Abstract
Exploring the brain’s complex interaction mechanisms is vital for understanding its functions. Traditional network models typically simplify brain region interactions into pairwise connections. However, such interactions may be significantly modulated by a third brain region. Given the widespread connections among numerous regions at the whole-brain scale, constructing an accurate model of brain triple-region interactions is challenging. Here, we develop an independent component-driven mediation brain network model that captures triple-region mediation relationships while controlling extraneous influences. Our results reveal an inverted U-shaped relationship between mediated strength and degree strength, indicating distinct mediation patterns in dense and sparse connected regions. Furthermore, the primary sensory and attention modules exhibit functional hierarchical differentiation: areas responsible for primary information processing belong to the super mediation set, while regions involved in higher-order cognitive functions belong to the super mediated set. These results emphasize the distinct influences of different mediation patterns on the cognitive capabilities of the brain.
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Introduction
The brain is not merely a collection of isolated structures, but rather operates as a complex and highly interconnected network system. Within this system, specialized brain regions dynamically interact and collaborate to execute complex cognitive, emotional, and sensorimotor tasks1. For example, the visual cortex works in concert with the temporal lobe to interpret visual information2, whereas the motor cortex coordinates with the cerebellum to control precise movements3. Furthermore, the brain undergoes a gradual change from localized regions to distributed modules during development, ultimately enhancing its capacity for collaboration among diverse modules4. This intricate network organization underscores the brain’s ability to integrate information across specialized regions or modules, enabling efficient and adaptive functioning5. Consequently, understanding the brain as an interconnected network system is critical in unraveling the neural basis of human functions.
With the advancement of modern neuroimaging techniques, resting-state functional magnetic resonance imaging (fMRI) offers a comprehensive and non-invasive means to explore the organization of the human brain’s functional network. It enables the measurement of neural activity interaction between remote brain regions using blood oxygen level-dependent (BOLD) signals6, thereby allowing for the examination of functional connectivity (FC) on a whole-brain scale. Utilizing diverse statistical dependencies, including correlation7, coherence8, and Granger causality9, of the BOLD time series, a large number of researchers have computed the pairwise interactions between brain regions. However, it has been revealed that the brain exhibits not only binary interactions but also extensive interactions among multiple brain regions10,11. For example, the parahippocampal gyrus acts as a bridge connecting the hippocampus and the posterior cingulate cortex12, while FC within the thalamus-amygdala pathway is modulated by the prefrontal lobe during fear perception13. These studies emphasize that the information transfer between two brain regions may involve the participation or influence of a third brain region14. Therefore, shifting our focus from pairwise to multivariate interactions can provide deeper insights into the complex dynamics of brain networks.
Various methodologies have been utilized to analyze multivariate relationships, with mediation analysis emerging as a particularly effective tool15,16,17,18. This technique is indispensable for investigating the impact of one variable on an outcome, which is partially or fully mediated by another variable19. Numerous studies have investigated mediation analysis to assess multivariate relationships in brain networks20,21,22. For example, Kim et al. explored the information flow patterns within the triple network by utilizing the mean BOLD signals from the default-mode, central executive, and salience networks in mindfulness23. Chen et al. extended mediation analysis to high-dimensional levels, treating the entire brain network as a single composite mediator variable to explore the neural characteristics mediating behavioral symptoms and psychotic episodes24. Nevertheless, the above studies are limited to analyzing interactions in small-scale scenarios involving only three variables. Indeed, the human brain possesses an extremely complex structure, typically comprising hundreds of distinct regions25,26. There exists a lack of network models that measure mediation relationships among large-scale regions. Moreover, the brain regions exchange and transmit information with a large number of others to varying degrees27,28. It is not feasible to simply assume that the interactions between the currently analyzed three brain regions are completely independent of the influence exerted by other brain regions within the network model29. Thus, developing a network model that can capture the multifaceted relationships among brain regions and effectively remove potential interference from other brain regions remains a significant challenge.
In this study, we design an ICMN model to characterize multiple interactions of resting-state brain fMRI data. The model explores how the interaction between any two brain regions is modulated by another region, while eliminating the influence of the remaining regions across the whole brain. To further characterize individual brain mediation network differences, we introduce several mediation parameters, including the mediation ability (MA) and mediated strength (MS). Finally, the underlying mechanisms of brain mediation networks are explored by gradient and cognitive correlation analysis. Our findings will contribute to a deeper understanding of triple-wise interactions among brain regions and the higher-order organization of intrinsic human brain networks.
