4.7 Article

Probing the role of the right inferior frontal gyrus during Pain-Related empathy processing: Evidence from fMRI and TMS

Journal

HUMAN BRAIN MAPPING
Volume 42, Issue 5, Pages 1518-1531

Publisher

WILEY
DOI: 10.1002/hbm.25310

Keywords

empathy; functional magnetic resonance imaging; pain; repetitive transcranial magnetic stimulation; right inferior frontal gyrus

Funding

  1. National Natural Science Foundation of China [61773092, 61673087, 61773096]
  2. Sichuan Science and Technology Program [2020YFS0230]
  3. Open Project of Sichuan Applied Psychology Research Center from Chengdu Medical College [CSXL-192A09]
  4. Scientific Research of Sichuan Health Commission [19PJ193]

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Recent studies have highlighted the involvement of the right inferior frontal gyrus (rIFG) in pain-related empathy processing. Functional magnetic resonance imaging (fMRI) and repetitive transcranial magnetic stimulation (rTMS) experiments showed strong activation in the rIFG during the perception of pain in others, and disrupting the rIFG led to a significant slowing in pain perception compared to disrupting the vertex. These results provide insight into the brain mechanisms underlying pain-related empathy processing.
Recent studies have suggested that the right inferior frontal gyrus (rIFG) may be involved in pain-related empathy. To verify the role of the rIFG, we performed a functional magnetic resonance imaging (fMRI) experiment to replicate previous research and further designed a noninvasive repetitive transcranial magnetic stimulation (rTMS) experiment to probe the causal role of the rIFG in pain-related empathy processing. We assigned 74 volunteers (37 females) to three groups. Group 1 (n = 26) performed a task in which participants were required to perceive pain in others (task of pain: TP) and we used fMRI to observe the activity of the rIFG during pain-related empathy processing. Then, we applied online rTMS to the rIFG and the vertex site (as reference site) to observe the performance of Group 2 (n = 24; performing TP) and Group 3 (n = 24; performing a control task of identifying body parts; task of body: TB). fMRI experiment demonstrated stronger activation in the rIFG than in the vertex during the perception of pain in others (p < .0001, Bonferroni-corrected). rTMS experiment indicated that when the rIFG was temporarily disrupted, participants perceived pain in others significantly more slowly (p < .0001, Bonferroni-corrected) than when the vertex was disrupted. Our results provide evidence that the rIFG is involved in pain-related empathy processing, which yields insights into how the brain perceives pain in others.

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