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精神分裂症视觉可塑性的多模态神经影像学研究

Multimodal Neuroimaging Study of Visual Plasticity in Schizophrenia.

作者信息

Wijtenburg S Andrea, West Jeffrey, Korenic Stephanie A, Kuhney Franchesca, Gaston Frank E, Chen Hongji, Rowland Laura M

机构信息

Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States.

出版信息

Front Psychiatry. 2021 Apr 1;12:644271. doi: 10.3389/fpsyt.2021.644271. eCollection 2021.

Abstract

Schizophrenia is a severe mental illness with visual learning and memory deficits, and reduced long term potentiation (LTP) may underlie these impairments. Recent human fMRI and EEG studies have assessed visual plasticity that was induced with high frequency visual stimulation, which is thought to mimic an LTP-like phenomenon. This study investigated the differences in visual plasticity in participants with schizophrenia and healthy controls. An fMRI visual plasticity paradigm was implemented, and proton magnetic resonance spectroscopy data were acquired to determine whether baseline resting levels of glutamatergic and GABA metabolites were related to visual plasticity response. Adults with schizophrenia did not demonstrate visual plasticity after family-wise error correction; whereas, the healthy control group did. There was a significant regional difference in visual plasticity in the left visual cortical area V2 when assessing group differences, and baseline GABA levels were associated with this specific ROI in the SZ group only. Overall, this study suggests that visual plasticity is altered in schizophrenia and related to basal GABA levels.

摘要

精神分裂症是一种伴有视觉学习和记忆缺陷的严重精神疾病,长期增强作用(LTP)减弱可能是这些损害的基础。最近的人类功能磁共振成像(fMRI)和脑电图(EEG)研究评估了高频视觉刺激诱导的视觉可塑性,这种刺激被认为可模拟类似LTP的现象。本研究调查了精神分裂症患者与健康对照者在视觉可塑性方面的差异。实施了一项fMRI视觉可塑性范式,并采集了质子磁共振波谱数据,以确定谷氨酸能和γ-氨基丁酸(GABA)代谢物的基线静息水平是否与视觉可塑性反应相关。在进行家族性错误校正后,精神分裂症成年患者未表现出视觉可塑性;而健康对照组则表现出视觉可塑性。在评估组间差异时,左侧视觉皮层V2区的视觉可塑性存在显著的区域差异,且仅在精神分裂症组中,基线GABA水平与该特定感兴趣区(ROI)相关。总体而言,本研究表明精神分裂症患者的视觉可塑性发生改变,且与基础GABA水平有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3618/8046908/cc8af266cc5d/fpsyt-12-644271-g0001.jpg

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