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炎症性肠病中的脑结构与功能变化。

Brain structure and function changes in inflammatory bowel disease.

作者信息

Kornelsen Jennifer, Witges Kelcie, Labus Jennifer, Mayer Emeran A, Bernstein Charles N

机构信息

University of Manitoba, Department of Radiology, Winnipeg, Manitoba, Canada.

University of Manitoba IBD Clinical and Research Centre, Winnipeg, Manitoba, Canada.

出版信息

Neuroimage Rep. 2022 May 6;2(2):100097. doi: 10.1016/j.ynirp.2022.100097. eCollection 2022 Jun.

DOI:10.1016/j.ynirp.2022.100097
PMID:40568247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12172730/
Abstract

As the importance of the brain-gut axis in the pathobiology of inflammatory bowel disease (IBD) continues to evolve, a greater understanding of brain structure and functional connectivity (FC) is necessary. In this magnetic resonance imaging (MRI) study, we investigated differences in brain structure and in FC of brain regions in 111 participants with IBD (76 ulcerative colitis (UC) and 35 Crohn's disease (CD)) and 74 healthy controls (HC). Significant differences between IBD and HC were observed in the three analyses used (voxel based morphometry, region-of-interest, and independent component analysis) in brain regions of the default mode, cerebellar, and visual networks. Significant differences between IBD subtypes (UC, CD) were found. The results of the current study establish that a relationship between brain functional connectivity and the brain-gut axis exists in IBD.

摘要

随着脑-肠轴在炎症性肠病(IBD)病理生物学中的重要性不断演变,有必要更深入地了解脑结构和功能连接(FC)。在这项磁共振成像(MRI)研究中,我们调查了111名IBD患者(76例溃疡性结肠炎(UC)和35例克罗恩病(CD))和74名健康对照者(HC)的脑结构及脑区功能连接的差异。在默认模式、小脑和视觉网络的脑区所采用的三项分析(基于体素的形态学测量、感兴趣区域和独立成分分析)中,观察到IBD患者与健康对照者之间存在显著差异。还发现IBD各亚型(UC、CD)之间存在显著差异。当前研究结果证实,IBD中存在脑功能连接与脑-肠轴之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4040/12172730/9ce4a528b9d9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4040/12172730/2a1b988c7609/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4040/12172730/cd447e2e9e8e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4040/12172730/ce00948cc872/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4040/12172730/9ce4a528b9d9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4040/12172730/2a1b988c7609/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4040/12172730/cd447e2e9e8e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4040/12172730/ce00948cc872/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4040/12172730/9ce4a528b9d9/gr4.jpg

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Brain Behav Immun Health. 2020 Jun 8;5:100093. doi: 10.1016/j.bbih.2020.100093. eCollection 2020 May.
2
Achieving Histologic Normalization in Ulcerative Colitis Is Associated With a Reduced Risk of Subsequent Dysplasia.在溃疡性结肠炎中实现组织学正常化与随后发生异型增生的风险降低相关。
Inflamm Bowel Dis. 2022 Mar 30;28(4):553-559. doi: 10.1093/ibd/izab130.
3
Altered brain structural connectivity in patients with longstanding gut inflammation is correlated with psychological symptoms and disease duration.
长期肠道炎症患者的大脑结构连接发生改变,与心理症状和疾病持续时间相关。
Neuroimage Clin. 2021;30:102613. doi: 10.1016/j.nicl.2021.102613. Epub 2021 Mar 9.
4
Exploring joint patterns of brain structure and function in inflammatory bowel diseases using multimodal data fusion.利用多模态数据融合技术探索炎症性肠病的脑结构和功能的联合模式。
Neurogastroenterol Motil. 2021 Jun;33(6):e14078. doi: 10.1111/nmo.14078. Epub 2020 Dec 28.
5
Imaging of Morphological Background in Selected Functional and Inflammatory Gastrointestinal Diseases in fMRI.功能磁共振成像中选定功能性和炎症性胃肠疾病的形态学背景成像
Front Psychiatry. 2020 May 20;11:461. doi: 10.3389/fpsyt.2020.00461. eCollection 2020.
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Ulcerative colitis: Recent advances in the understanding of disease pathogenesis.溃疡性结肠炎:疾病发病机制认识的最新进展
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