Bezmaternykh D D, Mel'nikov M E, Petrovskii E D, Kozlova L I, Shtark M B, Savelov A A, Shubina O S, Natarova K A
Research Institute of Molecular Biology and Biophysics, Novosibirsk, Russia.
Novosibirsk National Research State University, Novosibirsk, Russia.
Bull Exp Biol Med. 2018 Jul;165(3):325-330. doi: 10.1007/s10517-018-4161-3. Epub 2018 Jul 14.
Depression is associated with changes in the pattern of interaction of cerebral networks, which can reflect both existing symptoms and compensatory processes. The study is based on analysis of resting state fMRI data from 15 patients with mild depression and 19 conventionally healthy individuals. From fMRI signal recorded at rest for 4 min, the independent components were reconstructed. The intergroup differences and dynamics of functional connectivity from the first to the second recording were analyzed. Initially, depressive patients demonstrated weaker connectivity between cerebellar declive network (CN) and left central executive network (CEN) and also sensorimotor network (SMN); left CEN and primary visual network (PVN). During the second recording, the patients demonstrated more intensive reciprocal connection of the dorsal domain of default mode network (DMN) and auditory network (AN). In healthy subjects, positive correlations of the dorsal DMN and left CEN, right CEN and CN, and negative correlation of dorsal DMN and visuospatial network weakened from the first to second record. In the depression group, the interaction of AN with PVN, the right CEN with the anterior salience network and with ventral DMN weakened. At the same time, the connectivity between SMN and CN were strengthened. The results can be interpreted as spontaneous normalization of brain activity, but no direct evidence for their relation to the improvement of depression symptoms was found.
抑郁症与大脑网络交互模式的变化有关,这既可以反映现有症状,也可以反映代偿过程。该研究基于对15名轻度抑郁症患者和19名传统意义上健康个体的静息态功能磁共振成像(fMRI)数据的分析。从4分钟静息状态下记录的fMRI信号中重建独立成分。分析了从第一次记录到第二次记录期间功能连接的组间差异和动态变化。最初,抑郁症患者在小脑蚓垂网络(CN)与左侧中央执行网络(CEN)以及感觉运动网络(SMN)之间;左侧CEN与初级视觉网络(PVN)之间的连接较弱。在第二次记录期间,患者表现出默认模式网络(DMN)背侧区域与听觉网络(AN)之间更强的相互连接。在健康受试者中,从第一次记录到第二次记录,背侧DMN与左侧CEN、右侧CEN与CN的正相关,以及背侧DMN与视觉空间网络的负相关减弱。在抑郁症组中,AN与PVN、右侧CEN与前凸显网络以及与腹侧DMN之间的相互作用减弱。与此同时,SMN与CN之间的连接增强。这些结果可以解释为大脑活动的自发正常化,但未发现它们与抑郁症症状改善之间关系的直接证据。