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自闭症谱系障碍和精神分裂症成年患者的皮质下脑形态测量差异

Subcortical Brain Morphometry Differences between Adults with Autism Spectrum Disorder and Schizophrenia.

作者信息

Weerasekera Akila, Ion-Mărgineanu Adrian, Nolan Garry, Mody Maria

机构信息

Department of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02115, USA.

Department of Electrical Engineering (ESAT), STADIUS Center for Dynamical Systems, Signal Processing and Data Analytics, KU Leuven, 3001 Leuven, Belgium.

出版信息

Brain Sci. 2022 Mar 25;12(4):439. doi: 10.3390/brainsci12040439.

Abstract

Autism spectrum disorder (ASD) and schizophrenia (SZ) are neuropsychiatric disorders that overlap in symptoms associated with social-cognitive impairment. Subcortical structures play a significant role in cognitive and social-emotional behaviors and their abnormalities are associated with neuropsychiatric conditions. This exploratory study utilized ABIDE II/COBRE MRI and corresponding phenotypic datasets to compare subcortical volumes of adults with ASD ( = 29), SZ ( = 51) and age and gender matched neurotypicals (NT). We examined the association between subcortical volumes and select behavioral measures to determine whether core symptomatology of disorders could be explained by subcortical association patterns. We observed volume differences in ASD (viz., left pallidum, left thalamus, left accumbens, right amygdala) but not in SZ compared to their respective NT controls, reflecting morphometric changes specific to one of the disorder groups. However, left hippocampus and amygdala volumes were implicated in both disorders. A disorder-specific negative correlation ( = -0.39, = 0.038) was found between left-amygdala and scores on the Social Responsiveness Scale (SRS) Social-Cognition in ASD, and a positive association ( = 0.29, = 0.039) between full scale IQ (FIQ) and right caudate in SZ. Significant correlations between behavior measures and subcortical volumes were observed in NT groups (ASD-NT range; = -0.53 to -0.52, = 0.002 to 0.004, SZ-NT range; = -0.41 to -0.32, = 0.007 to 0.021) that were non-significant in the disorder groups. The overlap of subcortical volumes implicated in ASD and SZ may reflect common neurological mechanisms. Furthermore, the difference in correlation patterns between disorder and NT groups may suggest dysfunctional connectivity with cascading effects unique to each disorder and a potential role for IQ in mediating behavior and brain circuits.

摘要

自闭症谱系障碍(ASD)和精神分裂症(SZ)是神经精神疾病,在与社会认知障碍相关的症状上存在重叠。皮质下结构在认知和社会情感行为中起重要作用,其异常与神经精神疾病有关。这项探索性研究利用ABIDE II/COBRE磁共振成像(MRI)和相应的表型数据集,比较了患有ASD(n = 29)、SZ(n = 51)的成年人以及年龄和性别匹配的神经典型个体(NT)的皮质下体积。我们研究了皮质下体积与特定行为指标之间的关联,以确定这些疾病的核心症状是否可以通过皮质下关联模式来解释。与各自的NT对照组相比,我们观察到ASD组(即左侧苍白球、左侧丘脑、左侧伏隔核、右侧杏仁核)存在体积差异,而SZ组未观察到差异,这反映了特定于其中一个疾病组的形态学变化。然而,左侧海马体和杏仁核体积在两种疾病中都有涉及。在ASD中,左侧杏仁核与社交反应量表(SRS)社交认知得分之间存在特定于疾病的负相关(r = -0.39,p = 0.038),在SZ中,全量表智商(FIQ)与右侧尾状核之间存在正相关(r = 0.29,p = 0.039)。在NT组中观察到行为指标与皮质下体积之间存在显著相关性(ASD-NT范围;r = -0.53至-0.52,p = 0.0

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22d3/9031550/17af36d3def5/brainsci-12-00439-g001.jpg

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