Knöchel Christian, Reuter Johanna, Reinke Britta, Stäblein Michael, Marbach Katharina, Feddern Richard, Kuhlmann Kristina, Alves Gilberto, Prvulovic David, Wenzler Sofia, Linden David E J, Oertel-Knöchel Viola
Laboratory for Neuroimaging, Dept. of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe-University, Frankfurt/Main, Germany.
Laboratory for Neuroimaging, Dept. of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe-University, Frankfurt/Main, Germany.
Schizophr Res. 2016 Apr;172(1-3):78-85. doi: 10.1016/j.schres.2016.02.007. Epub 2016 Feb 12.
Although schizophrenia (SZ) and bipolar disorder (BD) share some clinical features such as psychotic symptoms and cognitive dysfunctions, little is known about possible pathophysiological similarities between both diseases. Therefore, we investigated the potential topographical overlap and segregation of cortical thickness abnormalities in SZ and BD patients. We analyzed 3D-anatomical magnetic resonance imaging datasets with the FreeSurfer 5.1.0 software to examine cortical thickness and volumes in three groups of participants: n=34 BD patients, n=32 SZ patients and n=38 healthy controls. We observed similar bilateral cortical thickness reductions in BD and SZ patients predominantly in the pars opercularis of the inferior frontal gyrus and in the anterior and posterior cingulate. We also found disease-specific cortical reductions in the orbitofrontal cortex for BD patients and in dorsal frontal and temporal areas for SZ. Furthermore, inferior frontal gyrus cortical thinning was associated with deficits in psychomotor speed and executive functioning in SZ patients and with age at onset in both groups. Our findings support the hypothesis that thinning of the frontal cortex may represent a biological feature shared by both disease groups. The associations between cognitive deficits and the reported findings in SZ and to a lesser degree in BD patients add to the functional relevance of our results. However, further studies are needed to corroborate a model of shared pathophysiological disease features across BD and SZ.
尽管精神分裂症(SZ)和双相情感障碍(BD)有一些共同的临床特征,如精神病性症状和认知功能障碍,但对于这两种疾病之间可能存在的病理生理相似性却知之甚少。因此,我们研究了SZ和BD患者皮质厚度异常的潜在局部重叠和分离情况。我们使用FreeSurfer 5.1.0软件分析了三维解剖磁共振成像数据集,以检查三组参与者的皮质厚度和体积:n = 34名BD患者、n = 32名SZ患者和n = 38名健康对照者。我们观察到,BD和SZ患者双侧皮质厚度均有类似程度的降低,主要集中在额下回岛盖部以及前扣带回和后扣带回。我们还发现,BD患者眶额皮质存在疾病特异性的皮质变薄,而SZ患者背侧额叶和颞叶区域存在皮质变薄。此外,额下回皮质变薄与SZ患者的精神运动速度和执行功能缺陷以及两组患者的发病年龄相关。我们的研究结果支持这样一种假设,即额叶皮质变薄可能是这两个疾病组共有的生物学特征。认知缺陷与SZ以及程度较轻的BD患者中报告的研究结果之间的关联增加了我们结果的功能相关性。然而,需要进一步的研究来证实BD和SZ之间共享病理生理疾病特征的模型。