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Published on: April 26, 2024
Aberrant cortical neurodevelopment in major depressive disorder
Mike M Schmitgen1, Malte S Depping1, Claudia Bach1
1Department of General Psychiatry, Center for Psychosocial Medicine, Heidelberg University, Vosstrasse 4, 69115 Heidelberg, Germany.
Major depressive disorder (MDD) is linked to altered brain structure. This study found increased local cortical gyrification (LGI) in MDD patients, suggesting aberrant neurodevelopment may predict disease risk and course.
Area of Science:
- Neuroimaging
- Psychiatry
- Neuroscience
Background:
- Major depressive disorder (MDD) is associated with cortical alterations.
- The specific roles of neurodevelopmental cortical features in MDD vulnerability, onset, and symptoms remain unclear.
Purpose of the Study:
- To investigate local cortical gyrification (LGI) and cortical thickness (CT) as markers of neurodevelopment in MDD patients.
- To explore the relationship between these cortical features and clinical characteristics of MDD.
Main Methods:
- Structural MRI data from 38 MDD patients and 22 healthy controls (HC) were analyzed.
- Surface-based analysis computed LGI and CT using CAT12 software.
- Analyses included whole-brain and regions-of-interest approaches.
Main Results:
- MDD patients exhibited significantly greater LGI across frontal, cingulate, parietal, temporal, and occipital regions compared to HC.
- No significant differences in CT were observed between groups.
- In MDD patients, LGI in frontal, temporal, and parietal regions correlated with illness duration and number of depressive episodes.
Conclusions:
- Cortical changes in MDD follow distinct local trajectories.
- Aberrant cortical development may serve as a vulnerability marker for MDD.
- Aberrant cortical development could potentially predict the course of MDD.
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