Department of Psychiatry, Eulji University Hospital and Eulji University, Daejeon, Republic of Korea.
Psychiatry Res. 2010 Feb 28;181(2):114-20. doi: 10.1016/j.pscychresns.2009.09.005. Epub 2010 Jan 18.
Few studies have reported the reduced suppression of brain activity within the default network in schizophrenia. The relationship, however, between task-specific activation and default network suppression, as well as impact of this relationship on brain function, is still not clear, and it has not been studied in schizophrenia so far. We used previously published data showing a relationship between semantic encoding and white matter integrity in schizophrenia (Jeong et al., 2009), and reanalyzed the data using an independent component analysis (ICA). Participants comprised 10 healthy control subjects and 10 patients with chronic schizophrenia who underwent an fMRI scan during which they performed the Levels of Processing paradigm. The semantic processing-related independent components were compared between two groups using tensor-ICA. An independent component of semantic repetition priming showed a significant difference between the two groups. The component consisted of both less activated and less suppressed regions within the patients' brains. The less activated regions included the bilateral inferior frontal gyri and the supramarginal gyri. The less suppressed regions included the medial frontal gyrus, the posterior cingulate gyrus, the precuneus and the right cerebellum. Our results suggest two components of semantic repetition priming deficit in schizophrenia: one related to weaker suppression of default network, mainly precuneus and medial frontal gyrus, the other related to weaker activation of regions directly involved in semantic repetition priming.
目前鲜有研究报道精神分裂症患者大脑默认网络活动抑制减少的情况。然而,任务特异性激活与默认网络抑制之间的关系,以及这种关系对大脑功能的影响,目前尚不清楚,在精神分裂症中也尚未进行相关研究。我们使用了先前发表的数据,这些数据表明精神分裂症患者的语义编码与白质完整性之间存在关联(Jeong 等人,2009 年),并使用独立成分分析(ICA)重新分析了这些数据。参与者包括 10 名健康对照者和 10 名慢性精神分裂症患者,他们在进行 fMRI 扫描时完成了加工水平范式。使用张量 ICA 比较两组之间的语义处理相关独立成分。语义重复启动的一个独立成分在两组之间存在显著差异。该成分包括患者大脑中活动减少和抑制减少的区域。活动减少的区域包括双侧额下回和缘上回。抑制减少的区域包括额内侧回、后扣带回、楔前叶和右侧小脑。我们的研究结果表明,精神分裂症患者存在语义重复启动缺陷的两个组成部分:一个与默认网络抑制减弱有关,主要涉及楔前叶和额内侧回;另一个与直接参与语义重复启动的区域激活减弱有关。