amygdala

杏仁核
  • 文章类型: Journal Article
    海马的形态变化,丘脑,杏仁核子场被认为是重度抑郁症(MDD)病理生理学的一部分。然而,常规MRI扫描仪和采集技术的使用阻止了在子场级别进行深入检查,排除了对这些子领域及其在MDD病理生理学中的参与的细粒度理解。我们独特地采用了7.0特斯拉的超高场MRI来绘制海马图,丘脑,和MDD中的杏仁核子字段。56名MDD患者和14名健康对照(HCs)纳入最终分析。FreeSurfer方案用于分割海马,丘脑,和杏仁核子场。然后实施贝叶斯分析以评估组间差异以及与临床特征的关系。虽然对MDD诊断没有发现影响(即,病例对照比较),MDD患者的临床特征与海马亚区体积相关,丘脑,和杏仁核.具体来说,抑郁症状的严重程度,失眠,MDD患者的儿童创伤与下丘脑亚场体积有关。此外,患有典型MDD的MDD患者与患有非典型MDD的MDD患者表现出较低的海马,丘脑,和杏仁核子场卷。患有复发性MDD的MDD患者与患有首发MDD的MDD患者的丘脑亚场体积也较低。这些发现允许对海马体进行独特的细粒度洞察,丘脑,和MDD中的杏仁核子场形态,将其中一些与MDD的临床表现联系起来。
    Morphological changes in the hippocampal, thalamic, and amygdala subfields have been suggested to form part of the pathophysiology of major depressive disorder (MDD). However, the use of conventional MRI scanners and acquisition techniques has prevented in-depth examinations at the subfield level, precluding a fine-grained understanding of these subfields and their involvement in MDD pathophysiology. We uniquely employed ultra-high field MRI at 7.0 Tesla to map hippocampal, thalamic, and amygdala subfields in MDD. Fifty-six MDD patients and 14 healthy controls (HCs) were enrolled in the final analysis. FreeSurfer protocols were used to segment hippocampal, thalamic, and amygdala subfields. Bayesian analysis was then implemented to assess differences between groups and relations with clinical features. While no effect was found for MDD diagnosis (i.e., case-control comparison), clinical characteristics of MDD patients were associated with subfield volumes of the hippocampus, thalamus, and amygdala. Specifically, the severity of depressive symptoms, insomnia, and childhood trauma in MDD patients related to lower thalamic subfield volumes. In addition, MDD patients with typical MDD versus those with atypical MDD showed lower hippocampal, thalamic, and amygdala subfield volumes. MDD patients with recurrent MDD versus those with first-episode MDD also showed lower thalamic subfield volumes. These findings allow uniquely fine-grained insights into hippocampal, thalamic, and amygdala subfield morphology in MDD, linking some of them to the clinical manifestation of MDD.
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  • 文章类型: Journal Article
    目的:产前皮质类固醇(ACS)对于有早产风险的妇女是一种完善的治疗方法,可以改善新生儿结局。然而,关于ACS对后代发育中的大脑的潜在长期不利影响,已经提出了一些担忧。在这里,我们调查了足月等效年龄早产儿的ACS与皮质下节段体积之间的关联。
    方法:这项回顾性观察研究使用2014-2020年在名古屋大学医院出生的220/7至336/7孕周早产单胎婴儿的临床数据进行。双侧丘脑的皮质下体积,尾状核,putamens,榆树,海马,杏仁核,使用自动分割工具评估伏隔核,婴儿自由冲浪,通过多元线性回归分析(协变量:磁共振成像月经后年龄,婴儿性,和出生时的胎龄)。我们比较了按出生时胎龄分层的每个皮质下体积(<28与≥28孕周)。
    结果:多变量分析显示双侧杏仁核的体积明显较小(左,p<0.03;右,p<0.03)和尾状核(左,p<0.03;右,p=0.04)在ACS新生儿中。仅在妊娠28周或更晚出生的新生儿中观察到这些区域的体积明显较小。
    结论:ACS与足月等效年龄的双侧杏仁核和尾状核体积较小有关。这种关联仅在妊娠28周或更晚出生的婴儿中观察到。
    OBJECTIVE: Antenatal corticosteroids (ACS) is a well-established treatment for women at risk of preterm birth that improves neonatal outcomes. However, several concerns have been raised regarding the potential long-term adverse effects of ACS on the offspring\'s developing brain. Here we investigated the association between ACS and subcortical segmental volumes in preterm infants at term-equivalent age.
