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Grevet LT, Teixeira DS, Pan PM, Jackowski AP, Zugman A, Miguel EC, Rohde LA, Salum GA. The association between duration of breastfeeding and the trajectory of brain development from childhood to young adulthood: an 8-year longitudinal study. Eur Child Adolesc Psychiatry 2023:10.1007/s00787-023-02283-9. [PMID: 37650992 DOI: 10.1007/s00787-023-02283-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Accepted: 08/14/2023] [Indexed: 09/01/2023]
Abstract
Breastfeeding has been associated with several short- and long-term health benefits, including positive cognitive and behavioral outcomes. However, the impact of breastfeeding on structural brain development over time remains unclear. We aimed to assess the association between breastfeeding duration in childhood and the developmental trajectory of overall cortical thickness, cortical area, and total intracranial volume during the transition from childhood to early adulthood. Participants included 670 children and adolescents with 1326 MRI scans acquired over 8 years from the Brazilian High-Risk Cohort for Mental Conditions (BHRCS). Breastfeeding was assessed using a questionnaire answered by the parents. Brain measures were estimated using MRI T1-weighted images at three time points, with 3-year intervals. Data were evaluated using generalized additive models adjusted for multiple confounders. We found that a longer breastfeeding duration was directly associated with higher global cortical thickness in the left (edf = 1.0, F = 6.07, p = 0.01) and right (edf = 1.0, F = 4.70, p = 0.03) hemispheres. For the total intracranial volume, we found an interaction between duration of breastfeeding and developmental stage (edf = 1.0, F = 6.81, p = 0.009). No association was found between breastfeeding duration and brain area. Our study suggests that the duration of breastfeeding impacts overall cortical thickness and the development of total brain volume, but not area. This study adds to the evidence on the potential impact of breastfeeding on brain development and provides relevant insights into the mechanisms by which breastfeeding might confer cognitive and mental health benefits.
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Affiliation(s)
- Laura Tietzmann Grevet
- Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), School of Medicine, Avenida Ipiranga, 6681-Partenon, Porto Alegre, Rio Grande do Sul, 90619-900, Brazil.
| | - Danielle Soares Teixeira
- Hospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - Pedro Mario Pan
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil
- Universidade Federal de São Paulo (UNIFESP), Iterdisciplinary Lab for Clinical Neurosciences (LiNC), São Paulo, SP, Brazil
| | - Andrea Parolin Jackowski
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil
- Universidade Federal de São Paulo (UNIFESP), Iterdisciplinary Lab for Clinical Neurosciences (LiNC), São Paulo, SP, Brazil
| | - André Zugman
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil
- Universidade Federal de São Paulo (UNIFESP), Iterdisciplinary Lab for Clinical Neurosciences (LiNC), São Paulo, SP, Brazil
| | - Euripedes Constantino Miguel
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil
- Department and Institute of Psychiatry, Universidade de São Paulo (USP), São Paulo, SP, Brazil
| | - Luis Augusto Rohde
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil
- ADHD Outpatient Program and Developmental Psychiatry Program, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Giovanni Abrahão Salum
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil
- Child Mind Institute, New York, NY, USA
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2
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Mendes SL, Pinaya WHL, Pan PM, Jackowski AP, Bressan RA, Sato JR. Publisher Correction: Generalizability of 3D CNN models for age estimation in diverse youth populations using structural MRI. Sci Rep 2023; 13:8025. [PMID: 37198393 DOI: 10.1038/s41598-023-35101-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/19/2023] Open
Affiliation(s)
- Sergio Leonardo Mendes
- Center of Mathematics, Computing, and Cognition, Universidade Federal Do ABC, Rua Arcturus N. 03, São Bernardo Do Campo, SP, 09606-070, Brazil
| | | | - Pedro Mario Pan
- Escola Paulista de Medicina, Universidade Federal de São Paulo, R. Maj. Maragliano (UNIFESP), 241-Vila Mariana, São Paulo, SP, 04017-030, Brazil
| | - Andrea Parolin Jackowski
- Escola Paulista de Medicina, Universidade Federal de São Paulo, R. Maj. Maragliano (UNIFESP), 241-Vila Mariana, São Paulo, SP, 04017-030, Brazil
- Department of Education, ICT and Learning, Østfold University College, Halden, Norway
| | - Rodrigo Affonseca Bressan
- Escola Paulista de Medicina, Universidade Federal de São Paulo, R. Maj. Maragliano (UNIFESP), 241-Vila Mariana, São Paulo, SP, 04017-030, Brazil
| | - João Ricardo Sato
- Center of Mathematics, Computing, and Cognition, Universidade Federal Do ABC, Rua Arcturus N. 03, São Bernardo Do Campo, SP, 09606-070, Brazil
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Mendes SL, Pinaya WHL, Pan PM, Jackowski AP, Bressan RA, Sato JR. Generalizability of 3D CNN models for age estimation in diverse youth populations using structural MRI. Sci Rep 2023; 13:6886. [PMID: 37106035 PMCID: PMC10140022 DOI: 10.1038/s41598-023-33920-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 04/20/2023] [Indexed: 04/29/2023] Open
Abstract
Recently, several studies have investigated the neurodevelopment of psychiatric disorders using brain data acquired via structural magnetic resonance imaging (sMRI). These analyses have shown the potential of sMRI data to provide a relatively precise characterization of brain structural biomarkers. Despite these advances, a relatively unexplored question is how reliable and consistent a model is when assessing subjects from other independent datasets. In this study, we investigate the performance and generalizability of the same model architecture trained from distinct datasets comprising youths in diverse stages of neurodevelopment and with different mental health conditions. We employed models with the same 3D convolutional neural network (CNN) architecture to assess autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), brain age, and a measure of dimensional psychopathology, the Child Behavior Checklist (CBCL) total score. The investigated datasets include the Autism Brain Imaging Data Exchange II (ABIDE-II, N = 580), Attention Deficit Hyperactivity Disorder (ADHD-200, N = 922), Brazilian High-Risk Cohort Study (BHRCS, N = 737), and Adolescent Brain Cognitive Development (ABCD, N = 11,031). Models' performance and interpretability were assessed within each dataset (for diagnosis tasks) and inter-datasets (for age estimation). Despite the demographic and phenotypic differences of the subjects, all models presented significant estimations for age (p value < 0.001) within and between datasets. In addition, most models showed a moderate to high correlation in age estimation. The results, including the models' brain regions of interest (ROI), were analyzed and discussed in light of the youth neurodevelopmental structural changes. Among other interesting discoveries, we found that less confounded training datasets produce models with higher generalization capacity.
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Affiliation(s)
- Sergio Leonardo Mendes
- Center of Mathematics, Computing, and Cognition, Universidade Federal Do ABC, Rua Arcturus N. 03, São Bernardo Do Campo, SP, 09606-070, Brazil
| | | | - Pedro Mario Pan
- Escola Paulista de Medicina, Universidade Federal de São Paulo, R. Maj. Maragliano (UNIFESP), 241-Vila Mariana, São Paulo, SP, 04017-030, Brazil
| | - Andrea Parolin Jackowski
- Escola Paulista de Medicina, Universidade Federal de São Paulo, R. Maj. Maragliano (UNIFESP), 241-Vila Mariana, São Paulo, SP, 04017-030, Brazil
- Department of Education, ICT and Learning, Østfold University College, Halden, Norway
| | - Rodrigo Affonseca Bressan
- Escola Paulista de Medicina, Universidade Federal de São Paulo, R. Maj. Maragliano (UNIFESP), 241-Vila Mariana, São Paulo, SP, 04017-030, Brazil
| | - João Ricardo Sato
- Center of Mathematics, Computing, and Cognition, Universidade Federal Do ABC, Rua Arcturus N. 03, São Bernardo Do Campo, SP, 09606-070, Brazil
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Sato JR, Biazoli CE, Bueno APA, Caye A, Pan PM, Santoro M, Honorato-Mauer J, Salum GA, Hoexter MQ, Bressan RA, Jackowski AP, Miguel EC, Belangero S, Rohde LA. Polygenic risk score for attention-deficit/hyperactivity disorder and brain functional networks segregation in a community-based sample. Genes Brain Behav 2023; 22:e12838. [PMID: 36811275 PMCID: PMC10067387 DOI: 10.1111/gbb.12838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 11/29/2022] [Accepted: 01/20/2023] [Indexed: 02/24/2023]
Abstract
Neuroimaging studies suggest that brain development mechanisms might explain at least some behavioural and cognitive attention-deficit/hyperactivity disorder (ADHD) symptoms. However, the putative mechanisms by which genetic susceptibility factors influence clinical features via alterations of brain development remain largely unknown. Here, we set out to integrate genomics and connectomics tools by investigating the associations between an ADHD polygenic risk score (ADHD-PRS) and functional segregation of large-scale brain networks. With this aim, ADHD symptoms score, genetic and rs-fMRI (resting-state functional magnetic resonance image) data obtained in a longitudinal community-based cohort of 227 children and adolescents were analysed. A follow-up was conducted approximately 3 years after the baseline, with rs-fMRI scanning and ADHD likelihood assessment in both stages. We hypothesised a negative correlation between probable ADHD and the segregation of networks involved in executive functions, and a positive correlation with the default-mode network (DMN). Our findings suggest that ADHD-PRS is correlated with ADHD at baseline, but not at follow-up. Despite not surviving for multiple comparison correction, we found significant correlations between ADHD-PRS and segregation of cingulo-opercular networks and DMN at baseline. ADHD-PRS was negatively correlated with the segregation level of cingulo-opercular networks but positively correlated with the DMN segregation. These directions of associations corroborate the proposed counter-balanced role of attentional networks and DMN in attentional processes. However, the association between ADHD-PRS and brain networks functional segregation was not found at follow-up. Our results provide evidence for specific influences of genetic factors on development of attentional networks and DMN. We found significant correlations between polygenic risk score for ADHD (ADHD-PRS) and segregation of cingulo-opercular networks and default-mode network (DMN) at baseline. ADHD-PRS was negatively correlated with the segregation level of cingulo-opercular networks but positively correlated with the DMN segregation.
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Affiliation(s)
- João Ricardo Sato
- Center of Mathematics, Computing, and Cognition, Universidade Federal do ABC, Santo André, Brazil.,Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil.,Department of Radiology, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), Sao Paulo, Brazil.,Big Data, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
| | - Claudinei Eduardo Biazoli
- Center of Mathematics, Computing, and Cognition, Universidade Federal do ABC, Santo André, Brazil.,Department of Experimental and Biological Psychology, Queen Mary University of London, London, UK
| | - Ana Paula Arantes Bueno
- Center of Mathematics, Computing, and Cognition, Universidade Federal do ABC, Santo André, Brazil
| | - Arthur Caye
- National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), Sao Paulo, Brazil.,Hospital de Clínicas de Porto Alegre and Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Pedro Mario Pan
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), Sao Paulo, Brazil
| | - Marcos Santoro
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), Sao Paulo, Brazil.,Department of Biochemistry, Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil
| | - Jessica Honorato-Mauer
- Department of Morphology and Genetics, Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil
| | - Giovanni Abrahão Salum
- National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), Sao Paulo, Brazil.,Hospital de Clínicas de Porto Alegre and Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Marcelo Queiroz Hoexter
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), Sao Paulo, Brazil.,Department of Psychiatry, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
| | - Rodrigo Affonseca Bressan
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), Sao Paulo, Brazil
| | - Andrea Parolin Jackowski
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil.,Department of Education, ICT and Learning, Østfold University College, Halden, Norway
| | - Euripedes Constantino Miguel
- National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), Sao Paulo, Brazil.,Department of Morphology and Genetics, Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil
| | - Sintia Belangero
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), Sao Paulo, Brazil.,Department of Biochemistry, Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil
| | - Luis Augusto Rohde
- National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), Sao Paulo, Brazil.,Hospital de Clínicas de Porto Alegre and Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.,UniEduK, Jaguariúna, Brazil.,ADHD Outpatient Program & Developmental Psychiatry Program, Hospital de Clinica de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
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5
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Barbosa MG, Garcia GT, Sarin LM, Jackowski AP. Efficacy and safety of ketamine for the treatment of depressive symptoms in palliative care: A systematic review. Braz J Psychiatry 2022; 45:182-195. [PMID: 36574497 PMCID: PMC10154013 DOI: 10.47626/1516-4446-2022-2876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Accepted: 12/13/2022] [Indexed: 12/29/2022]
Abstract
OBJECTIVES Ketamine has a fast-onset that may offer a paradigm change for depression at end-of-life. We aimed to synthesize evidence regarding the safety and/or efficacy of ketamine in depression treatment within a broad palliative care concept. METHODS We searched seven databases and included studies on the safety and efficacy of ketamine for depression treatment in patients diagnosed with any life-threatening disease; further, we conducted a narrative review of the evidence. RESULTS Among 2,252 screened titles and abstracts, we included 32 studies in our final synthesis. Specifically, we included 14 case reports, 2 case series, 2 quasi-experimental studies, and 7 randomized clinical trials, as well as data from three unpublished clinical trials and seven cases from four larger case series. Most case reports reported a robust effect; however, the larger studies reported conflicting findings. Five randomized clinical trials reported positive outcomes; however, four of them were focused on a perioperative setting. Further, two negative studies did not primarily focus on depression and did not apply severity cutoffs. CONCLUSIONS Although ketamine is generally safe and potentially useful, its efficacy in palliative care settings remains unclear. It may be a reasonable alternative for perioperative depression in oncological patients.
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Affiliation(s)
| | | | - Luciana Maria Sarin
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
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6
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Bethlehem RAI, Seidlitz J, White SR, Vogel JW, Anderson KM, Adamson C, Adler S, Alexopoulos GS, Anagnostou E, Areces-Gonzalez A, Astle DE, Auyeung B, Ayub M, Bae J, Ball G, Baron-Cohen S, Beare R, Bedford SA, Benegal V, Beyer F, Blangero J, Blesa Cábez M, Boardman JP, Borzage M, Bosch-Bayard JF, Bourke N, Calhoun VD, Chakravarty MM, Chen C, Chertavian C, Chetelat G, Chong YS, Cole JH, Corvin A, Costantino M, Courchesne E, Crivello F, Cropley VL, Crosbie J, Crossley N, Delarue M, Delorme R, Desrivieres S, Devenyi GA, Di Biase MA, Dolan R, Donald KA, Donohoe G, Dunlop K, Edwards AD, Elison JT, Ellis CT, Elman JA, Eyler L, Fair DA, Feczko E, Fletcher PC, Fonagy P, Franz CE, Galan-Garcia L, Gholipour A, Giedd J, Gilmore JH, Glahn DC, Goodyer IM, Grant PE, Groenewold NA, Gunning FM, Gur RE, Gur RC, Hammill CF, Hansson O, Hedden T, Heinz A, Henson RN, Heuer K, Hoare J, Holla B, Holmes AJ, Holt R, Huang H, Im K, Ipser J, Jack CR, Jackowski AP, Jia T, Johnson KA, Jones PB, Jones DT, Kahn RS, Karlsson H, Karlsson L, Kawashima R, Kelley EA, Kern S, Kim KW, Kitzbichler MG, Kremen WS, Lalonde F, Landeau B, Lee S, Lerch J, Lewis JD, Li J, Liao W, Liston C, Lombardo MV, Lv J, Lynch C, Mallard TT, Marcelis M, Markello RD, Mathias SR, Mazoyer B, McGuire P, Meaney MJ, Mechelli A, Medic N, Misic B, Morgan SE, Mothersill D, Nigg J, Ong MQW, Ortinau C, Ossenkoppele R, Ouyang M, Palaniyappan L, Paly L, Pan PM, Pantelis C, Park MM, Paus T, Pausova Z, Paz-Linares D, Pichet Binette A, Pierce K, Qian X, Qiu J, Qiu A, Raznahan A, Rittman T, Rodrigue A, Rollins CK, Romero-Garcia R, Ronan L, Rosenberg MD, Rowitch DH, Salum GA, Satterthwaite TD, Schaare HL, Schachar RJ, Schultz AP, Schumann G, Schöll M, Sharp D, Shinohara RT, Skoog I, Smyser CD, Sperling RA, Stein DJ, Stolicyn A, Suckling J, Sullivan G, Taki Y, Thyreau B, Toro R, Traut N, Tsvetanov KA, Turk-Browne NB, Tuulari JJ, Tzourio C, Vachon-Presseau É, Valdes-Sosa MJ, Valdes-Sosa PA, Valk SL, van Amelsvoort T, Vandekar SN, Vasung L, Victoria LW, Villeneuve S, Villringer A, Vértes PE, Wagstyl K, Wang YS, Warfield SK, Warrier V, Westman E, Westwater ML, Whalley HC, Witte AV, Yang N, Yeo B, Yun H, Zalesky A, Zar HJ, Zettergren A, Zhou JH, Ziauddeen H, Zugman A, Zuo XN, Bullmore ET, Alexander-Bloch AF. Brain charts for the human lifespan. Nature 2022; 604:525-533. [PMID: 35388223 PMCID: PMC9021021 DOI: 10.1038/s41586-022-04554-y] [Citation(s) in RCA: 372] [Impact Index Per Article: 186.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Accepted: 02/16/2022] [Indexed: 02/02/2023]
Abstract
Over the past few decades, neuroimaging has become a ubiquitous tool in basic research and clinical studies of the human brain. However, no reference standards currently exist to quantify individual differences in neuroimaging metrics over time, in contrast to growth charts for anthropometric traits such as height and weight1. Here we assemble an interactive open resource to benchmark brain morphology derived from any current or future sample of MRI data ( http://www.brainchart.io/ ). With the goal of basing these reference charts on the largest and most inclusive dataset available, acknowledging limitations due to known biases of MRI studies relative to the diversity of the global population, we aggregated 123,984 MRI scans, across more than 100 primary studies, from 101,457 human participants between 115 days post-conception to 100 years of age. MRI metrics were quantified by centile scores, relative to non-linear trajectories2 of brain structural changes, and rates of change, over the lifespan. Brain charts identified previously unreported neurodevelopmental milestones3, showed high stability of individuals across longitudinal assessments, and demonstrated robustness to technical and methodological differences between primary studies. Centile scores showed increased heritability compared with non-centiled MRI phenotypes, and provided a standardized measure of atypical brain structure that revealed patterns of neuroanatomical variation across neurological and psychiatric disorders. In summary, brain charts are an essential step towards robust quantification of individual variation benchmarked to normative trajectories in multiple, commonly used neuroimaging phenotypes.
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Affiliation(s)
- R A I Bethlehem
- Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK.
