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Hippocampus age-related microstructural changes in schizophrenia: a case-control mean diffusivity study
Chiara Chiapponi1, Fabrizio Piras1, Sabrina Fagioli1
1IRCCS Santa Lucia Foundation, Department of Clinical and Behavioral Neurology, Neuropsychiatry Laboratory, Via Ardeatina 306, 00179 Rome, Italy.
Abstract:
Macrostructural-volumetric abnormalities of the hippocampus have been described in schizophrenia. Here, we characterized age-related changes of hippocampal mean diffusivity as an index of microstructural damage by carrying out a neuroimaging study in 85 patients with a DSM-IV-TR diagnosis of schizophrenia and 85 age- and gender-matched healthy controls. We performed analyses of covariance, with diagnosis as fixed factor, mean diffusivity as dependent variable and age as covariate. Patients showed an early increase in mean diffusivity in the right and left hippocampus that increased with age. Thus, microstructural hippocampal changes associated with schizophrenia cannot be confined to a specific time window.
Insights
Schizophrenia patients show early microstructural damage in the hippocampus, indicated by increased mean diffusivity. These changes worsen with age, suggesting ongoing damage throughout the lifespan.
Area of Science:
- Neuroimaging
- Psychiatry
- Neurology
Background:
- Macrostructural abnormalities of the hippocampus are known in schizophrenia.
- Microstructural integrity is crucial for hippocampal function.
Purpose of the Study:
- To investigate age-related microstructural changes in the hippocampus in schizophrenia.
- To characterize hippocampal mean diffusivity as an index of microstructural damage.
Main Methods:
- Neuroimaging study involving 85 schizophrenia patients and 85 healthy controls.
- Analysis of covariance to assess mean diffusivity differences based on diagnosis and age.
Main Results:
- Patients with schizophrenia exhibited an early increase in hippocampal mean diffusivity.
- This increase in mean diffusivity was found in both the right and left hippocampi.
- The microstructural damage in the hippocampus progressed with age in patients.
Conclusions:
- Microstructural hippocampal changes in schizophrenia are not limited to a specific age range.
- These findings highlight ongoing neurodegenerative processes in the hippocampus associated with schizophrenia.
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