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首发未用药的重性抑郁障碍与精神分裂症跨频多模态功能连接组的异常发育

Aberrant Development of Cross-Frequency Multiplex Functional Connectome in First-Episode, Drug-Naive Major Depressive Disorder and Schizophrenia.

机构信息

Institute for Brain Research and Rehabilitation, Guangdong Key Laboratory of Mental Health and Cognitive Science, Center for Studies of Psychological Application, South China Normal University, Guangzhou, China.

Department of Psychiatry, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

出版信息

Brain Connect. 2022 Aug;12(6):538-548. doi: 10.1089/brain.2021.0088. Epub 2021 Sep 22.

Abstract

Both major depressive disorder (MDD) and schizophrenia (SCH) are characterized by neurodevelopmental abnormalities; however, transdiagnostic and diagnosis-specific patterns of such abnormalities have rarely been examined, particularly in large-scale functional brain networks via advanced multilayer network models. Here, we collected resting-state functional magnetic resonance imaging data from 45 MDD patients, 64 SCH patients, and 48 healthy controls (HCs; 13-45 years old), and we constructed functional networks in different frequency intervals. The frequency-dependent networks were then fused by multiplex network models, followed by graph-based topological analyses. We found that functional networks of the patients showed common neurodevelopmental abnormalities in the right ventromedial parietooccipital sulcus (opposite correlations with age to HCs), whereas functional networks of the MDD patients exhibited specific alterations in the left superior parietal lobule and right precentral gyrus with respect to cross-frequency interactions. These findings were quite different from those from brain networks within each frequency interval, which revealed SCH-specific neurodevelopmental abnormalities in the right superior temporal gyrus (opposite correlations with age to the other two groups) in 0.027-0.073 Hz, and SCH-specific alterations in the left superior temporal gyrus and bilateral insula in 0.073-0.198 Hz. Finally, multivariate analysis of age prediction revealed that the subcortical network lost prediction ability in both patient groups, whereas the visual network exhibited additional prediction ability in the MDD patients. Altogether, these findings demonstrate transdiagnostic and diagnosis-specific neurodevelopmental abnormalities and alterations in large-scale functional brain networks between MDD and SCH, which have important implications for understanding shared and unique neural mechanisms underlying the diseases.

摘要

重度抑郁症(MDD)和精神分裂症(SCH)均以神经发育异常为特征;然而,跨诊断和诊断特异性的此类异常模式很少被研究,特别是在使用先进的多层网络模型的大规模功能大脑网络中。在这里,我们从 45 名 MDD 患者、64 名 SCH 患者和 48 名健康对照者(HC;13-45 岁)中收集了静息状态功能磁共振成像数据,并构建了不同频率间隔的功能网络。然后,通过多层网络模型融合频率相关网络,接着进行基于图的拓扑分析。我们发现,患者的功能网络显示出右侧腹侧顶枕沟(与 HCs 的年龄呈负相关)的共同神经发育异常,而 MDD 患者的功能网络则显示出左侧顶上回和右侧中央前回的特定跨频相互作用改变。这些发现与每个频率间隔内的脑网络的发现非常不同,在 0.027-0.073 Hz 范围内揭示了 SCH 特异性的神经发育异常,在右颞上回(与其他两组呈负相关),在 0.073-0.198 Hz 范围内揭示了 SCH 特异性的改变,在左颞上回和双侧岛叶。最后,年龄预测的多元分析表明,皮质下网络在两个患者组中都失去了预测能力,而视觉网络在 MDD 患者中表现出了额外的预测能力。总之,这些发现表明 MDD 和 SCH 之间存在跨诊断和诊断特异性的大规模功能大脑网络的神经发育异常和改变,这对于理解疾病背后的共享和独特神经机制具有重要意义。

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