- Brain Mapping Unit, Department of Psychiatry, University of Cambridge, Cambridge, UK.
| | - J Seidlitz
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
- Department of Child and Adolescent Psychiatry and Behavioral Science, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
- Lifespan Brain Institute, The Children's Hospital of Philadelphia and Penn Medicine, Philadelphia, PA, USA.
| | - S R White
- Department of Psychiatry, University of Cambridge, Cambridge, UK
- MRC Biostatistics Unit, University of Cambridge, Cambridge, UK
| | - J W Vogel
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
- Lifespan Informatics & Neuroimaging Center, University of Pennsylvania, Philadelphia, PA, USA
| | - K M Anderson
- Department of Psychology, Yale University, New Haven, CT, USA
| | - C Adamson
- Developmental Imaging, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
- Department of Medicine, Monash University, Melbourne, Victoria, Australia
| | - S Adler
- UCL Great Ormond Street Institute for Child Health, London, UK
| | - G S Alexopoulos
- Weill Cornell Institute of Geriatric Psychiatry, Department of Psychiatry, Weill Cornell Medicine, New York, USA
| | - E Anagnostou
- Department of Pediatrics University of Toronto, Toronto, Canada
- Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada
| | - A Areces-Gonzalez
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for NeuroInformation, University of Electronic Science and Technology of China, Chengdu, China
- University of Pinar del Río "Hermanos Saiz Montes de Oca", Pinar del Río, Cuba
| | - D E Astle
- MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK
| | - B Auyeung
- Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK
- Department of Psychology, School of Philosophy, Psychology and Language Sciences, University of Edinburgh, Edinburgh, UK
| | - M Ayub
- Queen's University, Department of Psychiatry, Centre for Neuroscience Studies, Kingston, Ontario, Canada
- University College London, Mental Health Neuroscience Research Department, Division of Psychiatry, London, UK
| | - J Bae
- Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Korea
| | - G Ball
- Developmental Imaging, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
- Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia
| | - S Baron-Cohen
- Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK
- Cambridge Lifetime Asperger Syndrome Service (CLASS), Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK
| | - R Beare
- Developmental Imaging, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
- Department of Medicine, Monash University, Melbourne, Victoria, Australia
| | - S A Bedford
- Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - V Benegal
- Centre for Addiction Medicine, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India
| | - F Beyer
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - J Blangero
- Department of Human Genetics, South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley, Edinburg, TX, USA
| | - M Blesa Cábez
- MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK
| | - J P Boardman
- MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK
| | - M Borzage
- Fetal and Neonatal Institute, Division of Neonatology, Children's Hospital Los Angeles, Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - J F Bosch-Bayard
- McGill Centre for Integrative Neuroscience, Ludmer Centre for Neuroinformatics and Mental Health, Montreal Neurological Institute, Montreal, Quebec, Canada
- McGill University, Montreal, Quebec, Canada
| | - N Bourke
- Department of Brain Sciences, Imperial College London, London, UK
- Care Research and Technology Centre, Dementia Research Institute, London, UK
| | - V D Calhoun
- Tri-institutional Center for Translational Research in Neuroimaging and Data Science (TReNDS), Georgia State University, Georgia Institute of Technology, and Emory University, Atlanta, GA, USA
| | - M M Chakravarty
- McGill University, Montreal, Quebec, Canada
- Computational Brain Anatomy (CoBrA) Laboratory, Cerebral Imaging Centre, Douglas Mental Health University Institute, Montreal, Quebec, Canada
| | - C Chen
- Penn Statistics in Imaging and Visualization Center, Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - C Chertavian
- Lifespan Brain Institute, The Children's Hospital of Philadelphia and Penn Medicine, Philadelphia, PA, USA
| | - G Chetelat
- Normandie Univ, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Institut Blood and Brain @ Caen-Normandie, Cyceron, Caen, France
| | - Y S Chong
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore, Singapore
- Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - J H Cole
- Centre for Medical Image Computing (CMIC), University College London, London, UK
- Dementia Research Centre (DRC), University College London, London, UK
| | - A Corvin
- Department of Psychiatry, Trinity College, Dublin, Ireland
| | - M Costantino
- Cerebral Imaging Centre, Douglas Mental Health University Institute, Verdun, Quebec, Canada
- Undergraduate program in Neuroscience, McGill University, Montreal, Quebec, Canada
| | - E Courchesne
- Department of Neuroscience, University of California, San Diego, San Diego, CA, USA
- Autism Center of Excellence, University of California, San Diego, San Diego, CA, USA
| | - F Crivello
- Institute of Neurodegenerative Disorders, CNRS UMR5293, CEA, University of Bordeaux, Bordeaux, France
| | - V L Cropley
- Melbourne Neuropsychiatry Centre, University of Melbourne, Melbourne, Victoria, Australia
| | - J Crosbie
- The Hospital for Sick Children, Toronto, Ontario, Canada
| | - N Crossley
- Department of Psychiatry, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- Instituto Milenio Intelligent Healthcare Engineering, Santiago, Chile
| | - M Delarue
- Normandie Univ, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Institut Blood and Brain @ Caen-Normandie, Cyceron, Caen, France
| | - R Delorme
- Child and Adolescent Psychiatry Department, Robert Debré University Hospital, AP-HP, Paris, France
- Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France
| | - S Desrivieres
- Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - G A Devenyi
- Cerebral Imaging Centre, McGill Department of Psychiatry, Douglas Mental Health University Institute, Montreal, QC, Canada
- Department of Psychiatry, McGill University, Montreal, QC, Canada
| | - M A Di Biase
- Melbourne Neuropsychiatry Centre, University of Melbourne, Melbourne, Victoria, Australia
- Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - R Dolan
- Max Planck UCL Centre for Computational Psychiatry and Ageing Research, University College London, London, UK
- Wellcome Centre for Human Neuroimaging, London, UK
| | - K A Donald
- Division of Developmental Paediatrics, Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, Cape Town, South Africa
- Neuroscience Institute, University of Cape Town, Cape Town, South Africa
| | - G Donohoe
- Center for Neuroimaging, Cognition & Genomics (NICOG), School of Psychology, National University of Ireland Galway, Galway, Ireland
| | - K Dunlop
- Weil Family Brain and Mind Research Institute, Department of Psychiatry, Weill Cornell Medicine, New York, NY, USA
| | - A D Edwards
- Centre for the Developing Brain, King's College London, London, UK
- Evelina London Children's Hospital, London, UK
- MRC Centre for Neurodevelopmental Disorders, London, UK
| | - J T Elison
- Institute of Child Development, Department of Pediatrics, Masonic Institute for the Developing Brain, University of Minnesota, Minneapolis, MN, USA
| | - C T Ellis
- Department of Psychology, Yale University, New Haven, CT, USA
- Haskins Laboratories, New Haven, CT, USA
| | - J A Elman
- Department of Psychiatry, Center for Behavior Genetics of Aging, University of California, San Diego, La Jolla, CA, USA
| | - L Eyler
- Desert-Pacific Mental Illness Research Education and Clinical Center, VA San Diego Healthcare, San Diego, CA, USA
- Department of Psychiatry, University of California San Diego, Los Angeles, CA, USA
| | - D A Fair
- Institute of Child Development, Department of Pediatrics, Masonic Institute for the Developing Brain, University of Minnesota, Minneapolis, MN, USA
| | - E Feczko
- Institute of Child Development, Department of Pediatrics, Masonic Institute for the Developing Brain, University of Minnesota, Minneapolis, MN, USA
| | - P C Fletcher
- Department of Psychiatry, University of Cambridge, and Wellcome Trust MRC Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, UK
- Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK
| | - P Fonagy
- Department of Clinical, Educational and Health Psychology, University College London, London, UK
- Anna Freud National Centre for Children and Families, London, UK
| | - C E Franz
- Department of Psychiatry, Center for Behavior Genetics of Aging, University of California, San Diego, La Jolla, CA, USA
| | | | - A Gholipour
- Computational Radiology Laboratory, Boston Children's Hospital, Boston, MA, USA
| | - J Giedd
- Department of Child and Adolescent Psychiatry, University of California, San Diego, San Diego, CA, USA
- Department of Psychiatry, University of California San Diego, San Diego, CA, USA
| | - J H Gilmore
- Department of Psychiatry, University of North Carolina, Chapel Hill, NC, USA
| | - D C Glahn
- Department of Psychiatry, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - I M Goodyer
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - P E Grant
- Division of Newborn Medicine and Neuroradiology, Fetal Neonatal Neuroimaging and Developmental Science Center, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA
| | - N A Groenewold
- Neuroscience Institute, University of Cape Town, Cape Town, South Africa
- Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, SA-MRC Unit on Child & Adolescent Health, University of Cape Town, Cape Town, South Africa
| | - F M Gunning
- Weill Cornell Institute of Geriatric Psychiatry, Department of Psychiatry, Weill Cornell Medicine, New York, NY, USA
| | - R E Gur
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
- Lifespan Brain Institute, The Children's Hospital of Philadelphia and Penn Medicine, Philadelphia, PA, USA
| | - R C Gur
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
- Lifespan Brain Institute, The Children's Hospital of Philadelphia and Penn Medicine, Philadelphia, PA, USA
| | - C F Hammill
- The Hospital for Sick Children, Toronto, Ontario, Canada
- Mouse Imaging Centre, Toronto, Ontario, Canada
| | - O Hansson
- Clinical Memory Research Unit, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden
- Memory Clinic, Skåne University Hospital, Malmö, Sweden
| | - T Hedden
- Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - A Heinz
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Psychiatry and Psychotherapy, Charité Campus Mitte, Berlin, Germany
| | - R N Henson
- Department of Psychiatry, University of Cambridge, Cambridge, UK
- MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK
| | - K Heuer
- Department of Neuropsychology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Université de Paris, Paris, France
| | - J Hoare
- Department of Psychiatry, University of Cape Town, Cape Town, South Africa
| | - B Holla
- Department of Integrative Medicine, NIMHANS, Bengaluru, India
- Accelerator Program for Discovery in Brain disorders using Stem cells (ADBS), Department of Psychiatry, NIMHANS, Bengaluru, India
| | - A J Holmes
- Departments of Psychology and Psychiatry, Yale University, New Haven, CT, USA
| | - R Holt
- Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - H Huang
- Radiology Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA
- The Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - K Im
- Department of Psychiatry, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA
- Division of Newborn Medicine and Neuroradiology, Fetal Neonatal Neuroimaging and Developmental Science Center, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA
| | - J Ipser
- Department of Psychiatry and Mental Health, Clinical Neuroscience Institute, University of Cape Town, Cape Town, South Africa
| | - C R Jack
- Department of Radiology, Mayo Clinic, Rochester, MN, USA
| | - A P Jackowski
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- National Institute of Developmental Psychiatry, Beijing, China
| | - T Jia
- Institute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai, China
- Key Laboratory of Computational Neuroscience and BrainInspired Intelligence (Fudan University), Ministry of Education, Shanghai, China
- Centre for Population Neuroscience and Precision Medicine (PONS), Institute of Psychiatry, Psychology and Neuroscience, SGDP Centre, King's College London, London, UK
| | - K A Johnson
- Harvard Medical School, Boston, MA, USA
- Harvard Aging Brain Study, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
- Center for Alzheimer Research and Treatment, Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA
- Department of Radiology, Massachusetts General Hospital, Boston, MA, USA
| | - P B Jones
- Department of Psychiatry, University of Cambridge, Cambridge, UK
- Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK
| | - D T Jones
- Department of Radiology, Mayo Clinic, Rochester, MN, USA
- Department of Neurology, Mayo Clinic, Rochester, MN, USA
| | - R S Kahn
- Department of Psychiatry, Icahn School of Medicine, Mount Sinai, NY, USA
| | - H Karlsson
- Department of Clinical Medicine, Department of Psychiatry and Turku Brain and Mind Center, FinnBrain Birth Cohort Study, University of Turku and Turku University Hospital, Turku, Finland
- Centre for Population Health Research, Turku University Hospital and University of Turku, Turku, Finland
| | - L Karlsson
- Department of Clinical Medicine, Department of Psychiatry and Turku Brain and Mind Center, FinnBrain Birth Cohort Study, University of Turku and Turku University Hospital, Turku, Finland
- Centre for Population Health Research, Turku University Hospital and University of Turku, Turku, Finland
| | - R Kawashima
- Institute of Development, Aging and Cancer, Tohoku University, Seiryocho, Aobaku, Sendai, Japan
| | - E A Kelley
- Queen's University, Departments of Psychology and Psychiatry, Centre for Neuroscience Studies, Kingston, Ontario, Canada
| | - S Kern
- Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, the Sahlgrenska Academy, Centre for Ageing and Health (AGECAP) at the University of Gothenburg, Gothenburg, Sweden
- Region Västra Götaland, Sahlgrenska University Hospital, Psychiatry, Cognition and Old Age Psychiatry Clinic, Gothenburg, Sweden
| | - K W Kim
- Department of Brain and Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, South Korea
- Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, South Korea
- Department of Psychiatry, Seoul National University College of Medicine, Seoul, South Korea
- Institute of Human Behavioral Medicine, SNU-MRC, Seoul, South Korea
| | - M G Kitzbichler
- Brain Mapping Unit, Department of Psychiatry, University of Cambridge, Cambridge, UK
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - W S Kremen
- Department of Psychiatry, Center for Behavior Genetics of Aging, University of California, San Diego, La Jolla, CA, USA
| | - F Lalonde
- Section on Developmental Neurogenomics, Human Genetics Branch, National Institute of Mental Health, Bethesda, MD, USA
| | - B Landeau
- Normandie Univ, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Institut Blood and Brain @ Caen-Normandie, Cyceron, Caen, France
| | - S Lee
- Department of Brain & Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, South Korea
| | - J Lerch
- Mouse Imaging Centre, Toronto, Ontario, Canada
- Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada
- Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neuroscience, University of Oxford, Oxford, UK
| | - J D Lewis
- Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
| | - J Li
- The Clinical Hospital of Chengdu Brain Science Institute, University of Electronic Science and Technology of China, Chengdu, China
| | - W Liao
- The Clinical Hospital of Chengdu Brain Science Institute, University of Electronic Science and Technology of China, Chengdu, China
| | - C Liston
- Department of Psychiatry and Brain and Mind Research Institute, Weill Cornell Medicine, New York, NY, USA
| | - M V Lombardo
- Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK
- Laboratory for Autism and Neurodevelopmental Disorders, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy
| | - J Lv
- Melbourne Neuropsychiatry Centre, University of Melbourne, Melbourne, Victoria, Australia
- School of Biomedical Engineering and Brain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia
| | - C Lynch
- Weil Family Brain and Mind Research Institute, Department of Psychiatry, Weill Cornell Medicine, New York, NY, USA
| | - T T Mallard
- Department of Psychology, University of Texas, Austin, TX, USA
| | - M Marcelis
- Department of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, EURON, Maastricht University Medical Centre, Maastricht, The Netherlands
- Institute for Mental Health Care Eindhoven (GGzE), Eindhoven, The Netherlands
| | - R D Markello
- McConnell Brain Imaging Centre, Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
| | - S R Mathias
- Department of Psychiatry, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA
| | - B Mazoyer
- Institute of Neurodegenerative Disorders, CNRS UMR5293, CEA, University of Bordeaux, Bordeaux, France
- Ludmer Centre for Neuroinformatics and Mental Health, Douglas Mental Health University Institute, Montreal, Quebec, Canada
| | - P McGuire
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - M J Meaney
- Ludmer Centre for Neuroinformatics and Mental Health, Douglas Mental Health University Institute, Montreal, Quebec, Canada
- Singapore Institute for Clinical Sciences, Singapore, Singapore
| | - A Mechelli
- Bordeaux University Hospital, Bordeaux, France
| | - N Medic
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - B Misic
- McConnell Brain Imaging Centre, Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
| | - S E Morgan
- Department of Psychiatry, University of Cambridge, Cambridge, UK
- Department of Computer Science and Technology, University of Cambridge, Cambridge, UK
- The Alan Turing Institute, London, UK
| | - D Mothersill
- Department of Psychology, School of Business, National College of Ireland, Dublin, Ireland
- School of Psychology and Center for Neuroimaging and Cognitive Genomics, National University of Ireland Galway, Galway, Ireland
- Department of Psychiatry, Trinity College Dublin, Dublin, Ireland
| | - J Nigg
- Department of Psychiatry, School of Medicine, Oregon Health and Science University, Portland, OR, USA
| | - M Q W Ong
- Center for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - C Ortinau
- Department of Pediatrics, Washington University in St Louis, St Louis, MO, USA
| | - R Ossenkoppele
- Alzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands
- Lund University, Clinical Memory Research Unit, Lund, Sweden
| | - M Ouyang
- Radiology Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - L Palaniyappan
- Robarts Research Institute and The Brain and Mind Institute, University of Western Ontario, London, Ontario, Canada
| | - L Paly
- Normandie Univ, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Institut Blood and Brain @ Caen-Normandie, Cyceron, Caen, France
| | - P M Pan
- Department of Psychiatry, Federal University of Sao Poalo (UNIFESP), Sao Poalo, Brazil
- National Institute of Developmental Psychiatry for Children and Adolescents (INPD), Sao Poalo, Brazil
| | - C Pantelis
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne and Melbourne Health, Carlton South, Victoria, Australia
- Melbourne School of Engineering, The University of Melbourne, Parkville, Victoria, Australia
- Florey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia
| | - M M Park
- Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
| | - T Paus
- Department of Psychiatry, Faculty of Medicine and Centre Hospitalier Universitaire Sainte-Justine, University of Montreal, Montreal, Quebec, Canada
- Departments of Psychiatry and Psychology, University of Toronto, Toronto, Ontario, Canada
| | - Z Pausova
- The Hospital for Sick Children, Toronto, Ontario, Canada
- Departments of Physiology and Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada
| | - D Paz-Linares
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for NeuroInformation, University of Electronic Science and Technology of China, Chengdu, China
- Cuban Neuroscience Center, Havana, Cuba
| | - A Pichet Binette
- Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, Quebec, Canada
- Douglas Mental Health University Institute, Montreal, Quebec, Canada
| | - K Pierce
- Department of Neuroscience, University of California, San Diego, San Diego, CA, USA
| | - X Qian
- Center for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - J Qiu
- School of Psychology, Southwest University, Chongqing, China
| | - A Qiu
- Department of Biomedical Engineering, The N.1 Institute for Health, National University of Singapore, Singapore, Singapore
| | - A Raznahan
- Section on Developmental Neurogenomics, Human Genetics Branch, National Institute of Mental Health, Bethesda, MD, USA
| | - T Rittman
- Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK
| | - A Rodrigue
- Department of Psychiatry, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA
| | - C K Rollins
- Department of Neurology, Harvard Medical School, Boston, MA, USA
- Department of Neurology, Boston Children's Hospital, Boston, MA, USA
| | - R Romero-Garcia
- Department of Psychiatry, University of Cambridge, Cambridge, UK
- Instituto de Biomedicina de Sevilla (IBiS) HUVR/CSIC/Universidad de Sevilla, Dpto. de Fisiología Médica y Biofísica, Seville, Spain
| | - L Ronan
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - M D Rosenberg
- Department of Psychology and Neuroscience Institute, University of Chicago, Chicago, IL, USA
| | - D H Rowitch
- Department of Paediatrics and Wellcome-MRC Cambridge Stem Cell Institute, University of Cambridge, Cambridge, UK
| | - G A Salum
- Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
- National Institute of Developmental Psychiatry (INPD), São Paulo, Brazil
| | - T D Satterthwaite
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
- Lifespan Informatics & Neuroimaging Center, University of Pennsylvania, Philadelphia, PA, USA
| | - H L Schaare
- Otto Hahn Group Cognitive Neurogenetics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Institute of Neuroscience and Medicine (INM-7: Brain and Behaviour), Research Centre Juelich, Juelich, Germany
| | - R J Schachar
- The Hospital for Sick Children, Toronto, Ontario, Canada
| | - A P Schultz
- Harvard Medical School, Boston, MA, USA
- Harvard Aging Brain Study, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA
| | - G Schumann
- Centre for Population Neuroscience and Stratified Medicine (PONS), Institute for Science and Technology for Brain-inspired Intelligence, Fudan University, Shanghai, China
- PONS-Centre, Charite Mental Health, Dept of Psychiatry and Psychotherapy, Charite Campus Mitte, Berlin, Germany
| | - M Schöll
- Wallenberg Centre for Molecular and Translational Medicine, University of Gothenburg, Gothenburg, Sweden
- Department of Psychiatry and Neurochemistry, University of Gothenburg, Gothenburg, Sweden
- Dementia Research Centre, Queen's Square Institute of Neurology, University College London, London, UK
| | - D Sharp
- Department of Brain Sciences, Imperial College London, London, UK
