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Gruzman R, Hempel M, Domke AK, Hartling C, Stippl A, Carstens L, Bajbouj M, Gärtner M, Grimm S. Investigating the impact of rumination and adverse childhood experiences on resting-state neural activity and connectivity in depression. J Affect Disord 2024; 358:283-291. [PMID: 38387672 DOI: 10.1016/j.jad.2024.02.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 02/15/2024] [Accepted: 02/17/2024] [Indexed: 02/24/2024]
Abstract
BACKGROUND Both ruminative thought processes and adverse childhood experiences (ACEs) are well-established risk factors for the emergence and maintenance of depression. However, the neurobiological mechanisms underlying these associations remain poorly understood. METHODS We examined resting-state functional magnetic resonance imaging data (3 T Tim Trio MR scanner; Siemens, Erlangen) of 44 individuals diagnosed with an acute depressive episode. Specifically, we focused on investigating functional brain activity and connectivity within and between three large-scale neural networks associated with processes affected in depression: the default mode network (DMN), the salience network (SN), and the central executive network (CEN). Correlational and regression-based analyses were performed. RESULTS Our regions of interest analyses revealed that region-specific spontaneous neural activity in the anterior DMN was associated with self-reported trait rumination, specifically, the pregenual anterior cingulate cortex (pgACC). Furthermore, using a liberal statistical threshold, we found that spontaneous neural activity of the ventromedial prefrontal cortex and the pgACC were associated with depression symptom severity. Neither spontaneous neural activity in the SN and CEN nor functional connectivity within and across the investigated networks was associated with depression severity or rumination. Furthermore, there was no association between ACEs and brain activity and connectivity. LIMITATIONS Lack of a formal control group or low-risk group for comparison. CONCLUSIONS Overall, our results indicate network-specific changes in spontaneous brain activity, that are linked to both depression severity and rumination. Findings underscore the crucial role of the pgACC in depression and contribute to a dimensional and symptom-based understanding of depression-related network imbalances.
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Affiliation(s)
- Rebecca Gruzman
- Department of Psychology, MSB Medical School Berlin, Rüdesheimer Straße 50, 14197 Berlin, Germany.
| | - Moritz Hempel
- Department of Psychology, MSB Medical School Berlin, Rüdesheimer Straße 50, 14197 Berlin, Germany
| | - Ann-Kathrin Domke
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt - Universität zu Berlin, Berlin Institute of Health, Campus Benjamin Franklin, Hindenburgdamm 30, 12203 Berlin, Germany
| | - Corinna Hartling
- Department of Psychology, MSB Medical School Berlin, Rüdesheimer Straße 50, 14197 Berlin, Germany; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt - Universität zu Berlin, Berlin Institute of Health, Campus Benjamin Franklin, Hindenburgdamm 30, 12203 Berlin, Germany
| | - Anna Stippl
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt - Universität zu Berlin, Berlin Institute of Health, Campus Benjamin Franklin, Hindenburgdamm 30, 12203 Berlin, Germany
| | - Luisa Carstens
- Department of Psychology, MSB Medical School Berlin, Rüdesheimer Straße 50, 14197 Berlin, Germany
| | - Malek Bajbouj
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt - Universität zu Berlin, Berlin Institute of Health, Campus Benjamin Franklin, Hindenburgdamm 30, 12203 Berlin, Germany
| | - Matti Gärtner
- Department of Psychology, MSB Medical School Berlin, Rüdesheimer Straße 50, 14197 Berlin, Germany; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt - Universität zu Berlin, Berlin Institute of Health, Campus Benjamin Franklin, Hindenburgdamm 30, 12203 Berlin, Germany
| | - Simone Grimm
- Department of Psychology, MSB Medical School Berlin, Rüdesheimer Straße 50, 14197 Berlin, Germany; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt - Universität zu Berlin, Berlin Institute of Health, Campus Benjamin Franklin, Hindenburgdamm 30, 12203 Berlin, Germany; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Lenggstrasse 31, 8032 Zurich, Switzerland
