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白质束髓鞘形成及其与青少年和成年早期一般精神病理学的关系。

White matter tract myelin maturation and its association with general psychopathology in adolescence and early adulthood.

机构信息

Max Planck UCL Centre for Computational Psychiatry and Ageing Research, University College London, London, UK.

Wellcome Centre for Human Neuroimaging, University College London, London, UK.

出版信息

Hum Brain Mapp. 2020 Feb 15;41(3):827-839. doi: 10.1002/hbm.24842. Epub 2019 Oct 29.

Abstract

Adolescence is a time period associated with marked brain maturation that coincides with an enhanced risk for onset of psychiatric disorder. White matter tract myelination, a process that continues to unfold throughout adolescence, is reported to be abnormal in several psychiatric disorders. Here, we ask whether psychiatric vulnerability is linked to aberrant developmental myelination trajectories. We assessed a marker of myelin maturation, using magnetisation transfer (MT) imaging, in 10 major white matter tracts. We then investigated its relationship to the expression of a general psychopathology "p-factor" in a longitudinal analysis of 293 healthy participants between the ages of 14 and 24. We observed significant longitudinal MT increase across the full age spectrum in anterior thalamic radiation, hippocampal cingulum, dorsal cingulum and superior longitudinal fasciculus. MT increase in the inferior fronto-occipital fasciculus, inferior longitudinal fasciculus and uncinate fasciculus was pronounced in younger participants but levelled off during the transition into young adulthood. Crucially, longitudinal MT increase in dorsal cingulum and uncinate fasciculus decelerated as a function of mean p-factor scores over the study period. This suggests that an increased expression of psychopathology is closely linked to lower rates of myelin maturation in selective brain tracts over time. Impaired myelin growth in limbic association fibres may serve as a neural marker for emerging mental illness during the course of adolescence and early adulthood.

摘要

青春期是大脑成熟的时期,同时也是精神障碍发病风险增加的时期。白质束髓鞘形成是一个贯穿青春期的过程,据报道,在几种精神障碍中存在异常。在这里,我们探讨精神障碍易感性是否与异常的发育性髓鞘化轨迹有关。我们使用磁化传递(MT)成像评估了 10 条主要白质束中的髓鞘成熟标志物。然后,我们在一项对 293 名年龄在 14 岁至 24 岁之间的健康参与者进行的纵向分析中,研究了它与一般精神病理学“p 因子”表达之间的关系。我们观察到在前丘脑辐射、海马扣带回、背扣带回和上纵束中,整个年龄范围内的 MT 呈显著的纵向增加。在下额枕额束、下纵束和钩束中,MT 的增加在年轻参与者中更为明显,但在向年轻成人过渡期间趋于平稳。至关重要的是,背扣带和钩束的 MT 纵向增加与研究期间平均 p 因子评分呈负相关。这表明,随着时间的推移,精神病理学表达的增加与特定脑区髓鞘成熟率的降低密切相关。边缘联系纤维的髓鞘生长受损可能是青少年和成年早期出现精神疾病的神经标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cf0/7268015/b8dec0673cc7/HBM-41-827-g001.jpg

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