- Care Research and Technology Centre, UK Dementia Research Institute, London, UK
| | - R T Shinohara
- Penn Statistics in Imaging and Visualization Center, Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
- Center for Biomedical Image Computing and Analytics, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - I Skoog
- Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, the Sahlgrenska Academy, Centre for Ageing and Health (AGECAP) at the University of Gothenburg, Gothenburg, Sweden
- Region Västra Götaland, Sahlgrenska University Hospital, Psychiatry, Cognition and Old Age Psychiatry Clinic, Gothenburg, Sweden
| | - C D Smyser
- Departments of Neurology, Pediatrics, and Radiology, Washington University School of Medicine, St Louis, MO, USA
| | - R A Sperling
- Harvard Medical School, Boston, MA, USA
- Harvard Aging Brain Study, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
- Center for Alzheimer Research and Treatment, Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA
| | - D J Stein
- SA MRC Unit on Risk and Resilience in Mental Disorders, Dept of Psychiatry and Neuroscience Institute, University of Cape Town, Cape Town, South Africa
| | - A Stolicyn
- Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK
| | - J Suckling
- Department of Psychiatry, University of Cambridge, Cambridge, UK
- Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK
| | - G Sullivan
- MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK
| | - Y Taki
- Institute of Development, Aging and Cancer, Tohoku University, Seiryocho, Aobaku, Sendai, Japan
| | - B Thyreau
- Institute of Development, Aging and Cancer, Tohoku University, Seiryocho, Aobaku, Sendai, Japan
| | - R Toro
- Université de Paris, Paris, France
- Department of Neuroscience, Institut Pasteur, Paris, France
| | - N Traut
- Department of Neuroscience, Institut Pasteur, Paris, France
- Center for Research and Interdisciplinarity (CRI), Université Paris Descartes, Paris, France
| | - K A Tsvetanov
- Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK
- Department of Psychology, University of Cambridge, Cambridge, UK
| | - N B Turk-Browne
- Department of Psychology, Yale University, New Haven, CT, USA
- Wu Tsai Institute, Yale University, New Haven, CT, USA
| | - J J Tuulari
- Department of Clinical Medicine, Department of Psychiatry and Turku Brain and Mind Center, FinnBrain Birth Cohort Study, University of Turku and Turku University Hospital, Turku, Finland
- Department of Clinical Medicine, University of Turku, Turku, Finland
- Turku Collegium for Science, Medicine and Technology, University of Turku, Turku, Finland
| | - C Tzourio
- Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, U1219, CHU Bordeaux, Bordeaux, France
| | - É Vachon-Presseau
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, Canada
| | | | - P A Valdes-Sosa
- The Clinical Hospital of Chengdu Brain Science Institute, University of Electronic Science and Technology of China, Chengdu, China
- Alan Edwards Centre for Research on Pain (AECRP), McGill University, Montreal, Quebec, Canada
| | - S L Valk
- Institute for Neuroscience and Medicine 7, Forschungszentrum Jülich, Jülich, Germany
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - T van Amelsvoort
- Department of Psychiatry and Neurosychology, Maastricht University, Maastricht, The Netherlands
| | - S N Vandekar
- Department of Biostatistics, Vanderbilt University, Nashville, TN, USA
- Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA
| | - L Vasung
- McConnell Brain Imaging Centre, Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
| | - L W Victoria
- Weill Cornell Institute of Geriatric Psychiatry, Department of Psychiatry, Weill Cornell Medicine, New York, NY, USA
| | - S Villeneuve
- McConnell Brain Imaging Centre, Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
- Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, Quebec, Canada
- Douglas Mental Health University Institute, Montreal, Quebec, Canada
| | - A Villringer
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Clinic for Cognitive Neurology, University of Leipzig Medical Center, Leipzig, Germany
| | - P E Vértes
- Department of Psychiatry, University of Cambridge, Cambridge, UK
- The Alan Turing Institute, London, UK
| | - K Wagstyl
- Wellcome Centre for Human Neuroimaging, London, UK
| | - Y S Wang
- State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China
- Developmental Population Neuroscience Research Center, IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
- National Basic Science Data Center, Beijing, China
- Research Center for Lifespan Development of Brain and Mind, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
| | - S K Warfield
- Computational Radiology Laboratory, Boston Children's Hospital, Boston, MA, USA
| | - V Warrier
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - E Westman
- Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
| | - M L Westwater
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - H C Whalley
- Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK
| | - A V Witte
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Clinic for Cognitive Neurology, University of Leipzig Medical Center, Leipzig, Germany
- Faculty of Medicine, CRC 1052 'Obesity Mechanisms', University of Leipzig, Leipzig, Germany
| | - N Yang
- State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China
- Developmental Population Neuroscience Research Center, IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
- National Basic Science Data Center, Beijing, China
- Research Center for Lifespan Development of Brain and Mind, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
| | - B Yeo
- Department of Electrical and Computer Engineering, National University of Singapore, Singapore, Singapore
- Centre for Sleep and Cognition and Centre for Translational MR Research, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
- N.1 Institute for Health & Institute for Digital Medicine, National University of Singapore, Singapore, Singapore
- Integrative Sciences and Engineering Programme (ISEP), National University of Singapore, Singapore, Singapore
| | - H Yun
- Division of Newborn Medicine and Neuroradiology, Fetal Neonatal Neuroimaging and Developmental Science Center, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA
| | - A Zalesky
- Melbourne Neuropsychiatry Centre, University of Melbourne, Melbourne, Victoria, Australia
- Department of Biomedical Engineering, University of Melbourne, Melbourne, Victoria, Australia
| | - H J Zar
- Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, SA-MRC Unit on Child & Adolescent Health, University of Cape Town, Cape Town, South Africa
| | - A Zettergren
- Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, the Sahlgrenska Academy, Centre for Ageing and Health (AGECAP) at the University of Gothenburg, Gothenburg, Sweden
| | - J H Zhou
- Center for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
- Department of Electrical and Computer Engineering, National University of Singapore, Singapore, Singapore
- Center for Translational Magnetic Resonance Research, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - H Ziauddeen
- Department of Psychiatry, University of Cambridge, Cambridge, UK
- Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK
- Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK
| | - A Zugman
- National Institute of Developmental Psychiatry for Children and Adolescents (INPD), Sao Poalo, Brazil
- National Institute of Mental Health (NIMH), National Institutes of Health (NIH), Bethesda, MD, USA
- Department of Psychiatry, Escola Paulista de Medicina, São Paulo, Brazil
| | - X N Zuo
- State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China
- Developmental Population Neuroscience Research Center, IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
- National Basic Science Data Center, Beijing, China
- Research Center for Lifespan Development of Brain and Mind, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
- Key Laboratory of Brain and Education, School of Education Science, Nanning Normal University, Nanning, China
| | - E T Bullmore
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - A F Alexander-Bloch
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
- Department of Child and Adolescent Psychiatry and Behavioral Science, The Children's Hospital of Philadelphia, Philadelphia, PA, USA
- Lifespan Brain Institute, The Children's Hospital of Philadelphia and Penn Medicine, Philadelphia, PA, USA
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Sussman TJ, Posner J, Jackowski AP, Correa A, Hoffmann EV, Porto de Oliveira Peruzzi F, Grecco FR, Nitzsche SH, Mesquita ME, Foester BU, Benatti di Cillo F, Mello MF, Coelho Milani AC. The relationship between recent PTSD secondary to sexual assault, hippocampal volume and resting state functional connectivity in adolescent girls. Neurobiol Stress 2022; 17:100441. [PMID: 35257017 PMCID: PMC8897602 DOI: 10.1016/j.ynstr.2022.100441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 02/09/2022] [Accepted: 02/22/2022] [Indexed: 11/19/2022] Open
Abstract
Objective Improved understanding of the time course of neural changes associated with adolescent PTSD would elucidate the development of the disorder and could inform approaches to treatment. We compared hippocampal volumes and resting state functional connectivity (RSFC) in adolescent girls with post-traumatic stress disorder (PTSD) secondary to sexual assault, within six months of onset and age- and gender-matched, non-trauma exposed healthy controls (HCs) in São Paulo, Brazil. We also examined the relationship between pre- and post-treatment PTSD symptoms and RSFC. Method We collected brain structure, RSFC, and PTSD symptoms in 30 adolescents with PTSD (mean age: 15.7 ± 1.04 years) and 21 HCs (mean age: 16.2 ± 1.21 years) at baseline. We collected repeated measures in 21 participants with PTSD following treatment; 9 participants dropped out. Hippocampal volume and RSFC from hippocampal and default mode network (DMN) seeds were compared between participants with PTSD and HCs. We examined associations between within-subject changes in RSFC and PTSD symptoms following treatment. Results No hippocampal volumetric differences between groups were found. Compared to HCs, adolescents with recent PTSD had reduced RSFC between hippocampus and the lateral parietal node of the DMN, encompassing the angular gyrus, peak coordinates: −38, −54, 16; 116 voxels; peak F1,47 = 31.76; FDR corrected p = 0.038. Improvements in PTSD symptoms were associated with increased RSFC between hippocampus and part of the lateral parietal node of the DMN, peak coordinates: −38, −84, 38; 316 voxels; peak F1,47 = 40.28; FDR corrected p < 0.001. Conclusion Adolescents with recent PTSD had reduced hippocampal-DMN RSFC, while no group differences in hippocampal volume were found, suggesting that hippocampal function, but not structure, is altered early in the course of PSTD. Following treatment, hippocampal-DMN RSFC increased with symptom improvement and may indicate an important neural mechanism related to successful PTSD treatment.
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Affiliation(s)
- Tamara J. Sussman
- Department of Psychiatry, Columbia University and New York State Psychiatric Institute, 1051 Riverside Dr., New York, NY, 10032, USA
- Corresponding author. 1051 Riverside Drive, New York, NY, 10032, USA.
| | - Jonathan Posner
- Department of Psychiatry, Columbia University and New York State Psychiatric Institute, 1051 Riverside Dr., New York, NY, 10032, USA
| | - Andrea Parolin Jackowski
- Departamento de Psiquiatria, Universidade Federal de São Paulo, R Rua Major Maragliano, 241, Vila Clementino, São Paulo, SP, 04017030, Brazil
| | - Adriana Correa
- Departamento de Psiquiatria, Universidade Federal de São Paulo, R Rua Major Maragliano, 241, Vila Clementino, São Paulo, SP, 04017030, Brazil
| | - Elis Viviane Hoffmann
- Departamento de Psiquiatria, Universidade Federal de São Paulo, R Rua Major Maragliano, 241, Vila Clementino, São Paulo, SP, 04017030, Brazil
| | - Fernanda Porto de Oliveira Peruzzi
- Departamento de Psiquiatria, Universidade Federal de São Paulo, R Rua Major Maragliano, 241, Vila Clementino, São Paulo, SP, 04017030, Brazil
| | - Fernando Rodrigues Grecco
- Departamento de Psiquiatria, Universidade Federal de São Paulo, R Rua Major Maragliano, 241, Vila Clementino, São Paulo, SP, 04017030, Brazil
| | - Samara Hipolito Nitzsche
- Departamento de Psiquiatria, Universidade Federal de São Paulo, R Rua Major Maragliano, 241, Vila Clementino, São Paulo, SP, 04017030, Brazil
| | - Maria Eugenia Mesquita
- Departamento de Psiquiatria, Universidade Federal de São Paulo, R Rua Major Maragliano, 241, Vila Clementino, São Paulo, SP, 04017030, Brazil
| | - Bernd Uwe Foester
- Departamento de Psiquiatria, Universidade Federal de São Paulo, R Rua Major Maragliano, 241, Vila Clementino, São Paulo, SP, 04017030, Brazil
| | - Felipe Benatti di Cillo
- Departamento de Psiquiatria, Universidade Federal de São Paulo, R Rua Major Maragliano, 241, Vila Clementino, São Paulo, SP, 04017030, Brazil
| | - Marcelo Feijo Mello
- Departamento de Psiquiatria, Universidade Federal de São Paulo, R Rua Major Maragliano, 241, Vila Clementino, São Paulo, SP, 04017030, Brazil
| | - Ana Carolina Coelho Milani
- Departamento de Psiquiatria, Universidade Federal de São Paulo, R Rua Major Maragliano, 241, Vila Clementino, São Paulo, SP, 04017030, Brazil
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8
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Fava VAR, Sarin LM, Lucchese AC, Del Sant L, Magalhães E, Delfino RS, Tuena MA, Nakahira C, Jackowski AP, Abdo G, Surjan J, Steiglich M, Barbosa MG, Porto JAD, Lacerda ALT, Cogo-Moreira H. The probability of response after each subcutaneous injection of esketamine in treatment-resistant depression. Rev Psiquiatr Salud Ment (Engl Ed) 2021; 14:212-217. [PMID: 34861929 DOI: 10.1016/j.rpsmen.2021.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Accepted: 10/05/2020] [Indexed: 11/30/2022]
Abstract
INTRODUCTION The administration of multiple esketamine doses has shown efficacy for unipolar and bipolar treatment-resistant depression (TRD). Nevertheless, the probability of responding or not after each dose in the real-world remains unknown. This study aimed to estimate it throughout four doses of esketamine, administrated via subcutaneous (SC). MATERIAL AND METHODS We conducted a retrospective analysis of a case series of 70 patients with TRD who received treatment from the esketamine assistance program at Federal University of Sao Paulo, between April 2017 and December 2018. The SC injections were administrated weekly at a dose of 0.5-1.0mg/kg, in conjunction with patients' psychotropic drugs. Response was defined as a decrease of at least 50% in the Montgomery-Åsberg Depression Rating Scale between baseline and 24h after dose. We used hidden Markov modeling in order to estimate de probability of response after each esketamine injection. RESULTS The probability of a patient that was a "non-responder" to become a "responder" following a SC injection of esketamine was 17.30% and the probability that this patient remains a "non-responder" was 82.70%. The probability of a patient that was a "responder" to remain as a "responder" was 95%. CONCLUSIONS Patients with TRD who had not responded after the first dose of esketamine, still had a chance of responding after the subsequent dose administrated via SC.
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Affiliation(s)
| | - Luciana Maria Sarin
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; Centro Alfa de Humanização, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Ana Cecília Lucchese
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; Centro Alfa de Humanização, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Lorena Del Sant
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; Centro Alfa de Humanização, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Eduardo Magalhães
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; Centro Alfa de Humanização, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Rodrigo Simonini Delfino
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; PRODAF - Programa de Transtornos Afetivos, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Marco Aurélio Tuena
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Carolina Nakahira
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Andrea Parolin Jackowski
- LiNC - Laboratory of Integrative Neuroscience, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Guilherme Abdo
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Juliana Surjan
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; PRODAF - Programa de Transtornos Afetivos, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Matheus Steiglich
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | | | - José Alberto Del Porto
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; PRODAF - Programa de Transtornos Afetivos, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Acioly Luiz Tavares Lacerda
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; PRODAF - Programa de Transtornos Afetivos, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; LiNC - Laboratory of Integrative Neuroscience, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Hugo Cogo-Moreira
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; School of Public Health, University of Hong Kong, Hong Kong, SAR, China.
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9
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Sato JR, Biazoli CE, Zugman A, Pan PM, Bueno APA, Moura LM, Gadelha A, Picon FA, Amaro E, Salum GA, Miguel EC, Rohde LA, Bressan RA, Jackowski AP. Long-term stability of the cortical volumetric profile and the functional human connectome throughout childhood and adolescence. Eur J Neurosci 2021; 54:6187-6201. [PMID: 34460993 DOI: 10.1111/ejn.15435] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 08/18/2021] [Accepted: 08/28/2021] [Indexed: 11/26/2022]
Abstract
There is compelling evidence showing that between-subject variability in several functional and structural brain features is sufficient for unique identification in adults. However, individuation of brain functional connectomes depends on the stabilization of neurodevelopmental processes during childhood and adolescence. Here, we aimed to (1) evaluate the intra-subject functional connectome stability over time for the whole brain and for large scale functional networks and (2) determine the long-term identification accuracy or 'fingerprinting' for the cortical volumetric profile and the functional connectome. For these purposes, we analysed a longitudinal cohort of 239 children and adolescents scanned in two sessions with an interval of approximately 3 years (age range 6-15 years at baseline and 9-18 years at follow-up). Corroborating previous results using short between-scan intervals in children and adolescents, we observed a moderate identification accuracy (38%) for the whole functional profile. In contrast, identification accuracy using cortical volumetric profile was 95%. Among the large-scale networks, the default-mode (26.8%), the frontoparietal (23.4%) and the dorsal-attention (27.6%) networks were the most discriminative. Our results provide further evidence for a protracted development of specific individual structural and functional connectivity profiles.
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Affiliation(s)
- João Ricardo Sato
- Center of Mathematics, Computing, and Cognition, Universidade Federal do ABC, Santo André, Brazil.,Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Claudinei Eduardo Biazoli
- Center of Mathematics, Computing, and Cognition, Universidade Federal do ABC, Santo André, Brazil.,Department of Biological and Experimental Psychology, Queen Mary University of London, London, UK
| | - André Zugman
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Pedro Mario Pan
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Ana Paula Arantes Bueno
- Center of Mathematics, Computing, and Cognition, Universidade Federal do ABC, Santo André, Brazil
| | - Luciana Monteiro Moura
- Center of Mathematics, Computing, and Cognition, Universidade Federal do ABC, Santo André, Brazil.,Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Ary Gadelha
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Felipe Almeida Picon
- National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil.,ADHD Outpatient Program & Developmental Psychiatry Program, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Edson Amaro
- National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil.,Department of Radiology, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Giovanni Abrahão Salum
- National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil.,ADHD Outpatient Program & Developmental Psychiatry Program, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Euripedes Constantino Miguel
- National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil.,Department of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Luis Augusto Rohde
- National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil.,ADHD Outpatient Program & Developmental Psychiatry Program, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Rodrigo Affonseca Bressan
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Andrea Parolin Jackowski
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
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10
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de Figueiredo NSV, Gaça LB, Assunção-Leme IB, Mazetto L, Garcia MTFC, Sandim GB, Alonso NB, Centeno RS, Filho GMDA, Jackowski AP, Júnior HC, Yacubian EMT. A pioneering FreeSurfer volumetric study of a series of patients with mesial temporal lobe epilepsy and hippocampal sclerosis with comorbid depression. Psychiatry Res Neuroimaging 2021; 311:111281. [PMID: 33836383 DOI: 10.1016/j.pscychresns.2021.111281] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Revised: 03/17/2021] [Accepted: 03/18/2021] [Indexed: 02/07/2023]
Abstract
Depression is the most frequent psychiatric comorbidity in patients with mesial temporal lobe epilepsy (MTLE) and hippocampal sclerosis (HS). This study aimed to confirm whether patients with comorbid depression have different volumetric patterns on magnetic resonance imaging, analysing the influence of HS sides. Psychiatrists conducted semi-structured interviews with 75 patients, who were divided into non-depression group (NDG, n = 52) and depression group (DG, n = 23), and compared with 98 controls. The FreeSurfer software was used in the volumetric analysis of the estimated total intracranial volume (eTIV), bilateral cortical and subcortical regions of interest (ROIs), and for presence of left (L-, n = 41) or right (R-, n = 34) MTLE-HS. Twenty-three (30.7%) patients had depression, of whom 14 (34.1%) had l-MTLE-HS and 9 (26.5%) had R-MTLE-HS. No difference was observed between DG and NDG vs. controls in terms of eTIV and cortical ROIs, regardless of the severity of depression. In patients with l-MTLE-HS, the eTIV in the DG was reduced in comparison with that in the NDG and control group, with a small effect size. Hippocampal reduction occurred ipsilateral to HS in the l-MTLE-HS and R-MTLE-HS subgroups when DG and NDG were compared with controls, as expected according to Enhancing Neuro Imaging Genetics through Meta-Analysis (2018).
