在治疗前和治疗后,双极性障碍患者的前-双极和语言网络连接及其与基因表达特征的关联
Leyi Zhang1, Haohao Yan1, Chunguo Zhang2
1Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
CNS neuroscience & therapeutics
|February 15, 2025
概括
双极性障碍 (BD) 显示了前-双极 (FPN) 和语言网络 (LN) 中大脑连接的改变. 治疗减少了一些FPN-LN连接,表明这些网络是BD的关键.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 遗传学 是一个遗传学.
背景情况:
- 在双相情感障碍 (BD) 中的休息状态功能连接 (FC) 仍然不清楚.
- 在BD中,前端-平行网络 (FPN) 和语言网络 (LN) 的特定模式需要进一步研究.
研究的目的:
- 在BD患者的FPN和LN中识别异常的FC模式.
- 为了检查这些FC模式在治疗后如何变化.
主要方法:
- 从82名BD患者和88名健康对照 (HC) 获得的静止状态成像和临床数据.
- 利用基于种子的FC分析和全脑回归来将FC与临床变量相关联.
- 进行了神经成像-转录空间关联分析.
主要成果:
- 在基线,BD患者表现出增加的FPN-LN和FPN-前额回形连接性.
- 在LN和thalamus,直角环 (AG) 和右小脑之间观察到超连接性.
- 三个月的治疗导致FPN与左STG,左SFG,左insula和双边MTG的连接性下降.
结论:
- 改变的FPN和LN FC模式与BD的病理生理学和治疗反应有关.
- 确定了与BD.中的功能障碍相关的潜在遗传途径.
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