Wang Li, Yuan Fengying, Yuan Qiaoli, Dai Guidong, Lu Xiaofei, Zhou Li, Zheng Yurong, Wu Yunzhu, Wang Maohua, Chen Guangxiang
Department of Radiology, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, Sichuan, China.
Department of Anesthesiology, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, Sichuan, China.
Heliyon. 2024 Nov 20;10(23):e40428. doi: 10.1016/j.heliyon.2024.e40428. eCollection 2024 Dec 15.
Several clinical neuroimaging studies have reported structural and functional brain abnormalities associated with peripheral inflammatory cytokines or kynurenine pathway metabolites in patients with depression. However, it is not clear whether the abnormal findings are changes that are intrinsic to depression or whether they are caused by confounding factors such as age, illness duration, or medication.
To exclude confounding factors, we used chronic unpredictable mild stress (CUMS) rat model and magnetic resonance T1/T2 mapping to investigate the microstructural characteristics of the prefrontal cortex (PFC), hippocampus and corpus callosum and further explored the association between peripheral blood depression-related indicators and microstructural characteristics.
The results revealed that the T2 relaxation time of the corpus callosum was significantly decreased in the CUMS model compared to the control group. Additionally, positive correlations were found between the levels of inflammatory cytokines (interleukin (IL)-1 and IL-6) and the T1 relaxation time of the corpus callosum and between the level of IL-6 and the T1 relaxation time of the PFC.
Our study demonstrates that the microstructural abnormality of the corpus callosum is an intrinsic change that accompanies depression and also provides robust evidence that the microstructural characteristics of the corpus callosum and PFC associated with inflammatory cytokines in peripheral blood play an important role in the fundamental pathophysiological mechanism of depression.
多项临床神经影像学研究报告称,抑郁症患者存在与外周炎性细胞因子或犬尿氨酸途径代谢产物相关的脑结构和功能异常。然而,尚不清楚这些异常发现是抑郁症固有的变化,还是由年龄、病程或药物治疗等混杂因素引起的。
为排除混杂因素,我们使用慢性不可预测轻度应激(CUMS)大鼠模型和磁共振T1/T2成像技术,研究前额叶皮质(PFC)、海马体和胼胝体的微观结构特征,并进一步探讨外周血抑郁症相关指标与微观结构特征之间的关联。
结果显示,与对照组相比,CUMS模型中胼胝体的T2弛豫时间显著降低。此外,炎性细胞因子(白细胞介素(IL)-1和IL-6)水平与胼胝体的T1弛豫时间之间以及IL-6水平与PFC的T1弛豫时间之间存在正相关。
我们的研究表明,胼胝体的微观结构异常是抑郁症伴随的固有变化,也提供了有力证据,证明外周血中与炎性细胞因子相关的胼胝体和PFC的微观结构特征在抑郁症的基本病理生理机制中起重要作用。