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Affiliation(s)
- Nathália Stela Visoná de Figueiredo
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo (UNIFESP), Pedro de Toledo Street, 650, 1st floor. Postal number: 04039-002 Vila Clementino, São Paulo, Brazil.
| | - Larissa Botelho Gaça
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo (UNIFESP), Pedro de Toledo Street, 650, 1st floor. Postal number: 04039-002 Vila Clementino, São Paulo, Brazil
| | - Idaiane Batista Assunção-Leme
- Department of Psychiatry, Universidade Federal de São Paulo (UNIFESP), Pedro de Toledo Street, 669, 3rd floor. Postal number: 04039-032 Vila Clementino, São Paulo, Brazil
| | - Lenon Mazetto
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo (UNIFESP), Pedro de Toledo Street, 650, 1st floor. Postal number: 04039-002 Vila Clementino, São Paulo, Brazil
| | - Maria Teresa Fernandes Castilho Garcia
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo (UNIFESP), Pedro de Toledo Street, 650, 1st floor. Postal number: 04039-002 Vila Clementino, São Paulo, Brazil
| | - Gabriel Barbosa Sandim
- Departament of Diagnosis by Imaging, Universidade Federal de São Paulo (UNIFESP), Napoleão de Barros Street, 800. Postal number: 04024-002 Vila Clementino, São Paulo, Brazil
| | - Neide Barreira Alonso
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo (UNIFESP), Pedro de Toledo Street, 650, 1st floor. Postal number: 04039-002 Vila Clementino, São Paulo, Brazil
| | - Ricardo Silva Centeno
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo (UNIFESP), Pedro de Toledo Street, 650, 1st floor. Postal number: 04039-002 Vila Clementino, São Paulo, Brazil
| | - Gerardo Maria de Araújo Filho
- Department of Psychiatry and Medical Psychology, Faculdade de Medicina de São José do Rio Preto (FAMERP), Brigadeiro Faria Lima Avenue, 5416. Postal number: 15090-000 Vila São José, São José do Rio Preto, Brazil
| | - Andrea Parolin Jackowski
- Department of Psychiatry, Universidade Federal de São Paulo (UNIFESP), Pedro de Toledo Street, 669, 3rd floor. Postal number: 04039-032 Vila Clementino, São Paulo, Brazil
| | - Henrique Carrete Júnior
- Departament of Diagnosis by Imaging, Universidade Federal de São Paulo (UNIFESP), Napoleão de Barros Street, 800. Postal number: 04024-002 Vila Clementino, São Paulo, Brazil
| | - Elza Márcia Targas Yacubian
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo (UNIFESP), Pedro de Toledo Street, 650, 1st floor. Postal number: 04039-002 Vila Clementino, São Paulo, Brazil
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11
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Barbosa MG, Sarin LM, Tuena MA, Del Sant LC, Nakahira C, Magalhães EJM, Fava VAR, Delfino RS, Steglich MS, Puertas C, Lucchese AC, Surjan JC, Abdo GL, Cogo-Moreira H, Del Porto JA, Lacerda ALTD, Jackowski AP. Heterogeneous trajectory of depressive symptoms after repeated subcutaneous esketamine injections. Journal of Affective Disorders Reports 2021. [DOI: 10.1016/j.jadr.2020.100053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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12
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Ravagnani Salto AB, Santoro ML, Hoexter MQ, Jackowski AP, Pan PM, Rosário MC, Belangero SI, Alvarenga PG, Doretto VF, Fumo AMT, Batistuzzo MC, Macul Ferreira de Barros P, Timpano KR, Ota VK, Rohde LA, Miguel EC, Leckman JF, Zugman A. Obsessive-Compulsive Symptoms, Polygenic Risk Score, and Thalamic Development in Children From the Brazilian High-Risk Cohort for Mental Conditions (BHRCS). Front Psychiatry 2021; 12:673595. [PMID: 34163385 PMCID: PMC8215160 DOI: 10.3389/fpsyt.2021.673595] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2021] [Accepted: 05/11/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Thalamic volume measures have been linked to obsessive-compulsive disorder (OCD) in children and adolescents. However, it is unclear if alterations in thalamic volumes occur before or after symptom onset and if there is a relation to the presence of sub-clinical obsessive-compulsive symptoms (OCS). Here, we explore the relationship between OCS and the rate of thalamic volume change in a cohort of children and youth at high risk to develop a mental disorder. A secondary aim was to determine if there is a relationship between OCS and the individual's OCD polygenic risk score (OCD-PRS) and between the rate of thalamic volume change and the OCD-PRS. Methods: The sample included 378 children enrolled in the longitudinal Brazilian High-Risk Cohort for Mental Conditions. Participants were assessed for OCS and the symmetrized percent change (SPC) of thalamic volume across two time-points separated by 3 years, along with the OCD-PRS. Zero-altered negative binomial models were used to analyze the relationship between OCS and thalamic SPC. Multiple linear regressions were used to examine the relationship between thalamic SPC and OCD-PRS. Results: A significant relationship between OCS and the right thalamus SPC (p = 0.042) was found. There was no significant relationship between changes in thalamic volume SPC and OCD-PRS. Conclusions: The findings suggest that changes in the right thalamic volume over the course of 3 years in children may be associated to OCS. Future studies are needed to confirm these results and further characterize the specific nature of OCS symptoms associated with thalamic volumes.
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Affiliation(s)
| | - Marcos L Santoro
- Departamento de Morfologia e Genética, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Marcelo Q Hoexter
- Department and Institute of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
| | - Andrea Parolin Jackowski
- Laboratory of Integrative Neuroscience, Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Pedro M Pan
- Laboratory of Integrative Neuroscience, Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Maria Conceição Rosário
- Laboratory of Integrative Neuroscience, Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Sintia I Belangero
- Departamento de Morfologia e Genética, Universidade Federal de São Paulo, São Paulo, Brazil.,Laboratory of Integrative Neuroscience, Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Pedro Gomes Alvarenga
- Department and Institute of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
| | - Victoria Fogaça Doretto
- Department and Institute of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
| | - Afonso Mazine Tiago Fumo
- Department and Institute of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
| | - Marcelo C Batistuzzo
- Department and Institute of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.,Department of Methods and Techniques in Psychology, Pontifical Catholic University, São Paulo, Brazil
| | | | - Kiara R Timpano
- Department of Psychology, University of Miami, Coral Gables, FL, United States
| | - Vanessa K Ota
- Departamento de Morfologia e Genética, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Luis Augusto Rohde
- Attention-Deficit/Hyperactivity Disorder and Developmental Psychiatry Programs, Hospital de Clínicas de Porto Alegre, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
| | | | - James F Leckman
- Yale Child Study Centre, Yale School of Medicine, Yale University, New Haven, CT, United States
| | - André Zugman
- Laboratory of Integrative Neuroscience, Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brazil
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13
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Coimbra BM, Yeh M, D'Elia AT, Maciel MR, Carvalho CM, Milani AC, Mozzambani A, Juruena M, Belangero SI, Jackowski AP, Poyares D, Mello AF, Mello MF. Posttraumatic Stress Disorder and Neuroprogression in Women Following Sexual Assault: Protocol for a Randomized Clinical Trial Evaluating Allostatic Load and Aging Process Acceleration. JMIR Res Protoc 2020; 9:e19162. [PMID: 33206061 PMCID: PMC7710442 DOI: 10.2196/19162] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 08/20/2020] [Accepted: 10/20/2020] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Posttraumatic stress disorder (PTSD) is a prevalent, chronic, and severe disorder related to traumatic events. Women are disproportionately affected by PTSD than men and are more at risk in the occurrence of sexual assault victimization. Estimates suggest that 50% of women develop PTSD following sexual assault and successful clinical management can be challenging. Growing evidence has implicated neural, immune, and endocrine alterations underpinning PTSD, but only few studies have assessed the evolution of acute PTSD in women. OBJECTIVE This study aims to measure whether the onset of PTSD is associated with accelerated aging in women following sexual assault. We hypothesize that the increase of allostatic load caused by PTSD leads to neuroprogression. We will implement a randomized clinical trial to compare responses to treatment with either interpersonal psychotherapy adapted for PTSD (IPT-PTSD) or the selective serotonin reuptake inhibitor sertraline. METHODS We will include women between 18 and 45 years of age, who experienced sexual assault from 1 to 6 months before the initial evaluation, and present with a Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) diagnosis of PTSD. Baseline evaluation will comprise clinical and psychometric assessments, structural and functional magnetic resonance imaging, neuropsychological testing, polysomnography, evaluation of immune and endocrine parameters, and genetic analyses. Age-matched female healthy controls will be included and subjected to the same evaluation. Patients will be randomized for treatment in 1 of the 2 arms of the study for 14 weeks; follow-up will continue until 1 year after inclusion via treatment as usual. The researchers will collect clinical and laboratory data during periodic clinical assessments up to 1-year follow-up. RESULTS Data collection started in early 2016 and will be completed by the end of the first semester of 2020. Analyses will be performed soon afterward, followed by the elaboration of several articles. Articles will be submitted in early 2021. This research project has obtained a grant from the Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP 2014/12559-5). CONCLUSIONS We expect to provide insight into the consequences of recent sexual assault exposure in women by investigating the degree of neuroprogression developing from an early stage of PTSD. We also expect to provide important evidence on the efficacy of a non-exposure psychotherapy (IPT-PTSD) to mitigate PTSD symptoms in recently sexually assaulted women. Further, we aim to obtain evidence on how treatment outcomes are associated with neuroprogression measures. TRIAL REGISTRATION Brazilian Clinical Trials Registry RBR-3z474z; http://www.ensaiosclinicos.gov.br/rg/RBR-3z474z/. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/19162.
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Affiliation(s)
- Bruno Messina Coimbra
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- Program for Research and Care on Violence and PTSD, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Mary Yeh
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- Program for Research and Care on Violence and PTSD, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Ana Teresa D'Elia
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- Program for Research and Care on Violence and PTSD, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Mariana Rangel Maciel
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- Program for Research and Care on Violence and PTSD, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Carolina Muniz Carvalho
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- Department of Morphology and Genetics, Universidade Federal de São Paulo, São Paulo, Brazil
- Laboratory of Integrative Neuroscience, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Ana Carolina Milani
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- Program for Research and Care on Violence and PTSD, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Adriana Mozzambani
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- Program for Research and Care on Violence and PTSD, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Mario Juruena
- Centre for Affective Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, Biomedical Research Centre, South London and Maudsley NHS Foundation Trust and King's College, London, United Kingdom
| | - Sintia Iole Belangero
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- Department of Morphology and Genetics, Universidade Federal de São Paulo, São Paulo, Brazil
- Laboratory of Integrative Neuroscience, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Andrea Parolin Jackowski
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- Laboratory of Integrative Neuroscience, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Dalva Poyares
- Department of Psychobiology, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Andrea Feijo Mello
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- Program for Research and Care on Violence and PTSD, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Marcelo Feijo Mello
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- Program for Research and Care on Violence and PTSD, Universidade Federal de São Paulo, São Paulo, Brazil
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14
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Fava VAR, Sarin LM, Lucchese AC, Del Sant L, Magalhães E, Delfino RS, Tuena MA, Nakahira C, Jackowski AP, Abdo G, Surjan J, Steiglich M, Barbosa MG, Porto JAD, Lacerda ALT, Cogo-Moreira H. The probability of response after each subcutaneous injection of esketamine in treatment-resistant depression. Rev Psiquiatr Salud Ment (Engl Ed) 2020; 14:S1888-9891(20)30117-8. [PMID: 33075541 DOI: 10.1016/j.rpsm.2020.10.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 09/12/2020] [Accepted: 10/05/2020] [Indexed: 12/18/2022]
Abstract
INTRODUCTION The administration of multiple esketamine doses has shown efficacy for unipolar and bipolar treatment-resistant depression (TRD). Nevertheless, the probability of responding or not after each dose in the real-world remains unknown. This study aimed to estimate it throughout four doses of esketamine, administrated via subcutaneous (SC). MATERIAL AND METHODS We conducted a retrospective analysis of a case series of 70 patients with TRD who received treatment from the esketamine assistance program at Federal University of Sao Paulo, between April 2017 and December 2018. The SC injections were administrated weekly at a dose of 0.5-1.0mg/kg, in conjunction with patients' psychotropic drugs. Response was defined as a decrease of at least 50% in the Montgomery-Åsberg Depression Rating Scale between baseline and 24h after dose. We used hidden Markov modeling in order to estimate de probability of response after each esketamine injection. RESULTS The probability of a patient that was a "non-responder" to become a "responder" following a SC injection of esketamine was 17.30% and the probability that this patient remains a "non-responder" was 82.70%. The probability of a patient that was a "responder" to remain as a "responder" was 95%. CONCLUSIONS Patients with TRD who had not responded after the first dose of esketamine, still had a chance of responding after the subsequent dose administrated via SC.
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Affiliation(s)
| | - Luciana Maria Sarin
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; Centro Alfa de Humanização, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Ana Cecília Lucchese
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; Centro Alfa de Humanização, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Lorena Del Sant
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; Centro Alfa de Humanização, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Eduardo Magalhães
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; Centro Alfa de Humanização, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Rodrigo Simonini Delfino
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; PRODAF - Programa de Transtornos Afetivos, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Marco Aurélio Tuena
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Carolina Nakahira
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Andrea Parolin Jackowski
- LiNC - Laboratory of Integrative Neuroscience, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Guilherme Abdo
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Juliana Surjan
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; PRODAF - Programa de Transtornos Afetivos, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Matheus Steiglich
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | | | - José Alberto Del Porto
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; PRODAF - Programa de Transtornos Afetivos, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Acioly Luiz Tavares Lacerda
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; PRODAF - Programa de Transtornos Afetivos, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; LiNC - Laboratory of Integrative Neuroscience, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
| | - Hugo Cogo-Moreira
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil; School of Public Health, University of Hong Kong, Hong Kong, SAR, China.
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15
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Barbosa MG, Delfino RS, Sarin LM, Jackowski AP. Repeated subcutaneous esketamine administration for depressive symptoms and pain relief in a terminally ill cancer patient: A case report. Palliat Med 2020; 34:822-825. [PMID: 32186250 DOI: 10.1177/0269216320910351] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Depressive disorders are common among cancer patients. Ketamine can quickly relieve depression, and its subcutaneous administration appears to be as effective as and probably safer than its standard intravenous administration. Herein, we report a case verifying the antidepressant effect of a subcutaneous esketamine formulation. CASE PRESENTATION A 65-year-old male with metastatic abdominal tumor reported sadness, weight loss, fatigue, hopelessness, insomnia, inattention, and reduced motivation. His scores on the visual analogical scale for pain and Montgomery-Asberg depression rating scale were 8/10 and 30/60, respectively. POSSIBLE COURSES OF ACTION Monoaminergic antidepressants are effective, but their response is slow for end-of-life care. FORMULATION OF A PLAN Esketamine was preferred because it possibly contributes to pain relief. It can repeatedly be infused intravenously, but was subcutaneously administered twice a week for safety reasons. OUTCOME The patient showed continuous mood improvement, achieving depression remission on day 7. Pain relief was observed but without stability. His vital signs remained stable, and he remained calm, without major complaints. LESSONS FROM THE CASE Repeated subcutaneous esketamine injections are possibly safe and effective in pain and depression relief in palliative care cancer patients. VIEW ON RESEARCH PROBLEMS, OBJECTIVES, OR QUESTIONS GENERATED BY THE CASE Placebo-controlled studies with similar cases are needed to establish efficacy and safety.
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Affiliation(s)
| | | | - Luciana Maria Sarin
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
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16
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Biazoli CE, Salum GA, Gadelha A, Rebello K, Moura LM, Pan PM, Brietzke E, Miguel EC, Rohde LA, Bressan RA, Jackowski AP, Sato JR. Correction to: Socioeconomic status in children is associated with spontaneous activity in right superior temporal gyrus. Brain Imaging Behav 2020; 14:639. [DOI: 10.1007/s11682-019-00125-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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17
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Vasconcelos Rocha M, Nery-Fernandes F, Baldaçara L, Parolin Jackowski A, De Castro Quarantini L, Ladeia-Rocha G, De Araujo Neto C, Reis De Oliveira I, Caribé A, Miranda-Scippa Â. Prefrontal gray matter volume in adults bipolar I outpatients is associated with history of suicide attempts? ARCH CLIN PSYCHIAT 2020. [DOI: 10.15761/0101-60830000000260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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18
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Brandalise MH, de Araujo Filho GM, Centeno RS, Yacubian EMT, Jackowski AP. Effects of a brief psychotherapeutic intervention on resilience and behavior in patients with drug-resistant mesial temporal lobe epilepsy and late seizure recurrence after surgery. Epilepsy Behav 2019; 100:106512. [PMID: 31574426 DOI: 10.1016/j.yebeh.2019.106512] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 08/21/2019] [Accepted: 08/21/2019] [Indexed: 11/15/2022]
Abstract
Seizure recurrence (SR) after epilepsy surgery in patients with medically resistant temporal lobe epilepsy and mesial temporal sclerosis (TLE-MTS) can compromise medical treatment and quality of life (QOL). However, there is a scarcity of interventions specifically addressing this issue in the literature. We aimed to evaluate the impact of a four-week psychotherapeutic intervention on the levels of resilience, behavioral symptoms, and QOL of patients with drug-resistant TLE-MTS who underwent corticoamygdalohippocampectomy (CAH) and who presented with late SR. Fifty patients who had been diagnosed with TLE-TMS, undergone CAH, and presented with late SR were included. The study instruments included a clinical and sociodemographic questionnaire and the Brazilian versions of the Connor-Davidson Resilience Scale (CD-RISC-10), the Neurological Disorders Depression Inventory for Epilepsy (NDDI-E), the Interictal Dysphoric Disorder Inventory (IDDI), and the Quality of Life in Epilepsy Inventory (QOLIE-31). Significant reductions in the IDDI (p < 0.001) and NDDI-E (p < 0.001) scores, improvements in the CD-RISC-10 (p < 0.001) and QOLIE-31 (p < 0.001) scores, and positive correlations between resilience levels and QOL (p < 0.01), as well as a negative correlation between depressive symptoms and resilience (p < 0.01) and QOL (p < 0.01), were observed after the psychotherapeutic intervention. Improvements in the resilience levels and QOL, with concomitant reductions in depressive symptoms, were observed in patients with TLE-MTS and late SR after a brief psychotherapeutic intervention. Since there is a lack of studies that measured the impact of interventions in this patient subpopulation, these results may support the development of treatment strategies for this specific group.
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Affiliation(s)
| | - Gerardo Maria de Araujo Filho
- Universidade Federal de Sao Paulo (UNIFESP), Department of Psychiatry, Brazil; Faculdade de Medicina de Sao Jose do Rio Preto (FAMERP), Department of Psychiatry and Medical Psychology, Brazil.
| | - Ricardo Silva Centeno
- Universidade Federal de Sao Paulo (UNIFESP), Department of Neurology and Neurosurgery, Brazil
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19
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Sato JR, Biazoli CE, Moura LM, Crossley N, Zugman A, Picon FA, Hoexter MQ, Amaro E, Miguel EC, Rohde LA, Bressan RA, Jackowski AP. Association Between Fractional Amplitude of Low-Frequency Spontaneous Fluctuation and Degree Centrality in Children and Adolescents. Brain Connect 2019; 9:379-387. [DOI: 10.1089/brain.2018.0628] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Affiliation(s)
- João Ricardo Sato
- Center of Mathematics, Computing and Cognition, Universidade Federal do ABC, Santo Andre, Brazil
- Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil
- Department of Radiology, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
| | | | - Luciana Monteiro Moura
- Center of Mathematics, Computing and Cognition, Universidade Federal do ABC, Santo Andre, Brazil
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
| | - Nicolas Crossley
- Institute for Biological and Medical Engineering, Faculties of Engineering, Medicine and Biological Sciences, P. Catholic University of Chile, Santiago, Chile
| | - André Zugman
- Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
| | - Felipe Almeida Picon
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
- Department of Psychiatry, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
- Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Marcelo Queiroz Hoexter
- Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
- Department of Psychiatry, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, Brazil
| | - Edson Amaro
- Department of Radiology, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
| | - Euripedes Constantino Miguel
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
- Department of Psychiatry, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, Brazil
| | - Luis Augusto Rohde
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
- Department of Psychiatry, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
- Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Rodrigo Affonseca Bressan
- Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
| | - Andrea Parolin Jackowski
- Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
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20
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Sato JR, Biazoli CE, Salum GA, Gadelha A, Crossley N, Vieira G, Zugman A, Picon FA, Pan PM, Hoexter MQ, Amaro E, Anés M, Moura LM, Del'Aquilla MAG, Mcguire P, Rohde LA, Miguel EC, Bressan RA, Jackowski AP. Associations between children's family environment, spontaneous brain oscillations, and emotional and behavioral problems. Eur Child Adolesc Psychiatry 2019; 28:835-845. [PMID: 30392120 DOI: 10.1007/s00787-018-1240-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2017] [Accepted: 10/20/2018] [Indexed: 12/31/2022]
Abstract
The family environment in childhood has a strong effect on mental health outcomes throughout life. This effect is thought to depend at least in part on modifications of neurodevelopment trajectories. In this exploratory study, we sought to investigate whether a feasible resting-state fMRI metric of local spontaneous oscillatory neural activity, the fractional amplitude of low-frequency fluctuations (fALFF), is associated with the levels of children's family coherence and conflict. Moreover, we sought to further explore whether spontaneous activity in the brain areas influenced by family environment would also be associated with a mental health outcome, namely the incidence of behavioral and emotional problems. Resting-state fMRI data from 655 children and adolescents (6-15 years old) were examined. The quality of the family environment was found to be positively correlated with fALFF in the left temporal pole and negatively correlated with fALFF in the right orbitofrontal cortex. Remarkably, increased fALFF in the temporal pole was associated with a lower incidence of behavioral and emotional problems, whereas increased fALFF in the orbitofrontal cortex was correlated with a higher incidence.
