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Two human brain systems micro-structurally associated with obesity
Manfred G Kitzbichler1, Daniel Martins2, Richard A I Bethlehem1
1Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
Elife
|October 20, 2023
Summary
Obesity is linked to distinct brain changes: increased water in prefrontal areas and reduced neurite density in medial temporal regions. These findings suggest a two-way relationship between brain structure and obesity, influenced by genetics and immune function.
Area of Science:
- Neuroimaging
- Obesity Research
- Genetics
Background:
- The intricate relationship between obesity and human brain structure remains poorly understood.
- Microstructural MRI metrics offer insights into brain tissue composition.
Purpose of the Study:
- To investigate the association between obesity (waist-to-hip ratio) and brain microstructural metrics (isotropic volume fraction and intra-cellular volume fraction).
- To explore the genetic underpinnings and inflammatory correlations of these obesity-associated brain changes.
Main Methods:
- Utilized diffusion-weighted MRI data from approximately 30,000 UK Biobank participants.
- Analyzed associations between waist-to-hip ratio and isotropic volume fraction (free water) and intra-cellular volume fraction (neurite density).
- Examined genetic correlations and relationships with C-reactive Protein (CRP) maps.
Main Results:
- Identified two distinct brain systems associated with obesity: a prefrontal/temporal/striatal system for isotropic volume fraction and a medial temporal/occipital/striatal system for intra-cellular volume fraction.
- Observed distinct gene expression patterns and receptor densities within these systems.
- Found a significant genetic correlation between waist-to-hip ratio and intra-cellular volume fraction, but not isotropic volume fraction.
Conclusions:
- Obesity is associated with distinct alterations in brain water content and neurite density in specific neural systems.
- Findings support a bidirectional model where brain structure may influence obesity risk (neurite density) and obesity may impact brain structure (water content via immune activation).
- Suggests a potential role for innate immune pathways in mediating obesity's effects on brain water content.
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