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遗传性负荷高的精神分裂症患者无症状亲属的丘脑结构完整。

Intact thalamic microstructure in asymptomatic relatives of schizophrenia patients with high genetic loading.

机构信息

Department of Brain and Cognitive Sciences, Seoul National University College of Natural Science, Seoul, Republic of Korea.

Department of Psychiatry, Psychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States of America.

出版信息

Schizophr Res. 2021 Apr;230:111-113. doi: 10.1016/j.schres.2020.07.008. Epub 2020 Aug 3.

Abstract

BACKGROUND

Disrupted thalamic connectivity system, which encompasses the deficits in the thalamus and thalamocortical connectivity, is regarded to contribute to the pathophysiology of schizophrenia. Recent reports suggest the possible genetic contribution to the disrupted thalamo-prefrontal connectivity, however, research on elucidating thalamic connectivity system components, specifically the thalamic nuclei, associated with the genetic predisposition to schizophrenia has been limited. Here, we investigated the genetic aspects of thalamic nuclei-specific microstructural integrities in schizophrenia.

METHODS

A total of 34 asymptomatic relatives of schizophrenia patients with high genetic loading and 33 healthy control subjects underwent diffusion tensor imaging, diffusion kurtosis imaging, and T1-weighted magnetic resonance imaging. The thalamus was segmented via a connectivity-based segmentation method using the region-of-interest masks. The microstructural integrity of each thalamic nucleus, measured by averages of the diffusion kurtosis values, was then compared between the groups.

RESULTS

The volumetric and mean kurtosis values of the thalamic nuclei were intact in asymptomatic relatives of schizophrenia patients with high genetic loading.

CONCLUSIONS

Our results revealed that, in the thalamic connectivity system, the genetics may hold different weights of effects on different components, and that more is given on the thalamo-prefrontal connectivity than on the thalamus. Further, the current results may add further evidence to the current literature that thalamic nuclei microstructural abnormalities present in psychosis may have state marker characteristics.

摘要

背景

目前认为,丘脑连接系统中断(包括丘脑和丘脑皮质连接的缺陷)是导致精神分裂症发病机制的原因。最近的报告表明,遗传因素可能会导致丘脑-前额叶连接中断,然而,关于阐明与精神分裂症遗传易感性相关的丘脑连接系统成分(特别是丘脑核)的研究有限。在这里,我们研究了与精神分裂症遗传易感性相关的特定丘脑核的神经连接的微观结构完整性的遗传方面。

方法

共有 34 名具有高遗传负荷的精神分裂症患者的无症状亲属和 33 名健康对照者接受了弥散张量成像、弥散峰度成像和 T1 加权磁共振成像。使用基于连接的分割方法,通过感兴趣区域掩模对丘脑进行分割。然后比较了两组之间每个丘脑核的微观结构完整性(通过弥散峰度值的平均值来测量)。

结果

高遗传负荷的精神分裂症患者无症状亲属的丘脑核的体积和平均峰度值完整。

结论

我们的研究结果表明,在丘脑连接系统中,遗传因素对不同成分的影响权重可能不同,而对丘脑-前额叶连接的影响大于对丘脑的影响。此外,目前的结果可能为当前的文献提供进一步的证据,即精神病患者存在的丘脑核微观结构异常可能具有状态标志物的特征。

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