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与强迫症患者一级亲属运动反应抑制受损相关的前运动辅助区和下顶叶小叶之间的功能连接。

Functional connectivity between pre-supplementary motor area and inferior parietal lobule associated with impaired motor response inhibition in first-degree relatives of patients with obsessive-compulsive disorder.

机构信息

Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Fukoma, Japan.

Department of Psychiatry, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

出版信息

Cereb Cortex. 2023 Jun 8;33(12):7531-7539. doi: 10.1093/cercor/bhad058.

Abstract

Previous studies have suggested that specific fronto-striatal circuits are associated with impaired motor response inhibition in patients with obsessive-compulsive disorder (OCD) and their relatives. However, no study has investigated the underlying resting-state network associated with motor response inhibition in the unaffected first-degree relatives of patients with OCD. We measured motor response inhibition using stop-signal task, and obtained resting-state fMRI in 23 first-degree relatives and 52 healthy control participants. We explored the group differences in the functional network from seed regions-of-interest (ROIs) associated with motor response inhibition abilities. We used the inferior frontal gyrus (IFG) and pre-supplementary motor area (pre-SMA) as seed-ROIs. A significant group difference was observed in functional connectivity between the pre-SMA and inferior parietal lobule. In the relative group, reduced functional connectivity between these areas was associated with a longer stop-signal reaction time. Additionally, relatives showed significantly greater functional connectivity between the IFG and SMA, precentral, and postcentral areas. Our results could provide new insights into the resting-state neural activity of the pre-SMA underlying impaired motor response inhibition of unaffected first-degree relatives. In addition, our results suggested that relatives have an altered connectivity of the sensorimotor region, similar to that of patients with OCD shown in previous literature.

摘要

先前的研究表明,特定的额-纹状体回路与强迫症(OCD)患者及其亲属的运动反应抑制受损有关。然而,尚无研究调查过未受影响的 OCD 患者一级亲属中与运动反应抑制相关的静息状态网络。我们使用停止信号任务来测量运动反应抑制,并在 23 名一级亲属和 52 名健康对照参与者中获得静息态 fMRI。我们从与运动反应抑制能力相关的种子区域(ROI)中探索了功能网络的组间差异。我们使用额下回(IFG)和补充运动前区(pre-SMA)作为种子 ROI。在 SMA 与下顶叶之间观察到功能连接存在显著的组间差异。在相对组中,这些区域之间的功能连接减少与更长的停止信号反应时间相关。此外,亲属的 IFG 与 SMA、中央前回和中央后回之间的功能连接明显更大。我们的结果可以为未受影响的 OCD 一级亲属运动反应抑制受损的 SMA 静息状态神经活动提供新的见解。此外,我们的结果表明,与先前文献中 OCD 患者的结果类似,亲属的感觉运动区域的连接发生了改变。

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