eLife assessment
In this study, the authors provide compelling evidence for dysgranular insular involvement in top-down and bottom-up interoceptive processing. Its translational application in ADE patients corroborates the assumption that the mid-insula may indeed be a locus of 'interoceptive disruption' in psychiatric disorders, which underscores the study's high relevance for both body-brain as well as clinical research. The authors' findings are fundamental and substantially advance our understanding of the neural basis of interoception and its putative disruption in psychiatric disorders.