Default mode network
In neuroscience, the default mode network (DMN), also default network, or default state network, is a large scale brain network of interacting brain regions known to have activity highly correlated with each other and distinct from other networks in the brain.
|Default mode network|
fMRI scan showing regions of the default mode network
It was initially assumed that the default mode network was most commonly active when a person is not focused on the outside world and the brain is at wakeful rest, such as during daydreaming and mind-wandering. However, it is now known that it can contribute to elements of experience that are related to external task performance  It is also active when the individual is thinking about others, thinking about themselves, remembering the past, and planning for the future. Though the DMN was originally noticed to be deactivated in certain goal-oriented tasks and is sometimes referred to as the task-negative network, it can be active in other goal-oriented tasks such as social working memory or autobiographical tasks. The DMN has been shown to be negatively correlated with other networks in the brain such as attention networks.
Hans Berger, the inventor of the electroencephalogram, was the first to propose the idea that the brain is constantly busy. In a series of papers published in 1929 he showed that the electrical oscillations detected by his device do not cease even when the subject is at rest. However, his ideas were not taken seriously, and a general perception formed among neurologists that only when a focused activity is performed does the brain (or a part of the brain) become active. In the 1950s, to the surprise of the researchers, Louis Sokoloff and his colleagues noticed metabolism in the brain stayed the same when a person went from a resting state to performing effortful math problems suggesting active metabolism in the brain must also be happening during rest. In the 1970s, Ingvar and colleagues observed blood flow in the front part of the brain became the highest when a person is at rest. Around the same time, intrinsic oscillatory behavior in vertebrate neurons was observed in cerebellar Purkinje cells, inferior olivary nucleus and thalamus.
In the 1990s, with the advent of positron emission tomography (PET) scans, researchers began to notice that when a person is involved in perception, language, and attention tasks the same brain areas become less active compared to passive rest, and labeled these areas as becoming “deactivated”.
In 1995, Bharat Biswal, a graduate student at the Medical College of Wisconsin in Milwaukee, discovered that the human sensorimotor system displayed "resting-state connectivity," exhibiting synchronicity in functional magnetic resonance imaging (fMRI) scans while not engaged in any task.  
Later, experiments by neurologist Marcus E. Raichle's lab at Washington University School of Medicine and other groups  showed that the brain's energy consumption is increased by less than 5% of its baseline energy consumption while performing a focused mental task. These experiments showed that the brain is constantly active with a high level of activity even when the person is not engaged in focused mental work. Research thereafter focused on finding the regions responsible for this constant background activity level.
Raichle coined the term "default mode" in 2001 to describe resting state brain function; the concept rapidly became a central theme in neuroscience. Around this time the idea was developed that this network of brain areas is involved in internally directed thoughts and is suspended during specific goal-directed behaviors. In 2003, Greicius and colleagues examined resting state fMRI scans and looked at how correlated different sections in the brain are to each other and found the correlation maps showed the same areas Raichle found active during rest and that others found to deactivated. It was important because it demonstrated a convergence of methods all lead to the same areas being involved in the DMN. Since then other resting state networks (RSNs) have been found, such as visual, auditory, and attention networks, some of them are often anti-correlated with the default mode network.
In the beginning to mid 2000s, researches labeled the default mode network as the task negative network because it was deactivated when participants had to perform tasks. DMN was thought to only be active during passive rest and then turned off during externally focused goal-directed tasks. However, studies have demonstrated the DMN to be active in external goal-directed tasks which is known to involve the DMN such as social working memory or autobiographical tasks.
Around 2007, the number of papers referencing the default mode network have skyrocketed. All years prior to 2007, there were 12 papers published that referenced “default mode network” or “default network” in the title, however, between 2007 and 2014 there were 1384 papers published. One reason for the increase in papers is a result of the robust effect of finding the DMN with resting state scans and ICA. Another reason is the DMN can be measured with a short and effortless resting state scans meaning they can be performed on any population including young children, clinical populations, and nonhuman primates. A third reason is that the role of the DMN has been expanded to more than just a passive brain network.
The default mode network is known to be involved in many seemingly different functions:
It is the neurological basis for the self:
- Autobiographical information: Memories of collection of events and facts about one's self
- Self-reference: Referring to traits and descriptions of one's self
- Emotion of one's self: Reflecting about one's own emotional state
Thinking about others:
- Theory of Mind: Thinking about the thoughts of others and what they might or might not know
- Emotions of other: Understanding the emotions of other people and empathizing with their feelings
- Moral reasoning: Determining just and unjust result of an action
- Social evaluations: Good-bad attitude judgments about social concepts
- Social categories: Reflecting on important social characteristics and status of a group
Remembering the past and thinking about the future:
- Remembering the past: Recalling events that happened in the past
- Imagining the future: Envisioning events that might happen in the future
- Episodic memory: Detailed memory related to specific events in time
- Story comprehension: Understanding and remembering a narrative
The default mode network is active during passive rest and mind-wandering which usually involves thinking about others, thinking about one's self, remembering the past, and envisioning the future rather than the task being performed.  Recent work, however, has challenged a specific mapping between the default mode network and mind-wandering, given that the system is important in maintaining detailed representations of task information during working memory encoding Electrocorticography studies (which involve placing electrodes on the surface of a subject's scalp) have shown the default mode network becomes activated within a fraction of a second after participants finish a task.
