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Vriend C, de Joode NT, Pouwels PJW, Liu F, Otaduy MCG, Pastorello B, Robertson FC, Ipser J, Lee S, Hezel DM, van Meter PE, Batistuzzo MC, Hoexter MQ, Sheshachala K, Narayanaswamy JC, Venkatasubramanian G, Lochner C, Miguel EC, Reddy YCJ, Shavitt RG, Stein DJ, Wall M, Simpson HB, van den Heuvel OA. Age of onset of obsessive-compulsive disorder differentially affects white matter microstructure. Mol Psychiatry 2024; 29:1033-1045. [PMID: 38228890 PMCID: PMC11176057 DOI: 10.1038/s41380-023-02390-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Revised: 12/04/2023] [Accepted: 12/15/2023] [Indexed: 01/18/2024]
Abstract
Previous diffusion MRI studies have reported mixed findings on white matter microstructure alterations in obsessive-compulsive disorder (OCD), likely due to variation in demographic and clinical characteristics, scanning methods, and underpowered samples. The OCD global study was created across five international sites to overcome these challenges by harmonizing data collection to identify consistent brain signatures of OCD that are reproducible and generalizable. Single-shell diffusion measures (e.g., fractional anisotropy), multi-shell Neurite Orientation Dispersion and Density Imaging (NODDI) and fixel-based measures, were extracted from skeletonized white matter tracts in 260 medication-free adults with OCD and 252 healthy controls. We additionally performed structural connectome analysis. We compared cases with controls and cases with early (<18) versus late (18+) OCD onset using mixed-model and Bayesian multilevel analysis. Compared with healthy controls, adult OCD individuals showed higher fiber density in the sagittal stratum (B[SE] = 0.10[0.05], P = 0.04) and credible evidence for higher fiber density in several other tracts. When comparing early (n = 145) and late-onset (n = 114) cases, converging evidence showed lower integrity of the posterior thalamic radiation -particularly radial diffusivity (B[SE] = 0.28[0.12], P = 0.03)-and lower global efficiency of the structural connectome (B[SE] = 15.3[6.6], P = 0.03) in late-onset cases. Post-hoc analyses indicated divergent direction of effects of the two OCD groups compared to healthy controls. Age of OCD onset differentially affects the integrity of thalamo-parietal/occipital tracts and the efficiency of the structural brain network. These results lend further support for the role of the thalamus and its afferent fibers and visual attentional processes in the pathophysiology of OCD.
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Affiliation(s)
- Chris Vriend
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, and Department of Anatomy and Neuroscience, de Boelelaan 1117, Amsterdam, the Netherlands.
- Compulsivity, Impulsivity and Attention, Amsterdam Neuroscience, de Boelelaan 1117, Amsterdam, the Netherlands.
| | - Niels T de Joode
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, and Department of Anatomy and Neuroscience, de Boelelaan 1117, Amsterdam, the Netherlands
- Compulsivity, Impulsivity and Attention, Amsterdam Neuroscience, de Boelelaan 1117, Amsterdam, the Netherlands
| | - Petra J W Pouwels
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Radiology and Nuclear Medicine, Amsterdam Neuroscience, de Boelelaan 1117, Amsterdam, the Netherlands
- Brain Imaging, Amsterdam Neuroscience, de Boelelaan 1117, Amsterdam, the Netherlands
| | - Feng Liu
- Columbia University Irving Medical Center, Columbia University, New York, NY, 10032, USA
- The New York State Psychiatric Institute, New York, NY, 10032, USA
| | - Maria C G Otaduy
- LIM44, Hospital das Clinicas HCFMUSP, Instituto e Departamento de Radiologia da Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Bruno Pastorello
- LIM44, Hospital das Clinicas HCFMUSP, Instituto e Departamento de Radiologia da Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Frances C Robertson
- Cape Universities Body Imaging Centre, University of Cape Town, Cape Town, South Africa
| | - Jonathan Ipser
- SAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa
| | - Seonjoo Lee
- Columbia University Irving Medical Center, Columbia University, New York, NY, 10032, USA
- The New York State Psychiatric Institute, New York, NY, 10032, USA
| | - Dianne M Hezel
- Columbia University Irving Medical Center, Columbia University, New York, NY, 10032, USA
- The New York State Psychiatric Institute, New York, NY, 10032, USA
| | - Page E van Meter
- Columbia University Irving Medical Center, Columbia University, New York, NY, 10032, USA
- The New York State Psychiatric Institute, New York, NY, 10032, USA
| | - Marcelo C Batistuzzo
- Obsessive-Compulsive Spectrum Disorders Program, LIM23, Hospital das Clinicas HCFMUSP, Instituto & Departamento de Psiquiatria da Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
- Department of Methods and Techniques in Psychology, Pontifical Catholic University, Sao Paulo, SP, Brazil
| | - Marcelo Q Hoexter
- LIM44, Hospital das Clinicas HCFMUSP, Instituto e Departamento de Radiologia da Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Karthik Sheshachala
- National Institute of Mental Health & Neurosciences (NIMHANS), Bangalore, India
| | | | | | - Christine Lochner
- SAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa
| | - Euripedes C Miguel
- Obsessive-Compulsive Spectrum Disorders Program, LIM23, Hospital das Clinicas HCFMUSP, Instituto & Departamento de Psiquiatria da Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Y C Janardhan Reddy
- National Institute of Mental Health & Neurosciences (NIMHANS), Bangalore, India
| | - Roseli G Shavitt
- Obsessive-Compulsive Spectrum Disorders Program, LIM23, Hospital das Clinicas HCFMUSP, Instituto & Departamento de Psiquiatria da Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Dan J Stein
- SAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa
| | - Melanie Wall
- Columbia University Irving Medical Center, Columbia University, New York, NY, 10032, USA
- The New York State Psychiatric Institute, New York, NY, 10032, USA
| | - Helen Blair Simpson
- Columbia University Irving Medical Center, Columbia University, New York, NY, 10032, USA
- The New York State Psychiatric Institute, New York, NY, 10032, USA
| | - Odile A van den Heuvel
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, and Department of Anatomy and Neuroscience, de Boelelaan 1117, Amsterdam, the Netherlands
- Compulsivity, Impulsivity and Attention, Amsterdam Neuroscience, de Boelelaan 1117, Amsterdam, the Netherlands
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