen rCBF to compromised balance scores, and (c) compromised balance scores to elevated miRNA levels. rCBF acted as a mediator variable (minimum 70% mediation, significant Sobel's test) between abnormal miRNA levels and compromised balance scores. Given the involvement of these miRNAs in inflammation and immune function, and that vascular perfusion is a component of the inflammatory response, these findings support a chronic inflammatory model of repetitive head acceleration events (HAEs). rCBF, a systems biology measure, was necessary for miRNA to affect behavior. These results suggest miRNA as a potential diagnostic biomarker for repetitive HAEs., Comment: 32 pages, 2 figures, 5 tables

Multi-site studies are becoming important to increase statistical power, enhance generalizability, and to improve the likelihood of pooling relevant subgroups together activities. Even with harmonized imaging sequences, site-dependent variability can mask the advantages of these multi-site studies. The aim of this study was to assess multi-site reproducibility in resting-state functional connectivity fingerprints, and to improve identifiability of functional connectomes. The individual fingerprinting of functional connectivity profiles is promising due to its potential as a robust neuroimaging biomarker. We evaluated, on two independent multi-site datasets, individual fingerprints in test-retest visit pairs within and across two sites and present a generalized framework based on principal component analysis to improve identifiability. Those components that maximized differential identifiability of a training dataset were used as an orthogonal connectivity basis to reconstruct the functional connectomes of training and validation sets. The optimally reconstructed functional connectomes showed a substantial improvement in individual fingerprinting within and across the two sites relative to the original data. A notable increase in ICC values for functional edges and resting-state networks was also observed. Improvements in identifiability were not found to be affected by global signal regression. Post-hoc analyses assessed the effect of the number of fMRI volumes on identifiability and showed that multi-site differential identifiability was for all cases maximized after optimal reconstruction. The generalizability of the optimal set of orthogonal basis of each dataset was evaluated through a leave-one-out procedure. Overall, results demonstrate that the framework presented in this study systematically improves identifiability in resting-state functional connectomes in multi-site studies., Comment: 28 pages, 11 figures in main text, 5 figures in supplementary