Results
We constructed whole-brain ICMN from fMRI data through three key steps (Fig. 1a–c). First, we extracted time series from N brain regions using a standard template25 (Fig. 1a). The resulting N × N × N matrix quantified mediation effects (M’s influence on X–Y connection) as the ratio of indirect (a*b) to total effects (c), where a and b represent X → M and M → Y path coefficients, respectively. To control for remaining regions’ influences, we applied independent component analysis (ICA) to reduce regional time series to 20 components for mediation calculations in simulated data and real data from Human Connectome Project (HCP) dataset (Fig. 1b). For the selection of 20 components, we conducted a systematic quantitative assessment of the range from 5 to 70 components (with a step size of 5) by analyzing the contribution rate of independent components to the reconstruction of the original signal. We found that when the number exceeded 20, the growth rate of the contribution rate slowed significantly. The specific calculation methods and results are detailed in the Supplementary Methods and Supplementary Fig. 1. Additionally, the results for 10 and 30 components are also presented in the Supplementary Figs. 2–15. The validation results for the Chinese Human Connectome Project (CHCP) dataset are presented in the Supplementary Figs. 16–18.
a The fMRI brain data, which was parcellated into BOLD signals of N regions. b The fundamental principle guiding the construction of the brain ICMN. c The formula employed for computing average mediated matrix (AMM), MA, and MS. d A comprehensive analysis of these metrics, including gradient analysis, module analysis, and key node analysis. The gradient analysis evaluated the gradient of AMM and the functional connectivity (FC) matrix. Furthermore, correlations between MA/MS and the gradient of the FC matrix are calculated. The module analysis assessed the average value of the metrics for the nodes within each module. The key node analysis identified the super mediation ability set (super-MAs, highlighted in blue) and the super mediated set node (super-MSs, highlighted in red).
Based on the N × N × N-connected mediation network, we further calculated three metrics, including average mediated matrix (AMM), MA, and MS (Fig. 1c). In the connection level, AMM reflects the average degree of mediation in communication between node pairs by all other mediator nodes. At the regional level, MA quantifies a node’s average capacity to facilitate communication as a mediator. MS measures a node’s average strength of mediation when it communicates with other nodes through mediator nodes. Subsequently, we conducted further analyses of these metrics, including gradient analysis, module analysis, and key node of super mediation ability set (super-MAs) and super mediated strength set (super-MSs) analysis (Fig. 1d).
Simulation study results
To verify the performance of ICMN in capturing the mediation patterns in modules with different connection strengths, we created a simulated brain network structure with 400 regions organized into 8 network communities (2 hub and 6 non-hub modules), and generated simulated BOLD time series. Based on these time series, we constructed ICMN and computed mediation metrics, including the AMM, MA, and MS. Additionally, the simulated FC matrix was estimated to compare the ICMN with traditional functional connectivity patterns (Fig. 2a). At the connection level, we found a significant negative correlation between AMM and FC matrix (Spearman correlation, r = −0.649, p < 0.001) (Fig. 2d), indicating less mediation in tightly functionally connected regions. In the regional level, we found the MA and MS distributions varied across modules, particularly the hub module exhibited higher MA (Fig. 2b, c). Furthermore, we investigated the correlations between MA/MS and FC topology metrics. As shown in Fig. 2e, f, the degree strength showed positive correlations with MA (R2 = 0.963, p < 0.001), while showing inverted U-shaped correlations with MS (R2 = 0.803, p < 0.001). At the module level, the MA of each module showed a significant positive correlation with degree strength. The MS and degree strength of two hub modules were significantly negatively correlated, while four non-hub modules were significantly positively correlated (Fig. 2g). Detailed statistical values are presented in the Supplementary Tables 1 and 2.
