Sheffield Julia M, Repovs Grega, Harms Michael P, Carter Cameron S, Gold James M, MacDonald Angus W, Ragland J Daniel, Silverstein Steven M, Godwin Douglass, Barch Deanna M
Department of Psychology, Washington University in St Louis, St Louis, MO;
Department of Psychiatry and Behavioral Science, University of Ljubljana, Ljubljana, Slovenia;
Schizophr Bull. 2016 May;42(3):753-61. doi: 10.1093/schbul/sbv148. Epub 2015 Oct 15.
Previous work suggests that individuals with schizophrenia display accelerated aging of white matter integrity, however, it is still unknown whether functional brain networks also decline at an elevated rate in schizophrenia. Given the known degradation of functional connectivity and the normal decline in cognitive functioning throughout healthy aging, we aimed to test the hypothesis that efficiency of large-scale functional brain networks supporting overall cognition, as well as integrity of hub nodes within those networks, show evidence of accelerated aging in schizophrenia. Using pseudo-resting state data in 54 healthy controls and 46 schizophrenia patients, in which task-dependent signal from 3 tasks was regressed out to approximate resting-state data, we observed a significant diagnosis by age interaction in the prediction of both global and local efficiency of the cingulo-opercular network, and of the local efficiency of the fronto-parietal network, but no interaction when predicting both default mode network and whole brain efficiency. We also observed a significant diagnosis by age interaction for the node degree of the right anterior insula, left dorsolateral prefrontal cortex, and dorsal anterior cingulate cortex. All interactions were driven by stronger negative associations between age and network metrics in the schizophrenia group than the healthy controls. These data provide evidence that is consistent with accelerated aging of large-scale functional brain networks in schizophrenia that support higher-order cognitive ability.
先前的研究表明,精神分裂症患者的白质完整性会加速老化,然而,尚不清楚在精神分裂症中,功能性脑网络是否也会以更高的速率衰退。鉴于已知的功能连接退化以及健康衰老过程中认知功能的正常下降,我们旨在检验以下假设:支持整体认知的大规模功能性脑网络的效率以及这些网络中枢纽节点的完整性,在精神分裂症中表现出加速老化的迹象。我们使用了54名健康对照者和46名精神分裂症患者的伪静息态数据,其中将来自3项任务的任务相关信号进行回归以近似静息态数据,我们观察到在预测扣带回-脑岛网络的全局和局部效率以及额顶网络的局部效率时,存在显著的诊断与年龄交互作用,但在预测默认模式网络和全脑效率时没有交互作用。我们还观察到右前岛叶、左背外侧前额叶皮质和背侧前扣带回皮质的节点度存在显著的诊断与年龄交互作用。所有交互作用都是由精神分裂症组中年龄与网络指标之间比健康对照组更强的负相关驱动的。这些数据提供了与精神分裂症中支持高阶认知能力的大规模功能性脑网络加速老化相一致的证据。
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