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Published on: December 2, 2015
Affected Anatomical Rich Club and Structural-Functional Coupling in Young Offspring of Schizophrenia and Bipolar
Guusje Collin1, Lianne H Scholtens1, René S Kahn1
1Brain Center Rudolf Magnus, Department of Psychiatry, University Medical Center Utrecht, Utrecht, the Netherlands.
Insights
Children with a parent diagnosed with schizophrenia show disrupted brain connectivity, specifically in the rich club system. This suggests a brain wiring difference linked to familial risk for psychosis.
Area of Science:
- Neuroscience
- Psychiatry
- Genetics
Background:
- Schizophrenia (SZ) and bipolar disorder (BD) are linked to brain network organization disruptions.
- Children of patients with SZ or BD are at increased risk due to genetic predisposition.
- This study investigates brain connectome organization in high-risk youth.
Purpose of the Study:
- To examine brain network connectivity in children at familial high risk for psychosis.
- To compare connectome organization in offspring of SZ patients versus BD patients.
- To identify potential neurobiological markers of psychosis risk.
Main Methods:
- Diffusion-weighted and resting-state functional MRI scans were acquired from 127 nonpsychotic offspring (ages 8-18) and 39 controls.
- Participants included offspring of SZ patients (n=28), offspring of BD patients (n=60).
- Graph theoretical analysis was used to reconstruct and examine anatomical and functional brain networks.
Main Results:
- Schizophrenia (SZ) offspring exhibited reduced anatomical connectivity in the brain's central rich club (RC) system compared to controls and BD offspring.
- This RC connectivity deficit in SZ offspring correlated with increased functional connectome modularity.
- Both SZ and BD offspring showed increased coupling between structural and functional connectivity for long-distance connections.
Conclusions:
- Nonpsychotic young offspring of SZ patients display reduced anatomical RC connectivity, indicating a connectome signature of familial psychosis risk.
- The absence of RC deficits in BD offspring suggests distinct genetic influences of SZ and BD on connectome development.
- These findings highlight the impact of familial risk on brain wiring in youth.
Background:
Emerging evidence suggests disruptions in the wiring organization of the brain's network in schizophrenia (SZ) and bipolar disorder (BD). As the importance of genetic predisposition has been firmly established in these illnesses, children (offspring) of patients constitute an at-risk population. This study examines connectome organization in children at familial high risk for psychosis.
Methods:
Diffusion-weighted magnetic resonance imaging scans were collected from 127 nonpsychotic offspring 8 to 18 years of age (average age = 13.5 years) of a parent diagnosed with SZ (SZ offspring; n = 28) or BD (BD offspring; N = 60) and community control subjects (n = 39). Resting-state functional magnetic resonance imaging scans were available for 82 subjects. Anatomical and functional brain networks were reconstructed and examined using graph theoretical analysis.
Results:
SZ offspring were found to show connectivity deficits of the brain's central rich club (RC) system relative to both control subjects and BD offspring. The disruption in anatomical RC connectivity in SZ offspring was associated with increased modularity of the functional connectome. In addition, increased coupling between structural and functional connectivity of long-distance connections was observed in both SZ offspring and BD offspring.
Conclusions:
This study shows lower levels of anatomical RC connectivity in nonpsychotic young offspring of SZ patients. This finding suggests that the brain's anatomical RC system is affected in at-risk youths, reflecting a connectome signature of familial risk for psychotic illness. Moreover, finding no RC deficits in offspring of BD patients suggest a differential effect of genetic predisposition for SZ versus BD on the developmental formation of the connectome.
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