The simulated (a) FC and (d) AMM of 400 brain regions, including 2 hub networks and 6 non-hub networks. The color bars represent the value of FC and AMM, respectively, with darker colors indicating greater intensity. The b MA and c MS of each brain module. The error bars in box plots represent the standard deviation. The black dashed line represents the mean values of MA/MS for all modules. Red * represents significantly higher than the mean, and blue * represents significantly lower. The sample size of virtual subjects is 30. e, f The correlations between MA/MS with FC degree strength at the whole-brain level. g The correlations of MA/MS with FC degree strength at the module level. Different colors in the diagram correspond to different modules. The correlation analysis is based on data from 400 brain regions averaged from the subjects. *p < 0.05, **p < 0.01, and ***p < 0.001.
Brain mediation network metrics at the whole-brain level
Based on the exploration of mediation patterns in simulated time series, we further applied ICMN to real BOLD time series. We found that AMM was highly negatively correlated with FC matrix (Spearman correlation, r = −0.478, p < 0.001) (Fig. 3a, b). The results of the MA showed strong values in the primary visual, somatosensory, and motor cortex (Fig. 3c). In addition, the results of the MS showed strong values in the secondary visual, secondary motor, insular, and cingulate cortex (Fig. 3d).
Correlations between MA/MS and FC topological metrics at the whole-brain level
We also assessed the correlations between MA/MS and FC topological metrics, including nodal degree strength (Fig. 4a), global efficiency (Fig. 4b), and local efficiency (Fig. 4c). The AIC assessment revealed quadratic correlations between these variables (Fig. 4d–f). In particular, both degree strength (R2 = 0.986, p < 0.001) and global efficiency (R2 = 0.951, p < 0.001) showed positive correlations with MA, while local efficiency exhibited an inverted U-shaped pattern (R2 = 0.813, p < 0.001) with MA. Conversely, both degree strength (R2 = 0.336, p < 0.001) and global efficiency (R2 = 0.130, p < 0.001) showed inverted U-shaped correlations with MS, while local efficiency demonstrated a positive correlation with MS (R2 = 0.083, p < 0.001).
The spatial distribution map of a degree strength, b global efficiency, and c local efficiency. The color bars represent the value of FC topological metrics, with darker colors indicating greater intensity. Correlations between MA/MS and FC topological properties, including d degree strength, e global efficiency, and f local efficiency. The correlation analysis is based on data from 360 brain regions averaged from the subjects. *p < 0.05, **p < 0.01, and ***p < 0.001.
Correlations between functional gradients and mediation network metrics at the whole-brain level
In order to analyze the functional organization pattern of brain networks, we computed the primary gradient of the group-averaged FC matrix (Fig. 5a) and AMM, respectively. Furthermore, we investigated the relationship between them and found that they were significantly negatively correlated (Spearman correlation, r = −0.534, p < 0.001) (Fig. 5b). Additionally, both the MA (Spearman correlation, r = −0.570, p < 0.001) (Fig. 5c) and MS (Spearman correlation, r = −0.862, p < 0.001) (Fig. 5d) demonstrated significant negative correlations with FC gradient.
The primary gradient of the a group-averaged FC matrix and b AMM. The color bars represent gradient values from negative (blue) to positive (red), with white corresponding to zero. c, d The correlations between MA/MS with the primary gradient of the FC matrix, respectively. The correlation analysis is based on data from 360 brain regions averaged from the subjects. *p < 0.05, **p < 0.01, and ***p < 0.001.
Brain mediation network metrics at the module level
We then map the mediation metrics to seven functional modules, including visual (Vis), somatomotor (SM), dorsal attention (DA), ventral attention (VA), frontoparietal (FP), limbic (Lim), and default mode (DM) modules. FC matrix and AMM of these seven functional modules were calculated (Fig. 6a, b). In the module analysis of MA and MS, we found that Vis, SM and DA exhibited significantly higher MA than the average value, while FP, Lim, and DM exhibited significantly lower MA than the average value (Fig. 6c). However, no significant differences were found between module MS and the average value (Fig. 6d). Detailed statistical values are presented in the Supplementary Table 3.
The a FC matrix and b AMM in seven functional modules. The color bars represent the value of FC and AMM, respectively, with darker colors indicating greater intensity. The c MA and d MS of seven functional modules. The black line in the violin diagram represents the mean values of MA/MS for all modules. The error bars in box plots represent the standard deviation. Red * represents significantly higher than the mean, and blue * represents significantly lower. The sample size of subjects is 200. * < 0.05, **p < 0.01, and ***p < 0.001.