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Yue M, Peng X, Chunlei G, Yi L, Shanshan G, Jifei S, Qingyan C, Bai Z, Yong L, Zhangjin Z, Peijing R, Jiliang F. Modulating the default mode network: Antidepressant efficacy of transcutaneous electrical cranial-auricular acupoints stimulation targeting the insula. Psychiatry Res Neuroimaging 2024; 339:111787. [PMID: 38295529 DOI: 10.1016/j.pscychresns.2024.111787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 11/22/2023] [Accepted: 01/08/2024] [Indexed: 02/02/2024]
Abstract
BACKGROUND Transcutaneous electrical cranial-auricular acupoint stimulation (TECAS) is a novel non-invasive therapy for major depressive disorder (MDD) that stimulates acupoints innervated by the trigeminal and auricular vagus nerves. However, there are few neuroimaging studies involving the TECAS for the treatment of MDD. Therefore, this study aimed to investigate the treatment response and neurological effects of TECAS using resting-state functional magnetic resonance imaging (rs-fMRI). METHOD A total of 34 patients with mild-to-moderate MDD and 34 demographically matched healthy controls (HCs) were recruited. After an eight-week treatment the primary outcome was clinical response, defined as a baseline-to-endpoint ≥ 50 % reduction in the 17-item Hamilton Depression Rating Scale (HAMD-17). The low-frequency fluctuations (ALFF) method were used to investigate the brain abnormalities of MDD patients and HCs, and altered brain networks were analyzed between pre- and post-treatment using seed-based functional connectivity (FC) analysis. RESULTS We found no significant differences in terms of gender, age, and years of education between the two groups. After treatment, the response rate was 58.82 %. Compared to HCs, MDD patients showed lower ALFF values in the left insula(t = -4.298,P < 0.005), the insula-based FC revealed in the right middle frontal gyrus (MFG)/ right superior frontal gyrus, orbital part (ORBsupmed) (t = -5.29,P < 0.005) and the right anterior cingulate gyrus (ACC)were decreased (t = -6.08,P < 0.005). Furthermore, Compared to pre-treatment, abnormal FC values in the ACC /orbital superior frontal gyrus (SFG) (t = 3.42,P < 0.005) and left superior frontal gyrus (SFG)/ supplement motor area (SMA) were enhanced (t = 3.34,P < 0.005). CONCLUSION TECAS exhibits antidepressant efficacy, particularly influencing the insula-based functional connections within the Default Mode Network (DMN) related to emotion processing in individuals with MDD.
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Affiliation(s)
- Ma Yue
- Guang'anmen Hospital, China Academy of Chinese Medical Sciences, 100053, Beijing, China; Graduate School of China Academy of Chinese Medical Sciences, 100700, Beijing, China
| | - Xu Peng
- Guang'anmen Hospital, China Academy of Chinese Medical Sciences, 100053, Beijing, China
| | - Guo Chunlei
- Guang'anmen Hospital, China Academy of Chinese Medical Sciences, 100053, Beijing, China; Graduate School of China Academy of Chinese Medical Sciences, 100700, Beijing, China
| | - Luo Yi
- Guang'anmen Hospital, China Academy of Chinese Medical Sciences, 100053, Beijing, China; Graduate School of China Academy of Chinese Medical Sciences, 100700, Beijing, China
| | - Gao Shanshan
- Guang'anmen Hospital, China Academy of Chinese Medical Sciences, 100053, Beijing, China; Graduate School of China Academy of Chinese Medical Sciences, 100700, Beijing, China
| | - Sun Jifei
- Guang'anmen Hospital, China Academy of Chinese Medical Sciences, 100053, Beijing, China; Graduate School of China Academy of Chinese Medical Sciences, 100700, Beijing, China
| | - Chen Qingyan
- Guang'anmen Hospital, China Academy of Chinese Medical Sciences, 100053, Beijing, China; Graduate School of China Academy of Chinese Medical Sciences, 100700, Beijing, China
| | - Zhenjun Bai
- College of Traditional Chinese Medicine Health Service, Shanxi Datong University, Datong, 037009, Shanxi Province, China
| | - Liu Yong
- Affiliated Hospital of Traditional Chinese Medicine, Southwest Medical University, 646000, Luzhou, China
| | - Zhang Zhangjin
- Department of Chinese Medicine, the University of Hong Kong-Shenzhen Hospital (HKU-SZH), Shenzhen, China
| | - Rong Peijing
- Graduate School of China Academy of Chinese Medical Sciences, 100700, Beijing, China; Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, 100700, Beijing, China
| | - Fang Jiliang
- Guang'anmen Hospital, China Academy of Chinese Medical Sciences, 100053, Beijing, China; Graduate School of China Academy of Chinese Medical Sciences, 100700, Beijing, China.
