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Dysregulated connectivity configuration of triple-network model in obsessive-compulsive disorder.

作者信息

Li Hailong, Li Bin, Cao Lingxiao, Jiang Jiaxin, Chai Shuangwei, Zhou Huan, Gao Yingxue, Zhang Lianqing, Zhou Zilin, Hu Xinyue, Bao Weijie, Biswal Bharat B, Gong Qiyong, Huang Xiaoqi

机构信息

Department of Radiology, Huaxi MR Research Center (HMRRC), Institution of Radiology and Medical Imaging, West China Hospital, Sichuan University, Chengdu, 610041, PR China.

Functional and Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital, Sichuan University, Chengdu, 610041, PR China.

出版信息

Mol Psychiatry. 2025 Feb 18. doi: 10.1038/s41380-025-02921-5.


DOI:10.1038/s41380-025-02921-5
PMID:39966625
Abstract

Obsessive-compulsive disorder (OCD) is signified by altered functional network connectivity (FNC), particularly within the default mode network (DMN), salience network (SAL), and fronto-parietal network (FPN). While previous studies suggest disruptions within triple networks, dynamic causal interactions across networks remain unaddressed. This study seeks to validate previous findings of static dysconnectivity between triple networks and further delineate the time-varying interactions and causal relationships among these networks in OCD. A resting-state functional magnetic resonance imaging study was performed on a relatively large and well-characterized clinical sample, comprising 88 medication-free OCD patients and 93 healthy controls (HC). Group independent component analysis, combined with a sliding window approach and k-means clustering analysis, was used to assess static and dynamic time-varying FNC within triple networks. Spectral dynamic causal modelling and parametric empirical Bayes framework were utilized to explore the abnormal effective connectivity among these networks in OCD patients. Our results proposed a novel dysregulated connectivity configuration of the triple-network model for OCD. With the self-inhibition increase in the left FPN, the excitatory effect onto the right FPN decrease, resulting in a weakened static connectivity between the left and right FPNs. Concurrently, time-varying hypoconnectivity patterns are observed between the left FPN and DMN, as well as the right FPN and SAL in OCD. Additionally, the excitatory influence from the DMN to the SAL suggests an atypical modulation within OCD's network pathology. These findings advance our understanding of the dysregulated information transfer and the complex interplay of brain networks in OCD, potentially guiding future therapeutic strategies.

摘要

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引用本文的文献

[1]
Decreased inter- and intra-network connectivity after group cognitive behavioral therapy in patients with unmedicated obsessive-compulsive disorder.

World J Psychiatry. 2025-8-19

[2]
Aberrant dynamics of the default mode network activity in patients with obsessive-compulsive disorder.

Cogn Neurodyn. 2025-12

本文引用的文献

[1]
Cognitive inflexibility is linked to abnormal frontoparietal-related activation and connectivity in obsessive-compulsive disorder.

Hum Brain Mapp. 2023-11

[2]
Correction: The functional connectome in obsessive-compulsive disorder: resting-state mega-analysis and machine learning classification for the ENIGMA-OCD consortium.

Mol Psychiatry. 2023-10

[3]
Changes in both top-down and bottom-up effective connectivity drive visual hallucinations in Parkinson's disease.

Brain Commun. 2022-12-14

[4]
Resting state effective connectivity abnormalities of the Papez circuit and cognitive performance in multiple sclerosis.

Mol Psychiatry. 2022-9

[5]
Abnormal resting-state functional connectivity in patients with obsessive-compulsive disorder: A systematic review and meta-analysis.

Neurosci Biobehav Rev. 2022-4

[6]
Alterations of default mode and cingulo-opercular salience network and frontostriatal circuit: A candidate endophenotype of obsessive-compulsive disorder.

Prog Neuropsychopharmacol Biol Psychiatry. 2022-6-8

[7]
Functional connectivity alterations between default mode network and occipital cortex in patients with obsessive-compulsive disorder (OCD).

Neuroimage Clin. 2022

[8]
Altered effective connectivity in sensorimotor cortices is a signature of severity and clinical course in depression.

Proc Natl Acad Sci U S A. 2021-10-5

[9]
Efficacy and tolerability of repetitive transcranial magnetic stimulation for the treatment of obsessive-compulsive disorder in adults: a systematic review and network meta-analysis.

Transl Psychiatry. 2021-5-28

[10]
Altered brain functional network dynamics in obsessive-compulsive disorder.

Hum Brain Mapp. 2021-5

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