Suppr超能文献

重度抑郁症中的脑白质异常:ENIGMA MDD 工作组 20 个国际队列的协调分析。

White matter disturbances in major depressive disorder: a coordinated analysis across 20 international cohorts in the ENIGMA MDD working group.

机构信息

Department of Psychiatry, Amsterdam UMC, The Netherlands.

Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Australia.

出版信息

Mol Psychiatry. 2020 Jul;25(7):1511-1525. doi: 10.1038/s41380-019-0477-2. Epub 2019 Aug 30.

Abstract

Alterations in white matter (WM) microstructure have been implicated in the pathophysiology of major depressive disorder (MDD). However, previous findings have been inconsistent, partially due to low statistical power and the heterogeneity of depression. In the largest multi-site study to date, we examined WM anisotropy and diffusivity in 1305 MDD patients and 1602 healthy controls (age range 12-88 years) from 20 samples worldwide, which included both adults and adolescents, within the MDD Working Group of the Enhancing Neuroimaging Genetics through Meta-Analysis (ENIGMA) consortium. Processing of diffusion tensor imaging (DTI) data and statistical analyses were harmonized across sites and effects were meta-analyzed across studies. We observed subtle, but widespread, lower fractional anisotropy (FA) in adult MDD patients compared with controls in 16 out of 25 WM tracts of interest (Cohen's d between 0.12 and 0.26). The largest differences were observed in the corpus callosum and corona radiata. Widespread higher radial diffusivity (RD) was also observed (all Cohen's d between 0.12 and 0.18). Findings appeared to be driven by patients with recurrent MDD and an adult age of onset of depression. White matter microstructural differences in a smaller sample of adolescent MDD patients and controls did not survive correction for multiple testing. In this coordinated and harmonized multisite DTI study, we showed subtle, but widespread differences in WM microstructure in adult MDD, which may suggest structural disconnectivity in MDD.

摘要

脑白质(WM)微结构的改变与重度抑郁症(MDD)的病理生理学有关。然而,先前的研究结果并不一致,部分原因是统计效力低和抑郁症的异质性。在迄今为止最大的多中心研究中,我们在 20 个样本中检查了来自全球的 1305 名 MDD 患者和 1602 名健康对照者(年龄范围 12-88 岁)的 WM 各向异性和弥散性,这些样本包括成年人和青少年,这些样本来自 MDD 工作组的增强神经影像学遗传学通过荟萃分析(ENIGMA)联盟。扩散张量成像(DTI)数据的处理和统计分析在各个站点之间得到协调,并对研究进行了荟萃分析。我们观察到,与对照组相比,16 个感兴趣的 WM 束中有 16 个(Cohen's d 在 0.12 到 0.26 之间)的成人 MDD 患者的分数各向异性(FA)略低,但分布广泛。在胼胝体和辐射冠中观察到最大的差异。也观察到广泛的径向弥散度(RD)升高(所有 Cohen's d 在 0.12 到 0.18 之间)。这些发现似乎是由反复发作的 MDD 患者和成年起病的抑郁患者驱动的。在青少年 MDD 患者和对照组的较小样本中,WM 微观结构的差异在经过多次测试校正后并没有存活下来。在这项协调和协调的多中心 DTI 研究中,我们在成年 MDD 患者中显示出 WM 微观结构的细微但广泛的差异,这可能表明 MDD 存在结构连接中断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbd1/7303011/1a36e0cecca8/41380_2019_477_Fig1_HTML.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验