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3
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Huang L, Li Q, He D, Cheng Z, Zhang H, Shen W, Zhan L, Zhang J, Hao Z, Ding Q. Modulatory effects of aerobic training on the degree centrality of brain functional activity in subthreshold depression. Brain Res 2024; 1827:148767. [PMID: 38224827 DOI: 10.1016/j.brainres.2024.148767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 12/07/2023] [Accepted: 01/12/2024] [Indexed: 01/17/2024]
Abstract
BACKGROUND Aerobic training has been shown to effectively prevent the progression of depressive symptoms from subthreshold depression (StD) to major depressive disorder (MDD), and understanding how aerobic training promotes changes in neuroplasticity is essential to comprehending its antidepressant effects. Few studies, however, have quantified the alterations in spontaneous brain activity before and after aerobic training for StD. METHODS Participants included 44 individuals with StD and 34 healthy controls (HCs). Both groups underwent moderate aerobic training for eight weeks, and resting state functional magnetic resonance imaging (rs-fMRI) data were collected before and after training. The degree centrality (DC) changes between the two groups and the DC changes in each group before and after training were quantified. RESULTS The rs-fMRI results showed that compared with the HCs, the DC values of the StD group in the orbital region of the left inferior frontal gyrus significantly depreciated at baseline. After aerobic training, the results of the follow-up examination revealed no significant difference in the DC values between the two groups. In addition, compared with baseline, the StD group exhibited an significant decrease in the DC values of the left dorsolateral superior frontal gyrus; while the HCs group exhibited an significant decrease in the DC values of the left thalamus. No statistically significant connection was seen between changes in DC values and psychological scale scores in the StD group. CONCLUSIONS Our findings suggest that regular aerobic training can enhance brain plasticity in StD. In addition, we demonstrated that DC is a relevant and accessible method for evaluating the functional plasticity of the brain induced by aerobic training in StD.
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Affiliation(s)
- Lina Huang
- Department of Radiology, Changshu Hospital Affiliated to Nantong University, Jiangsu, China
| | - Qin Li
- Department of Radiology, Changshu Hospital Affiliated to Nantong University, Jiangsu, China
| | - Di He
- School of Information and Electronics Technology, Jiamusi University, Jiamusi, China
| | - Zhixiang Cheng
- School of Information Science and Engineering, Dalian Polytechnic University, Dalian 116030, Liaoning, China
| | - Hongqiang Zhang
- Department of Radiology, Changshu Hospital Affiliated to Nantong University, Jiangsu, China
| | - Wenbin Shen
- Department of Radiology, Changshu Hospital Affiliated to Nantong University, Jiangsu, China
| | - Linlin Zhan
- School of Western Studies, Heilongjiang University, Harbin, China
| | - Jun Zhang
- Department of Psychiatry, Changshu Third People's Hospital, Changshu, Jiangsu, China
| | - Zeqi Hao
- School of Psychology, Zhejiang Normal University, Jinhua, China.
| | - Qingguo Ding
- Department of Radiology, Changshu Hospital Affiliated to Nantong University, Jiangsu, China.