Correlations between MA/MS and FC topological metrics at the module level
The degree strength, global efficiency, and local efficiency of seven modules are shown in Fig. 7a–c. We found that the MA exhibited significant positive correlations with both degree strength and global efficiency in all modules. The MS exhibited significant negative correlations with both degree and global efficiency in Vis and SM modules, and significant positive correlations with degree strength in Lim and DM modules (Fig. 7d, e). For local efficiency, the MA exhibited an inverted U-shaped relationship with local efficiency in most modules, except for the Lim module, where they were positively correlated. Additionally, the MS was positively correlated with local efficiency in the Vis, SM, and DA modules (Fig. 7f). Detailed statistical values are presented in the Supplementary Tables 4–7.
The FC topological properties, including a degree strength, b global efficiency, and c local efficiency of seven functional modules. The black line in the violin diagram represents the mean values of FC topological metrics for all modules. Red * represents significantly higher than the mean, and blue * represents significantly lower. The sample size of subjects is 200. d–f The relationship between MA/MS and FC topological properties of seven functional modules, respectively. The correlation analysis is based on data from distinct functional modules averaged from the subjects. *p < 0.05, **p < 0.01, and ***p < 0.001.
Correlations between functional gradients and mediation network metrics at the module level
We then map the gradient of FC and AMM to seven functional modules (Fig. 8a, b). We found significant negative correlations between the FC and AMM gradient scores in the Vis, SM, DA, and DM modules. Additionally, a significant negative correlation was found between the MA of the DA module and FC gradient, and significant negative correlations were found between the FC gradient and MS in the DA, VA, FP, Lim, and DM modules (Fig. 8c). Detailed statistical values are presented in Supplementary Tables 8 and 9.
The primary gradient scores of the a FC matrix b AMM of seven functional modules. c The relationship between MA/MS with the primary gradient of the FC matrix of seven functional modules. The correlation analysis is based on data from distinct functional modules averaged from the subjects. *p < 0.05, **p < 0.01, and ***p < 0.001.
The distribution of super-MAs and super-MSs
Using k-means clustering, we categorized MA and MS into three clusters, respectively, identifying super-MAs and super-MSs with the highest values. We found the super-MAs were mainly located in the primary visual cortex of Vis, the central anterior and posterior gyrus of SM, and the inferior parietal lobular portion of VA. Additionally, the superior parietal lobule and temporo-parieto-occipital junction cortex belonging to the DA were also identified as super-MAs (Fig. 9a). The super-MSs were located mainly in the secondary visual area of Vis, posterior insular cortex, and paracentral lobule of SM, posterior inferotemporal gyrus of DA, as well as the part of VA including anterior insular cortex and mid cingulate gyrus. The hippocampal parahippocampal gyrus, which is part of the Lim module, was also classified as the super-MSs (Fig. 9b). Then, the correlations between the values of super-MAs/super-MSs and cognitive functions were established. Significant correlations found: super-MAs values with self-regulation (Spearman correlation, r = 0.175, p = 0.018) (Fig. 9c), and super-MSs values with episodic memory (Spearman correlation, r = 0.152, p = 0.040) (Fig. 9d). The results regarding the associations between super-MAs/super-MSs and additional cognitive tasks are available in the Supplementary Tables 10 and 11.
Cognition prediction capability by super-MAs and super-MSs values
We utilized an advanced connectome-based predictive modeling (CPM) approach to assess the predictive capability of super-MAs and super-MSs values for cognitive functions, respectively. Model performance was evaluated using Spearman correlation on predicted and actual behavior scores. As shown in Table 1, the prediction model based on super-MAs and super-MSs values can well predict cognitive scales.
Discussion
We developed a network model, named the brain independent component mediation network (ICMN), to quantify the multivariate relationships of large-scale fMRI time series data. This mediation network is capable of measuring the information transmission among any three regions, while eliminating the influence of other brain regions. These preliminary discoveries emphasize the significance of multivariate interactions within brain networks and further propel our understanding of human brain functions.
