Department of Psychiatry and Neuroscience, Gunma University Graduate School of Medicine, Gunma, Japan.
Gunma Prefectural Psychiatric Medical Center, Gunma, Japan.
Psychiatry Clin Neurosci. 2022 Jul;76(7):309-320. doi: 10.1111/pcn.13362. Epub 2022 Apr 30.
Schizophrenia (SZ) is characterized by psychotic symptoms and cognitive impairment, and is hypothesized to be a 'dysconnection' syndrome due to abnormal neural network formation. Although numerous studies have helped elucidate the pathophysiology of SZ, many aspects of the mechanism underlying psychotic symptoms remain unknown. This study used graph theory analysis to evaluate the characteristics of the resting-state network (RSN) in terms of microscale and macroscale indices, and to identify candidates as potential biomarkers of SZ. Specifically, we discriminated topological characteristics in the frequency domain and investigated them in the context of psychotic symptoms in patients with SZ.
We performed graph theory analysis of electrophysiological RSN data using magnetoencephalography to compare topological characteristics represented by microscale (degree centrality and clustering coefficient) and macroscale (global efficiency, local efficiency, and small-worldness) indices in 29 patients with SZ and 38 healthy controls. In addition, we investigated the aberrant topological characteristics of the RSN in patients with SZ and their relationship with SZ symptoms.
SZ was associated with a decreased clustering coefficient, local efficiency, and small-worldness, especially in the high beta band. In addition, macroscale changes in the low beta band are closely associated with negative symptoms.
The local networks of patients with SZ may disintegrate at both the microscale and macroscale levels, mainly in the beta band. Adopting an electrophysiological perspective of SZ as a failure to form local networks in the beta band will provide deeper insights into the pathophysiology of SZ as a 'dysconnection' syndrome.
精神分裂症(SZ)的特征是出现精神病症状和认知障碍,由于神经网络形成异常,故被假设为一种“连接中断”综合征。尽管大量研究有助于阐明 SZ 的病理生理学,但精神病症状的许多机制仍不清楚。本研究使用图论分析,从微观和宏观指标评估静息态网络(RSN)的特征,并确定作为 SZ 潜在生物标志物的候选者。具体来说,我们区分了频域中的拓扑特征,并在 SZ 患者的精神病症状背景下对其进行了研究。
我们使用脑磁图对脑电 RSN 数据进行图论分析,以比较 29 名 SZ 患者和 38 名健康对照者的微观(度中心度和聚类系数)和宏观(全局效率、局部效率和小世界)指标所代表的拓扑特征。此外,我们研究了 SZ 患者 RSN 的异常拓扑特征及其与 SZ 症状的关系。
SZ 与聚类系数、局部效率和小世界降低有关,尤其是在高β频段。此外,低β频段的宏观变化与阴性症状密切相关。
SZ 患者的局部网络可能在微观和宏观水平上都发生解体,主要发生在β频段。从电生理角度来看 SZ 是β频段局部网络形成失败,这将为 SZ 作为“连接中断”综合征的病理生理学提供更深入的见解。