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Jia F, Chen X, Du X, Tang Z, Ma X, Ning T, Zou S, Zuo S, Li H, Cui S, Deng Z, Fu J, Fu X, Huang Y, Li X, Lian T, Liao Y, Liu L, Lu B, Wang Y, Wang Y, Wang Z, Ye G, Zhang X, Zhu H, Quan C, Sun H, Yan C, Liu Y. Aberrant degree centrality profiles during rumination in major depressive disorder. Hum Brain Mapp 2023; 44:6245-6257. [PMID: 37837649 PMCID: PMC10619375 DOI: 10.1002/hbm.26510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 09/14/2023] [Accepted: 09/25/2023] [Indexed: 10/16/2023] Open
Abstract
Rumination is closely linked to the onset and maintenance of major depressive disorder (MDD). Prior neuroimaging studies have identified the association between self-reported rumination trait and the functional coupling among a network of brain regions using resting-state functional magnetic resonance imaging (MRI). However, little is known about the underlying neural circuitry mechanism during active rumination in MDD. Degree centrality (DC) is a simple metric to denote network integration, which is critical for higher-order psychological processes such as rumination. During an MRI scan, individuals with MDD (N = 45) and healthy controls (HC, N = 46) completed a rumination state task. We examined the interaction effect between the group (MDD vs. HC) and condition (rumination vs. distraction) on vertex-wise DC. We further characterized the identified brain region's functional involvement with Neurosynth and BrainMap. Network-wise seed-based functional connectivity (FC) analysis was also conducted for the identified region of interest. Finally, exploratory correlation analysis was conducted between the identified region of interest's network FCs and self-reported in-scanner affect levels. We found that a left superior frontal gyrus (SFG) region, generally overlapped with the frontal eye field, showed a significant interaction effect. Further analysis revealed its involvement with executive functions. FCs between this region, the frontoparietal, and the dorsal attention network (DAN) also showed significant interaction effects. Furthermore, its FC to DAN during distraction showed a marginally significant negative association with in-scanner affect level at the baseline. Our results implicated an essential role of the left SFG in the rumination's underlying neural circuitry mechanism in MDD and provided novel evidence for the conceptualization of rumination in terms of impaired executive control.
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Affiliation(s)
- Feng‐Nan Jia
- Soochow UniversitySuzhouJiangsuChina
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Xiao Chen
- CAS Key Laboratory of Behavioral ScienceInstitute of PsychologyBeijingChina
- Temerty Centre for Therapeutic Brain Intervention, Campbell Family Research InstituteCentre for Addiction and Mental HealthTorontoOntarioCanada
- Department of PsychologyUniversity of Chinese Academy of SciencesBeijingChina
- Magnetic Resonance Imaging Research CenterInstitute of Psychology, Chinese Academy of SciencesBeijingChina
- International Big‐Data Center for Depression ResearchChinese Academy of SciencesBeijingChina
| | - Xiang‐Dong Du
- Soochow UniversitySuzhouJiangsuChina
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Zhen Tang
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Xiao‐Yun Ma
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Tian‐Tian Ning
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Si‐Yun Zou
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Shang‐Fu Zuo
- Boston University Chobanian & Avedisian School of MedicineBostonMassachusettsUSA
| | - Hui‐Xian Li
- The Third Affiliated Hospital of Zhengzhou UniversityZhengzhouHenanChina
| | - Shi‐Xian Cui
- CAS Key Laboratory of Behavioral ScienceInstitute of PsychologyBeijingChina
- Department of PsychologyUniversity of Chinese Academy of SciencesBeijingChina
- Magnetic Resonance Imaging Research CenterInstitute of Psychology, Chinese Academy of SciencesBeijingChina
- International Big‐Data Center for Depression ResearchChinese Academy of SciencesBeijingChina
- Sino‐Danish CollegeUniversity of Chinese Academy of SciencesBeijingChina
- Sino‐Danish Center for Education and ResearchBeijingChina
| | - Zhao‐Yu Deng
- CAS Key Laboratory of Behavioral ScienceInstitute of PsychologyBeijingChina
- Department of PsychologyUniversity of Chinese Academy of SciencesBeijingChina
- Magnetic Resonance Imaging Research CenterInstitute of Psychology, Chinese Academy of SciencesBeijingChina
