Yin Lining, Han Fang, Yu Ying, Wang Qingyun
Department of Dynamics and Control, Beihang University, Beijing, 100191 China.
College of Information Science and Technology, Donghua University, Shanghai, 201620 China.
Cogn Neurodyn. 2023 Oct;17(5):1167-1184. doi: 10.1007/s11571-022-09858-3. Epub 2022 Aug 24.
Obsessive-compulsive disorder (OCD) is associated with multi-nodal abnormalities in brain networks, characterized by recurrent intrusive thoughts (obsessions) and repetitive behaviours or mental acts (compulsions), which might manifest as pathological low-frequency oscillations in the frontal EEG and low-frequency bursting firing patterns in the subthalamus nucleus (STN). Abnormalities in the cortical-striatal-thalamic-cortical (CSTC) loop, including dysregulation of serotonin, dopamine, and glutamate systems, are considered to contribute to certain types of OCD. Here, we extend a biophysical computational model to investigate the effect of orbitofronto-subcortical loop abnormalities on network oscillations. Particularly, the OCD lesion process is simulated by the loss of connectivity from striatal parvalbumin interneurons (PV) to medium spiny neurons (MSNs), excessive activation to the hyperdirect pathway, and high dopamine concentrations. By calculating low-frequency oscillation power in the STN, STN burst index, and average firing rates levels of the cortex and thalamus, we demonstrate that the model can explain the pathology of glutamatergic and dopamine system dysregulation, the effects of pathway imbalance, and neuropsychiatric treatment in OCD. In addition, results indicate the abnormal brain rhythms caused by the dysregulation of orbitofronto-subcortical loop may serve as a biomarker of OCD. Our studies can help to understand the cause of OCD, thereby facilitating the diagnosis of OCD and the development of new therapeutics.
强迫症(OCD)与脑网络中的多节点异常有关,其特征为反复出现的侵入性思维(强迫观念)和重复性的行为或心理活动(强迫行为),这可能表现为额叶脑电图中的病理性低频振荡以及丘脑底核(STN)中的低频爆发式放电模式。皮质-纹状体-丘脑-皮质(CSTC)环路的异常,包括血清素、多巴胺和谷氨酸系统的失调,被认为是导致某些类型强迫症的原因。在此,我们扩展了一个生物物理计算模型,以研究眶额皮质-皮质下环路异常对网络振荡的影响。具体而言,通过模拟纹状体小白蛋白中间神经元(PV)与中型多棘神经元(MSN)之间连接性的丧失、对超直接通路的过度激活以及高多巴胺浓度来模拟强迫症的病变过程。通过计算STN中的低频振荡功率、STN爆发指数以及皮质和丘脑的平均放电率水平,我们证明该模型可以解释谷氨酸能和多巴胺系统失调的病理、通路失衡的影响以及强迫症中的神经精神治疗。此外,结果表明眶额皮质-皮质下环路失调引起的异常脑节律可能是强迫症的一个生物标志物。我们的研究有助于理解强迫症的病因,从而促进强迫症的诊断和新疗法的开发。
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