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双相和单相抑郁患者后扣带回皮层和辅助运动皮层之间的运动表现和功能连接。

Motor performance and functional connectivity between the posterior cingulate cortex and supplementary motor cortex in bipolar and unipolar depression.

机构信息

Laboratory of Systems Neuroscience and Imaging in Psychiatry (SNIP-Lab), Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), Von-Siebold-Straße 5, 37075, Göttingen, Germany.

Cognitive Neuroscience Laboratory, German Primate Center, Kellnerweg 4, 37077, Göttingen, Germany.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2024 Apr;274(3):655-671. doi: 10.1007/s00406-023-01671-1. Epub 2023 Aug 28.

Abstract

Although implicated in unsuccessful treatment, psychomotor deficits and their neurobiological underpinnings in bipolar (BD) and unipolar (UD) depression remain poorly investigated. Here, we hypothesized that motor performance deficits in depressed patients would relate to basal functional coupling of the hand primary motor cortex (M1) and the posterior cingulate cortex (PCC) with the supplementary motor area (SMA). We performed a longitudinal, naturalistic study in BD, UD and matched healthy controls comprising of two resting-state functional MRI measurements five weeks apart and accompanying assessments of motor performance using a finger tapping task (FTT). A subject-specific seed-based analysis describing functional connectivity between PCC-SMA as well as M1-SMA was conducted. The basal relationships with motor performance were investigated using linear regression models and all measures were compared across groups. Performance in FTT was impaired in BD in comparison to HC in both sessions. Behavioral performance across groups correlated significantly with resting state functional coupling of PCC-SMA, but not of M1-SMA regions. This relationship was partially reflected in a reduced PCC-SMA connectivity in BD vs HC in the second session. Exploratory evaluation of large-scale networks coupling (SMN-DMN) exhibited no correlation to motor performance. Our results shed new light on the association between the degree of disruption in the SMA-PCC anticorrelation and the level of motor impairment in BD.

摘要

虽然在双相情感障碍(BD)和单相情感障碍(UD)抑郁的治疗失败、精神运动缺陷及其神经生物学基础方面存在关联,但这些方面的研究仍不够充分。在这里,我们假设抑郁患者的运动表现缺陷与手部初级运动皮层(M1)和后扣带回皮层(PCC)与辅助运动区(SMA)的基础功能连接有关。我们进行了一项纵向、自然主义的研究,包括 BD、UD 和匹配的健康对照组,共进行了两次相隔五周的静息态功能磁共振成像测量,并使用手指敲击任务(FTT)进行了伴随的运动表现评估。进行了一项基于种子的分析,描述了 PCC-SMA 以及 M1-SMA 之间的功能连接。使用线性回归模型研究了与运动表现的基础关系,并在组间比较了所有测量结果。在两次会议中,BD 患者的 FTT 表现均比 HC 患者差。组间的行为表现与 PCC-SMA 的静息状态功能耦合显著相关,但与 M1-SMA 区域无关。这种关系在第二次会议中,BD 与 HC 相比,PCC-SMA 的连接性降低部分反映了这一点。对大规模网络耦合(SMN-DMN)的探索性评估与运动表现无关。我们的结果为 SMA-PCC 负相关的破坏程度与 BD 中的运动障碍程度之间的关联提供了新的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fd/10995093/ce2aa569a91e/406_2023_1671_Fig1_HTML.jpg

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