Applying ICMN to both simulated and real fMRI data, we quantified mediation network metrics, including AMM at the connection level and MA/MS at the regional level, followed by an investigation of their associations with conventional FC measures. Specifically, AMM reflected the average mediated influence between regions, showing weaker within-module than between-module mediation and a negative correlation with the FC matrix. This suggests that strongly connected regions rely less on indirect mediation for information transfer30. MA represented a region’s capacity to facilitate communication as a mediator, was higher in hub modules and positively correlated with degree strength at both whole-brain and module levels, reinforcing their role in network-wide integration31. Conversely, MS, which captures a region’s dependence on mediated pathways, exhibited an inverted U-shaped relationship with degree strength at the whole-brain level. In the further module-level analyses, we observed densely connected hub modules of simulated data (Vis and SM of real fMRI data) displayed a negative correlation with degree strength, which was consistent with the negative correlation between AMM and FC matrix in dense connected hub modules. However, sparsely connected non-hubs modules of simulated data (Lim and DM of real fMRI data) trended toward increased MS with higher degree strength, suggesting greater reliance on indirect mediation when direct connections are insufficient. We speculate that, in the sparsely connected module, when the direct connection between two regions is not strong enough to maintain the normal communication requirements, the information transfer mediated by other regions may be performed more often32. Therefore, increased MS offers numerous opportunities for communication, thereby increasing the degree strength33.
These findings were further supported by real brain network efficiency analyses. MA correlated positively with global efficiency at both whole-brain and module levels. Global efficiency is calculated as the inverse average of the shortest path lengths in the network. High global efficiency means that information can be transmitted efficiently through shorter paths in the network34,35. This suggests that regions with high MA possess robust information processing capabilities, pivotal for brain-wide information integration. While MS exhibited an inverted U-shaped association with global efficiency, with dense modules (including Vis and SM) showing reduced efficiency at high MS and sparse modules (including Lim and DM) increased efficiency at high MS. In densely connected modules, nodes preferentially form direct connections, resulting in lower MS values, shorter path lengths, and faster transmission efficiency36. In contrast, sparsely connected modules exhibited longer path lengths, suggesting mediated pathways may partially compensate for weaker direct connectivity by facilitating alternative information routes. Furthermore, we observed an inverted U-shaped correlation between MA and local efficiency, indicating that local efficiency peaks at an optimal MA level. Local efficiency reflects the brain’s capacity for localized information processing and resilience to small-scale disruptions34,35. When MA exceeds a threshold, excessive coordination may lead to information overload, reducing the brain’s resilience. Additionally, MS and local efficiency showed a positive correlation. This implies that more indirect connectivity pathways mediated by other nodes may facilitate decentralized storage and processing of information10,37. This enhances the brain’s fault-tolerance and adaptability, resulting in higher local efficiency.
To investigate the patterns of brain organization reflected by the mediation network, we utilized the diffusion mapping to explore the gradient of AMM. Gradients help reduce dimensionality of brain connectivity data and capture continuous changes in brain spatial distribution structure38,39. Prior FC gradients showed direct connectivity strength changes, revealing specific functional separations formed by the spatial structural arrangement of different brain regions40,41. The AMM measures the degree to which communication between two brain regions is mediated by other nodes, reflecting to some extent the indirect connectivity strength between these two brain regions. Thus, we calculated the AMM gradient to reflect continuous changes in indirect pathway connectivity. The principal gradient of AMM decreases from unimodal sensorimotor to transmodal association areas, aligning with the FC gradient. This suggests the topography of indirect connections is also not randomly distributed, but rather spatially organized along the gradient axis from unimodal to transmodal areas. Compared with the primary sensory modules, higher-order cognitive modules exhibit the most different patterns of indirect connectivity42. These findings provide complementary insights into the hierarchical organization of brain networks beyond direct connectivity measures.