- International Big‐Data Center for Depression ResearchChinese Academy of SciencesBeijingChina
| | - Jia‐Lin Fu
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Xiao‐Qian Fu
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Yue‐Xiang Huang
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Xue‐Ying Li
- CAS Key Laboratory of Behavioral ScienceInstitute of PsychologyBeijingChina
- Department of PsychologyUniversity of Chinese Academy of SciencesBeijingChina
- Magnetic Resonance Imaging Research CenterInstitute of Psychology, Chinese Academy of SciencesBeijingChina
- International Big‐Data Center for Depression ResearchChinese Academy of SciencesBeijingChina
| | - Tao Lian
- CAS Key Laboratory of Behavioral ScienceInstitute of PsychologyBeijingChina
- Department of PsychologyUniversity of Chinese Academy of SciencesBeijingChina
- Magnetic Resonance Imaging Research CenterInstitute of Psychology, Chinese Academy of SciencesBeijingChina
- International Big‐Data Center for Depression ResearchChinese Academy of SciencesBeijingChina
| | - Yi‐Fan Liao
- CAS Key Laboratory of Behavioral ScienceInstitute of PsychologyBeijingChina
- Department of PsychologyUniversity of Chinese Academy of SciencesBeijingChina
- Magnetic Resonance Imaging Research CenterInstitute of Psychology, Chinese Academy of SciencesBeijingChina
- International Big‐Data Center for Depression ResearchChinese Academy of SciencesBeijingChina
| | - Li‐Li Liu
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Bin Lu
- CAS Key Laboratory of Behavioral ScienceInstitute of PsychologyBeijingChina
- Department of PsychologyUniversity of Chinese Academy of SciencesBeijingChina
- Magnetic Resonance Imaging Research CenterInstitute of Psychology, Chinese Academy of SciencesBeijingChina
- International Big‐Data Center for Depression ResearchChinese Academy of SciencesBeijingChina
| | - Yan Wang
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Yu‐Wei Wang
- CAS Key Laboratory of Behavioral ScienceInstitute of PsychologyBeijingChina
- Department of PsychologyUniversity of Chinese Academy of SciencesBeijingChina
- Magnetic Resonance Imaging Research CenterInstitute of Psychology, Chinese Academy of SciencesBeijingChina
- International Big‐Data Center for Depression ResearchChinese Academy of SciencesBeijingChina
| | - Zi‐Han Wang
- CAS Key Laboratory of Behavioral ScienceInstitute of PsychologyBeijingChina
- Department of PsychologyUniversity of Chinese Academy of SciencesBeijingChina
- Magnetic Resonance Imaging Research CenterInstitute of Psychology, Chinese Academy of SciencesBeijingChina
- International Big‐Data Center for Depression ResearchChinese Academy of SciencesBeijingChina
| | - Gang Ye
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Xin‐Zhu Zhang
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Hong‐Liang Zhu
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Chuan‐Sheng Quan
- Department of PsychologyZhangjiagang Fourth People's HospitalZhangjiagangJiangsuChina
| | - Hong‐Yan Sun
- Department of RadiologySuzhou Psychiatric Hospital, The Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
| | - Chao‐Gan Yan
- CAS Key Laboratory of Behavioral ScienceInstitute of PsychologyBeijingChina
- Department of PsychologyUniversity of Chinese Academy of SciencesBeijingChina
- Magnetic Resonance Imaging Research CenterInstitute of Psychology, Chinese Academy of SciencesBeijingChina
- International Big‐Data Center for Depression ResearchChinese Academy of SciencesBeijingChina
- Sino‐Danish CollegeUniversity of Chinese Academy of SciencesBeijingChina
- Sino‐Danish Center for Education and ResearchBeijingChina
| | - Yan‐Song Liu
- Soochow UniversitySuzhouJiangsuChina
- Suzhou Guangji HospitalThe Affiliated Guangji Hospital of Soochow UniversitySuzhouJiangsuChina
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5
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Li Y, Yu Y, Yin Y, Hu X, Wu S. Regions with Altered Degree Centrality and Their Functional Connectivity in First-Episode Drug-Naïve Major Depressive Disorder: A Resting-State Functional Magnetic Resonance Imaging Study. ALPHA PSYCHIATRY 2023; 24:217-225. [PMID: 38105781 PMCID: PMC10724787 DOI: 10.5152/alphapsychiatry.2023.231191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 09/19/2023] [Indexed: 12/19/2023]
Abstract
