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全球白质微观结构异常与药物-naive 青少年成瘾倾向评分相关。

Global white matter microstructural abnormalities associated with addiction liability score in drug naïve youth.

机构信息

Department of Psychiatry, Indiana University School of Medicine, 705 Riley Hospital Drive, Room 4300, Indianapolis, IN, 46205, USA.

Department of Radiology, Indiana University School of Medicine, Indianapolis, IN, USA.

出版信息

Brain Imaging Behav. 2018 Feb;12(1):274-283. doi: 10.1007/s11682-017-9679-x.

Abstract

Abnormalities in brain white matter (WM) structure have been reported in youths having a family history of substance use disorders (SUDs). It was hypothesized that these abnormalities constitute features of the liability for SUDs transmitted across generations. The association between severity of intergenerational risk for SUD, measured by the Transmissible Liability Index (TLI), and white matter microstructure was examined. Diffusion tensor imaging (DTI) measured WM microstructure in forty-four drug-naïve 10-14 year-olds (N = 19 with parental SUD). Metrics of WM microstructure (i.e., fractional anisotropy, radial diffusivity, mean diffusivity and axial diffusivity) were quantified across the whole brain and in four tracts of interest: anterior corona radiata, superior and inferior longitudinal fasciculi and superior fronto-occipital fasciculi. The TLI was completed by the youths, their parents and, when available, their teachers. The relationship between WM structure and TLI score across the entire group was evaluated using linear multiple regression and between group comparisons were also examined. Fractional anisotropy and radial diffusivity in multiple tracts across the brain were significantly associated with TLI scores. Confirming and extending prior research, the findings indicate that global atypicality in WM tracts was linearly related to liability for eventual SUD development in drug naïve youths.

摘要

已有研究报道,有物质使用障碍(SUD)家族史的青少年大脑白质(WM)结构存在异常。研究假设这些异常构成了跨代遗传的 SUD 易感性的特征。通过可传递易感性指数(TLI)衡量跨代 SUD 风险的严重程度与 WM 微观结构之间的关联。扩散张量成像(DTI)测量了 44 名药物-naïve 10-14 岁青少年(N=19 名有父母 SUD)的 WM 微观结构。对整个大脑和四个感兴趣的区域(前冠状辐射、上、下纵束和额枕上束)的 WM 微观结构指标(即各向异性分数、径向弥散度、平均弥散度和轴向弥散度)进行了量化。青少年及其父母(如果有)完成了 TLI,然后使用线性多元回归评估 WM 结构与整个组 TLI 得分之间的关系,并进行了组间比较。大脑中多个区域的各向异性分数和径向弥散度与 TLI 得分显著相关。这些发现证实并扩展了先前的研究结果,表明 WM 束的整体异常与药物-naïve 青少年最终发生 SUD 发展的易感性呈线性相关。

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