Studies have shown that when people watch a movie, listen to a story, or read a story, their DMNs are highly correlated with each other. DMNs are not correlated if the stories are scrambled or are in a language the person does not understand, suggesting that the network is highly involved in the comprehension and the subsequent memory formation of that story. The DMN is shown to even be correlated if the same story is presented to different people in different languages, further suggesting the DMN is truly involved in the comprehension aspect of the story and not the auditory or language aspect.
The default mode network has shown to deactivate during external goal-oriented tasks such as visual attention or cognitive working memory tasks, thus leading some researchers to label the network as the task-negative network. However, when the tasks are external goal-oriented tasks that are known to be a role of the DMN, such as social working memory or an autobiographical task, the DMN is positively activated with the task and correlates with other networks such as the network involved in executive function.
A hitherto unsuspected possibility is that the default network is activated by the immobilization inherent in the testing procedure (the patient is strapped supine on a stretcher and inserted by a narrow tunnel into a massive metallic structure). This procedure creates a sense of entrapment and, not surprisingly, the most commonly reported side-effect is claustrophobia. This alternative view is suggested by a recent article that links theory of mind to immobilization.
The default mode network is an interconnected and anatomically defined set of brain regions. The network can be separated into hubs and subsections:
Functional hubs: Information regarding the self
- Posterior cingulate cortex (PCC) & precuneus: Combines bottom-up (not controlled) attention with information from memory and perception. The ventral (lower) part of PCC activates in all tasks which involve the DMN including those related to the self, related to others, remembering the past, thinking about future, and processing concepts plus spatial navigation. The dorsal (upper) part of PCC involves involuntary awareness and arousal. The precuneus is involved in visual, sensorimotor, and attentional information.
- Medial prefrontal cortex (mPFC): Decisions about self processing such as personal information, autobiographical memories, future goals and events, and decision making regarding those personally very close such as family. The ventral (lower) part is involved in positive emotional information and internally valued reward.
- Angular gyrus: Connects perception, attention, spatial cognition, and action and helps with parts of recall of episodic memories
Dorsal medial subsystem: Thinking about others
- Functional hubs: PCC, mPFC, and angular gyrus
- Dorsal medial prefrontal cortex (dmPFC): Involved in social directed thought such as determining or inferring the purpose of others' actions
- Temporoparietal junction (TPJ): Reflects on beliefs about others, also known as theory of mind
- Lateral temporal cortex: Retrieval of social semantic and conceptual knowledge
- Anterior temporal pole: Abstract conceptual information particularly social in nature
- Functional hubs: PCC, mPFC, and angular gyrus
- Hippocampus (HF+): Formation of new memories as well as remembering the past and imagining the future
- Parahippocampus (PHC): Spatial and scene recognition and simulation
- Retrosplenial cortex (RSC): Spatial navigation
- Posterior inferior parietal lobe (pIPL): Junction of auditory, visual, and somatosensory information and attention
The default mode network is most commonly defined with resting state data by putting a seed in the posterior cingulate cortex and examining which other brain areas most correlate with this area. The DMN can also be defined by the areas deactivated during external directed tasks compared to rest. Independent component analysis (ICA) robustly finds the DMN for individuals and across groups, and has become the standard tool for mapping the default network.
It has been shown that the default mode network exhibits the highest overlap in its structural and functional connectivity, which suggests that the structural architecture of the brain may be built in such a way that this particular network is activated by default. Recent evidence from a population brain-imaging study of 10,000 UK Biobank participants further suggests that each DMN node can be decomposed into subregions with complementary structural and functional properties. It has been a widespread practice in DMN research to treat its constituent nodes to be functionally homogeneous, but the distinction between subnodes within each major DMN node has mostly been neglected. However, the close proximity of subnodes which propagate hippocampal space-time outputs and subnodes that describe the global network architecture may enable default functions, such as autobiographical recall or internally-orientated thinking. 
In the infant brain, there is limited evidence of the default network, but default network connectivity is more consistent in children aged 9–12 years, suggesting that the default network undergoes developmental change.
Functional connectivity analysis in monkeys shows a similar network of regions to the default mode network seen in humans. The PCC is also a key hub in monkeys; however, the mPFC is smaller and less well connected to other brain regions, largely because human's mPFC is much larger and well developed.
