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精神分裂症中纹状体-默认模式网络回路的瓦解。

Breakdown of the striatal-default mode network loop in schizophrenia.

作者信息

Wang Xiangpeng, Li Fenghua, Zheng Hanfeng, Wang Weihong, Zhang Wenwen, Liu Zhaoqing, Sun Yujing, Chan Raymond C K, Chen Antao

机构信息

Key Laboratory of Cognition and Personality of Ministry of Education, Faculty of Psychology, Southwest University, Chongqing 400715, China.

2nd People's Hospital of Beibei, Chongqing 400712, China.

出版信息

Schizophr Res. 2015 Oct;168(1-2):366-72. doi: 10.1016/j.schres.2015.07.027. Epub 2015 Aug 8.

Abstract

The striatum has been shown to be a core region in schizophrenia with functional and structural deficits. Previous studies have confirmed the schizophrenia-related functional connectivity between the striatal and cortical regions. However, among these, few studies have attempted to determine the directional flow of the influence. In the present study, we used resting-state fMRI to explore the directed connectivity between the striatum and the cortical regions in schizophrenia. Employing a Granger causality analysis, we observed a significant failure of the directed inhibitory influence of the striatum on the default mode network (DMN) in schizophrenia. Furthermore, the reciprocal influence of the DMN on the striatum was also significantly reduced. These findings provide compelling evidence for a breakdown of the striatum-DMN loop in schizophrenia. This abnormal connectivity could be related to clinical variables. In conclusion, our study suggests that abnormally directed influences between the striatum and the DMN might be a biomarker of schizophrenia and also reveals a potential target for treatment.

摘要

纹状体已被证明是精神分裂症中存在功能和结构缺陷的核心区域。先前的研究已经证实了纹状体与皮质区域之间与精神分裂症相关的功能连接。然而,其中很少有研究试图确定影响的方向性流动。在本研究中,我们使用静息态功能磁共振成像来探索精神分裂症患者纹状体与皮质区域之间的定向连接。采用格兰杰因果分析,我们观察到精神分裂症患者纹状体对默认模式网络(DMN)的定向抑制影响显著失效。此外,DMN对纹状体的相互影响也显著降低。这些发现为精神分裂症中纹状体 - DMN环路的破坏提供了有力证据。这种异常连接可能与临床变量有关。总之,我们的研究表明,纹状体与DMN之间异常的定向影响可能是精神分裂症的一个生物标志物,并且还揭示了一个潜在的治疗靶点。

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