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区域同质性和静息态功能连接:与早期生活应激暴露的关联。

Regional homogeneity and resting state functional connectivity: associations with exposure to early life stress.

机构信息

Laboratory for Clinical and Translational Neuroscience, Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, United States.

出版信息

Psychiatry Res. 2013 Dec 30;214(3):247-53. doi: 10.1016/j.pscychresns.2013.07.013. Epub 2013 Oct 3.

Abstract

Early life stress (ELS) confers risk for psychiatric illness. Previous literature suggests ELS is associated with decreased resting-state functional connectivity (rs-FC) in adulthood, but there are no studies of resting-state neuronal activity in this population. This study investigated whether ELS-exposed individuals demonstrate resting-state activity patterns similar to those found in PTSD. Twenty-seven adults (14 with at least moderate ELS), who were medication-free and without psychiatric or medical illness, underwent MRI scans during two 4-minute rest periods. Resting-state activity was examined using regional homogeneity (ReHo), which estimates regional activation patterns through indices of localized concordance. ReHo values were compared between groups, followed by rs-FC analyses utilizing ReHo-localized areas as seeds to identify other involved regions. Relative to controls, ELS subjects demonstrated diminished ReHo in the inferior parietal lobule (IPL) and superior temporal gyrus (STG). ReHo values were inversely correlated with ELS severity. Secondary analyses revealed decreased rs-FC between the IPL and right precuneus/posterior cingulate, left fusiform gyrus, cerebellum and caudate in ELS subjects. These findings indicate that ELS is associated with altered resting-state activity and connectivity in brain regions involved in trauma-related psychiatric disorders. Future studies are needed to evaluate whether these associations represent potential imaging biomarkers of stress exposure.

摘要

早期生活压力(ELS)会增加患精神疾病的风险。既往文献表明,ELS 与成年人静息态功能连接(rs-FC)降低有关,但在该人群中尚无关于静息态神经元活动的研究。本研究旨在探讨经历过 ELS 的个体是否表现出与 PTSD 中相似的静息态活动模式。27 名成年人(14 名至少有中度 ELS),无用药史且无精神或医学疾病,在两个 4 分钟的休息期内进行 MRI 扫描。使用局部一致性(ReHo)来检查静息态活动,通过局部一致性指数来估计局部激活模式。比较两组之间的 ReHo 值,然后使用 ReHo 定位区域作为种子进行 rs-FC 分析,以识别其他相关区域。与对照组相比,ELS 受试者在顶下小叶(IPL)和颞上回(STG)的 ReHo 值降低。ReHo 值与 ELS 严重程度呈负相关。进一步的分析显示,ELS 受试者 IPL 与右侧顶内/后扣带回、左侧梭状回、小脑和尾状核之间的 rs-FC 降低。这些发现表明 ELS 与与创伤相关的精神障碍相关的脑区的静息态活动和连接改变有关。需要进一步的研究来评估这些关联是否代表应激暴露的潜在影像学生物标志物。

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