Objective The aim of this study was to identify regions with altered degrees of centrality (DC) and changes in their functional connectivity (FC) in first-episode drug-naïve major depressive disorder (FEDN-MDD) patients using resting-state functional magnetic resonance imaging (fMRI). Methods The study included 74 FEDN-MDD patients who met the study criteria and 41 healthy controls (HCs). All had undergone fMRI scanning in the resting condition. To evaluate differences between FEDN-MDD patients and HCs, we first compared the DC between the 2 groups. The DC regions with the most significant differences were then taken as seeds, and their FC was calculated. Results Right posterior cingulum cortex (PCC.R), right precuneus (PCUN.R), and right putamen (PUT.R) all showed significantly different DC values (P < .001) between FEDN-MDD patients and HC groups, which helped in distinguishing these groups. The PUT.R in FEDN-MDD patients showed increased FC (P < .001) with the right inferior temporal gyrus and right inferior occipital gyrus compared to HC. Moreover, the PCUN.R in FEDN-MDD patients showed decreased FC (P < .001) with bilateral cerebellum crus I, left cerebellum crus II, bilateral orbital medial frontal gyrus, right superior medial frontal gyrus, left precuneus, left posterior cingulum cortex, right superior frontal gyrus, and PCC.R compared with the HC group. The P-values for cluster testing were .050, while for voxel testing they were .001. Conclusion These findings imply that PUT.R, PCUN.R, and PCC.R serve as the core brain net hub in FEDN-MDD patients, and their FC displays aberrant function. This may involve a specific psychiatric neuropathology associated with FEDN-MDD.
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Affiliation(s)
- Yi Li
- Department of Radiology, Hangzhou Seventh People`s Hospital, Hangzhou, Zhe Jiang, China
| | - Yingyi Yu
- Department of Radiology, Hangzhou Seventh People`s Hospital, Hangzhou, Zhe Jiang, China
| | - Yan Yin
- Department of Psychosomatic, Hangzhou Seventh People`s Hospital, Hangzhou, Zhe Jiang, China
| | - Xiwen Hu
- Department of Psychiatry, Hangzhou Seventh People`s Hospital, Hangzhou, Zhe Jiang, China
| | - Sha Wu
- Department of Intensive Care Unit, Hangzhou Seventh People`s Hospital, Hangzhou, Zhe Jiang, China
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Shi Y, Zhao E, Li L, Zhao S, Mao H, Deng J, Ji W, Li Y, Gao Q, Zeng S, Ma L, Xi G, You Y, Shao J, Fang X, Wang F. Alteration and clinical potential in gut microbiota in patients with cerebral small vessel disease. Front Cell Infect Microbiol 2023; 13:1231541. [PMID: 37496806 PMCID: PMC10366612 DOI: 10.3389/fcimb.2023.1231541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 06/27/2023] [Indexed: 07/28/2023] Open
Abstract
Background Cerebral small vessel disease (CSVD) is a cluster of microvascular disorders with unclear pathological mechanisms. The microbiota-gut-brain axis is an essential regulatory mechanism between gut microbes and their host. Therefore, the compositional and functional gut microbiota alterations lead to cerebrovascular disease pathogenesis. The current study aims to determine the alteration and clinical value of the gut microbiota in CSVD patients. Methods Sixty-four CSVD patients and 18 matched healthy controls (HCs) were included in our study. All the participants underwent neuropsychological tests, and the multi-modal magnetic resonance imaging depicted the changes in brain structure and function. Plasma samples were collected, and the fecal samples were analyzed with 16S rRNA gene sequencing. Results Based on the alpha diversity analysis, the CSVD group had significantly decreased Shannon and enhanced Simpson compared to the HC group. At the genus level, there was a significant increase in the relative abundances of Parasutterella, Anaeroglobus, Megasphaera, Akkermansia, Collinsella, and Veillonella in the CSVD group. Moreover, these genera with significant differences in CSVD patients revealed significant correlations with cognitive assessments, plasma levels of the blood-brain barrier-/inflammation-related indexes, and structural/functional magnetic resonance imaging changes. Functional prediction demonstrated that lipoic acid metabolism was significantly higher in CSVD patients than HCs. Additionally, a composite biomarker depending on six gut microbiota at the genus level displayed an area under the curve of 0.834 to distinguish CSVD patients from HCs using the least absolute shrinkage and selection operator (LASSO) algorithm. Conclusion The evident changes in gut microbiota composition in CSVD patients were correlated with clinical features and pathological changes of CSVD. Combining these gut microbiota using the LASSO algorithm helped identify CSVD accurately.
