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Brain morphometric abnormalities and their associations with affective symptoms in males with methamphetamine use
Xinyue Hu1,2, Ping Jiang1,2,3, Yingxue Gao1,2
1Functional and Molecular Imaging Key Laboratory of Sichuan Province, Department of Radiology, Huaxi Magnetic Resonance Research Center (HMRRC), West China Hospital, Sichuan University, Chengdu, China.
Background:
Methamphetamine (METH) use induces neurotoxic effects in brain structures and affective symptoms that persist during abstinence. However, the brain morphometry of individuals with METH use disorder (MUD) remains unclear, as well as their associations with affective symptoms during abstinence.
Methods:
Forty-eight abstinent males with MUD and 66 age-, sex-, and education-matched healthy controls (HCs) underwent high-resolution T1-weighted magnetic resonance imaging. Cortical thickness, surface area, volume, local gyrification index (LGI), and subcortical volume were obtained with FreeSurfer software. Brain morphometry differences between groups and their associations with affective symptoms and drug abuse history within the males with MUD were examined, with intracranial volume, age, and years of education as covariates.
Results:
Compared with the HCs, the individuals with MUD showed a significantly higher LGI in the right cuneus gyrus, left lingual gyrus, bilateral supramarginal gyrus, right inferior parietal gyrus (IPG), and right dorsal anterior cingulate cortex (clusterwise p < 0.05, Monte Carlo-corrected), as well as a smaller volume of the left nucleus accumbens (NAcc) (p < 0.05, FDR-corrected). However, there were no significant group differences in cortical thickness, area or volume. In addition, the LGI in the right IPG was positively associatedwith the severity of depression and anxiety symptoms in MUDs (p < 0.05, FDR-corrected).
Conclusion:
Brain morphometric abnormalities in abstinent males with MUD were characterized by hypergyrification across multiple mid-posterior brain regions anda smaller volume of the left NAcc.Gyrification of the right IPG may be a potential neural substrate underlying the affective symptoms experienced by MUDs during abstinence.
Insights
Abstinent males with methamphetamine use disorder exhibit altered brain structure, including increased gyrification in posterior regions and reduced nucleus accumbens volume. This hypergyrification, particularly in the inferior parietal gyrus, correlates with depression and anxiety symptoms.
Area of Science:
- Neuroimaging
- Neuroscience
- Psychiatry
Background:
- Methamphetamine (METH) use causes neurotoxic effects and persistent affective symptoms during abstinence.
- Brain morphometry in individuals with METH use disorder (MUD) during abstinence remains unclear.
- Understanding these changes is crucial for developing targeted interventions.
Purpose of the Study:
- To investigate brain morphometry differences in abstinent males with MUD compared to healthy controls (HCs).
- To examine associations between brain morphometry and affective symptoms in MUD during abstinence.
- To identify potential neural substrates for affective symptoms in MUD.
Main Methods:
- High-resolution T1-weighted MRI was used for 48 abstinent males with MUD and 66 HCs.
- FreeSurfer software analyzed cortical thickness, surface area, volume, local gyrification index (LGI), and subcortical volumes.
- Statistical analyses controlled for intracranial volume, age, and education.
Main Results:
- Individuals with MUD showed higher LGI in several brain regions, including the right inferior parietal gyrus (IPG).
- A smaller left nucleus accumbens (NAcc) volume was observed in the MUD group.
- Higher LGI in the right IPG correlated with increased depression and anxiety symptom severity in MUD.
Conclusions:
- Abstinent MUD is associated with hypergyrification in mid-posterior brain regions and reduced left NAcc volume.
- Gyrification of the right IPG may represent a neural substrate for affective symptoms in abstinent MUD.
- These findings highlight specific neurobiological alterations in MUD during abstinence.
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