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Affiliation(s)
- João Ricardo Sato
- Center of Mathematics, Computation, and Cognition, Universidade Federal do ABC, Av. dos Estados, 5001, Bairro Bangu, Santo André, SP, CEP 09210-580, Brazil. .,Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), São Paulo, Brazil. .,Department of Radiology, School of Medicine, University of Sao Paulo, São Paulo, Brazil. .,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil. .,Institute of Radiology (InRad), School of Medicine, University of Sao Paulo, São Paulo, Brazil.
| | - Claudinei Eduardo Biazoli
- Center of Mathematics, Computation, and Cognition, Universidade Federal do ABC, Av. dos Estados, 5001, Bairro Bangu, Santo André, SP, CEP 09210-580, Brazil.,Department of Radiology, School of Medicine, University of Sao Paulo, São Paulo, Brazil
| | - Giovanni Abrahão Salum
- Hospital de Clinicas de Porto Alegre and Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Ary Gadelha
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | | | - Gilson Vieira
- Bioinformatics Program, Institute of Mathematics and Statistics, University of Sao Paulo, São Paulo, Brazil.,Department of Radiology, School of Medicine, University of Sao Paulo, São Paulo, Brazil
| | - André Zugman
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Felipe Almeida Picon
- Hospital de Clinicas de Porto Alegre and Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Pedro Mario Pan
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Marcelo Queiroz Hoexter
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), São Paulo, Brazil.,Department of Psychiatry, School of Medicine, University of Sao Paulo, São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Edson Amaro
- Institute of Radiology (InRad), School of Medicine, University of Sao Paulo, São Paulo, Brazil
| | - Mauricio Anés
- Hospital de Clinicas de Porto Alegre and Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Luciana Monteiro Moura
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Marco Antonio Gomes Del'Aquilla
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Philip Mcguire
- Institute of Psychiatry, King's College London, London, UK
| | - Luis Augusto Rohde
- Hospital de Clinicas de Porto Alegre and Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Euripedes Constantino Miguel
- Department of Psychiatry, School of Medicine, University of Sao Paulo, São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Rodrigo Affonseca Bressan
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
| | - Andrea Parolin Jackowski
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), São Paulo, Brazil
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21
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Belangero SI, Ota VK, Gadelha A, Berberian AA, Assunção-Leme IBD, Noto C, Christofolini DM, Bellucco FT, Santoro ML, Mazzotti DR, Zugman A, Melaragno MI, Smith MAC, Pellegrino R, Hakonarson H, Cordeiro Q, Moretti PN, Bressan RA, Mari JDJ, Jackowski AP. DGCR2 influences cortical thickness through a mechanism independent of schizophrenia pathogenesis. Psychiatry Res 2019; 274:391-394. [PMID: 30901624 DOI: 10.1016/j.psychres.2019.02.068] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 01/03/2019] [Accepted: 02/27/2019] [Indexed: 01/17/2023]
Abstract
We investigated the role of DGCR2, a corticogenesis-related gene, on schizophrenia (SZ) and its subphenotypes, including brain morphology. A total of 221 SZ patients, 263 controls and 70 antipsychotic-naïve first episode of psychosis (FEP) were genotyped for 17 DGCR2 polymorphisms. While no association between DGCR2 polymorphisms and SZ was found, the missense variant rs2072123 was associated to left rostral anterior cingulate thickness, showing that DGCR2 seems not to be associated directly with the SZ but might be influencing the brain morphology. We also showed a DGCR2 downregulation in SZ patients when compared to controls and FEP.
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Affiliation(s)
- Sintia Iole Belangero
- Disciplina de Genética, Departamento de Morfologia e Genética, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
| | - Vanessa Kiyomi Ota
- Disciplina de Genética, Departamento de Morfologia e Genética, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Ary Gadelha
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Arthur Almeida Berberian
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Idaiane Batista de Assunção-Leme
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Cristiano Noto
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Denise Maria Christofolini
- Disciplina de Genética, Departamento de Morfologia e Genética, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Department of Collective Health, Faculdade de Medicina do ABC, Human Reproduction and Genetic Center, Santo André, Brazil
| | - Fernanda Teixeira Bellucco
- Disciplina de Genética, Departamento de Morfologia e Genética, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Marcos Leite Santoro
- Disciplina de Genética, Departamento de Morfologia e Genética, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Diego Robles Mazzotti
- Center for Sleep and Circadian Neurobiology, University of Pennsylvania, Philadelphia, PA, United States
| | - André Zugman
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Maria Isabel Melaragno
- Disciplina de Genética, Departamento de Morfologia e Genética, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Marilia Arruda Cardoso Smith
- Disciplina de Genética, Departamento de Morfologia e Genética, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Renata Pellegrino
- Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Hakon Hakonarson
- Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Quirino Cordeiro
- Departamento de Psiquiatria, Santa Casa School of Medical Sciences, São Paulo, Brazil
| | - Patricia Natalia Moretti
- Disciplina de Genética, Departamento de Morfologia e Genética, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Faculdade de Medicina, Universidade de Brasília (UNB), Brasília, Brazil
| | - Rodrigo Affonseca Bressan
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Jair de Jesus Mari
- Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Andrea Parolin Jackowski
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
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Biazoli CE, Salum GA, Gadelha A, Rebello K, Moura LM, Pan PM, Brietzke E, Miguel EC, Rohde LA, Bressan RA, Jackowski AP, Sato JR. Socioeconomic status in children is associated with spontaneous activity in right superior temporal gyrus. Brain Imaging Behav 2019; 14:961-970. [DOI: 10.1007/s11682-019-00073-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
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Milani ACC, Foerster B, Cogo-Moreira H, Farias TMDB, Salido F, Carrete H, Mello MF, Jackowski AP. A Longitudinal 1H-MRS Study of the Anterior Cingulate Gyrus in Child and Adolescent Victims of Multiple Forms of Violence. Chronic Stress (Thousand Oaks) 2018; 2:2470547018763359. [PMID: 32440581 PMCID: PMC7219876 DOI: 10.1177/2470547018763359] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 02/13/2018] [Indexed: 11/16/2022]
Abstract
Background The anterior cingulate gyrus is involved in the extinction of conditioned fear responses and is implicated in the pathophysiology of posttraumatic stress disorder. The expression of N-acetylaspartate and choline may be altered in the anterior cingulate gyri of children and adolescents with posttraumatic stress disorder. Methods We conducted a proton magnetic resonance spectroscopy study, longitudinally investigating N-acetylaspartate/creatine and choline/creatine ratios in the anterior cingulate gyri of children and adolescents, aged from 8 to 12 years, who had been exposed to various forms of violence or were non-trauma control. Based on baseline posttraumatic stress symptoms ("sub-clinical"), participants were divided into two groups: posttraumatic stress (n = 19) and control (n = 19). Proton magnetic resonance spectroscopy scans were repeated a year later in trauma exposed participants. Trauma assessments included the Childhood Trauma Questionnaire. Results Exploratory analyses revealed a significant negative correlation between follow-up anterior cingulate gyrus N-acetylaspartate/creatine and Childhood Trauma Questionnaire scores in posttraumatic stress (r = -0.62, p = 0.01) but not control group (r = 0.16, p = 0.66). However, we found no significant differences in anterior cingulate gyrus N-acetylaspartate/creatine or choline/creatine between posttraumatic stress and control. In addition, there were no significant effects of time, group, or time-by-group interactions. Conclusions In this pediatric population, anterior cingulate gyrus N-acetylaspartate/creatine and choline/creatine were not affected by posttraumatic stress and on average these metabolites remained stable over time. However, the study provided intriguing preliminary evidence revealing that participants suffering from posttraumatic stress at baseline have shown, a year later, reduced anterior cingulate gyrus N-acetylaspartate/creatine among those with high trauma severity. This pilot evidence warrants replication in future studies to confirm these findings and to determine the longitudinal effects and interactions between childhood posttraumatic stress and trauma.
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Affiliation(s)
| | - Bernd Foerster
- 1Department of Psychiatry, Federal University of São Paulo, Sao Paulo, Brazil
| | - Hugo Cogo-Moreira
- 1Department of Psychiatry, Federal University of São Paulo, Sao Paulo, Brazil
| | | | - Francisco Salido
- 2Department of Radiology, Federal University of São Paulo, Sao Paulo, Brazil
| | - Henrique Carrete
- 2Department of Radiology, Federal University of São Paulo, Sao Paulo, Brazil
| | - Marcelo Feijo Mello
- 1Department of Psychiatry, Federal University of São Paulo, Sao Paulo, Brazil
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de Araujo CM, Zugman A, Swardfager W, Belangero SIN, Ota VK, Spindola LM, Hakonarson H, Pellegrino R, Gadelha A, Salum GA, Pan PM, de Moura LM, Del Aquilla M, Picon FA, Amaro E, Sato JR, Brietzke E, Grassi-Oliveira R, Rohde LAP, Miguel EC, Bressan RA, Jackowski AP. Effects of the brain-derived neurotropic factor variant Val66Met on cortical structure in late childhood and early adolescence. J Psychiatr Res 2018; 98:51-58. [PMID: 29288952 DOI: 10.1016/j.jpsychires.2017.12.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2017] [Revised: 11/18/2017] [Accepted: 12/14/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND The brain-derived neurotrophic factor (BDNF) Val66Met polymorphism (rs6265) has been associated with several neuropsychiatric disorders and regional structural brain changes in adults, but little is known about Val66Met's effect on brain morphology during typical or atypical neurodevelopment. Windows of vulnerability to psychopathology may be associated with the different alleles of the Val66Met polymorphism during childhood and adolescence. METHODOLOGY We investigated the effect of Val66Met on cortical thickness in MRI scans of 718 children and adolescents (6-12 years old) with typical development, and in those meeting DSM criteria for a psychiatric disorder. RESULTS Val66Met had a significant effect on cortical thickness. Considering the typically developing group, Met-carriers presented thicker parietal and occipital lobes and prefrontal cortices compared to Val homozygotes. Met-carriers with psychiatric disorders presented thicker medial and lateral temporal cortices than Val homozygotes. Furthermore, a significant genotype × psychiatric diagnosis interaction was found: Met-carriers with a psychiatric diagnosis presented thinner bilateral prefrontal cortices than Val homozygotes. CONCLUSION This study provides evidence that Val66Met is associated with cortical maturation in children and adolescents with and without psychiatric disorders.
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Affiliation(s)
- Celia Maria de Araujo
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department of Psychiatry, Universidade Federal de São Paulo, Brazil.
| | - Andre Zugman
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department of Psychiatry, Universidade Federal de São Paulo, Brazil
| | - Walter Swardfager
- Department of Pharmacology & Toxicology, University of Toronto, Toronto, Canada; Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Canada
| | - Sintia Iole Nogueira Belangero
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department of Psychiatry, Universidade Federal de São Paulo, Brazil; Department of Morphology and Genetics, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Vanessa Kiyomi Ota
- Department of Psychiatry, Universidade Federal de São Paulo, Brazil; Department of Morphology and Genetics, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Leticia Maria Spindola
- Department of Psychiatry, Universidade Federal de São Paulo, Brazil; Department of Morphology and Genetics, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Hakon Hakonarson
- Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Renata Pellegrino
- Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, United States
| | - Ary Gadelha
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department of Psychiatry, Universidade Federal de São Paulo, Brazil
| | - Giovanni Abrahão Salum
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department of Psychiatry, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Pedro Mario Pan
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department of Psychiatry, Universidade Federal de São Paulo, Brazil
| | | | - Marco Del Aquilla
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department of Psychiatry, Universidade Federal de São Paulo, Brazil
| | - Felipe Almeida Picon
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department of Psychiatry, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Edson Amaro
- Institute of Radiology (INRAD), Universidade de São Paulo, São Paulo, Brazil
| | - João Ricardo Sato
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Mathematics & Statistics Institute, Universidade Federal do ABC, Santo André, Brazil
| | - Elisa Brietzke
- Department of Psychiatry, Universidade Federal de São Paulo, Brazil
| | - Rodrigo Grassi-Oliveira
- Developmental Cognitive Neuroscience Laboratory (DCNL), Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Luis Augusto P Rohde
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department of Psychiatry, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Euripedes Constantino Miguel
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department & Institute of Psychiatry (IPq), Universidade de São Paulo, São Paulo, Brazil
| | - Rodrigo A Bressan
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department of Psychiatry, Universidade Federal de São Paulo, Brazil
| | - Andrea Parolin Jackowski
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department of Psychiatry, Universidade Federal de São Paulo, Brazil
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Sato JR, Biazoli CE, Salum GA, Gadelha A, Crossley N, Vieira G, Zugman A, Picon FA, Pan PM, Hoexter MQ, Amaro E, Anés M, Moura LM, Del'Aquilla MAG, Mcguire P, Rohde LA, Miguel EC, Jackowski AP, Bressan RA. Association between abnormal brain functional connectivity in children and psychopathology: A study based on graph theory and machine learning. World J Biol Psychiatry 2018. [PMID: 28635541 DOI: 10.1080/15622975.2016.1274050] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVES One of the major challenges facing psychiatry is how to incorporate biological measures in the classification of mental health disorders. Many of these disorders affect brain development and its connectivity. In this study, we propose a novel method for assessing brain networks based on the combination of a graph theory measure (eigenvector centrality) and a one-class support vector machine (OC-SVM). METHODS We applied this approach to resting-state fMRI data from 622 children and adolescents. Eigenvector centrality (EVC) of nodes from positive- and negative-task networks were extracted from each subject and used as input to an OC-SVM to label individual brain networks as typical or atypical. We hypothesised that classification of these subjects regarding the pattern of brain connectivity would predict the level of psychopathology. RESULTS Subjects with atypical brain network organisation had higher levels of psychopathology (p < 0.001). There was a greater EVC in the typical group at the bilateral posterior cingulate and bilateral posterior temporal cortices; and significant decreases in EVC at left temporal pole. CONCLUSIONS The combination of graph theory methods and an OC-SVM is a promising method to characterise neurodevelopment, and may be useful to understand the deviations leading to mental disorders.
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Affiliation(s)
- João Ricardo Sato
- a Center of Mathematics, Computation and Cognition, Universidade Federal do ABC , Santo André , Brazil.,b Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC) , Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo , Brazil.,c Department of Radiology , School of Medicine, University of Sao Paulo , Brazil.,d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil
| | - Claudinei Eduardo Biazoli
- a Center of Mathematics, Computation and Cognition, Universidade Federal do ABC , Santo André , Brazil.,c Department of Radiology , School of Medicine, University of Sao Paulo , Brazil
| | - Giovanni Abrahão Salum
- d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil.,e Hospital de Clinicas de Porto Alegre and Department of Psychiatry , Federal University of Rio Grande do Sul , Porto Alegre , Brazil
| | - Ary Gadelha
- b Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC) , Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo , Brazil.,d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil
| | - Nicolas Crossley
- f Department of Psychosis Studies, Institute of Psychiatry, King's College London , United Kingdom
| | - Gilson Vieira
- c Department of Radiology , School of Medicine, University of Sao Paulo , Brazil.,g Bioinformatics Program , Institute of Mathematics and Statistics, University of Sao Paulo , Brazil
| | - André Zugman
- b Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC) , Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo , Brazil.,d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil
| | - Felipe Almeida Picon
- d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil.,e Hospital de Clinicas de Porto Alegre and Department of Psychiatry , Federal University of Rio Grande do Sul , Porto Alegre , Brazil
| | - Pedro Mario Pan
- b Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC) , Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo , Brazil.,d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil
| | - Marcelo Queiroz Hoexter
- b Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC) , Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo , Brazil.,d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil.,h Department of Psychiatry , School of Medicine, University of Sao Paulo , Brazil
| | - Edson Amaro
- i Institute of Radiology (InRad), Faculdade de Medicina , Universidade de Sao Paulo , Brazil
| | - Mauricio Anés
- d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil.,e Hospital de Clinicas de Porto Alegre and Department of Psychiatry , Federal University of Rio Grande do Sul , Porto Alegre , Brazil
| | - Luciana Monteiro Moura
- b Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC) , Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo , Brazil.,d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil
| | - Marco Antonio Gomes Del'Aquilla
- b Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC) , Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo , Brazil.,d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil
| | - Philip Mcguire
- f Department of Psychosis Studies, Institute of Psychiatry, King's College London , United Kingdom
| | - Luis Augusto Rohde
- d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil.,e Hospital de Clinicas de Porto Alegre and Department of Psychiatry , Federal University of Rio Grande do Sul , Porto Alegre , Brazil
| | - Euripedes Constantino Miguel
- d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil.,h Department of Psychiatry , School of Medicine, University of Sao Paulo , Brazil
| | - Andrea Parolin Jackowski
- b Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC) , Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo , Brazil.,d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil
| | - Rodrigo Affonseca Bressan
- b Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC) , Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo , Brazil.,d National Institute of Developmental Psychiatry for Children and Adolescents , CNPq , Brazil
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Baldaçara L, Araújo C, Assunção I, Silva ID, Jackowski AP. Reduction of prefrontal thickness in military police officers with post-traumatic stress disorder. ARCH CLIN PSYCHIAT 2017. [DOI: 10.1590/0101-60830000000128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Leonardo Baldaçara
- Federal University of São Paulo, Brazil; Federal University of Tocantins, Brazil
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Del Cole CG, Caetano SC, Ribeiro W, Kümmer AMEE, Jackowski AP. Adolescent adaptive behavior profiles in Williams-Beuren syndrome, Down syndrome, and autism spectrum disorder. Child Adolesc Psychiatry Ment Health 2017; 11:40. [PMID: 28747993 PMCID: PMC5525235 DOI: 10.1186/s13034-017-0177-0] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2017] [Accepted: 06/28/2017] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Adaptive behavior can be impaired in different neurodevelopmental disorders and may be influenced by confounding factors, such as intelligence quotient (IQ) and socioeconomic classification. Our main objective was to verify whether adaptive behavior profiles differ in three conditions-Williams Beuren syndrome (WBS), Down syndrome (DS), and autism spectrum disorder (ASD), as compared with healthy controls (HC) and with each other. Although the literature points towards each disorder having a characteristic profile, no study has compared profiles to establish the specificity of each one. A secondary objective was to explore potential interactions between the conditions and socioeconomic status, and whether this had any effect on adaptive behavior profiles. METHODS One hundred and five adolescents were included in the study. All adolescents underwent the following evaluations: the Vineland Adaptive Behavior Scale (VABS), the Wechsler Intelligence Scale for Children (WISC), and the Brazilian Economic Classification Criteria. RESULTS Our results demonstrated that the WBS group performed better than the DS group in the communication domain, β = -15.08, t(3.45), p = .005, and better than the ASD group in the socialization domain, β = 8.92, t(-2.08), p = .013. The DS group also performed better than the ASD group in socialization, β = 16.98, t(-2.32), p = .024. IQ was an important confounding factor, and socioeconomic status had an important effect on the adaptive behavior of all groups. CONCLUSIONS There is a heterogeneity regarding adaptive behavior profiles in WBS, DS, and ASD. These data are important to better design specific strategies related to the health and social care of each particular group.