To reveal the mediation network patterns of different modules, we computed the MA and MS of each module separately. The results showed that higher MA was found in the Vis, SM, and DA modules. MA represents the strength of a node’s role in controlling the connectivity pathways within a brain network. A higher MA in a brain region means stronger connections to other regions. The result validated the conclusion that the primary sensory modules exhibit more direct and short-range connections37,43,44,45. In contrast, the FP, Lim, and DM modules show limited MA. The connections of these higher-order cognitive modules to other brain regions are relatively sparse or indirect, allowing the brain to integrate information in a more flexible manner37,43,44,45. For example, upon receiving preliminary sensory stimuli, the DA module selectively adjusts the intensity and direction of attention46,47. This feedback can directly act on primary perception modules to rapidly optimize the capture and processing of critical information48 or involve advanced cognitive modules to complete more complex responses or decision-making processes49. This mechanism significantly enhances the efficiency of the interaction between the primary sensory module and the DA module50, both of which play an indispensable mediation role in the information processing process. However, the mediation role played by higher-order cognitive modules in transmitting sensory information to higher-level cognitive processing stages is more indirect and complex51.
We further identified brain regions with the highest MA/MS values as super-MAs/super-MSs to examine their roles in information processing. Notably, the Vis, SM, DA, and VA modules exhibited the existence of both super-MAs and super-MSs, in which the distribution of super-MAs is very similar to the hub nodes in FC networks31,44,52. We speculate that the existence of both super-MAs and super-MSs within a module reflects the collaboration and balance of brain function in hierarchical information processing. For instance, in the Vis module, the super-MAs are primarily distributed in the primary visual cortex. As a hub node, it exhibits extensive connections both within and outside the module, responsible for the rapid and efficient transmission and integration of visual information53,54. In contrast, the super-MS is located in the secondary visual cortex. These regions may engage in higher-order visual processing, such as shape recognition, through interactions mediated by the primary cortex, contributing to balanced information transmission55,56,57. Similarly, in the SM module, the motor and somatosensory cortices serve as super-MAs, directly participating in motor command output and sensory feedback58. Meanwhile, the posterior insular cortex and paracentral lobule function as super-MSs, achieving complex motor sequence planning and fine tactile information processing through interactions mediated by the primary cortex59. The DA and VA modules also exhibit similar differentiation: the super-MAs (including parietal cortex, temporo-parieto-occipital junction) are responsible for spatial attention orientation and visual guidance46,60. The super-MSs (including fusiform gyrus, anterior insular cortex, and mid-cingulate cortex) may accomplish spatial relationship representation and emotional stimulus attention regulation through interactions with mediator nodes61,62. In contrast, advanced cognitive modules (including FP, Lim, DM), which rely on distributed, non-hierarchical information integration, show weaker differentiation between mediation and mediated roles among their nodes, reflecting the complex nature of advanced cognitive functions45.
Our analysis revealed significant relationships between brain mediation patterns and cognitive functions, with super-MA values showing positive correlation with self-regulation and super-MS values correlating with episodic memory performance. The self-regulation association primarily involves perceptual and attentional regions, where perceptual areas provide essential external information input63 while attentional modules guide focus and behavioral adjustment64, working synergistically to maintain adaptive responses to environmental demands65. For episodic memory, the super-MS related regions included the hippocampus for memory consolidation66, cingulate gyrus supporting retrieval processes67, and insula integrating emotional components66 - together enabling the formation of rich, contextual memories68,69. Importantly, both super-MA and super-MS measures demonstrated predictive value for higher cognitive functions, including emotion regulation and fluid intelligence, establishing brain mediation networks as an effective framework for investigating how indirect neural interactions support diverse cognitive processes. These findings collectively highlight the functional significance of mediated information transfer pathways in cognition, with distinct mediation patterns contributing differentially to self-regulatory and memory systems while both serving as reliable markers of cognitive information processing capacity.
The current study has several limitations that warrant consideration. First, although the cognitive prediction model based on brain super-mediation and mediated sets demonstrates statistical significance, the results are limited to resting-state data and underlying neural mechanisms need further validation. Subsequent investigations should incorporate task-based fMRI to systematically compare the similarities and differences in network characteristics between resting and task states, as well as their associations with cognitive functions. Second, while the linear mediation framework employed in the ICMN model aligns with current mainstream brain network analysis methods and offers computational efficiency advantages20,21,23,24, it may not fully capture the nonlinear dynamic properties of the brain. Future work should focus on developing nonlinear mediation analysis algorithms that better reflect neurobiological characteristics70,71,72. Finally, the current model only examines mediation relationships among three brain regions, without addressing more complex higher-order network interactions. Subsequent research should extend the analytical scope to multi-region systems and conduct systematic comparisons with advanced methods such as hypergraph models73,74 and partial correlation networks29 to verify the robustness of the findings.
