Modulation of alpha oscillations in insular cortex reflects the threat of painful stimuli

Pain is a sensory and emotional experience that involves numerous brain areas. Among these areas the insular cortex has been shown to be involved in the expectation and processing of pain. Alpha power modulation has been associated with the experience of pain. The aim of this study was to test the hypothesis that the threat of a painful stimulus affects alpha rhythm oscillation in the insular cortex and to find the time intervals during which the insular cortex is most active. We used a beamforming method in the frequency domain to estimate alpha power associated with source activity during psychologically different conditions, namely a sequence of nonpainful somatosensory stimuli (non-threatening condition) and a sequence of nonpainful stimuli randomly intermixed with painful stimuli (threatening condition). The results revealed that the anterior insula alone was involved during the threat of painful stimuli. Conversely, the posterior insula - as well as other brain areas such as SII - was involved in the processing of somatosensory stimuli regardless their painfulness. Additionally, the involvement of the anterior insula should not be accounted for by fear, arousal, habituation effect or by the occurrence of randomly interleaved different stimuli, but it is likely to be related mainly to expectancy mechanisms enhancing activity of specific neuronal populations.