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Affiliation(s)
- Carolina Grego Del Cole
- 0000 0001 0514 7202grid.411249.bLaboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo, Edifício de Pesquisas II – UNIFESP, Rua Pedro de Toledo, 669-3° andar fundos, Vila Clementino, São Paulo, SP Brazil ,0000 0001 0514 7202grid.411249.bUnidade de Psiquiatria da Infância e Adolescência (UPIA), Departamento de Psiquiatria, Universidade Federal de São Paulo, Rua Borges Lagoa, 570-8° andar Vila Clementino, São Paulo, SP Brazil
| | - Sheila Cavalcante Caetano
- 0000 0001 0514 7202grid.411249.bUnidade de Psiquiatria da Infância e Adolescência (UPIA), Departamento de Psiquiatria, Universidade Federal de São Paulo, Rua Borges Lagoa, 570-8° andar Vila Clementino, São Paulo, SP Brazil
| | - Wagner Ribeiro
- 0000 0001 0789 5319grid.13063.37London School of Economics and Political Science, Houghton Street, WC2A2AE London, UK
| | - Arthur Melo E. e. Kümmer
- 0000 0001 2181 4888grid.8430.fDepartamento de Saúde Mental da, Universidade Federal de Minas Gerais, Av. Prof. Alfredo Balena, 190-sala 235, Belo Horizonte, MG Brazil
| | - Andrea Parolin Jackowski
- 0000 0001 0514 7202grid.411249.bLaboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo, Edifício de Pesquisas II – UNIFESP, Rua Pedro de Toledo, 669-3° andar fundos, Vila Clementino, São Paulo, SP Brazil
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Lúcio PS, Salum GA, Rohde LA, Swardfager W, Gadelha A, Vandekerckhove J, Pan PM, Polanczyk GV, do Rosário MC, Jackowski AP, Mari JJ, Cogo-Moreira H. Poor stimulus discriminability as a common neuropsychological deficit between ADHD and reading ability in young children: a moderated mediation model. Psychol Med 2017; 47:255-266. [PMID: 27697085 DOI: 10.1017/s0033291716002531] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND Attention deficit hyperactivity disorder (ADHD) is frequently associated with poorer reading ability; however, the specific neuropsychological domains linking this co-occurrence remain unclear. This study evaluates information-processing characteristics as possible neuropsychological links between ADHD symptoms and RA in a community-based sample of children and early adolescents with normal IQ (⩾70). METHOD The participants (n = 1857, aged 6-15 years, 47% female) were evaluated for reading ability (reading single words aloud) and information processing [stimulus discriminability in the two-choice reaction-time task estimated using diffusion models]. ADHD symptoms were ascertained through informant (parent) report using the Development and Well-Being Assessment (DAWBA). Verbal working memory (VWM; digit span backwards), visuospatial working memory (VSWM, Corsi Blocks backwards), sex, socioeconomic status, and IQ were included as covariates. RESULTS In a moderated mediation model, stimulus discriminability mediated the effect of ADHD on reading ability. This indirect effect was moderated by age such that a larger effect was seen among younger children. CONCLUSION The findings support the hypothesis that ADHD and reading ability are linked among young children via a neuropsychological deficit related to stimulus discriminability. Early interventions targeting stimulus discriminability might improve symptoms of inattention/hyperactivity and reading ability.
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Affiliation(s)
- P S Lúcio
- Department of Psychiatry,Federal University of Sao Paulo (UNIFESP),Sao Paulo,Brazil
| | - G A Salum
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq),Sao Paulo,Brazil
| | - L A Rohde
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq),Sao Paulo,Brazil
| | - W Swardfager
- Department of Pharmacology & Toxicology,University of Toronto,Toronto,Canada
| | - A Gadelha
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq),Sao Paulo,Brazil
| | - J Vandekerckhove
- Department of Cognitive Sciences and Department of Statistics,University of California,Irvine, CA,USA
| | - P M Pan
- Department of Psychiatry,Federal University of Sao Paulo (UNIFESP),Sao Paulo,Brazil
| | - G V Polanczyk
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq),Sao Paulo,Brazil
| | - M C do Rosário
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq),Sao Paulo,Brazil
| | - A P Jackowski
- Department of Psychiatry,Federal University of Sao Paulo (UNIFESP),Sao Paulo,Brazil
| | - J J Mari
- Department of Psychiatry,Federal University of Sao Paulo (UNIFESP),Sao Paulo,Brazil
| | - H Cogo-Moreira
- Department of Psychiatry,Federal University of Sao Paulo (UNIFESP),Sao Paulo,Brazil
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Carvalho GBDS, Matas SLDA, Idagawa MH, Tibana LAT, de Carvalho RS, Silva MLS, Cogo-Moreira H, Jackowski AP, Abdala N. A new index for the assessment of transverse sinus stenosis for diagnosing idiopathic intracranial hypertension. J Neurointerv Surg 2016; 9:173-177. [DOI: 10.1136/neurintsurg-2016-012605] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2016] [Revised: 08/17/2016] [Accepted: 08/18/2016] [Indexed: 11/04/2022]
Abstract
Background and purposeTo assess the role of MR venography (MRV) for detecting transverse sinus stenosis, to determine the importance of this finding in idiopathic intracranial hypertension (IIH), and to propose an index that contributes to this diagnosis.Materials and methodsWe retrospectively assessed consecutive intracranial MRV of patients aged >18 years diagnosed with IIH according to the diagnostic criteria, between January 2010 and July 2012. The assessments were randomly analyzed by three radiologists. Stenoses in the right and left transverse sinuses were independently classified according to the following scale: 0, normal; 1, stenosis <33%; 2, stenosis 33–66%; 3, stenosis >66%; and 4, hypoplasia or agenesis. We established an index based on multiplication of the stenosis scale values for each transverse sinus. A point and range estimate of the sensitivity, specificity, and the area under the receiver operating characteristic curve was performed to obtain cut-off points to differentiate between controls and patients.Results63 individuals were included in this study: 32 (50.8%) diagnosed with IIH (31 (96.9%) women and 1 (3.1%) man) and 31 (49.2%) controls. According to all of the examiners, the IIH group showed a higher degree of stenosis than the control group. Index values ≥4 for a diagnosis of IIH had a sensitivity and specificity of 94.7% and 93.5%, respectively.ConclusionsMRV should be used to assess patients with suspected IIH, and bilateral transverse sinus stenosis should be considered for the diagnosis. The stenosis classifying index proposed here is a fast and accessible method for diagnosing IIH.
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30
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de Moura LM, Cogo-Moreira H, de Ávila CRB, Pan PM, Gadelha A, Moriyama T, Del Aquilla MA, Hoexter M, Salum GA, Picon FA, Anés M, Mercadante MT, Lacerda A, Amaro E, Miguel EC, Rohde LA, Bressan RA, McGuire P, Sato JR, de Jesus Mari J, Jackowski AP. Children with Poor Reading Skills at the Word Level Show Reduced Fractional Anisotropy in White Matter Tracts of Both Hemispheres. Brain Connect 2016; 6:519-23. [PMID: 27353747 DOI: 10.1089/brain.2016.0430] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
Diffusion tensor imaging (DTI) studies showed that microstructural alterations are correlated to reading skills. In this study, we aim to investigate white matter microstructure of a group of Portuguese speakers with poor reading level, using different parameters of DTI. To perform this analysis, we selected children ranging from 8 to 12 years of age, poor readers (n = 17) and good readers (n = 23), evaluated in the word-level ability based on a Latent Class Analysis (LCA) of Academic Performance Test (TDE). Poor readers exhibited significant fractional anisotropy (FA) reductions in many tracts of both hemispheres, but small and restricted clusters of increased radial diffusivity (RD) in the left hemisphere. Spatial coherence of fibers might be the main source of differences, as changes in FA were not similarly accompanied in terms of extension by changes in RD. Widespread structural alterations in the white matter could prevent good reading ability at word level, which is consistent with recent studies demonstrating the involvement of multiple cortical regions and white matter tracts in reading disabilities.
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Affiliation(s)
- Luciana Monteiro de Moura
- 1 Department of Psychiatry, Federal University of Sao Paulo , Sao Paulo, Brazil .,2 Interdisciplinary Lab of Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo, Brazil .,3 Institute of Psychiatry , King's College, London, United Kingdom
| | - Hugo Cogo-Moreira
- 1 Department of Psychiatry, Federal University of Sao Paulo , Sao Paulo, Brazil
| | | | - Pedro Mario Pan
- 2 Interdisciplinary Lab of Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo, Brazil
| | - Ary Gadelha
- 2 Interdisciplinary Lab of Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo, Brazil
| | - Tais Moriyama
- 2 Interdisciplinary Lab of Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo, Brazil
| | - Marco Antonio Del Aquilla
- 2 Interdisciplinary Lab of Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo, Brazil
| | - Marcelo Hoexter
- 2 Interdisciplinary Lab of Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo, Brazil
| | - Giovanni Abrahão Salum
- 5 Department of Psychiatry, Federal University of Rio Grande do Sul , Rio Grande do Sul, Brazil
| | - Felipe Almeida Picon
- 5 Department of Psychiatry, Federal University of Rio Grande do Sul , Rio Grande do Sul, Brazil
| | - Mauricio Anés
- 5 Department of Psychiatry, Federal University of Rio Grande do Sul , Rio Grande do Sul, Brazil
| | - Marcos Tomanik Mercadante
- 2 Interdisciplinary Lab of Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo, Brazil
| | - Acioly Lacerda
- 2 Interdisciplinary Lab of Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo, Brazil
| | - Edson Amaro
- 6 Department of Radiology, University of Sao Paulo , Sao Paulo Medical School, Sao Paulo, Brazil
| | | | - Luis Augusto Rohde
- 5 Department of Psychiatry, Federal University of Rio Grande do Sul , Rio Grande do Sul, Brazil
| | - Rodrigo Affonseca Bressan
- 1 Department of Psychiatry, Federal University of Sao Paulo , Sao Paulo, Brazil .,2 Interdisciplinary Lab of Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo, Brazil
| | - Philip McGuire
- 3 Institute of Psychiatry , King's College, London, United Kingdom
| | - João Ricardo Sato
- 8 Center of Mathematics, Computation and Cognition, Universidade Federal do ABC , Santo Andre, Brazil
| | - Jair de Jesus Mari
- 1 Department of Psychiatry, Federal University of Sao Paulo , Sao Paulo, Brazil
| | - Andrea Parolin Jackowski
- 1 Department of Psychiatry, Federal University of Sao Paulo , Sao Paulo, Brazil .,2 Interdisciplinary Lab of Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP) , Sao Paulo, Brazil
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31
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Lima LDA, Feio-Dos-Santos AC, Belangero SI, Gadelha A, Bressan RA, Salum GA, Pan PM, Moriyama TS, Graeff-Martins AS, Tamanaha AC, Alvarenga P, Krieger FV, Fleitlich-Bilyk B, Jackowski AP, Brietzke E, Sato JR, Polanczyk GV, Mari JDJ, Manfro GG, do Rosário MC, Miguel EC, Puga RD, Tahira AC, Souza VN, Chile T, Gouveia GR, Simões SN, Chang X, Pellegrino R, Tian L, Glessner JT, Hashimoto RF, Rohde LA, Sleiman PMA, Hakonarson H, Brentani H. Corrigendum: An integrative approach to investigate the respective roles of single-nucleotide variants and copy-number variants in Attention-Deficit/Hyperactivity Disorder. Sci Rep 2016; 6:25861. [PMID: 27216920 PMCID: PMC4877574 DOI: 10.1038/srep25861] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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32
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Sato JR, Biazoli CE, Salum GA, Gadelha A, Crossley N, Vieira G, Zugman A, Picon FA, Pan PM, Hoexter MQ, Anés M, Moura LM, Del'Aquilla MAG, Junior EA, Mcguire P, Rohde LA, Miguel EC, Bressan RA, Jackowski AP. Connectome hubs at resting state in children and adolescents: Reproducibility and psychopathological correlation. Dev Cogn Neurosci 2016; 20:2-11. [PMID: 27288820 PMCID: PMC6987719 DOI: 10.1016/j.dcn.2016.05.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2015] [Revised: 05/09/2016] [Accepted: 05/09/2016] [Indexed: 11/28/2022] Open
Abstract
Functional brain hubs are key integrative regions in brain networks. Recently, brain hubs identified through resting-state fMRI have emerged as interesting targets to increase understanding of the relationships between large-scale functional networks and psychopathology. However, few studies have directly addressed the replicability and consistency of the hub regions identified and their association with symptoms. Here, we used the eigenvector centrality (EVC) measure obtained from graph analysis of two large, independent population-based samples of children and adolescents (7–15 years old; total N = 652; 341 subjects for site 1 and 311 for site 2) to evaluate the replicability of hub identification. Subsequently, we tested the association between replicable hub regions and psychiatric symptoms. We identified a set of hubs consisting of the anterior medial prefrontal cortex and inferior parietal lobule/intraparietal sulcus (IPL/IPS). Moreover, lower EVC values in the right IPS were associated with psychiatric symptoms in both samples. Thus, low centrality of the IPS was a replicable sign of potential vulnerability to mental disorders in children. The identification of critical and replicable hubs in functional cortical networks in children and adolescents can foster understanding of the mechanisms underlying mental disorders.
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Affiliation(s)
- João Ricardo Sato
- Centro de Matemática, Computação e Cognição, Universidade Federal do ABC, Santo Andre, Brazil; Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; Department of Radiology, School of Medicine, University of Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil.
| | - Claudinei Eduardo Biazoli
- Centro de Matemática, Computação e Cognição, Universidade Federal do ABC, Santo Andre, Brazil; Department of Radiology, School of Medicine, University of Sao Paulo, Brazil
| | - Giovanni Abrahão Salum
- Department of Psychiatry, Federal University of Rio Grande do Sul and Psychiatric Service, Hospital de Clinicas de Porto Alegre, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Ary Gadelha
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Nicolas Crossley
- Institute of Psychiatry, King's College London, United Kingdom; Institute for Biological and Medical Engineering, Faculties of Engineering, Medicine and Biological Sciences, P. Catholic University of Chile, Chile, Chile
| | - Gilson Vieira
- Bioinformatics Program, Institute of Mathematics and Statistics, University of Sao Paulo, Brazil; Department of Radiology, School of Medicine, University of Sao Paulo, Brazil
| | - André Zugman
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Felipe Almeida Picon
- Department of Psychiatry, Federal University of Rio Grande do Sul and Psychiatric Service, Hospital de Clinicas de Porto Alegre, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Pedro Mario Pan
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Marcelo Queiroz Hoexter
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; Department of Psychiatry, University of São Paulo School of Medicine, São Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Mauricio Anés
- Department of Psychiatry, Federal University of Rio Grande do Sul and Psychiatric Service, Hospital de Clinicas de Porto Alegre, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Luciana Monteiro Moura
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Marco Antonio Gomes Del'Aquilla
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Edson Amaro Junior
- Department of Radiology, School of Medicine, University of Sao Paulo, Brazil
| | - Philip Mcguire
- Institute of Psychiatry, King's College London, United Kingdom
| | - Luis Augusto Rohde
- Department of Psychiatry, Federal University of Rio Grande do Sul and Psychiatric Service, Hospital de Clinicas de Porto Alegre, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Euripedes Constantino Miguel
- Department of Psychiatry, University of São Paulo School of Medicine, São Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Rodrigo Affonseca Bressan
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Andrea Parolin Jackowski
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
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33
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Lima LDA, Feio-dos-Santos AC, Belangero SI, Gadelha A, Bressan RA, Salum GA, Pan PM, Moriyama TS, Graeff-Martins AS, Tamanaha AC, Alvarenga P, Krieger FV, Fleitlich-Bilyk B, Jackowski AP, Brietzke E, Sato JR, Polanczyk GV, Mari JDJ, Manfro GG, do Rosário MC, Miguel EC, Puga RD, Tahira AC, Souza VN, Chile T, Gouveia GR, Simões SN, Chang X, Pellegrino R, Tian L, Glessner JT, Hashimoto RF, Rohde LA, Sleiman PMA, Hakonarson H, Brentani H. An integrative approach to investigate the respective roles of single-nucleotide variants and copy-number variants in Attention-Deficit/Hyperactivity Disorder. Sci Rep 2016; 6:22851. [PMID: 26947246 PMCID: PMC4780010 DOI: 10.1038/srep22851] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2015] [Accepted: 02/23/2016] [Indexed: 02/07/2023] Open
Abstract
Many studies have attempted to investigate the genetic susceptibility of Attention-Deficit/Hyperactivity Disorder (ADHD), but without much success. The present study aimed to analyze both single-nucleotide and copy-number variants contributing to the genetic architecture of ADHD. We generated exome data from 30 Brazilian trios with sporadic ADHD. We also analyzed a Brazilian sample of 503 children/adolescent controls from a High Risk Cohort Study for the Development of Childhood Psychiatric Disorders, and also previously published results of five CNV studies and one GWAS meta-analysis of ADHD involving children/adolescents. The results from the Brazilian trios showed that cases with de novo SNVs tend not to have de novo CNVs and vice-versa. Although the sample size is small, we could also see that various comorbidities are more frequent in cases with only inherited variants. Moreover, using only genes expressed in brain, we constructed two "in silico" protein-protein interaction networks, one with genes from any analysis, and other with genes with hits in two analyses. Topological and functional analyses of genes in this network uncovered genes related to synapse, cell adhesion, glutamatergic and serotoninergic pathways, both confirming findings of previous studies and capturing new genes and genetic variants in these pathways.
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Affiliation(s)
- Leandro de Araújo Lima
- Inter-institutional Grad Program on Bioinformatics, University of São Paulo, São Paulo, SP, Brazil.,Center for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | | | - Sintia Iole Belangero
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Department of Psychiatry, Federal University of São Paulo, São Paulo, SP, Brazil
| | - Ary Gadelha
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Department of Psychiatry, Federal University of São Paulo, São Paulo, SP, Brazil
| | - Rodrigo Affonseca Bressan
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Department of Psychiatry, Federal University of São Paulo, São Paulo, SP, Brazil
| | - Giovanni Abrahão Salum
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Department of Psychiatry, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Pedro Mario Pan
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Department of Psychiatry, Federal University of São Paulo, São Paulo, SP, Brazil
| | - Tais Silveira Moriyama
- Department &Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Department of Psychiatry, Federal University of São Paulo, São Paulo, SP, Brazil
| | - Ana Soledade Graeff-Martins
- Department &Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil
| | - Ana Carina Tamanaha
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Department of Psychiatry, Federal University of São Paulo, São Paulo, SP, Brazil
| | - Pedro Alvarenga
- Department &Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil
| | - Fernanda Valle Krieger
- Department &Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil
| | - Bacy Fleitlich-Bilyk
- Department &Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil
| | - Andrea Parolin Jackowski
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Department of Psychiatry, Federal University of São Paulo, São Paulo, SP, Brazil
| | - Elisa Brietzke
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Department of Psychiatry, Federal University of São Paulo, São Paulo, SP, Brazil
| | - João Ricardo Sato
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Center of Mathematics, Computation and Cognition. Universidade Federal do ABC, Santo André, Brazil
| | - Guilherme Vanoni Polanczyk
- Department &Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil
| | - Jair de Jesus Mari
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Department of Psychiatry, Federal University of São Paulo, São Paulo, SP, Brazil
| | - Gisele Gus Manfro
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Department of Psychiatry, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Maria Conceição do Rosário
- National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Department of Psychiatry, Federal University of São Paulo, São Paulo, SP, Brazil
| | - Eurípedes Constantino Miguel
- Department &Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil
| | - Renato David Puga
- Hospital Israelita Albert Einstein, Clinical Research, São Paulo, SP, Brazil
| | - Ana Carolina Tahira
- Department &Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil
| | - Viviane Neri Souza
- Department &Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil
| | - Thais Chile
- Department &Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil
| | - Gisele Rodrigues Gouveia
- Department &Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil
| | - Sérgio Nery Simões
- Inter-institutional Grad Program on Bioinformatics, University of São Paulo, São Paulo, SP, Brazil.,Federal Institute of Espírito Santo, Serra, ES, Brazil
| | - Xiao Chang
- Center for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Renata Pellegrino
- Center for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Lifeng Tian
- Center for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Joseph T Glessner
- Center for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Ronaldo Fumio Hashimoto
- Inter-institutional Grad Program on Bioinformatics, University of São Paulo, São Paulo, SP, Brazil.,Mathematics &Statistics Institute, University of São Paulo, São Paulo, SP, Brazil
| | - Luis Augusto Rohde
- Department &Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil.,Department of Psychiatry, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Patrick M A Sleiman
- Center for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.,Department of Pediatrics, The Perelman School of Medicine, University of Pennsylvania Philadelphia, PA, USA
| | - Hakon Hakonarson
- Center for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.,Department of Pediatrics, The Perelman School of Medicine, University of Pennsylvania Philadelphia, PA, USA
| | - Helena Brentani
- Inter-institutional Grad Program on Bioinformatics, University of São Paulo, São Paulo, SP, Brazil.,Department &Institute of Psychiatry, University of São Paulo Medical School, São Paulo, SP, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, SP, Brazil
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34
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Sato JR, Salum GA, Gadelha A, Crossley N, Vieira G, Manfro GG, Zugman A, Picon FA, Pan PM, Hoexter MQ, Anés M, Moura LM, Del'Aquilla MAG, Amaro E, McGuire P, Lacerda ALT, Rohde LA, Miguel EC, Jackowski AP, Bressan RA. Default mode network maturation and psychopathology in children and adolescents. J Child Psychol Psychiatry 2016; 57:55-64. [PMID: 26111611 DOI: 10.1111/jcpp.12444] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/13/2015] [Indexed: 11/29/2022]
Abstract
BACKGROUND The human default mode (DMN) is involved in a wide array of mental disorders. Current knowledge suggests that mental health disorders may reflect deviant trajectories of brain maturation. METHOD We studied 654 children using functional magnetic resonance imaging (fMRI) scans under a resting-state protocol. A machine-learning method was used to obtain age predictions of children based on the average coefficient of fractional amplitude of low frequency fluctuations (fALFFs) of the DMN, a measure of spontaneous local activity. The chronological ages of the children and fALFF measures from regions of this network, the response and predictor variables were considered respectively in a Gaussian Process Regression. Subsequently, we computed a network maturation status index for each subject (actual age minus predicted). We then evaluated the association between this maturation index and psychopathology scores on the Child Behavior Checklist (CBCL). RESULTS Our hypothesis was that the maturation status of the DMN would be negatively associated with psychopathology. Consistent with previous studies, fALFF significantly predicted the age of participants (p < .001). Furthermore, as expected, we found an association between the DMN maturation status (precocious vs. delayed) and general psychopathology scores (p = .011). CONCLUSIONS Our findings suggest that child psychopathology seems to be associated with delayed maturation of the DMN. This delay in the neurodevelopmental trajectory may offer interesting insights into the pathophysiology of mental health disorders.
