Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Fukoma, Japan.
Department of Psychiatry, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Cereb Cortex. 2023 Jun 8;33(12):7531-7539. doi: 10.1093/cercor/bhad058.
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.
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。