Knöchel Christian, Stäblein Michael, Prvulovic David, Ghinea Denisa, Wenzler Sofia, Pantel Johannes, Alves Gilberto, Linden David E J, Harrison Octavia, Carvalho Andre, Reif Andreas, Oertel-Knöchel Viola
Laboratory for Neuroimaging, Dept. of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University, Frankfurt, Germany.
Laboratory for Neuroimaging, Dept. of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University, Frankfurt, Germany.
Schizophr Res. 2016 Mar;171(1-3):140-8. doi: 10.1016/j.schres.2016.01.035. Epub 2016 Jan 29.
Cognitive impairments have been linked to structural and functional alterations in frontal and subcortical brain regions, ultimately leading to fronto-thalamic connectivity disturbances. We hypothesized that such neuronal disruptions in frontal and subcortical structures may account for neuropsychological deficits in schizophrenia (SZ), schizophrenia relatives and bipolar disorder (BD). We acquired T1-weighted anatomical MRI sequences in 209 participants: 57 SZ patients, 47 first-degree relatives of SZ patients, 48 BD I patients and 57 healthy controls. We computed group comparisons of gray matter (GM) volume in frontal and basal ganglia regions-of-interest, followed by correlation analysis between psychomotor speed, executive functioning and learning and GM volumes in candidate regions. Several frontal GM volume reductions as well as GM increases in the thalamus and the putamen were exhibited in SZ patients as compared to controls. The same finding was observed - less pronounced - when comparing SZ relatives and controls. BD patients presented GM volume increases in the basal ganglia in comparison to controls. In SZ patients, increases in bilateral thalamus GM volume and decreases in left middle and superior frontal gyrus volume were significantly associated with worse cognitive performance. In summary, our results indicate distinct imbalances across frontal-subcortical circuits in BD, SZ relatives and SZ. The functional relevance of the findings were mainly limited to the SZ patients group: in this group, abnormalities were directly associated with cognitive performance. This result is in line with the finding that the volume alterations were strongest in SZ patients and followed by BD patients and SZ relatives.
认知障碍与额叶和皮质下脑区的结构及功能改变有关,最终导致额丘脑连接紊乱。我们推测,额叶和皮质下结构中的此类神经元破坏可能是精神分裂症(SZ)、精神分裂症亲属及双相情感障碍(BD)患者神经心理缺陷的原因。我们获取了209名参与者的T1加权解剖MRI序列:57名SZ患者、47名SZ患者的一级亲属、48名BD I型患者和57名健康对照者。我们计算了额叶和基底神经节感兴趣区域灰质(GM)体积的组间比较,随后对候选区域的精神运动速度、执行功能、学习与GM体积进行相关性分析。与对照组相比,SZ患者表现出额叶GM体积减少,以及丘脑和壳核GM体积增加。在比较SZ亲属与对照组时也观察到了同样的结果,不过不太明显。与对照组相比,BD患者基底神经节的GM体积增加。在SZ患者中,双侧丘脑GM体积增加以及左侧额中回和额上回体积减少与较差的认知表现显著相关。总之,我们的结果表明BD、SZ亲属和SZ患者的额皮质下回路存在明显失衡。这些发现的功能相关性主要局限于SZ患者组:在该组中,异常与认知表现直接相关。这一结果与体积改变在SZ患者中最为明显,其次是BD患者和SZ亲属的发现一致。