    METHODS: This retrospective observational study was conducted using the clinical data of preterm singleton infants born between 220/7 and 336/7 gestational weeks at Nagoya University Hospital in 2014-2020. Subcortical volumes of the bilateral thalami, caudate nuclei, putamens, pallidums, hippocampi, amygdalae, and nuclei accumbens were evaluated using an automated segmentation tool, Infant FreeSurfer, and compared between neonates exposed to a single course of ACS (n = 46) and those who were not (n = 13) by multiple linear regression analysis (covariates: postmenstrual age at magnetic resonance imaging, infant sex, and gestational age at birth). We compared each subcortical volume stratified by gestational age at birth (<28 vs. ≥28 gestational weeks).
    RESULTS: Multivariate analyses revealed significantly smaller volumes in the bilateral amygdalae (left, p < 0.03; right, p < 0.03) and caudate nuclei (left, p < 0.03; right, p = 0.04) in neonates with ACS. Significantly smaller volumes in these regions were observed only in neonates born at 28 weeks of gestation or later.
    CONCLUSIONS: ACS was associated with smaller volumes of the bilateral amygdalae and caudate nuclei at term-equivalent age. This association was observed exclusively in infants born at 28 weeks of gestation or later.
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  • 文章类型: Journal Article
    很少有包括年轻人在内的基于人群的研究检查了嗅觉功能测试在记忆相关脑区萎缩程度方面的潜力。这不能通过筛查认知障碍的认知功能测试来充分解释。这项基于人群的研究调查了高分辨率嗅觉测试数据与气味很少和左右海马的灰质体积(GMV)之间的关联。杏仁核,海马旁,和嗅觉皮层,虽然解释了认知能力下降的差异,1444名参与者(31-91岁)。回归分析包括八个记忆相关区域的颅内容量(ICV)归一化GMV作为客观变量和年龄,性别,教育持续时间,吸烟史,嗅觉测试得分,和蒙特利尔认知评估日文版(MoCA-J)评分作为解释变量。嗅觉测试评分与左右海马和左杏仁核的ICV归一化GMV之间存在显着关系(分别为p=0.020、0.024和0.028),调整MoCA-J评分。老年人(年龄≥65岁)的嗅觉测试评分与右杏仁核GMV显着相关(p=0.020)。在应用Benjamini-Hochberg多重测试校正(错误发现率<0.1)后,这些关联仍然显著。因此,嗅觉和认知功能测试可以有效地捕获海马和杏仁核的萎缩程度,尤其是老年人。
    Few population-based studies including younger adults have examined the potential of olfactory function tests to capture the degree of atrophy in memory-associated brain regions, which cannot be adequately explained by cognitive function tests screening for cognitive impairment. This population-based study investigated associations between high-resolution olfactory test data with few odours and grey matter volumes (GMVs) of the left and right hippocampi, amygdala, parahippocampi, and olfactory cortex, while accounting for differences in cognitive decline, in 1444 participants (aged 31-91 years). Regression analyses included intracranial volume (ICV)-normalised GMVs of eight memory-related regions as objective variables and age, sex, education duration, smoking history, olfaction test score, and the Montreal Cognitive Assessment-Japanese version (MoCA-J) score as explanatory variables. Significant relationships were found between olfactory test scores and ICV-normalised GMVs of the left and right hippocampi and left amygdala (p = 0.020, 0.024, and 0.028, respectively), adjusting for the MoCA-J score. The olfactory test score was significantly related to the right amygdalar GMV (p = 0.020) in older adults (age ≥ 65 years). These associations remained significant after applying Benjamini-Hochberg multiple testing correction (false discovery rate < 0.1). Therefore, olfactory and cognitive function tests may efficiently capture the degree of atrophy in the hippocampi and amygdala, especially in older adults.
