双相情感障碍不同状态的脑功能网络共享总体拓扑损伤与认知缺陷、遗传和转录组变异相关。

IF 5 2区 医学 Q1 CLINICAL NEUROLOGY
Yudan Ding, Huabing Li, Feng Liu, Ping Li, Jingping Zhao, Dongsheng Lv, Wenbin Guo
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引用次数: 0

摘要

目的:研究双相障碍患者在不同情绪状态下的脑网络特性,可以深入了解该疾病的潜在机制。本研究旨在探讨双相障碍脑功能网络的拓扑结构及其与临床变量和遗传/转录组变异的关系。方法:研究对象为100例BD患者和95例健康对照者。研究人员使用基于图论的方法来分析全脑功能网络,并探索它们与临床变量的关系。我们还使用Allen人脑图谱进行了神经成像-转录关联分析。结果:与健康对照组相比,抑郁和躁狂双相障碍患者在全球网络水平上表现出更高的局部效率和更低的整体效率。节点水平的分析显示,在特定的大脑网络中,包括额顶叶、默认模式和躯体运动网络,节点参数被破坏。节点特性与认知功能之间存在显著相关性。与对照组相比,所有BD组在富俱乐部和喂食器连接方面都表现出增强的连接强度。结论:我们的研究揭示了抑郁型、躁狂型和心境型双相障碍患者脑功能网络整体拓扑结构的共同缺陷,这些观察到的异常与三种心境双相障碍患者的认知缺陷有关。这些共同的缺陷,可能源于结构和功能上的rich-club连接的分离变化,可能代表了双相障碍固有的性状样病理生理机制。此外,我们的神经成像-转录关联分析表明,脑功能异常可能作为双相障碍的内表型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Shared Overall Topological Impairments of Functional Brain Networks Across Diverse State of Bipolar Disorder With Relevance to Cognitive Deficits and Genetic and Transcriptomic Variations.

Objectives: Investigating brain network properties in BD patients across mood states can offer insights into the underlying mechanisms of the disorder. This study aimed to explore the topological architecture of functional brain networks in BD and its relationship with clinical variables and genetic/transcriptomic variations.

Methods: The study involved 100 BD patients and 95 healthy controls. Researchers used graph theory-based methods to analyze whole-brain functional networks and explore their relationship with clinical variables. We also conducted a neuroimaging-transcription association analysis using the Allen Human Brain Atlas.

Results: Depressive and manic BD patients exhibited increased local efficiency and decreased global efficiency at the global network level compared to healthy controls. Nodal-level analysis revealed disrupted nodal parameters within specific brain networks, including the fronto-parietal, default mode, and somatomotor networks. Significant correlations were found between nodal properties and cognitive function. All BD groups showed enhanced connectivity strength in rich-club and feeder connections compared to controls. Neuroimaging-transcription analysis identified potential genetic factors related to BD.

Conclusion: Our investigation unveiled shared impairments in the overall topological architecture of functional brain networks across depressive, manic, and euthymic BD. These observed abnormalities were associated with cognitive deficits in BD patients across three mood states. These common deficits, possibly stemming from the segregated changes in structural and functional rich-club connections, might represent trait-like pathophysiological mechanisms inherent to BD. Furthermore, our neuroimaging-transcription association analysis indicates the potential use of brain functional anomalies as endophenotypes in BD.

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来源期刊
Bipolar Disorders
Bipolar Disorders 医学-精神病学
CiteScore
8.20
自引率
7.40%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Bipolar Disorders is an international journal that publishes all research of relevance for the basic mechanisms, clinical aspects, or treatment of bipolar disorders and related illnesses. It intends to provide a single international outlet for new research in this area and covers research in the following areas: biochemistry physiology neuropsychopharmacology neuroanatomy neuropathology genetics brain imaging epidemiology phenomenology clinical aspects and therapeutics of bipolar disorders Bipolar Disorders also contains papers that form the development of new therapeutic strategies for these disorders as well as papers on the topics of schizoaffective disorders, and depressive disorders as these can be cyclic disorders with areas of overlap with bipolar disorders. The journal will consider for publication submissions within the domain of: Perspectives, Research Articles, Correspondence, Clinical Corner, and Reflections. Within these there are a number of types of articles: invited editorials, debates, review articles, original articles, commentaries, letters to the editors, clinical conundrums, clinical curiosities, clinical care, and musings.
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