Chen Quan, Chen Xingui, He Xiaoxuan, Wang Lu, Wang Kai, Qiu Bensheng
Center for Biomedical Engineering, University of Science and Technology of China, Hefei, Anhui 230027, China.
Department of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022,China.
Neurosci Lett. 2016 Aug 3;627:178-84. doi: 10.1016/j.neulet.2016.05.035. Epub 2016 May 24.
Consistent structural and functional abnormities have been detected in the salience network (SN) and the central-executive network (CEN) in schizophrenia. SN, known for its critical role in switching CEN and default-mode network (DMN) during cognitively demanding tasks, is proved to show aberrant regulation on the interaction between DMN and CEN in schizophrenia. However, it has not been elucidated whether there is a direct alteration of structural and functional connectivity between SN and CEN. 22 schizophrenia patients and 21 healthy controls were recruited for functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI) in present study. The results show that schizophrenia patients had lower fractional anisotropy (FA) in right inferior long fasciculus (ILF), left inferior fronto-occipital fasciculus (IFOF) and callosal body than healthy controls. Significantly reduced functional connectivity was also found between right fronto-insular cortex (rFIC) and right posterior parietal cortex (rPPC). FA in right ILF was positively correlated with the functional connectivity of rFIC-rPPC. Therefore, we proposed a disruption of structural and functional connectivity and a positive anatomo-functional relationship in SN-CEN circuit, which might account for a core feature of schizophrenia.
在精神分裂症患者的突显网络(SN)和中央执行网络(CEN)中已检测到一致的结构和功能异常。SN在认知要求较高的任务中对切换CEN和默认模式网络(DMN)起着关键作用,事实证明,在精神分裂症中,SN对DMN和CEN之间的相互作用显示出异常调节。然而,SN和CEN之间的结构和功能连接是否存在直接改变尚未阐明。在本研究中,招募了22名精神分裂症患者和21名健康对照者进行功能磁共振成像(fMRI)和扩散张量成像(DTI)。结果显示,与健康对照者相比,精神分裂症患者右下纵束(ILF)、左下额枕束(IFOF)和胼胝体的分数各向异性(FA)较低。右额岛叶皮质(rFIC)和右后顶叶皮质(rPPC)之间的功能连接也显著降低。右ILF中的FA与rFIC-rPPC的功能连接呈正相关。因此,我们提出SN-CEN回路中存在结构和功能连接的破坏以及正解剖-功能关系,这可能是精神分裂症的一个核心特征。