National Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China.
Beijing Key Laboratory of Brain Imaging and Connectomics, Beijing Normal University, Beijing, China.
Cereb Cortex. 2018 Dec 1;28(12):4179-4194. doi: 10.1093/cercor/bhx273.
Neuropsychiatric disorders are increasingly conceptualized as disconnection syndromes that are associated with abnormal network integrity in the brain. However, whether different neuropsychiatric disorders show commonly dysfunctional connectivity architectures in large-scale brain networks remains largely unknown. Here, we performed a meta-connectomic study to identify disorder-related functional modules and brain regions by combining meta-analyses of 182 published resting-state functional MRI studies in 11 neuropsychiatric disorders and graph-theoretical analyses of 3 independent resting-state functional MRI datasets with healthy and diseased populations (Alzheimer's disease and major depressive disorder [MDD]). Three major functional modules, the default mode, frontoparietal, and sensorimotor networks were commonly abnormal across disorders. Moreover, most of the disorders preferred to target the network connector nodes that were primarily involved in intermodule communications and multiple cognitive components. Apart from these common dysfunctions, different brain disorders were associated with specific alterations in network modules and connector regions. Finally, these meta-connectomic findings were confirmed by two empirical example cases of Alzheimer's disease and MDD. Collectively, our findings shed light on the shared biological mechanisms of network dysfunctions of diverse disorders and have implications for clinical diagnosis and treatment from a network perspective.
神经精神疾病越来越被认为是与大脑中异常网络完整性相关的连接综合征。然而,不同的神经精神疾病在大规模脑网络中是否表现出共同的功能连接结构尚不清楚。在这里,我们通过结合 11 种神经精神疾病的 182 项已发表的静息态功能磁共振成像研究的荟萃分析和 3 个独立的静息态功能磁共振成像数据集(阿尔茨海默病和重度抑郁症)的图论分析,进行了一项元连接组学研究,以确定与疾病相关的功能模块和脑区。三个主要的功能模块,即默认模式、额顶叶和感觉运动网络,在各种疾病中均存在异常。此外,大多数疾病更倾向于针对主要参与模块间通讯和多种认知成分的网络连接节点。除了这些常见的功能障碍外,不同的脑疾病还与网络模块和连接区域的特定改变有关。最后,通过对阿尔茨海默病和重度抑郁症的两个实证案例的研究,验证了这些元连接组学的发现。总的来说,我们的研究结果揭示了不同疾病的网络功能障碍的共同生物学机制,并从网络角度对临床诊断和治疗具有重要意义。