Diffusion MRI imaging shows white matter tracts connecting different areas of the DMN together. The structural connections found from diffusion MRI imaging and the functional correlations from resting state fMRI show the highest level of overlap and agreement within the DMN areas. This provides evidence that neurons in the DMN regions are linked to each other through large tracts of axons and this causes activity in these areas to be correlated with one another.
The default mode network has been hypothesized to be relevant to disorders including Alzheimer's disease, autism, schizophrenia, depression, chronic pain, posttraumatic stress disorder and others. In particular, the DMN has also been reported to show overlapping yet distinct neural activity patterns across different mental health conditions, such as when directly comparing attention deficit hyperactivity disorder and autism.
People with Alzheimer's disease show a reduction in glucose (energy use) within the areas of the default mode network. These reductions start off as slight decreases in mild patients and continue to large reductions in severe patients. Surprisingly, disruptions in the DMN begin even before individuals show signs of Alzheimer's disease. Plots of amyloid-beta, which is thought to cause Alzheimer's disease, show the buildup of the protein is within the DMN. This prompted Randy Buckner and colleagues to propose the high metabolic rate from continuous activation of DMN causes more amyloid-beta protein to accumulate in these DMN areas. These amyloid-beta proteins disrupt the DMN and because the DMN is heavily involved in memory formation and retrieval, this disruption leads to the symptoms of Alzheimer's disease.
DMN is thought to be disrupted in individuals with autism spectrum disorder. These individual are impaired in social interaction and communication which are tasks central to this network. Studies have shown worse connections between areas of the DMN in individuals with autism, especially between the mPFC (involved in thinking about the self and others) and the PCC (the central core of the DMN). The more severe the autism, the less connected these areas are to each other. It is not clear if this is a cause or a result of autism.
Lower connectivity between brain regions was found across the default network in people who have experienced long term trauma, such as childhood abuse or neglect, and is associated with dysfunctional attachment patterns. Among people experiencing posttraumatic stress disorder, lower activation was found in the posterior cingulate gyrus compared to controls, and severe PTSD was characterized by lower connectivity within the DMN. Hyperconnectivity of the default network has been linked to rumination in first-episode depression and chronic pain. If the default mode network is altered, this can change the way one perceives events and their social and moral reasoning, thus making a person more susceptible to major depressive-like symptoms.
Multivariate analysis reveals genetic associations of the resting DMN in psychotic bipolar disorder and schizophrenia.
The default mode network (DMN) may be modulated by the following interventions and processes:
- Acupuncture – Deactivation of the limbic brain areas and the DMN. It has been suggested that this is due to the pain response.
- Meditation – Structural changes in areas of the DMN such as the temporoparietal junction, posterior cingulate cortex, and precuneus have been found in meditation practitioners. There is reduced activation and reduced functional connectivity of the DMN in long-term practitioners. Various forms of nondirective meditation, including Transcendental Meditation and Acem Meditation, have been found to activate the DMN.
- Sleeping and resting wakefulness
- Resting wakefulness – Functional connectivity between nodes of the DMN is strong.
- Onset of sleep – Decrease in connectivity between the DMN and the task-positive network.
- Stage N2 of NREM sleep – Decrease in connectivity between the posterior cingulate cortex and medial prefrontal cortex.
- Stage N3 of NREM sleep – Further decrease in connectivity between the PCC and MPFC.
- REM sleep – Possible increase in connectivity between nodes of the DMN.
- Sleep deprivation – Functional connectivity between nodes of the DMN in their resting-state is usually strong, but sleep deprivation results in a decrease in connectivity within the DMN. Recent studies suggest a decrease in connectivity between the DMN and the task-positive network as a result of sleep loss.
- Psychedelic drugs – Reduced blood flow to the PCC and mPFC was observed under the administration of psilocybin. These two areas are considered to be the main nodes of the DMN. One study on the effects of LSD demonstrated that the drug desynchronizes brain activity within the DMN; the activity of the brain regions that constitute the DMN becomes less correlated.
- Deep brain stimulation – Alterations in brain activity with deep brain stimulation may be used to balance resting state networks.
- Psychotherapy – in PTSD, the abnormalities in the default mode network normalize in individuals who respond to psychotherapy interventions.
- Antidepressants – Alterations in DMN connectivity are reduced following treatment with antidepressant medications in PTSD.
Some have argued the brain areas in the default mode network only show up together because of the vascular coupling of large arteries and veins in the brain near these areas, not because these areas are actually functionally connected to each other. Support for this argument comes from studies that show changing in breathing alters oxygen levels in the blood which in turn affects DMN the most. These studies however do not explain why the DMN can also be identified using PET scans by measuring glucose metabolism which is independent of vascular coupling or in electrocorticography studies measuring electrical activity on the surface of the brain.
The idea of a "default network" is not universally accepted. In 2007 the concept of the default mode was criticized as not being useful for understanding brain function, on the grounds that a simpler hypothesis is that a resting brain actually does more processing than a brain doing certain "demanding" tasks, and that there is no special significance to the intrinsic activity of the resting brain.
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