Huang Huan, Rong Bei, Chen Cheng, Wan Qirong, Liu Zhongchun, Zhou Yuan, Wang Gaohua, Wang Huiling
Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China.
Brain Sci. 2023 Jun 27;13(7):997. doi: 10.3390/brainsci13070997.
Schizophrenia and depression are psychiatric disorders with overlapping clinical and biological features. This study aimed to identify common and distinct neuropathological mechanisms in schizophrenia and depression patients using resting-state functional magnetic resonance imaging (fMRI). The study included 28 patients with depression (DEP), 29 patients with schizophrenia (SCH), and 30 healthy control subjects (HC). Intrinsic connectivity contrast (ICC) was used to identify functional connectivity (FC) changes at the whole-brain level, and significant ICC differences were found in the bilateral orbitofrontal cortex (OFC) across all three groups. Further seed-based FC analysis indicated that compared to the DEP and HC groups, the FC between bilateral OFC and medial prefrontal cortex (MPFC), right anterior insula, and right middle frontal gyrus were significantly lower in the SCH group. Additionally, the FC between right OFC and left thalamus was decreased in both patient groups compared to the HC group. Correlation analysis showed that the FC between OFC and MPFC was positively correlated with cognitive function in the SCH group. These findings suggest that OFC connectivity plays a critical role in the pathophysiology of schizophrenia and depression and may provide new insights into the potential neural mechanisms underlying these two disorders.
精神分裂症和抑郁症是具有重叠临床和生物学特征的精神疾病。本研究旨在使用静息态功能磁共振成像(fMRI)确定精神分裂症和抑郁症患者中共同的和独特的神经病理机制。该研究纳入了28名抑郁症患者(DEP)、29名精神分裂症患者(SCH)和30名健康对照者(HC)。采用内在连接性对比(ICC)来识别全脑水平的功能连接(FC)变化,并且在所有三组中双侧眶额皮质(OFC)均发现了显著的ICC差异。进一步基于种子点的FC分析表明,与DEP组和HC组相比,SCH组双侧OFC与内侧前额叶皮质(MPFC)、右侧前岛叶和右侧额中回之间的FC显著降低。此外,与HC组相比,两个患者组中右侧OFC与左侧丘脑之间的FC均降低。相关性分析表明,SCH组中OFC与MPFC之间的FC与认知功能呈正相关。这些发现表明,OFC连接性在精神分裂症和抑郁症的病理生理学中起关键作用,并且可能为这两种疾病潜在的神经机制提供新的见解。