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Affiliation(s)
- João Ricardo Sato
- Center of Mathematics Computation and Cognition, Universidade Federal do ABC, Santo Andre, Brazil.,Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil.,Department of Radiology, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
| | - Giovanni Abrahão Salum
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil.,Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Ary Gadelha
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
| | - Nicolas Crossley
- Institute of Psychiatry, King's College London, London, United Kingdom.,Institute for Biological and Medical Engineering, Faculties of Engineering, Medicine and Biological Sciences, P. Catholic University of Chile, Santiago, Chile
| | - Gilson Vieira
- Department of Radiology, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil.,Bioinformatics Program, Institute of Mathematics and Statistics, University of Sao Paulo, Sao Paulo, Brazil
| | - Gisele Gus Manfro
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil.,Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - André Zugman
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
| | - Felipe Almeida Picon
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil.,Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Pedro Mario Pan
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
| | - Marcelo Queiroz Hoexter
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil.,Department of Psychiatry, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
| | - Mauricio Anés
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil.,Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Luciana Monteiro Moura
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
| | - Marco Antonio Gomes Del'Aquilla
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
| | - Edson Amaro
- Department of Radiology, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
| | - Philip McGuire
- Institute of Psychiatry, King's College London, London, United Kingdom
| | - Acioly Luiz Tavares Lacerda
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
| | - Luis Augusto Rohde
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil.,Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Euripedes Constantino Miguel
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil.,Department of Psychiatry, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
| | - Andrea Parolin Jackowski
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
| | - Rodrigo Affonseca Bressan
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Sao Paulo, Brazil
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35
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Sato JR, Biazoli CE, Salum GA, Gadelha A, Crossley N, Satterthwaite TD, Vieira G, Zugman A, Picon FA, Pan PM, Hoexter MQ, Anés M, Moura LM, Del'aquilla MAG, Amaro E, McGuire P, Lacerda ALT, Rohde LA, Miguel EC, Jackowski AP, Bressan RA. Temporal stability of network centrality in control and default mode networks: Specific associations with externalizing psychopathology in children and adolescents. Hum Brain Mapp 2015; 36:4926-37. [PMID: 26350757 DOI: 10.1002/hbm.22985] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2015] [Revised: 07/08/2015] [Accepted: 08/21/2015] [Indexed: 01/26/2023] Open
Abstract
Abnormal connectivity patterns have frequently been reported as involved in pathological mental states. However, most studies focus on "static," stationary patterns of connectivity, which may miss crucial biological information. Recent methodological advances have allowed the investigation of dynamic functional connectivity patterns that describe non-stationary properties of brain networks. Here, we introduce a novel graphical measure of dynamic connectivity, called time-varying eigenvector centrality (tv-EVC). In a sample 655 children and adolescents (7-15 years old) from the Brazilian "High Risk Cohort Study for Psychiatric Disorders" who were imaged using resting-state fMRI, we used this measure to investigate age effects in the temporal in control and default-mode networks (CN/DMN). Using support vector regression, we propose a network maturation index based on the temporal stability of tv-EVC. Moreover, we investigated whether the network maturation is associated with the overall presence of behavioral and emotional problems with the Child Behavior Checklist. As hypothesized, we found that the tv-EVC at each node of CN/DMN become more stable with increasing age (P < 0.001 for all nodes). In addition, the maturity index for this particular network is indeed associated with general psychopathology in children assessed by the total score of Child Behavior Checklist (P = 0.027). Moreover, immaturity of the network was mainly correlated with externalizing behavior dimensions. Taken together, these results suggest that changes in functional network dynamics during neurodevelopment may provide unique insights regarding pathophysiology.
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Affiliation(s)
- João Ricardo Sato
- Center of Mathematics, Computation and Cognition, Universidade Federal Do ABC, Santo Andre, Brazil.,Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal De Sao Paulo (UNIFESP), Sao Paulo, Brazil.,Department of Radiology, School of Medicine, University of Sao Paulo, São Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil
| | - Claudinei Eduardo Biazoli
- Center of Mathematics, Computation and Cognition, Universidade Federal Do ABC, Santo Andre, Brazil.,Department of Radiology, School of Medicine, University of Sao Paulo, São Paulo, Brazil
| | - Giovanni Abrahão Salum
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil.,Department of Psychiatry, Federal University of Rio Grande Do Sul, Porto Alegre, Brazil
| | - Ary Gadelha
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal De Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil
| | - Nicolas Crossley
- Institute of Psychiatry, King's College London, London, United Kingdom
| | - Theodore D Satterthwaite
- Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania
| | - Gilson Vieira
- Department of Radiology, School of Medicine, University of Sao Paulo, São Paulo, Brazil.,Bioinformatics Program, Institute of Mathematics and Statistics, University of Sao Paulo, São Paulo, Brazil
| | - André Zugman
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal De Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil
| | - Felipe Almeida Picon
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil.,Department of Psychiatry, Federal University of Rio Grande Do Sul, Porto Alegre, Brazil
| | - Pedro Mario Pan
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal De Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil
| | - Marcelo Queiroz Hoexter
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal De Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil.,Department of Psychiatry, School of Medicine, University of Sao Paulo, São Paulo, Brazil
| | - Mauricio Anés
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil.,Department of Psychiatry, Federal University of Rio Grande Do Sul, Porto Alegre, Brazil
| | - Luciana Monteiro Moura
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal De Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil
| | - Marco Antonio Gomes Del'aquilla
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal De Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil
| | - Edson Amaro
- Department of Radiology, School of Medicine, University of Sao Paulo, São Paulo, Brazil
| | - Philip McGuire
- Institute of Psychiatry, King's College London, London, United Kingdom
| | - Acioly L T Lacerda
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal De Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil
| | - Luis Augusto Rohde
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil.,Department of Psychiatry, Federal University of Rio Grande Do Sul, Porto Alegre, Brazil
| | - Euripedes Constantino Miguel
- National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil.,Department of Psychiatry, School of Medicine, University of Sao Paulo, São Paulo, Brazil
| | - Andrea Parolin Jackowski
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal De Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil
| | - Rodrigo Affonseca Bressan
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal De Sao Paulo (UNIFESP), Sao Paulo, Brazil.,National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil
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Sato JR, Salum GA, Gadelha A, Picon FA, Pan PM, Vieira G, Zugman A, Hoexter MQ, Anés M, Moura LM, Gomes Del'Aquilla MA, Amaro E, McGuire P, Crossley N, Lacerda A, Rohde LA, Miguel EC, Bressan RA, Jackowski AP. Age effects on the default mode and control networks in typically developing children. J Psychiatr Res 2014; 58:89-95. [PMID: 25085608 DOI: 10.1016/j.jpsychires.2014.07.004] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2014] [Revised: 06/30/2014] [Accepted: 07/03/2014] [Indexed: 11/24/2022]
Abstract
BACKGROUND The investigation of neurodevelopment during late childhood and pre-adolescence has recently attracted a great deal of interest in the field of neuroimaging. One promising topic in this field is the formation of brain networks in healthy subjects. The integration between neural modules characterizes the ability of the network to process information globally. Although many fMRI-based neurodevelopment studies can be found in the literature, the analyses of very large samples (on the order of hundreds of subjects) that focus on the late childhood/pre-adolescence period and resting state fMRI are scarce, and most studies have focused solely on North American and European populations. AIMS In this study, we present a descriptive investigation of the developmental formation of the Default Mode Network and the Control Network based on a Brazilian, cross-sectional community sample of 447 typically developing subjects aged 7-15 years old. METHODS Resting state fMRI data were acquired using two MRI systems from the same manufacturer using the same acquisition parameters. We estimated the age effects on the strength of the links (between brain regions) and the network features (graph descriptors: degree and eigenvector centrality). RESULTS Our findings showed an increase in the antero-posterior connectivity in both studied networks during brain development. The graph analyses showed an increase in centrality with age for most regions in the Default Mode Network and the dorsal anterior and posterior cingulate, the right anterior insula and the left posterior temporal cortex in the Control Network. CONCLUSION We conclude that the period of 7-15 years of age is crucial for the development of both the Default Mode and Control networks, with integration between the posterior and anterior neuronal modules and an increase in the centrality measures of the hub regions.
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Affiliation(s)
- João Ricardo Sato
- Center of Mathematics, Computation and Cognition, Universidade Federal do ABC, Santo Andre, Brazil; Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil.
| | - Giovanni Abrahão Salum
- Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Ary Gadelha
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Felipe Almeida Picon
- Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Pedro Mario Pan
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Gilson Vieira
- Bioinformatics Program, Institute of Mathematics and Statistics, University of Sao Paulo, Brazil; Department of Radiology, School of Medicine, University of Sao Paulo, Brazil
| | - André Zugman
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Marcelo Queiroz Hoexter
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; Department of Psychiatry, School of Medicine, University of Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Mauricio Anés
- Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Luciana Monteiro Moura
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Marco Antonio Gomes Del'Aquilla
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Edson Amaro
- Department of Radiology, School of Medicine, University of Sao Paulo, Brazil
| | - Philip McGuire
- Institute of Psychiatry, King's College London, United Kingdom
| | | | - Acioly Lacerda
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Luis Augusto Rohde
- Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Euripedes Constantino Miguel
- Department of Psychiatry, School of Medicine, University of Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Rodrigo Affonseca Bressan
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
| | - Andrea Parolin Jackowski
- Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil; National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, Brazil
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de Araujo Filho GM, Abdallah C, Sato JR, de Araujo TB, Lisondo CM, de Faria ÁA, Lin K, Silva I, Bressan RA, da Silva JFR, Coplan J, Jackowski AP. Morphometric hemispheric asymmetry of orbitofrontal cortex in women with borderline personality disorder: a multi-parameter approach. Psychiatry Res 2014; 223:61-6. [PMID: 24882679 PMCID: PMC4102318 DOI: 10.1016/j.pscychresns.2014.05.001] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2013] [Revised: 04/23/2014] [Accepted: 05/01/2014] [Indexed: 12/21/2022]
Abstract
Functional imaging studies have implicated the orbitofrontal cortex (OFC) in the pathophysiology of borderline personality disorder (BPD). To date, however, volume-based magnetic resonance imaging (MRI) studies have yielded mixed results. We used a surface-based processing approach that allowed us to measure five morphometric cortical features of the OFC, including volumetric (cortical thickness and surface area) and geometric (mean curvature, depth of sulcus, and metric distortion - three indicators of cortical folding) parameters. Participants comprised 25 female BPD patients with no other current psychiatric comorbidity and 25 age- and gender-matched healthy controls who received structural MRI scans. Images were processed using the Freesurfer package. All BPD patients had a history of comorbid psychiatric disorder(s) and were currently on medications. Compared with controls, the BPD group showed reduced cortical thickness, surface area, mean curvature, depth of sulcus, and metric distortion in the right medial OFC. In the left medial OFC, the BPD group had reduced cortical thickness and mean curvature, but increased metric distortion. This study confirmed the utility of surface-based analysis in the study of BPD cortical structures. In addition, we observed extensive structural abnormalities in the medial OFC of female subjects with BPD, findings that were most pronounced in the right OFC, with preliminary data suggesting hemispheric asymmetry.
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Affiliation(s)
- Gerardo Maria de Araujo Filho
- Laboratorio Interdisciplinar de Neurociências Clínicas (LiNC), Department of Psychiatry, Universidade Federal de São Paulo/UNIFESP, Rua Borges Lagoa, 570 - Vila Clementino, CEP: 04038-032, São Paulo - SP, Brazil.
| | - Chadi Abdallah
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - João Ricardo Sato
- Laboratorio Interdisciplinar de Neurociências Clínicas (LiNC), Department of Psychiatry, Universidade Federal de São Paulo/UNIFESP, São Paulo, Brazil. Rua Borges Lagoa, 570 – Vila Clementino. CEP: 04038-032. São Paulo – SP, Brazil,Center of Mathematics, Computation and Cognition, Universidade Federal do ABC, Santo André, Brazil. Rua Santa Adélia, 166 - Bairro Bangu. CEP: 09.210-170. Santo André – SP, Brasil
| | - Thabata Bueno de Araujo
- Laboratorio Interdisciplinar de Neurociências Clínicas (LiNC), Department of Psychiatry, Universidade Federal de São Paulo/UNIFESP, São Paulo, Brazil. Rua Borges Lagoa, 570 – Vila Clementino. CEP: 04038-032. São Paulo – SP, Brazil
| | - Cláudio Mauricio Lisondo
- Laboratorio Interdisciplinar de Neurociências Clínicas (LiNC), Department of Psychiatry, Universidade Federal de São Paulo/UNIFESP, São Paulo, Brazil. Rua Borges Lagoa, 570 – Vila Clementino. CEP: 04038-032. São Paulo – SP, Brazil,Ambulatorio de Transtornos de Personalidade (AMBORDER), Department of Psychiatry, Universidade Federal de São Paulo/UNIFESP, São Paulo, Brazil. Rua Borges Lagoa, 570 – Vila Clementino. CEP: 04038-032. São Paulo – SP, Brazil
| | - Álvaro Ancona de Faria
- Laboratorio Interdisciplinar de Neurociências Clínicas (LiNC), Department of Psychiatry, Universidade Federal de São Paulo/UNIFESP, São Paulo, Brazil. Rua Borges Lagoa, 570 – Vila Clementino. CEP: 04038-032. São Paulo – SP, Brazil
| | - Katia Lin
- Laboratorio Interdisciplinar de Neurociências Clínicas (LiNC), Department of Psychiatry, Universidade Federal de São Paulo/UNIFESP, São Paulo, Brazil. Rua Borges Lagoa, 570 – Vila Clementino. CEP: 04038-032. São Paulo – SP, Brazil
| | - Ivaldo Silva
- Laboratorio Interdisciplinar de Neurociências Clínicas (LiNC), Department of Psychiatry, Universidade Federal de São Paulo/UNIFESP, São Paulo, Brazil. Rua Borges Lagoa, 570 – Vila Clementino. CEP: 04038-032. São Paulo – SP, Brazil
| | - Rodrigo Affonsecca Bressan
- Laboratorio Interdisciplinar de Neurociências Clínicas (LiNC), Department of Psychiatry, Universidade Federal de São Paulo/UNIFESP, São Paulo, Brazil. Rua Borges Lagoa, 570 – Vila Clementino. CEP: 04038-032. São Paulo – SP, Brazil
| | - Julieta Freitas Ramalho da Silva
- Ambulatorio de Transtornos de Personalidade (AMBORDER), Department of Psychiatry, Universidade Federal de São Paulo/UNIFESP, São Paulo, Brazil. Rua Borges Lagoa, 570 – Vila Clementino. CEP: 04038-032. São Paulo – SP, Brazil
| | - Jeremy Coplan
- Department of Psychiatry, SUNY Downstate Medical Center, Brooklyn, NY, USA
| | - Andrea Parolin Jackowski
- Laboratorio Interdisciplinar de Neurociências Clínicas (LiNC), Department of Psychiatry, Universidade Federal de São Paulo/UNIFESP, São Paulo, Brazil. Rua Borges Lagoa, 570 – Vila Clementino. CEP: 04038-032. São Paulo – SP, Brazil
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Linares IMP, Jackowski AP, Trzesniak CMF, Arrais KC, Chagas MHN, Sato JR, Santos AC, Hallak JEC, Zuardi AW, Nardi AE, Coimbra NC, Crippa JAS. Cortical thinning of the right anterior cingulate cortex in spider phobia: a magnetic resonance imaging and spectroscopy study. Brain Res 2014; 1576:35-42. [PMID: 24892191 DOI: 10.1016/j.brainres.2014.05.040] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2014] [Revised: 05/21/2014] [Accepted: 05/26/2014] [Indexed: 10/25/2022]
Abstract
There a lack of consistent neuroimaging data on specific phobia (SP) and a need to assess volumetric and metabolic differences in structures implicated in this condition. The aim of this study is investigate possible metabolic (via (1)H MRS) and cortical thickness abnormalities in spider-phobic patients compared to healthy volunteers. Participants were recruited via public advertisement and underwent clinical evaluations and MRI scans. The study started in 2010 and the investigators involved were not blind in respect to patient groupings. The study was conducted at the Ribeirão Preto Medical School University Hospital of the University of São Paulo, Brazil. Patients with spider phobia (n=19) were matched to 17 healthy volunteers with respect to age, education and socio-economic status. The spider SP group fulfilled the diagnostic criteria for spider phobia according to the Structured Clinical Interview for DSM-IV. None of the participants had a history of neurological, psychiatric or other relevant organic diseases, use of prescribed psychotropic medication or substance abuse. All imaging and spectroscopy data were collected with a 3 T MRI scanner equipped with 25 mT gradient coils in 30-minute scans. The Freesurfer image analysis package and LC Model software were used to analyze data. The hypothesis being tested was formulated before the data collection (neural correlates of SP would include the amygdala, insula, anterior cingulate gyrus and others). The results indicated the absence of metabolic alterations, but thinning of the right anterior cingulate cortex (ACC) in the SP group when compared to the healthy control group (mean cortical thickness±SD: SP=2.11±0.45 mm; HC=2.16±0.42 mm; t (34)=3.19, p=0.001 [-35.45, 71.00, -23.82]). In spectroscopy, the ratios between N-acetylaspartate and creatine and choline levels were measured. No significant effect or correlation was found between MRS metabolites and scores in the Spider Phobia Questionnaire and Beck Anxiety Inventory (p>0.05). The ACC is known to be related to the cognitive processing of fear and anxiety and to be linked with the conditioning circuit. The MRS findings are preliminary and need more studies. The finding of reduced ACC thickness in SP is in agreement with evidence from previous functional neuroimaging studies and highlights the importance of this brain area in the pathophysiology of SP.