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Affiliation(s)
- Yachen Shi
- Department of Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
- Department of Interventional Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - En Zhao
- Department of Gastroenterology, Xishan People’s Hospital of Wuxi City, Wuxi, China
| | - Lei Li
- Department of Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
- Department of Interventional Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - Songyun Zhao
- Department of Neurosurgery, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - Haixia Mao
- Department of Radiology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - Jingyu Deng
- Department of Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
- Department of Interventional Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - Wei Ji
- Department of Neurosurgery, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
- Department of Functional Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - Yang Li
- Department of Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
- Department of Interventional Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - Qianqian Gao
- Department of Radiology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - Siyuan Zeng
- Department of Radiology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - Lin Ma
- Department of Radiology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - Guangjun Xi
- Department of Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
- Department of Interventional Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - Yiping You
- Department of Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
- Department of Functional Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - Junfei Shao
- Department of Neurosurgery, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - Xiangming Fang
- Department of Radiology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
| | - Feng Wang
- Department of Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
- Department of Interventional Neurology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, China
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Gou XY, Li YX, Guo LX, Zhao J, Zhong DL, Liu XB, Xia HS, Fan J, Zhang Y, Ai SC, Huang JX, Li HR, Li J, Jin RJ. The conscious processing of emotion in depression disorder: a meta-analysis of neuroimaging studies. Front Psychiatry 2023; 14:1099426. [PMID: 37448490 PMCID: PMC10338122 DOI: 10.3389/fpsyt.2023.1099426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 05/02/2023] [Indexed: 07/15/2023] Open
Abstract
Background Depression is generally accompanied by a disturbed conscious processing of emotion, which manifests as a negative bias to facial/voice emotion information and a decreased accuracy in emotion recognition tasks. Several studies have proved that abnormal brain activation was responsible for the deficit function of conscious emotion recognition in depression. However, the altered brain activation related to the conscious processing of emotion in depression was incongruent among studies. Therefore, we conducted an activation likelihood estimation (ALE) analysis to better understand the underlying neurophysiological mechanism of conscious processing of emotion in depression. Method Electronic databases were searched using the search terms "depression," "emotion recognition," and "neuroimaging" from inceptions to April 10th, 2023. We retrieved trials which explored the neuro-responses of depressive patients to explicit emotion recognition tasks. Two investigators independently performed literature selection, data extraction, and risk of bias assessment. The spatial consistency of brain activation in conscious facial expressions recognition was calculated using ALE. The robustness of the results was examined by Jackknife sensitivity analysis. Results We retrieved 11,365 articles in total, 28 of which were included. In the overall analysis, we found increased activity in the middle temporal gyrus, superior temporal gyrus, parahippocampal gyrus, and cuneus, and decreased activity in the superior temporal gyrus, inferior parietal lobule, insula, and superior frontal gyrus. In response to positive stimuli, depressive patients showed hyperactivity in the medial frontal gyrus, middle temporal gyrus, and insula (uncorrected p < 0.001). When receiving negative stimuli, a higher activation was found in the precentral gyrus, middle frontal gyrus, precuneus, and superior temporal gyrus (uncorrected p < 0.001). Conclusion Among depressive patients, a broad spectrum of brain areas was involved in a deficit of conscious emotion processing. The activation of brain regions was different in response to positive or negative stimuli. Due to potential clinical heterogeneity, the findings should be treated with caution. Systematic review registration https://inplasy.com/inplasy-2022-11-0057/, identifier: 2022110057.
