SCN1A rs3812718 polymorphism modulates structural and functional brain networks in TLE: A multimodal imaging-genomics study

IF 2.3 3区 医学 Q2 BEHAVIORAL SCIENCES
Yiren Chen , Liyuan Fu , Xiaoyang Wang , Pengfan Yang , Hui Xiao , Shangwen Xu , Hui Li
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Abstract

Objective

To investigate the impact of the SCN1A rs3812718 polymorphism on gray matter volume (GMV) and resting-state functional network topology in temporal lobe epilepsy (TLE) patients.

Methods

60 TLE patients and 28 healthy controls (HCs) underwent genotyping and MRI (3D-T1, rs-fMRI). Participants were grouped by genotype (AA/AGvs.GG) and disease status (TLEvs.HC). Voxel-based morphometry assessed GMV; graph theory analyzed functional network topology. 2x2 ANCOVA tested genotype and disease main effects and their interaction.

Results

AA/AG genotype frequency was higher in (TLE vs.HCs). GMV: Significant genotype main effect (AA/AGvs.GG): reduced GMV in right temporal regions/hippocampus/left SMG; increased in left MTG/right precuneus. Significant disease main effect (TLEvs.HC): widespread GMV reductions, especially in mesiotemporal/neocortical areas. Significant genotype-by-disease interaction: TLE patients with AA/AG genotype showed the most extensive GMV reductions (bilateral ITG, fusiform gyri, right hippocampus/precuneus/occipital, left caudate/rectus).

Functional Networks

Significant disease main effect: reduced degree centrality in left dorsolateral prefrontal cortex (SFGdor/MFG) in TLEvs.HC. No significant interaction effects on global/nodal topology.

Correlations

In AA/AG TLE patients, left MTG GMV negatively correlated with epilepsy duration.

Conclusion

The SCN1A rs3812718AA/AG genotype is a TLE risk factor. It independently and interactively (with disease status) is associated with structural brain alterations (GMV) in TLE and is linked to disease-related functional network changes (DC) in cognitive regions. These genetic-neuroimaging signatures offer potential biomarkers for TLE precision medicine.
SCN1A rs3812718多态性调节TLE的结构和功能脑网络:一项多模态成像基因组学研究。
目的:探讨SCN1A rs3812718多态性对颞叶癫痫(TLE)患者脑灰质体积(GMV)和静息状态功能网络拓扑结构的影响。方法:60例TLE患者和28例健康对照(hc)进行基因分型和MRI (3D-T1、rs-fMRI)检查。参与者按基因型(AA/AGvs.GG)和疾病状态(TLEvs.HC)分组。基于体素的形态测量评估GMV;图论分析了泛函网络拓扑结构。2x2 ANCOVA检测基因型和疾病的主要效应及其相互作用。结果:AA/AG基因型频率在TLE组高于hc组。GMV:显著的基因型主效应(AA/AGvs)。GG):右侧颞区/海马体/左侧SMG GMV减少;左侧MTG/右侧楔前叶增加。显著的疾病主效应(TLEvs)。HC):广泛的GMV降低,特别是在中颞叶/新皮质区。显著的基因型-疾病相互作用:AA/AG基因型TLE患者GMV减少最广泛(双侧ITG、梭状回、右侧海马/楔前叶/枕、左侧尾状/直肌)。功能网络:显著的疾病主要影响:TLEvs.HC患者左背外侧前额叶皮层(SFGdor/MFG)中心性程度降低。对全局/节点拓扑没有显著的交互影响。相关性:AA/AG TLE患者左MTG GMV与癫痫持续时间呈负相关。结论:SCN1A rs3812718AA/AG基因型是TLE的危险因素。它独立地和交互地(与疾病状态)与TLE的结构脑改变(GMV)相关,并与认知区域的疾病相关功能网络改变(DC)相关。这些遗传神经成像特征为TLE精准医学提供了潜在的生物标志物。
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来源期刊
Epilepsy & Behavior
Epilepsy & Behavior 医学-行为科学
CiteScore
5.40
自引率
15.40%
发文量
385
审稿时长
43 days
期刊介绍: Epilepsy & Behavior is the fastest-growing international journal uniquely devoted to the rapid dissemination of the most current information available on the behavioral aspects of seizures and epilepsy. Epilepsy & Behavior presents original peer-reviewed articles based on laboratory and clinical research. Topics are drawn from a variety of fields, including clinical neurology, neurosurgery, neuropsychiatry, neuropsychology, neurophysiology, neuropharmacology, and neuroimaging. From September 2012 Epilepsy & Behavior stopped accepting Case Reports for publication in the journal. From this date authors who submit to Epilepsy & Behavior will be offered a transfer or asked to resubmit their Case Reports to its new sister journal, Epilepsy & Behavior Case Reports.
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