Methods
Data acquisition and preprocessing
The fMRI dataset used is from the Human Connectome Project (HCP)75. We considered the 200 unrelated subjects as provided from the HCP 1200 subjects data release (108 females and 92 males, mean age = 29.2 ± 3.6 years). Human participants were recruited from Washington University (St. Louis, MO) and surrounding areas. All participants gave informed consent in accordance with policies approved by the University of Washington Institutional Review Board76. All ethical regulations relevant to human research participants were followed. Participants in the HCP sample underwent various behavioral tests that were part of the NIH Toolbox battery, as well as several non-NIH Toolbox behavioral assessments. We primarily focused on 6 cognitive factors highlighted in the HCP data dictionary. The assessments of these cognitive factors include: self-regulation, episodic memory, vocabulary comprehension, emotion recognition, fluid cognition, and crystallized cognition.
The open-source HCP minimal preprocessing pipeline77, version 3.5.0, was applied to all neuroimaging data. This included: anatomic reconstruction and segmentation; EPI reconstruction, segmentation, and spatial normalization to a standard template; intensity normalization; and motion correction. The resulting data were in CIFTI 64k-vertex grayordinate space, and all subsequent analyses were performed in MATLAB R2014b. Following minimal preprocessing, vertices were parcellated into 360 cortical regions per the atlas25. To parcellate each of these regions, we calculated the average time series of enclosed vertices. According to Yeo’s previous work, all regions were assigned to seven modules, namely Visual (Vis), Somatomotor (SM), Dorsal Attention (DA), Ventral Attention (VA), Frontoparietal (FP), Limbic (Lim), and Default mode (DM)78.
We also used the CHCP dataset as a validation dataset. Details on data acquisition and preprocessing are provided in the Supplementary Methods.
Simulation computational modeling
We developed a large-scale neural network model comprising 400 brain regions organized into 8 functional modules (six non-hub and two hub modules) with specified intra-module (40–70%) and inter-module (10–25%) connection probabilities weighted by Gaussian distributions. Neural dynamics were simulated using a standard neural mass model with hyperbolic tangent transfer functions79, where node activity was governed by coupled differential equations with local and global coupling parameters set to unity and a time constant of 10 ms. Spontaneous activity was generated through Gaussian noise inputs (mean 0, SD 1), and the system was numerically integrated for 1200 s using a second-order Runge-Kutta method (10 ms time step). The resulting signals were convolved with a hemodynamic response function, standardized, and downsampled to 1-s temporal resolution to generate synthetic fMRI data for 30 virtual subjects (details are provided in Supplementary Methods).
ICMN modeling
The mediation analysis decomposes the total effect that an initial/independent variable (node X) has on a target/dependent variable (node Y) into an indirect effect that is transferred via a mediator (node M) and a conditional direct effect. Further, in addition to the three nodes above-mentioned, we considered the effects of other nodes in the brain on the mediation effect. We employed whole-brain time-series ICA results to replace the ICA results derived from the remaining brain nodes, based on the following rationale: First, calculating the mediation effects for any three brain regions while performing ICA separately on the remaining regions would impose an excessive computational burden. Second, systematic validation confirmed that the differences between the two approaches were negligible, both statistically and practically. We set 20 components (10 and 30 components as repeatability verification) for the whole brain. The single mediator model consists of three regression equations as follows:
where \({X}_{t}\) is the time series of the initial variable (node X), \({M}_{t}\) is the time series of the mediator (node M), \({Y}_{t}\) is the time series of the target variable (node Y), \({O}_{t}\) is the independent components of the time series in whole brain nodes, and e1, e2, e3 are the residuals. In this model, \({\gamma }_{0}\) represents the total effect between node X and node Y, \(\gamma\) quantifies the direct effect from node X to Y, the product of α and β (α*β) quantifies the indirect effect of node X on Y through M, and \({\delta }_{1}\), \({\delta }_{2}\),\({\delta }_{3}\) represent the whole brain effect in the mediation network model. The experiment required that statistical significance be tested in each of the three tests that comprise the path model (testing α, β and α*β), where the significance of the product of paths α and β was assessed by Sobel’s test80 to test for indirect effects. The standard process is as follows81:
(i) Sequential inspection coefficient α and β. If both are significant, proceed with step (ii), with at least one significant retest α*β. If not significant, the indirect effect does not exist, otherwise, execute step (ii);
(ii) Inspection coefficient γ. If significant, there is a partial mediating effect. If not significant, it represents complete mediation.
