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使用灰/白质对比技术探究青少年髓鞘形成的大脑发育模式及其与精神病理学的关系。

Probing Brain Developmental Patterns of Myelination and Associations With Psychopathology in Youths Using Gray/White Matter Contrast.

机构信息

Norwegian Centre for Mental Disorders Research, KG Jebsen Centre for Psychosis Research, Division of Mental Health and Addiction, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, Norway; Department of Psychology, University of Oslo, Oslo, Norway.

Norwegian Centre for Mental Disorders Research, KG Jebsen Centre for Psychosis Research, Division of Mental Health and Addiction, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

出版信息

Biol Psychiatry. 2019 Mar 1;85(5):389-398. doi: 10.1016/j.biopsych.2018.09.027. Epub 2018 Oct 9.

Abstract

BACKGROUND

Cerebral myeloarchitecture shows substantial development across childhood and adolescence, and aberrations in these trajectories are relevant for a range of mental disorders. Differential myelination between intracortical and subjacent white matter can be approximated using signal intensities in T1-weighted magnetic resonance imaging.

METHODS

To test the sensitivity of gray/white matter contrast (GWC) to age and individual differences in psychopathology and general cognitive ability in youths (8-23 years), we formed data-driven psychopathology and cognitive components using a large population-based sample, the Philadelphia Neurodevelopmental Cohort (N = 6487, 52% female). We then tested for associations with regional GWC defined by an independent component analysis in a subsample with available magnetic resonance imaging data (n = 1467, 53% female).

RESULTS

The analyses revealed a global GWC component, which showed an age-related decrease from late childhood and across adolescence. In addition, we found regional anatomically meaningful components with differential age associations explaining variance beyond the global component. When accounting for age and sex, both higher symptom levels of anxiety or prodromal psychosis and lower cognitive ability were associated with higher GWC in insula and cingulate cortices and with lower GWC in pre- and postcentral cortices. We also found several additional regional associations with anxiety, prodromal psychosis, and cognitive ability.

CONCLUSIONS

Independent modes of GWC variation are sensitive to global and regional brain developmental processes, possibly related to differences between intracortical and subjacent white matter myelination, and individual differences in regional GWC are associated with both mental health and general cognitive functioning.

摘要

背景

大脑髓鞘结构在儿童期和青春期有显著的发展,这些轨迹的异常与一系列精神障碍有关。皮质内和皮质下白质之间的差异髓鞘化可以通过 T1 加权磁共振成像中的信号强度来近似。

方法

为了测试灰质/白质对比度(GWC)对年龄和精神病理学及一般认知能力个体差异的敏感性,我们使用一个大型基于人群的样本——费城神经发育队列(N=6487,52%为女性),形成了数据驱动的精神病理学和认知成分。然后,我们在有磁共振成像数据的子样本(n=1467,53%为女性)中,使用独立成分分析来测试与区域 GWC 的关联。

结果

分析显示了一个全局 GWC 成分,该成分从儿童后期到青春期呈年龄相关下降。此外,我们发现了具有不同年龄相关性的区域解剖学上有意义的成分,这些成分解释了全局成分之外的差异。在考虑年龄和性别后,焦虑或前驱精神病的症状水平较高,认知能力较低,与岛叶和扣带回皮质的 GWC 较高,与中央前回和中央后回的 GWC 较低有关。我们还发现了与焦虑、前驱精神病和认知能力相关的其他几个区域关联。

结论

GWC 变化的独立模式对大脑的整体和区域发育过程敏感,可能与皮质内和皮质下白质髓鞘化的差异有关,区域 GWC 的个体差异与心理健康和一般认知功能有关。

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