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区域性灰质体积相关性是否反映了精神分裂症患者高危子女的功能连接改变?

Do inter-regional gray-matter volumetric correlations reflect altered functional connectivity in high-risk offspring of schizophrenia patients?

机构信息

Department of Psychiatry, Beth Israel Deaconess Medical Center and Massachusetts Mental Health Center Harvard Medical School, Boston, MA 02215, USA.

出版信息

Schizophr Res. 2010 May;118(1-3):62-8. doi: 10.1016/j.schres.2010.01.019. Epub 2010 Feb 19.

Abstract

BACKGROUND

Schizophrenia patients and their relatives show aberrant functional connectivity in default network regions (DRs) such as the medial prefrontal, lateral temporal, cingulate and inferior parietal cortices and executive regions such as the dorsolateral prefrontal cortex (DLPFC). Gray-matter volumetric alterations may be related to these functional connectivity deficits. Also, gray-matter volume inter-regional correlations may reflect altered inter-regional functional connectivity.

AIMS

To examine our prediction of alterations of gray-matter volumes and inter-regional volume correlations for DRs and the DLPFC in offspring of schizophrenia patients (OS).

METHODS

We assessed 64 adolescent and young adult OS and 80 healthy controls (HC) using T1-MRI. Regional gray-matter volumes and inter-regional volume correlations between the DRs and between the DLPFC and DRs on each side were compared across groups.

RESULTS

Compared to HC, OS had reductions in several DRs and the DLPFC after controlling age, gender, and intra-cranial volume, and correcting for multiple comparisons. OS had stronger (more positive) gray-matter volume inter-correlations between DRs and between DRs and the DLPFC.

CONCLUSIONS

Volumetric deficits in the default network and in the DLPFC may be related to familial diathesis in schizophrenia and to functional connectivity abnormalities in those at familial risk. Increased inter-correlations between DRs and between DR and DLPFC gray-matter volumes may serve as surrogate indices of abnormal functional connectivity.

摘要

背景

精神分裂症患者及其亲属在默认网络区域(DRs)和执行区域中表现出异常的功能连接,例如内侧前额叶、外侧颞叶、扣带回和下顶叶皮质以及背外侧前额叶皮质(DLPFC)。灰质体积的改变可能与这些功能连接缺陷有关。此外,灰质体积的区域间相关性可能反映了区域间功能连接的改变。

目的

检验我们对精神分裂症患者后代(OS)的 DRs 和 DLPFC 灰质体积和区域间体积相关性改变的预测。

方法

我们使用 T1-MRI 评估了 64 名青少年和年轻的 OS 和 80 名健康对照者(HC)。在控制年龄、性别和颅内体积,并对多重比较进行校正后,比较了两组之间的 DRs 之间以及两侧的 DLPFC 和 DRs 之间的区域灰质体积和区域间体积相关性。

结果

与 HC 相比,在控制年龄、性别和颅内体积并校正多重比较后,OS 有几个 DRs 和 DLPFC 的灰质体积减少。OS 之间的 DRs 和 DRs 与 DLPFC 之间的灰质体积的相关性更强(更积极)。

结论

默认网络和 DLPFC 中的体积缺陷可能与精神分裂症的家族易感性有关,也可能与处于家族风险中的功能连接异常有关。DRs 和 DRs 与 DLPFC 灰质体积之间的相关性增加可能作为异常功能连接的替代指标。

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