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Affiliation(s)
- Xin-yun Gou
- School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Yu-xi Li
- School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Liu-xue Guo
- Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Jing Zhao
- School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Dong-ling Zhong
- School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Xiao-bo Liu
- School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Hai-sha Xia
- School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Jin Fan
- School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Yue Zhang
- School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Shuang-chun Ai
- Department of Rehabilitation, Mianyang Hospital of Traditional Chinese Medicine, Mianyang, China
| | - Jia-xi Huang
- Mental Health Center, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, China
| | - Hong-ru Li
- Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Juan Li
- School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Rong-jiang Jin
- School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
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Liu J, Lei Y, Diao Y, Lu Y, Teng X, Chen Q, Liu L, Zhong J. Altered whole-brain gray matter volume in form-deprivation myopia rats based on voxel-based morphometry: A pilot study. Front Neurosci 2023; 17:1113578. [PMID: 37144093 PMCID: PMC10151753 DOI: 10.3389/fnins.2023.1113578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Accepted: 03/30/2023] [Indexed: 05/06/2023] Open
Abstract
Background Myopia is one of the major public health problems worldwide. However, the exact pathogenesis of myopia remains unclear. This study proposes using voxel-based morphometry (VBM) to investigate potential morphological alterations in gray matter volume (GMV) in form-deprivation myopia (FDM) rats. Methods A total of 14 rats with FDM (FDM group) and 15 normal controls (NC group) underwent high-resolution magnetic resonance imaging (MRI). Original T2 brain images were analyzed using VBM method to identify group differences in GMV. Following MRI examination, all rats were perfused with formalin, and immunohistochemical analysis of NeuN and c-fos levels was performed on the visual cortex. Results In the FDM group, compared to the NC group, significantly decreased GMVs were found in the left primary visual cortex, left secondary visual cortex, right subiculum, right cornu ammonis, right entorhinal cortex and bilateral molecular layer of the cerebellum. Additionally, significantly increased GMVs were found in the right dentate gyrus, parasubiculum, and olfactory bulb. Conclusions Our study revealed a positive correlation between mGMV and the expression of c-fos and NeuN in the visual cortex, suggesting a molecular relationship between cortical activity and macroscopic measurement of visual cortex structural plasticity. These findings may help elucidate the potential neural pathogenesis of FDM and its relationship to changes in specific brain regions.
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Affiliation(s)
- Jiayan Liu
- Department of Ophthalmology, First Affiliated Hospital of Jinan University, Jinan University, Guangzhou, China
- Department of Ophthalmology, The Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People’s Hospital, Qingyuan, China
| | - Yahui Lei
- Department of Ophthalmology, First Affiliated Hospital of Jinan University, Jinan University, Guangzhou, China
| | - Yuyao Diao
- Department of Ophthalmology, First Affiliated Hospital of Jinan University, Jinan University, Guangzhou, China
| | - Yamei Lu
- Department of Ophthalmology, The Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People’s Hospital, Qingyuan, China
| | - Xingbo Teng
- Department of Ophthalmology, First Affiliated Hospital of Jinan University, Jinan University, Guangzhou, China
| | - Qingting Chen
- Medical Imaging Center, First Affiliated Hospital of Jinan University, Guangzhou, China
| | - Lian Liu
- Department of Ophthalmology, First Affiliated Hospital of Jinan University, Jinan University, Guangzhou, China
| | - Jingxiang Zhong
- Department of Ophthalmology, First Affiliated Hospital of Jinan University, Jinan University, Guangzhou, China
- The Sixth Affiliated Hospital of Jinan University, Jinan University, Dongguan, China
- *Correspondence: Jingxiang Zhong,
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