在主要抑郁症中剖析生物学异质性,基于神经成像亚型与多omics数据
Lili Tang1,2, Rui Tang1,2, Junjie Zheng1,2
1Early Intervention Unit, Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Translational psychiatry
|March 3, 2025
概括
这项研究确定了三种基于神经成像的重大抑郁障碍 (MDD) 亚型. 这些亚型表现出不同的遗传和炎症特征,为个性化抑郁症治疗铺平了道路.
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 遗传学 是一个
背景情况:
- 大型抑郁症 (MDD) 是高度异质的,复杂的诊断和治疗.
- 当前的诊断方法可能无法完全捕捉到MDD的潜在生物变异.
研究的目的:
- 为了识别基于神经成像的MDD亚型.
- 通过使用多omics数据来描述每个MDD亚型的独特生物学特征.
主要方法:
- 利用功能神经成像 (低频波动幅度 - ALFF) 和机器学习集群来识别MDD亚型.
- 综合多omics数据 (遗传学,表观遗传学,代谢学,细胞因子概况) 用于比较分析.
主要成果:
- 确定了三种独特的基于神经成像的MDD亚型,具有独特的ALFF模式.
- 第一个亚型:强烈的遗传倾向,神经元通路丰富,症状严重.
- 亚型2:具有免疫炎症调节失调的特征 (例如,IL-1β升高). 亚型3:缺乏可识别的生物标志物.
结论:
- 神经成像可以划分生物学上不同的MDD亚型.
- 这些亚型表现出独特的遗传和炎症特征,支持个性化医疗.
- 这些发现为抑郁症的机制向治疗提供了概念证明.
更多相关视频
08:51Author Spotlight: Integrated Multi-Omics Analysis for Unveiling Multicellular Immune Signatures in Clinical Heart Attack Cohorts
Published on: September 20, 2024
1.1K
10:43Developing Neuroimaging Phenotypes of the Default Mode Network in PTSD: Integrating the Resting State, Working Memory, and Structural Connectivity
Published on: July 1, 2014
14.9K
相关概念视频
Genomics
35.6K
Genomics is the science of genomes: it is the study of all the genetic material of an organism. In humans, the genome consists of information carried in 23 pairs of chromosomes in the nucleus, as well as mitochondrial DNA. In genomics, both coding and non-coding DNA is sequenced and analyzed. Genomics allows a better understanding of all living things, their evolution, and their diversity. It has a myriad of uses: for example, to build phylogenetic trees, to improve productivity and...
35.6K
Depression: Overview
206
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
206
Bipolar Disorder
41
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
41
Human Genetics
516
Human genetics provides a profound framework for understanding the interplay between genetic predispositions and human psychology. At the heart of this discipline lies the study of how genes influence physical traits, behaviors, and susceptibility to diseases. Each person carries a unique genetic code that subtly or significantly shapes their psychological and behavioral landscape.
The complex relationship between genetics and psychology is observable through common biological components such...
The complex relationship between genetics and psychology is observable through common biological components such...
516
Biological Causes of Schizophrenia
30
Schizophrenia, a severe psychiatric disorder, arises from a complex interplay of biological factors, including genetic predisposition, structural brain abnormalities, neurotransmitter dysregulation, and developmental irregularities. These factors collectively contribute to the onset and progression of the disorder, which typically manifests in late adolescence or early adulthood.
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
30
Antidepressant Drugs: MAOIs and Other Agents
175
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
175
