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青春期前脑结构连接:激素水平与白质微观结构的关系。

Brain structural connectivity during adrenarche: Associations between hormone levels and white matter microstructure.

机构信息

Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne, Parkville, VIC, 3052, Australia.

Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne, Parkville, VIC, 3052, Australia; Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, VIC, 3052, Australia.

出版信息

Psychoneuroendocrinology. 2018 Feb;88:70-77. doi: 10.1016/j.psyneuen.2017.11.009. Epub 2017 Nov 16.

Abstract

Levels of the adrenal hormones dehydroepiandrosterone (DHEA), its sulfate (DHEAS), and testosterone, have all been linked to behavior and mental health during adrenarche, and preclinical studies suggest that these hormones influence brain development. However, little is known about how variation in these hormones is associated with white matter structure during this period of life. The current study aimed to examine associations between DHEA, DHEAS, and testosterone, and white matter microstructure during adrenarche. To avoid the confounding effect of age on hormone levels, we tested these associations in 87 children within a narrow age range (mean age 9.56 years, SD=0.34) but varying in hormone levels. All children provided saliva samples directly after waking and completed a diffusion-weighted MRI scan. Higher levels of DHEA were associated with higher mean diffusivity (MD) in a widespread cluster of white matter tracts, which was partially explained by higher radial diffusivity (RD) and partially by higher axial diffusivity (AD). In addition, there was an interaction between DHEA and testosterone, with higher levels of testosterone being associated with higher fractional anisotropy (FA) and lower MD and RD when DHEA levels were relatively high, but with lower FA and higher MD and RD when DHEA levels were low. These findings suggest that relatively early exposure to DHEA, as well as an imbalance between the adrenal hormones, may be associated with alterations in white matter microstructure. These findings highlight the potential relevance of adrenarcheal hormones for structural brain development.

摘要

脱氢表雄酮(DHEA)、硫酸脱氢表雄酮(DHEAS)和睾酮的水平都与肾上腺功能亢进期间的行为和心理健康有关,临床前研究表明这些激素会影响大脑发育。然而,对于这些激素的变化如何与生命这段时期的白质结构有关,我们知之甚少。本研究旨在探讨 DHEA、DHEAS 和睾酮与肾上腺功能亢进期间白质微观结构之间的关系。为了避免年龄对激素水平的混杂影响,我们在一个狭窄的年龄范围内(平均年龄 9.56 岁,标准差=0.34)测试了 87 名儿童之间的这些关系,但激素水平有所不同。所有儿童在醒来后直接提供唾液样本,并完成了弥散加权 MRI 扫描。较高的 DHEA 水平与广泛的白质束群中的平均弥散度(MD)较高有关,这部分是由较高的径向弥散度(RD)和部分由较高的轴向弥散度(AD)解释的。此外,DHEA 和睾酮之间存在相互作用,当 DHEA 水平相对较高时,较高的睾酮水平与较高的各向异性分数(FA)和较低的 MD 和 RD 相关,而当 DHEA 水平较低时,较低的 FA 和较高的 MD 和 RD 相关。这些发现表明,相对早期的 DHEA 暴露以及肾上腺激素的失衡可能与白质微观结构的改变有关。这些发现强调了肾上腺功能亢进期间的激素对结构脑发育的潜在相关性。

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