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Updated: May 19, 2026

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Brain structure and function changes in Crohn's disease with or without depression based on multi-modal MRI.

Yilin Guan1, Xiang Peng2, Xueting Wu2

  • 1Department of Radiology, The Six Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, China; Department of Radiology, Jiangmen Centrol Hospital, Jiangmen, 529000, China.

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Crohn

Keywords:
Crohn's diseaseDepressionFunctional connectivityResting-state fMRIVoxel-based morphometry

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Area of Science:

  • Neuroscience
  • Gastroenterology
  • Psychiatry

Background:

  • Crohn's disease (CD) frequently co-occurs with depression.
  • Neural mechanisms linking CD and depression are not well understood.

Purpose of the Study:

  • Investigate brain structural and functional changes in CD patients.
  • Examine the relationship between these changes, depressive symptoms, inflammation, and disease activity.

Main Methods:

  • Used resting-state functional MRI and structural MRI on 70 CD patients and 60 controls.
  • Assessed depression using PHQ-9 and HAMD-24.
  • Analyzed gray matter volume (GMV) differences and functional connectivity (FC).

Main Results:

  • CD patients showed reduced cerebellar lobule 8 GMV, linked to inflammation.
  • Observed decreased FC between cerebellum and sensorimotor, frontoparietal, and default mode networks.
  • Brain changes were not directly correlated with depression severity in CD groups.

Conclusions:

  • Crohn's disease involves inflammation-related brain alterations.
  • These changes correlate with disease activity and depressive symptoms.
  • Depression in CD may stem from inflammation-driven gut-brain axis changes.