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首发未用药的重度抑郁症患者中,缰核的静态和动态功能连接改变与自杀观念相关

Altered Static and Dynamic Functional Connectivity of Habenula Associated With Suicidal Ideation in First-Episode, Drug-Naïve Patients With Major Depressive Disorder.

作者信息

Qiao Dan, Zhang Aixia, Sun Ning, Yang Chunxia, Li Jianying, Zhao Ting, Wang Yuchen, Xu Yifan, Wen Yujiao, Zhang Kerang, Liu Zhifen

机构信息

Department of Psychiatry, The First Hospital of Shanxi Medical University, Taiyuan, China.

The First Clinical Medical College, Shanxi Medical University, Taiyuan, China.

出版信息

Front Psychiatry. 2020 Dec 16;11:608197. doi: 10.3389/fpsyt.2020.608197. eCollection 2020.

Abstract

Investigating the neurobiological mechanism of suicidal ideation (SI) in major depressive disorder (MDD) may be beneficial to prevent the suicidal behavior. Mounting evidence showed that habenula contributed to the etiology of MDD. The habenula is a key brain region that links the forebrain to midbrain, crucial for the processing of reward and aversion. The aim of the present study was to identify whether first-episode, drug-naive MDD patients with SI displayed altered habenula neural circuitry. Forty-three and 38 drug-naïve patients with first-episode MDD with or without SI (SI+/- group) and 35 healthy control subjects (HC) underwent resting-state functional magnetic resonance imaging. The whole-brain habenula static (sFC) and dynamic functional connectivity (dFC) were calculated to identify regions showing significant difference among these three groups followed by region of interest to region of interest analysis. For sFC, compared with SI- and HC groups, SI+ group showed decreased sFC from habenula to the precuneus and the inferior frontal gyrus. Patients with MDD displayed increased sFC from habenula to the putamen but decreased sFC to the precentral gyrus. For dFC, SI+ group showed increased dFC from habenula to the superior temporal gyrus, the precuneus, but decreased dFC to the lingual gyrus, the postcentral gyrus, when comparing with SI- and HC groups. Patients with MDD, regardless of SI, displayed decreased dFC from the habenula to the angular gyrus. These findings provide evidence that SI in first-episode, drug-naïve patients with MDD may be related to an abnormality in habenula neural circuitry, which may provide the theoretical basis of novel treatments.

摘要

研究重度抑郁症(MDD)中自杀意念(SI)的神经生物学机制可能有助于预防自杀行为。越来越多的证据表明,缰核与MDD的病因有关。缰核是连接前脑和中脑的关键脑区,对奖赏和厌恶的处理至关重要。本研究的目的是确定首次发作、未服用过药物的伴有SI的MDD患者是否存在缰核神经回路改变。43例首次发作、未服用过药物的伴有或不伴有SI的MDD患者(SI+/-组)和35名健康对照者(HC)接受了静息态功能磁共振成像检查。计算全脑缰核静态功能连接(sFC)和动态功能连接(dFC),以确定这三组之间有显著差异的区域,随后进行感兴趣区域到感兴趣区域的分析。对于sFC,与SI-组和HC组相比,SI+组从缰核到楔前叶和额下回的sFC降低。MDD患者从缰核到壳核的sFC增加,但到中央前回的sFC降低。对于dFC,与SI-组和HC组相比,SI+组从缰核到颞上回、楔前叶的dFC增加,但到舌回、中央后回的dFC降低。无论是否伴有SI,MDD患者从缰核到角回的dFC均降低。这些发现提供了证据,表明首次发作、未服用过药物的伴有SI的MDD患者的自杀意念可能与缰核神经回路异常有关,这可能为新的治疗方法提供理论基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ff/7772142/1bb07d9d6b65/fpsyt-11-608197-g0001.jpg

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