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  • 文章类型: Journal Article
    恐惧网络模型(FNM)中的异常功能连接(FC)已在惊恐障碍(PD)患者中被识别,但是特定的局部结构和功能特性,以及有效连接(EC),在PD中仍然知之甚少。这项研究的目的是研究PD中FNM的结构和功能模式。从33名PD患者和35名健康对照(HC)收集磁共振成像数据。灰质体积(GMV),度中心性(DC),区域同质性(ReHo),和低频波动幅度(ALFF)用于鉴定PD中FNM内脑区域的结构和功能特征。随后,异常区域的FC和EC,基于局部结构和功能特征,并进一步检查其与临床特征的相关性。PD患者表现出保留的GMV,ReHo,与HC相比,FNM的大脑区域和ALFF。然而,PD患者双侧杏仁核DC增加。杏仁核及其亚核显示出罗兰管壳的EC改变,脑岛,内侧额上回,颈上回,下额回的眼部,和颞上回.此外,汉密尔顿焦虑量表评分与从杏仁核左外侧核(背侧)到右罗兰骨和左颞上回的EC呈正相关。我们的发现揭示了PD中重组的功能网络,涉及调节外感受-感觉信号的大脑区域,心情,和躯体症状。这些结果增强了我们对PD的神经生物学基础的理解,提示诊断的潜在生物标志物和治疗干预的目标。
    Abnormal functional connectivity (FC) within the fear network model (FNM) has been identified in panic disorder (PD) patients, but the specific local structural and functional properties, as well as effective connectivity (EC), remain poorly understood in PD. The purpose of this study was to investigate the structural and functional patterns of the FNM in PD. Magnetic resonance imaging data were collected from 33 PD patients and 35 healthy controls (HCs). Gray matter volume (GMV), degree centrality (DC), regional homogeneity (ReHo), and amplitude of low-frequency fluctuation (ALFF) were used to identify the structural and functional characteristics of brain regions within the FNM in PD. Subsequently, FC and EC of abnormal regions, based on local structural and functional features, and their correlation with clinical features were further examined. PD patients exhibited preserved GMV, ReHo, and ALFF in the brain regions of the FNM compared with HCs. However, increased DC in the bilateral amygdala was observed in PD patients. The amygdala and its subnuclei exhibited altered EC with rolandic operculum, insula, medial superior frontal gyrus, supramarginal gyrus, opercular part of inferior frontal gyrus, and superior temporal gyrus. Additionally, Hamilton Anxiety Scale score was positively correlated with EC from left lateral nuclei (dorsal portion) of amygdala to right rolandic operculum and left superior temporal gyrus. Our findings revealed a reorganized functional network in PD involving brain regions regulating exteroceptive-interoceptive signals, mood, and somatic symptoms. These results enhance our understanding of the neurobiological underpinnings of PD, suggesting potential biomarkers for diagnosis and targets for therapeutic intervention.
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  • 文章类型: Clinical Trial Protocol
    背景:创伤后应激障碍(PTSD)是一种普遍且严重的精神疾病。针对背外侧前额叶皮层的重复经颅磁刺激(rTMS)对PTSD症状的缓解有限。这项研究将用于验证MRI引导的rTMS在靶向PTSD患者与杏仁核最密切相关的部位方面的功效。我们假设干预将通过降低患者的杏仁核活性来改善临床症状。
    方法:随机,双盲,将进行假对照试验.48名符合条件的PTSD患者将被随机分配在初始MRI扫描后连续10天接受主动或假MRI引导的rTMS。MRI扫描将在干预结束时重新收集。临床评估将在基线进行,治疗第5天,治疗第10天和2周,4周,8周后完成干预监测临床症状的变化。主要评估结果是基线和治疗第10天之间PTSD症状的变化,如DSM-5的PTSD清单所测量的。重复测量方差分析将使用统计软件SPSSV.26.0进行。显著性水平将设定为0.05。
    背景:已获得西安市西京医院伦理委员会的伦理批准,中国(KY20222176-X-1),审判已在ClinicalTrials.gov上注册。该试验的结果将在学术会议上传播或在同行评审的科学期刊上发表。
    背景:NCT05544110。
    BACKGROUND: Post-traumatic stress disorder (PTSD) is a prevalent and severe psychiatric disorder. Repetitive transcranial magnetic stimulation (rTMS) targeting the dorsolateral prefrontal cortex provides limited relief for symptoms of PTSD. This study will be conducted to validate the efficacy of MRI-guided rTMS in targeting the sites most closely associated with the amygdala for patients with PTSD. We hypothesise that the intervention will improve clinical symptoms by decreasing amygdala activity in patients.
