Caudate nuclei volume alterations and cognition and mood dysfunctions in adolescents with single ventricle heart disease.

Autor: Noorani S; Department of Anesthesiology, David Geffen School of Medicine at UCLA, University of California Los Angeles, Los Angeles, CA, USA., Roy B; Department of Anesthesiology, David Geffen School of Medicine at UCLA, University of California Los Angeles, Los Angeles, CA, USA., Sahib AK; Department of Anesthesiology, David Geffen School of Medicine at UCLA, University of California Los Angeles, Los Angeles, CA, USA., Cabrera-Mino C; UCLA School of Nursing, University of California Los Angeles, Los Angeles, CA, USA., Halnon NJ; Division of Pediatric Cardiology, University of California Los Angeles, Los Angeles, CA, USA., Woo MA; UCLA School of Nursing, University of California Los Angeles, Los Angeles, CA, USA., Lewis AB; Division of Pediatric Cardiology, Children's Hospital Los Angeles, Los Angeles, CA, USA., Pike NA; UCLA School of Nursing, University of California Los Angeles, Los Angeles, CA, USA., Kumar R; Department of Anesthesiology, David Geffen School of Medicine at UCLA, University of California Los Angeles, Los Angeles, CA, USA.; Department of Radiological Sciences, University of California Los Angeles, Los Angeles, CA, USA.; Department of Bioengineering, University of California Los Angeles, Los Angeles, CA, USA.; Brain Research Institute, University of California Los Angeles, Los Angeles, CA, USA.
Jazyk: angličtina
Zdroj: Journal of neuroscience research [J Neurosci Res] 2020 Oct; Vol. 98 (10), pp. 1877-1888. Date of Electronic Publication: 2020 Jun 12.
DOI: 10.1002/jnr.24667
Abstrakt: Adolescents with single ventricle heart disease (SVHD) exhibit mood and cognitive deficits, which may result from injury to the basal ganglia structures, including the caudate nuclei. However, the integrity of the caudate in SVHD adolescents is unclear. Our aim was to examine the global and regional caudate volumes, and evaluate the relationships between caudate volumes and cognitive and mood scores in SVHD and healthy adolescents. We acquired two high-resolution T1-weighted images from 23 SVHD and 37 controls using a 3.0-Tesla MRI scanner, as well as assessed mood (Patient Health Questionnaire-9 [PHQ-9]; Beck Anxiety Inventory [BAI]) and cognition (Montreal Cognitive Assessment [MoCA]; Wide Range Assessment of Memory and Learning-2; General Memory Index [GMI]) functions. Both left and right caudate nuclei were outlined, which were then used to calculate and compare volumes between groups using ANCOVA (covariates: age, gender, and head-size), as well as perform 3D surface morphometry. Partial correlations (covariates: age, gender, and head-size) were used to examine associations between caudate volumes, cognition, and mood scores in SVHD and controls. SVHD subjects showed significantly higher PHQ-9 and BAI scores, indicating more depressive and anxiety symptoms, as well as reduced GMI scores, suggesting impaired cognition, compared to controls. SVHD patients showed significantly reduced caudate volumes (left, 3,198.8 ± 490.1 vs. 3,605.0 ± 480.4 mm 3 , p < 0.004; right, 3,162.1 ± 475.4 vs. 3,504.8 ± 465.9 mm 3 , p < 0.011) over controls, and changes were localized in the rostral, mid-dorsolateral, and caudal areas. Significant negative correlations emerged between caudate volumes with PHQ-9 and BAI scores and positive correlations with GMI and MoCA scores in SVHD and controls. SVHD adolescents show significantly reduced caudate volumes, especially in sites that have projections to regulate mood and cognition, which may result from developmental and/or hypoxia-/ischemia-induced processes.
(© 2020 Wiley Periodicals, Inc.)
Databáze: MEDLINE
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