Fang Jin, Lv Yiding, Xie Yingying, Tang Xiaowei, Zhang Xiaobin, Wang Xiang, Yu Miao, Zhou Chao, Qin Wen, Zhang Xiangrong
Department of Geriatric Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, 300052, China.
Schizophrenia (Heidelb). 2024 Feb 16;10(1):18. doi: 10.1038/s41537-024-00432-w.
Deficit schizophrenia (DS) is a subtype of schizophrenia (SCZ). The polygenic effects on the neuroimaging alterations in DS still remain unknown. This study aims to calculate the polygenic risk scores for schizophrenia (PRS-SCZ) in DS, and further explores the potential associations with functional features of brain. PRS-SCZ was calculated according to the Whole Exome sequencing and Genome-wide association studies (GWAS). Resting-state fMRI, as well as biochemical features and neurocognitive data were obtained from 33 DS, 47 NDS and 41 HCs, and association studies of genetic risk with neuroimaging were performed in this sample. The analyses of amplitude of low-frequency fluctuation (ALFF), regional homogeneity (ReHo) and functional connectivity (FC) were performed to detect the functional alterations between DS and NDS. In addition, correlation analysis was used to investigate the relationships between functional features (ALFF, ReHo, FC) and PRS-SCZ. The PRS-SCZ of DS was significantly lower than that in NDS and HC. Compared to NDS, there was a significant increase in the ALFF of left inferior temporal gyrus (ITG.L) and left inferior frontal gyrus (IFG.L) and a significant decrease in the ALFF of right precuneus (PCUN.R) and ReHo of right middle frontal gyrus (MFG.R) in DS. FCs were widely changed between DS and NDS, mainly concentrated in default mode network, including ITG, PCUN and angular gyrus (ANG). Correlation analysis revealed that the ALFF of left ITG, the ReHo of right middle frontal gyrus, the FC value between insula and ANG, left ITG and right corpus callosum, left ITG and right PCUN, as well as the scores of Trail Making Test-B, were associated with PRS-SCZ in DS. The present study demonstrated the differential polygenic effects on functional changes of brain in DS and NDS, providing a potential neuroimaging-genetic perspective for the pathogenesis of schizophrenia.
缺陷型精神分裂症(DS)是精神分裂症(SCZ)的一种亚型。多基因对DS神经影像学改变的影响仍不清楚。本研究旨在计算DS中精神分裂症的多基因风险评分(PRS-SCZ),并进一步探索其与脑功能特征的潜在关联。根据全外显子测序和全基因组关联研究(GWAS)计算PRS-SCZ。从33例DS、47例非缺陷型精神分裂症(NDS)和41例健康对照(HC)中获取静息态功能磁共振成像(fMRI)以及生化特征和神经认知数据,并在该样本中进行遗传风险与神经影像学的关联研究。进行低频振幅(ALFF)、局部一致性(ReHo)和功能连接(FC)分析以检测DS和NDS之间的功能改变。此外,采用相关性分析来研究功能特征(ALFF、ReHo、FC)与PRS-SCZ之间的关系。DS的PRS-SCZ显著低于NDS和HC。与NDS相比,DS左侧颞下回(ITG.L)和左侧额下回(IFG.L)的ALFF显著增加,右侧楔前叶(PCUN.R)的ALFF和右侧额中回(MFG.R)的ReHo显著降低。DS和NDS之间的FC广泛改变,主要集中在默认模式网络,包括ITG、PCUN和角回(ANG)。相关性分析显示,左侧ITG的ALFF、右侧额中回的ReHo、脑岛与ANG之间的FC值、左侧ITG与右侧胼胝体之间的FC值、左侧ITG与右侧PCUN之间的FC值以及连线测验B的得分与DS中的PRS-SCZ相关。本研究证明了多基因对DS和NDS脑功能变化的不同影响,为精神分裂症的发病机制提供了一个潜在的神经影像学-遗传学视角。