In the entire brain mediation network, the \({E}_{{xy}}^{m}\) (N×N×N connectivity matrices) was used to represent the entire mediation effects between node X, node Y, and node M, whose value range within the range of [0,1]. If it is partial mediation, the indirect effect is represented by calculating the proportion of the total effects to the indirect effects:
If it is complete mediation, the value of the mediation effect is 1, while if there does not exist a mediation effect, the value is 0.
The brain mediation network metrics
AMM
AMM is calculated as follows:
where \({E}_{{xy}}^{m}\) refers to the strength of the connection between node X and node Y mediated by node M. N represents the number of nodes in the whole brain.
MA
MA is defined as follows:
Nodes with high mediation ability have higher information dissemination capability, which act as a bridge to other regions in their exchanges.
MS
MS is defined as follows:
where \({{AMM}}_{{xy}}\) represents the size of the mediated information transfer from node X to node Y. Nodes with high MS indicate their information transmission with other regions passes through a third region more often than reaching directly.
The network analysis and cognition prediction
We used the Brain Connectivity Toolbox to calculate degree strength, global efficiency, and local efficiency of FC matrix. We also analyzed AMM and FC gradients using the BrainSpace toolbox82. The primary gradient, representing dominant cortical organization, was examined. We employed CPM83 with leave-one-subject cross-validation. Super-MA/MS values and cognitive scores were used to train linear regression models on nodes showing significant Spearman correlations (p < 0.05). Predictive performance was evaluated by correlating predicted and actual cognitive scores. See Supplementary Methods for more details.
Statistics and reproducibility
The simulation experiment included 30 participants, while the real fMRI experiment involved 200 participants. For brain regional analyses, we utilized averaged subject data derived from 400-region and 360-region brain parcellations, respectively. A one-sample t-test tested the significance of module MA/MS relative to the mean. The relationship between MA/MS and topological properties was evaluated using linear and quadratic regression models. The Akaike information criterion (AIC) compared the fit of these models. Spearman correlation was employed to assess correlations between FC and AMM, and their gradient correlations. All statistical tests involving module analysis were corrected for multiple comparisons using the Bonferroni method. The relationship between super-MAs/super-MSs and cognitive performance is also through Spearman correlation. Gender, age, and years were considered irrelevant variables and were regressed out. A significance threshold of p < 0.05 was applied to all tests, to determine statistical relevance. This study employed a cross-sectional design without repeated experiments or measurements.
Data availability
The MRI dataset used in this paper is available in the Human Connectome Project (https://www.humanconnectome.org) and the CHCP (https://doi.org/10.11922/sciencedb.01374). The source data used for generating Figs. 2–9 are provided in Supplementary Data 1.
Code availability
The codes used in this paper are available on GitHub (https://github.com/WANG-BIN-LAB/Brain_Mediation_Network).
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Acknowledgements
This work was supported by the National Natural Science Foundation of China (grant numbers 62406025,62576240,62176177,62336002); the Key-Area Research and Development Program of Guangdong Province (grant number 2023B0303030002); the STI 2030-Major Projects (grant number 2022ZD0208500); the Beijing Nova program (grant number 20230484465); and the Science and Technology Cooperation and Exchange Special Projects of Shanxi (grant number 202304041101034).
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B.W. conceptualized the study. X.Z. performed the numerical analysis and wrote the original draft of the manuscript. T.P. developed the code and prepared the figures. T. Li completed the overall replication of results. T. Liu reviewed and supervised the manuscript. T.Y. provided funding support. All authors contributed to the review and editing of the draft.
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Wang, B., Zhang, X., Pan, T. et al. Large-scale brain mediation network based on resting-state functional MRI. Commun Biol 8, 1577 (2025). https://doi.org/10.1038/s42003-025-08948-2
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DOI: https://doi.org/10.1038/s42003-025-08948-2