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Affiliation(s)
- I M P Linares
- Department of Neuroscience and Behavior, Ribeirão Preto Medical School, University of São Paulo, National Institute for Translational Medicine (INCT, CNPq), Ribeirão Preto, São Paulo, Brazil.
| | - A P Jackowski
- Laboratory of Interdisciplinary Neurosciences (LINC), Department of Psychiatry, Federal University of São Paulo, São Paulo, Brazil
| | - C M F Trzesniak
- Department of Neuroscience and Behavior, Ribeirão Preto Medical School, University of São Paulo, National Institute for Translational Medicine (INCT, CNPq), Ribeirão Preto, São Paulo, Brazil
| | - K C Arrais
- Department of Neuroscience and Behavior, Ribeirão Preto Medical School, University of São Paulo, National Institute for Translational Medicine (INCT, CNPq), Ribeirão Preto, São Paulo, Brazil
| | - M H N Chagas
- Department of Neuroscience and Behavior, Ribeirão Preto Medical School, University of São Paulo, National Institute for Translational Medicine (INCT, CNPq), Ribeirão Preto, São Paulo, Brazil
| | - J R Sato
- Center of Mathematics, Computation and Cognition, Universidade Federal do ABC, Santo André, Brazil
| | - A C Santos
- Department of Medical Clinic Department, Division of Radiology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - J E C Hallak
- Department of Neuroscience and Behavior, Ribeirão Preto Medical School, University of São Paulo, National Institute for Translational Medicine (INCT, CNPq), Ribeirão Preto, São Paulo, Brazil
| | - A W Zuardi
- Department of Neuroscience and Behavior, Ribeirão Preto Medical School, University of São Paulo, National Institute for Translational Medicine (INCT, CNPq), Ribeirão Preto, São Paulo, Brazil
| | - A E Nardi
- Laboratory of Panic and Respiration, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - N C Coimbra
- Laboratory of Neuroanatomy & Neuropsychobiology, Department of Pharmacology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - J A S Crippa
- Department of Neuroscience and Behavior, Ribeirão Preto Medical School, University of São Paulo, National Institute for Translational Medicine (INCT, CNPq), Ribeirão Preto, São Paulo, Brazil
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39
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Santana MTCG, Jackowski AP, Britto FDS, Sandim GB, Caboclo LOSF, Centeno RS, Carrete H, Yacubian EMT. Gender and hemispheric differences in temporal lobe epilepsy: A VBM study. Seizure 2014; 23:274-9. [DOI: 10.1016/j.seizure.2013.12.006] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2013] [Revised: 12/10/2013] [Accepted: 12/12/2013] [Indexed: 10/25/2022] Open
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Laureano MR, Onishi ET, Bressan RA, Castiglioni MLV, Batista IR, Reis MA, Garcia MV, de Andrade AN, de Almeida RR, Garrido GJ, Jackowski AP. Memory networks in tinnitus: a functional brain image study. PLoS One 2014; 9:e87839. [PMID: 24516567 PMCID: PMC3916334 DOI: 10.1371/journal.pone.0087839] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2013] [Accepted: 12/30/2013] [Indexed: 01/09/2023] Open
Abstract
UNLABELLED Tinnitus is characterized by the perception of sound in the absence of an external auditory stimulus. The network connectivity of auditory and non-auditory brain structures associated with emotion, memory and attention are functionally altered in debilitating tinnitus. Current studies suggest that tinnitus results from neuroplastic changes in the frontal and limbic temporal regions. The objective of this study was to use Single-Photon Emission Computed Tomography (SPECT) to evaluate changes in the cerebral blood flow in tinnitus patients with normal hearing compared with healthy controls. METHODS Twenty tinnitus patients with normal hearing and 17 healthy controls, matched for sex, age and years of education, were subjected to Single Photon Emission Computed Tomography using the radiotracer ethylenedicysteine diethyl ester, labeled with Technetium 99 m (99 mTc-ECD SPECT). The severity of tinnitus was assessed using the "Tinnitus Handicap Inventory" (THI). The images were processed and analyzed using "Statistical Parametric Mapping" (SPM8). RESULTS A significant increase in cerebral perfusion in the left parahippocampal gyrus (pFWE <0.05) was observed in patients with tinnitus compared with healthy controls. The average total THI score was 50.8+18.24, classified as moderate tinnitus. CONCLUSION It was possible to identify significant changes in the limbic system of the brain perfusion in tinnitus patients with normal hearing, suggesting that central mechanisms, not specific to the auditory pathway, are involved in the pathophysiology of symptoms, even in the absence of clinically diagnosed peripheral changes.
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Affiliation(s)
- Maura Regina Laureano
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brasil
| | - Ektor Tsuneo Onishi
- Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Federal de São Paulo, São Paulo, Brasil
| | - Rodrigo Affonseca Bressan
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brasil
- Instituto do Cérebro – Hospital Israelita Albert Einstein, São Paulo, Brasil
| | | | - Ilza Rosa Batista
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brasil
- Instituto do Cérebro – Hospital Israelita Albert Einstein, São Paulo, Brasil
| | - Marilia Alves Reis
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brasil
- Instituto do Cérebro – Hospital Israelita Albert Einstein, São Paulo, Brasil
| | - Michele Vargas Garcia
- Departamento de Fonoaudiologia, Universidade Federal de São Paulo, São Paulo, Brasil
| | | | - Roberta Ribeiro de Almeida
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brasil
| | - Griselda J. Garrido
- Western Australian Centre for Health and Ageing, Centre for Medical Research, University of Western Australia, Perth, Australia
| | - Andrea Parolin Jackowski
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brasil
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Vasconcelos LDG, Jackowski AP, Oliveira MOD, Flor YMR, Souza AAL, Bueno OFA, Brucki SMD. The thickness of posterior cortical areas is related to executive dysfunction in Alzheimer's disease. Clinics (Sao Paulo) 2014; 69:28-37. [PMID: 24473557 PMCID: PMC3870310 DOI: 10.6061/clinics/2014(01)05] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2013] [Accepted: 07/17/2013] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To establish whether alterations of brain structures in Alzheimer's disease are associated with executive dysfunction. METHODS Nineteen patients with Alzheimer's disease and 22 older control subjects underwent a comprehensive evaluation. The clock drawing test, digit span test, executive motor function test, Behavioral Assessment of the Dysexecutive Syndrome battery (Rule Shift Cards test), and Stroop test were used to evaluate executive dysfunction. A multiparametric approach using the FreeSurfer image analysis suite provided a description of volumetric and geometric features of the gray matter structures. RESULTS The cortical thickness maps showed a negative correlation between the Behavioral Assessment of the Dysexecutive Syndrome battery (Rule Shift Cards test) and the right middle frontal gyrus; a positive correlation between the executive motor function test and the left superior parietal gyrus, left middle temporal gyrus, bilateral supramarginal gyri, right middle frontal gyrus, and right precuneus; a negative correlation between the Stroop test (part III) and the right superior parietal gyrus; and a negative correlation between the Stroop test (part III) and the right middle temporal gyrus. CONCLUSION Executive dysfunction in Alzheimer's disease is correlated with alterations not only in the frontal areas but also within many temporal and parietal regions.
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Affiliation(s)
- Luciano de Gois Vasconcelos
- Psychobiology Department, Universidade Federal de São Paulo, São Paulo/SP, Brazil, Universidade Federal de São Paulo, Psychobiology Department, São Paulo/SP, Brazil
| | - Andrea Parolin Jackowski
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Psychiatry Department, Universidade Federal de São Paulo, São Paulo/SP, Brazil, Universidade Federal de São Paulo, Psychiatry Department, Laborato´ rio Interdisciplinar de Neurocieˆ ncias Clı´nicas (LiNC), São Paulo/SP, Brazil
| | - Maira Okada de Oliveira
- Hospital das Clínicas, Cognitive Neurology and Behavior Group, Faculdade de Medicina da Universidade de São Paulo, São Paulo/SP, Brazil, Faculdade de Medicina da Universidade de São Paulo, Hospital das Clı´nicas, Cognitive Neurology and Behavior Group, São Paulo/SP, Brazi
| | - Yoná Mayara Ribeiro Flor
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Psychiatry Department, Universidade Federal de São Paulo, São Paulo/SP, Brazil, Universidade Federal de São Paulo, Psychiatry Department, Laborato´ rio Interdisciplinar de Neurocieˆ ncias Clı´nicas (LiNC), São Paulo/SP, Brazil
| | - Altay Alves Lino Souza
- Psychobiology Department, Universidade Federal de São Paulo, São Paulo/SP, Brazil, Universidade Federal de São Paulo, Psychobiology Department, São Paulo/SP, Brazil
| | - Orlando Francisco Amodeo Bueno
- Psychobiology Department, Universidade Federal de São Paulo, São Paulo/SP, Brazil, Universidade Federal de São Paulo, Psychobiology Department, São Paulo/SP, Brazil
| | - Sonia Maria Dozzi Brucki
- Hospital das Clínicas, Cognitive Neurology and Behavior Group, Faculdade de Medicina da Universidade de São Paulo, São Paulo/SP, Brazil, Faculdade de Medicina da Universidade de São Paulo, Hospital das Clı´nicas, Cognitive Neurology and Behavior Group, São Paulo/SP, Brazi
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Lin K, de Araujo Filho GM, Pascalicchio TF, Silva I, Tudesco ISS, Guaranha MSB, Carrete Júnior H, Jackowski AP, Yacubian EMT. Hippocampal atrophy and memory dysfunction in patients with juvenile myoclonic epilepsy. Epilepsy Behav 2013; 29:247-51. [PMID: 23973018 DOI: 10.1016/j.yebeh.2013.06.034] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2013] [Revised: 06/24/2013] [Accepted: 06/26/2013] [Indexed: 02/07/2023]
Abstract
Juvenile myoclonic epilepsy (JME) is a well-defined idiopathic generalized epilepsy (IGE) syndrome, being the most common IGE in adults and accounting for 5-11% of patients with epilepsy. While neuropsychological and neuroimaging studies have discussed the thalamofrontal dysfunction as the major pathophysiologic mechanism of JME, investigation on memory is scarce in patients with JME, with lack of objective assessments addressing common complaints and daily difficulties such as recalling telephone numbers, messages to pass on, and taking antiepileptic drugs regularly. The aim of this study was to objectively assess memory deficits in a group of patients with JME using neuropsychological examination combined with structural MRI of the hippocampi. After informed consent, a cohort of 56 consecutive patients with JME (29 males; mean age ± SD = 26.5 ± 9.01 years; range = 14.0-55.0 years) was included. The control group consisted of 42 healthy volunteers (18 males; mean age ± SD = 31.0 ± 8.54 years; range=20.0-56.0 years) without a family history of neuropsychiatric disorders. Patients and controls were submitted to a MRI and to a neuropsychological assessment, and comparisons between groups were performed, as well as a correlation study between hippocampal atrophy and neuropsychological performance in a group of patients with JME. The level of statistical significance was set at p<0.05. Significant hippocampal atrophy among patients with JME was observed, which was correlated with memory dysfunctions. The present findings reinforce the existence of functional-anatomic ictogenic networks that are not limited to frontal lobes, providing further support towards the concept of 'system epilepsies' in JME.
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Affiliation(s)
- Katia Lin
- Unidade de Pesquisa e Tratamento das Epilepsias (UNIPETE), Universidade Federal de São Paulo (UNIFESP-EPM), São Paulo, SP, Brazil; Centro de Cirurgia de Epilepsia de Santa Catarina (CEPESC), Hospital Governador Celso Ramos (HGCR), Florianópolis, SC, Brazil
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Almeida AGD, Araujo Filho GMD, Berberian ADA, Trezsniak C, Nery-Fernandes F, Araujo Neto CA, Jackowski AP, Miranda-Scippa Â, Oliveira IRD. The impacts of cognitive-behavioral therapy on the treatment of phobic disorders measured by functional neuroimaging techniques: a systematic review. Rev Bras Psiquiatr 2013; 35:279-83. [DOI: 10.1590/1516-4446-2012-0922] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2012] [Accepted: 01/12/2013] [Indexed: 11/21/2022]
Affiliation(s)
| | | | | | - Clarissa Trezsniak
- Universidade de São Paulo, Brazil; King's College London, United Kingdom
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de Araujo Filho GM, de Araujo TB, Sato JR, Silva ID, Lin K, Júnior HC, Yacubian EMT, Jackowski AP. Personality traits in juvenile myoclonic epilepsy: evidence of cortical abnormalities from a surface morphometry study. Epilepsy Behav 2013; 27:385-92. [PMID: 23510795 DOI: 10.1016/j.yebeh.2013.02.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Revised: 02/04/2013] [Accepted: 02/05/2013] [Indexed: 01/04/2023]
Abstract
Cluster B personality disorders (PD), characterized as emotional instability, immaturity, lack of discipline, and rapid mood changes, have been observed among patients with juvenile myoclonic epilepsy (JME) and have been associated with a worse seizure outcome. Proper understanding of the neurobiology of PD associated with JME could contribute to understanding the basis for earlier and more effective interventions. In the present study, volumetric and geometric features of cortical structure were assessed through an automated cortical surface reconstruction method aiming to verify possible structural cortical alterations among patients with JME. Twenty-two patients with JME with cluster B PD, 44 patients with JME without psychiatric disorders, and 23 healthy controls were submitted to a psychiatric evaluation through SCID I and SCID II and to an MRI scan. Significant cortical alterations in mesiofrontal and frontobasal regions, as well as in other limbic and paralimbic regions, were observed mainly in patients with JME with PD. The present study adds evidence to the hypothesis of frontal and limbic involvement in the pathophysiology of cluster B PD in JME, regions linked to mood and affective regulation, as well as to impulsivity and social behavior. Moreover, a multidimensional pattern of frontal, limbic, and paralimbic changes was observed through a method of structural analysis which offers different and simultaneous geometric features, allowing the elaboration of important pathophysiologic insights about cluster B PD in JME.
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Affiliation(s)
- Gerardo Maria de Araujo Filho
- Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Department of Psychiatry, Universidade Federal de São Paulo/UNIFESP, São Paulo, Brazil.
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Borgio JGF, Baldaçara L, Moraes WDS, Lacerda ALT, Montaño MB, Jackowski AP, Tufik S, Ramos LR, Bressan RA. Hippocampal volume and CDR-SB can predict conversion to dementia in MCI patients. Arq Neuropsiquiatr 2013; 70:839-42. [PMID: 23175194 DOI: 10.1590/s0004-282x2012001100003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2012] [Accepted: 07/03/2012] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To evaluate the combination of two factors: clinical dementia rating sum of boxes scores (CDR-SB) and hippocampal volume (HV) as predictors of conversion from mild cognitive impairment (MCI) to dementia. METHODS Twenty-eight individuals (9 normal and 19 with MCI) were classified according to their CDR sum of boxes scores into 3 groups. RESULTS The hippocampal volume was significantly lower in the high-risk group and in those who developed dementia after two years. The rate of conversion was crescent among the three groups. CONCLUSION We were proposed an additional measurement of the hippocampal volume which may be helpful in the prognosis. However, we noted that the CDR-SB is a method as efficient as neuroimaging to predict dementia with the advantage of being a procedure for low cost and easy implementation, more consistent with public policy.
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Cogo-Moreira H, Carvalho CAF, de Souza Batista Kida A, de Avila CRB, Salum GA, Moriyama TS, Gadelha A, Rohde LA, de Moura LM, Jackowski AP, de Jesus Mari J. Latent class analysis of reading, decoding, and writing performance using the Academic Performance Test: concurrent and discriminating validity. Neuropsychiatr Dis Treat 2013; 9:1175-85. [PMID: 23983466 PMCID: PMC3748054 DOI: 10.2147/ndt.s45785] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
AIM To explore and validate the best returned latent class solution for reading and writing subtests from the Academic Performance Test (TDE). SAMPLE A total of 1,945 children (6-14 years of age), who answered the TDE, the Development and Well-Being Assessment (DAWBA), and had an estimated intelligence quotient (IQ) higher than 70, came from public schools in São Paulo (35 schools) and Porto Alegre (22 schools) that participated in the 'High Risk Cohort Study for Childhood Psychiatric Disorders' project. They were on average 9.52 years old (standard deviation = 1.856), from the 1st to 9th grades, and 53.3% male. The mean estimated IQ was 102.70 (standard deviation = 16.44). METHODS Via Item Response Theory (IRT), the highest discriminating items ('a'>1.7) were selected from the TDE subtests of reading and writing. A latent class analysis was run based on these subtests. The statistically and empirically best latent class solutions were validated through concurrent (IQ and combined attention deficit hyperactivity disorder [ADHD] diagnoses) and discriminant (major depression diagnoses) measures. RESULTS A three-class solution was found to be the best model solution, revealing classes of children with good, not-so-good, or poor performance on TDE reading and writing tasks. The three-class solution has been shown to be correlated with estimated IQ and to ADHD diagnosis. No association was observed between the latent class and major depression. CONCLUSION The three-class solution showed both concurrent and discriminant validity. This work provides initial evidence of validity for an empirically derived categorical classification of reading, decoding, and writing performance using the TDE. A valid classification encourages further research investing correlates of reading and writing performance using the TDE.
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Affiliation(s)
- Hugo Cogo-Moreira
- Department of Psychiatry, Federal University of São Paulo, São Paulo
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Baldaçara L, Borgio JGF, Araújo C, Nery-Fernandes F, Lacerda ALT, Moraes WADS, Montaño MBMM, Rocha M, Quarantini LC, Schoedl A, Pupo M, Mello MF, Andreoli SB, Miranda-Scippa A, Ramos LR, Mari JJ, Bressan RA, Jackowski AP. Relationship between structural abnormalities in the cerebellum and dementia, posttraumatic stress disorder and bipolar disorder. Dement Neuropsychol 2012; 6:203-211. [PMID: 29213799 PMCID: PMC5619331 DOI: 10.1590/s1980-57642012dn06040003] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
New evidence suggests that the cerebellum has structural and functional abnormalities in psychiatric disorders. Objective In this research, the goal was to measure the volume of the cerebellum and its subregions in individuals with psychiatric disorders and to relate these findings to their symptoms. Methods Patients with different degrees of cognitive impairment (Epidemiology of the Elderly - UNIFESP) and patients with post-traumatic stress disorder (PTSD) from population studies were analyzed. Also, patients with bipolar disorder from an outpatient clinic (Center for the Study of Mood and Anxiety Disorders, Universidade Federal da Bahia) were recruited for this study. All subjects underwent a 1.5T structural magnetic resonance scan. Volumetric measures and symptom measurements, by psychometric scales, were performed and compared between patients and controls. Results The cerebellum volume was reduced in patients with cognitive impairment without dementia and with dementia, in patients with PTSD, and in patients with bipolar disorder compared to controls. In dementia and PTSD, the left cerebellar hemisphere and vermis volume were reduced. In bipolar disorder, volumes of both hemispheres and the vermis were reduced. In the first two studies, these cerebellar volumetric reductions correlated with symptoms of the disease. Conclusion The exact nature of cerebellar involvement in mental processes is still not fully understood. However, abnormalities in cerebellar structure and its functions have been reported in some of these diseases. Future studies with larger samples are needed to clarify these findings and investigate whether they are important for treatment and prognosis.
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Affiliation(s)
- Leonardo Baldaçara
- Federal University of São Paulo, SP, Brazil.,Federal University of Tocantins, TO, Brazil
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Sato JR, de Araujo Filho GM, de Araujo TB, Bressan RA, de Oliveira PP, Jackowski AP. Can neuroimaging be used as a support to diagnosis of borderline personality disorder? An approach based on computational neuroanatomy and machine learning. J Psychiatr Res 2012; 46:1126-32. [PMID: 22682675 DOI: 10.1016/j.jpsychires.2012.05.008] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2012] [Revised: 04/14/2012] [Accepted: 05/10/2012] [Indexed: 01/09/2023]
Abstract
Several recent studies in literature have identified brain morphological alterations associated to Borderline Personality Disorder (BPD) patients. These findings are reported by studies based on voxel-based-morphometry analysis of structural MRI data, comparing mean gray-matter concentration between groups of BPD patients and healthy controls. On the other hand, mean differences between groups are not informative about the discriminative value of neuroimaging data to predict the group of individual subjects. In this paper, we go beyond mean differences analyses, and explore to what extent individual BPD patients can be differentiated from controls (25 subjects in each group), using a combination of automated-morphometric tools for regional cortical thickness/volumetric estimation and Support Vector Machine classifier. The approach included a feature selection step in order to identify the regions containing most discriminative information. The accuracy of this classifier was evaluated using the leave-one-subject-out procedure. The brain regions indicated as containing relevant information to discriminate groups were the orbitofrontal, rostral anterior cingulate, posterior cingulate, middle temporal cortices, among others. These areas, which are distinctively involved in emotional and affect regulation of BPD patients, were the most informative regions to achieve both sensitivity and specificity values of 80% in SVM classification. The findings suggest that this new methodology can add clinical and potential diagnostic value to neuroimaging of psychiatric disorders.
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Jackowski AP, de Araújo Filho GM, de Almeida AG, de Araújo CM, Reis M, Nery F, Batista IR, Silva I, Lacerda AL. The involvement of the orbitofrontal cortex in psychiatric disorders: an update of neuroimaging findings. Revista Brasileira de Psiquiatria 2012; 34:207-12. [DOI: 10.1590/s1516-44462012000200014] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2011] [Accepted: 02/17/2012] [Indexed: 02/07/2023]
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Jackowski AP, de Araújo Filho GM, de Almeida AG, de Araújo CM, Reis M, Nery F, Batista IR, Silva I, Lacerda AL. The involvement of the orbitofrontal cortex in psychiatric disorders: an update of neuroimaging findings. Revista Brasileira de Psiquiatria 2012. [DOI: 10.1016/s1516-4446(12)70040-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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