Fibromyalgia & musculoskeletal pain

Interleukin-1 receptor accessory protein expression could link to the insula-default mode network connection and clinical depression in fibromyalgia: a preliminary exploratory study

Clin Exp RheumatolPublished Prospective observational study

Authors' conclusion

IL-1RAP could modulate depression through the AI and PCC connections in FM patients.

Study context

Population
Fibromyalgia (FM) patients assessed clinically, by serum proteomics and brain magnetic resonance imaging (MRI)
Participants
17 patients
Outcome
Associations among serum IL-1RAP expression, AI-DMN functional connectivity and depression (BDI-II scores)
Follow-up
baseline and 1-year follow-up
Methodological detailspreliminary, exploratory, baseline and 1-year follow-up, robust linear regression, ridge regression
  • Preliminary
  • Exploratory
  • Baseline and 1-year follow-up
  • Robust linear regression
  • Ridge regression

Main finding

As reported in the abstract

  • IL-1RAP expression significantly predicted functional connectivity (FC) between bilateral anterior insula (AI) and posterior cingulate cortex (PCC)
  • Right AI-PCC FCs negatively affect BDI-II scores
  • Negative effects of IL-1RAP × right AI-PCC FC interactions significant at baseline but not at 1-year follow-up

Observational data: associations, not effects.

Original publication

Interleukin-1 receptor accessory protein expression could link to the insula-default mode network connection and clinical depression in fibromyalgia: a preliminary exploratory study. Clin Exp Rheumatol. Published 25 August 2025. doi:10.55563/clinexprheumatol/us0q5x

Composed by AI from the published abstract and checked against it. How Briefs are made →

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