Common and distinct abnormal frontal-limbic system structural and functional patterns in patients with major depression and bipolar disorder

Autor: Shufei Zhang, Junjing Wang, Guanmao Chen, Chen Niu, Ping Chen, Huiqing Hu, Lixiang Chen, Ruiwang Huang, Sunkai Lai, Li Huang, Feng Deng, Ying Wang, Shuming Zhong
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Bipolar Disorder
SFG
superior frontal gyrus

ORBsup
orbital part superior frontal gyrus

CSF
cerebrospinal fluid

Affective disorder
lcsh:RC346-429
Functional connectivity
ORBmid
orbital part middle frontal gyrus

0302 clinical medicine
Limbic system
Limbic System
Gray Matter
ACC
anterior cingulate cortex

Regular Article
Organ Size
dmPFC
dorsomedial prefrontal cortex

Middle Aged
Magnetic Resonance Imaging
medicine.anatomical_structure
HIP
hippocampus

Neurology
GMV
gray matter volume

DLPFC
dorsolateral prefrontal cortex

Major depressive disorder
lcsh:R858-859.7
Female
RSFC
resting-state functional connectivity

Adult
medicine.medical_specialty
Adolescent
Cognitive Neuroscience
Prefrontal Cortex
lcsh:Computer applications to medicine. Medical informatics
behavioral disciplines and activities
R-fMRI
Resting-state fMRI

VBM
voxel-based morphometry

OFC
orbitofrontal cortex

Young Adult
03 medical and health sciences
Neuroimaging
YMRS
Young Mania Rating Scale

Internal medicine
mental disorders
medicine
Humans
Radiology
Nuclear Medicine and imaging

In patient
Bipolar disorder
WM
white matter

lcsh:Neurology. Diseases of the nervous system
Depressive Disorder
Major

business.industry
THA
thalamus

Voxel-based morphometry
medicine.disease
030227 psychiatry
VLPFC
ventrolateral prefrontal cortex

Endocrinology
Multimodal
GM
gray matter

Orbitofrontal cortex
Neurology (clinical)
business
HDRS
Hamilton Depression Rating Scale

030217 neurology & neurosurgery
Zdroj: NeuroImage: Clinical, Vol 20, Iss, Pp 42-50 (2018)
NeuroImage : Clinical
ISSN: 2213-1582
Popis: Major depressive disorder (MDD) and bipolar disorder (BD) are common severe affective diseases. Although previous neuroimaging studies have investigated brain abnormalities in MDD or BD, the structural and functional differences between these two disorders remain unclear. In this study, we adopted a multimodal approach, combining voxel-based morphometry (VBM) and functional connectivity (FC), to study the common and distinct structural and functional alterations in unmedicated MDD and BD patients. The VBM analysis revealed that both the MDD and BD patients showed decreased gray matter volume (GMV) in the left anterior cingulate cortex (ACC_L) and right hippocampus (HIP_R) compared with the healthy controls, and the MDD patients showed decreased GMV in the left superior frontal gyrus (SFG_L) and ACC_L compared with the BD patients. Furthermore, we took these clusters as seed regions to analyze the abnormal resting-state functional connectivity (RSFC) in the patients. We found that both the MDD and BD groups had decreased RSFC between the ACC_L and the left orbitofrontal cortex (OFC_L) and that the MDD group had decreased RSFC between the SFG_L and the HIP_L, compared with the healthy controls. Our results revealed that the MDD and BD patients were more similar than different in GMV and RSFC. These findings indicate that investigating the frontal-limbic system could be useful for understanding the underlying mechanisms of these two disorders.
Highlights • Both MDD and BD patients had reduced GMV in the ACC_L and HIP_R compared with HC. • MDD patients had decreased GMV in the ACC_L and SFG_L compared with BD patients. • Both BD and MDD patients had decreased ACC-OFC RSFC compared with HC. • The MDD and BD patients were more similar than different in GMV and RSFC.
Databáze: OpenAIRE