将多基因精神分裂症风险与磁共振成像大脑测量变化的联系:综合系统性审查
Hadis Jameei1, Divyangana Rakesh1, Andrew Zalesky1,2
1Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne and Melbourne Health, Carlton South, VIC, Australia.
较高的精神分裂症多原风险评分 (sczPRS) 与皮质厚度降低和大脑连接性改变有关. 这次对MRI研究的审查表明sczPRS可能预测与精神分裂症相关的脑部变化.
科学领域:
- 神经成像是一种神经成像.
- 精神病学遗传学 精神病学遗传学
- 系统审查是系统的审查.
背景情况:
- 精神分裂症是高度遗传的,受到许多基因的影响.
- 将累积遗传风险与大脑改变联系在一起的证据是不一致的.
- 本综述研究了精神分裂症多原风险评分 (sczPRS) 与MRI测量相关的关系.
研究的目的:
- 系统地审查关于精神分裂症PRS (sczPRS) 和磁共振成像 (MRI) 措施之间的关联的证据.
- 调查sczPRS是否可以预测大脑的结构和功能变化.
- 为了确定精神分裂症的潜在中间表型.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在 MEDLINE,Embase 和 PsycINFO 中进行了搜索 (2013 年 1 月至 2022 年 3 月).
- 包括使用结构性,扩散性和功能性MRI的57项研究.
主要成果:
- 适度的证据表明,较高的sczPRS预测了全球皮质厚度的降低和功能连接的改变.
- 一些证据将sczPRS与前部和部体积/厚度的区域减少联系起来.
- sczPRS并没有预测全脑表面积或灰白质体积.
结论:
- 精神分裂症可能涉及中断的大脑连接.
- 与sczPRS相关的特定MRI指标可以作为中间表型.
- 调查结果在社区和临床人群中一致.
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