Suppr超能文献

对压力、焦虑和抑郁状态下认知与情感网络的全面图谱绘制表明楔前叶是一个关键枢纽。

Comprehensive mapping of cognitive and emotion networks in stress, anxiety, and depression implicates the precuneus as a critical hub.

作者信息

Sendi Mohammad, Halko Mark, Traynor Jenna, Brown Joshua, Copersino Marc, Nickerson Lisa, Harnett Nathaniel, van Rooij Sanne, Pizzagalli Diego, House Stacey, Beaudoin Francesca, An Xinming, Neylan Thomas, Clifford Gari, Jovanovic Tanja, Linnstaedt Sarah, Germine Laura, Bollen Kenneth, Rauch Scott, Haran John, Storrow Alan, Lewandowski Christopher, Musey Paul, Hendry Phyllis, Sheikh Sophia, Jones Christopher, Punches Brittany, Swor Robert, Gentile Nina, Hudak Lauren, Pascual Jose, Seamon Mark, Harris Erica, Pearson Claire, Peak David, Domeier Robert, Rathlev Niels, O'Neil Brian, Sergot Paulina, Sanchez Leon, Bruce Steven, Sheridan John, Harte Steven, Kessler Ronald, Koenen Karestan, Phelps Elizabeth, Salat David, Mayberg Helen, McLean Samuel, Stevens Jennifer, Calhoun Vince, Ressler Kerry, Dillon Daniel

机构信息

Harvard Medical School/McLean Hospital.

Mass General Brigham.

出版信息

Res Sq. 2025 Aug 26:rs.3.rs-7200801. doi: 10.21203/rs.3.rs-7200801/v1.

Abstract

Stress-related conditions disrupt cognition and emotion regulation and can result in psychiatric illness, but the neural circuit-level changes that can explain these broad effects remain unclear. To address this issue, we paired population-grounded discovery with out-of-sample testing. Using resting-state fMRI from > 14,000 healthy adults in the UK Biobank, we derived connectivity profiles tied to cognition (reaction time, numeric memory), and proxies of emotion dysregulation (neuroticism, anhedonia). We then applied the profiles to a trauma-exposed cohort (N = 306) to assess symptom relevance. Associations with stress, anxiety, and depression concentrated in a subset of circuit motifs, two of which recurred: (1) hyperintegration between the default mode and control/limbic interfaces, as well as (2) hypointegration between the default mode and visual interfaces, both tracked higher symptom burden. Static and dynamic analyses converged on the precuneus as a critical hub: stronger precuneus-visual coupling and greater occupancy of a precuneus-engaged dynamic state were related to lower symptoms, whereas the opposing state was related to higher burden. This novel hybrid approach-discover-thenproject-thus yielded interpretable markers of circuit dysfunction that generalized to post-trauma psychopathology. Furthermore, the approach identified the precuneus as a potential target for mechanistically informed interventions.

摘要

与压力相关的状况会扰乱认知和情绪调节,并可能导致精神疾病,但能够解释这些广泛影响的神经回路水平变化仍不清楚。为了解决这个问题,我们将基于人群的发现与样本外测试相结合。利用英国生物银行中超过14000名健康成年人的静息态功能磁共振成像,我们得出了与认知(反应时间、数字记忆)以及情绪调节障碍指标(神经质、快感缺乏)相关的连接图谱。然后,我们将这些图谱应用于一个受过创伤的队列(N = 306),以评估症状相关性。与压力、焦虑和抑郁的关联集中在一部分回路基序中,其中有两个反复出现:(1)默认模式与控制/边缘系统界面之间的过度整合,以及(2)默认模式与视觉界面之间的整合不足,这两者都与更高的症状负担相关。静态和动态分析都聚焦于楔前叶作为关键枢纽:更强的楔前叶 - 视觉耦合以及楔前叶参与的动态状态的更高占有率与更低的症状相关,而相反的状态则与更高的负担相关。这种新颖的混合方法——先发现然后投射——因此产生了可解释的回路功能障碍标志物,这些标志物可推广到创伤后精神病理学。此外,该方法将楔前叶确定为基于机制的干预的潜在靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fe4/12407995/0da3ab80c4fb/nihpp-rs7200801v1-f0001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验