    METHODS: A randomised, double-blind, sham-controlled trial will be conducted. Forty-eight eligible patients with PTSD will be randomly assigned to receive either active or sham MRI-guided rTMS for 10 consecutive days after the initial MRI scans. MRI scans will be recollected at the end of the intervention. Clinical assessments will be performed at baseline, treatment day 5, treatment day 10, and 2 weeks, 4 weeks, 8 weeks after completion of the intervention to monitor changes in clinical symptoms. The primary assessment outcome is the change in PTSD symptoms between baseline and treatment day 10, as measured by the PTSD Checklist for DSM-5. Repeated measures analysis of variance will be performed using statistical software SPSS V.26.0. The significance level will be set at 0.05.
    BACKGROUND: Ethical approval has been obtained from the Ethics Committee of Xijing Hospital in Xi\'an, China (KY20222176-X-1), and the trial has been registered on ClinicalTrials.gov. The findings of this trial will be disseminated at academic conferences or published in peer-reviewed scientific journals.
    BACKGROUND: NCT05544110.
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  • 文章类型: Journal Article
    音乐是影响我们的情感和记忆的强大媒介。神经科学研究已经证明了音乐能够参与与情绪相关的大脑区域,奖励,动机,和自传记忆。虽然音乐在调节情绪中的作用已经得到了广泛的探索,我们的研究调查音乐是否可以改变记忆的情感内容。建立在记忆可以在检索时更新的理论上,我们测试了在记忆回忆中引入情感音乐是否会在原始记忆痕迹中引入虚假的情感元素。我们开发了一个单独编码的3天情景记忆任务,回忆,和检索阶段。我们的主要假设是,在记忆回忆过程中播放的情感音乐会增加将新颖的情感成分引入原始记忆的可能性。行为发现揭示了两个关键结果:1)在记忆回忆过程中接触音乐的参与者更有可能融入与配对音乐效价一致的新颖情感成分,和2)1天后检索的记忆表现出比原始记忆更强的情感基调,与前一天的回忆中配对的音乐的效价一致。此外,功能磁共振成像结果显示,在用音乐回忆故事的过程中,神经参与发生了变化,包括杏仁核,前海马,和下顶叶小叶。杏仁核和其他大脑区域之间的连接增强,包括额叶和视觉皮层,在回忆音乐时被观察到,可能有助于更情绪化的故事重建。这些发现阐明了音乐之间的相互作用,情感,和记忆,提供对将情感音乐注入记忆回忆过程的后果的见解。
    Music is a powerful medium that influences our emotions and memories. Neuroscience research has demonstrated music\'s ability to engage brain regions associated with emotion, reward, motivation, and autobiographical memory. While music\'s role in modulating emotions has been explored extensively, our study investigates whether music can alter the emotional content of memories. Building on the theory that memories can be updated upon retrieval, we tested whether introducing emotional music during memory recollection might introduce false emotional elements into the original memory trace. We developed a 3-day episodic memory task with separate encoding, recollection, and retrieval phases. Our primary hypothesis was that emotional music played during memory recollection would increase the likelihood of introducing novel emotional components into the original memory. Behavioral findings revealed two key outcomes: 1) participants exposed to music during memory recollection were more likely to incorporate novel emotional components congruent with the paired music valence, and 2) memories retrieved 1 day later exhibited a stronger emotional tone than the original memory, congruent with the valence of the music paired during the previous day\'s recollection. Furthermore, fMRI results revealed altered neural engagement during story recollection with music, including the amygdala, anterior hippocampus, and inferior parietal lobule. Enhanced connectivity between the amygdala and other brain regions, including the frontal and visual cortex, was observed during recollection with music, potentially contributing to more emotionally charged story reconstructions. These findings illuminate the interplay between music, emotion, and memory, offering insights into the consequences of infusing emotional music into memory recollection processes.
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  • 文章类型: Journal Article
    目的:尽管颞叶前叶切除加杏仁核海马切除术(ATL+AH)对颞叶癫痫(TLE)患者有益处,大约高达5%的患者可能有偏瘫作为其术后并发症。本文旨在描述具有AH的ATL的哪个步骤/s具有最大的MEP振幅减小的最大概率。
    方法:本研究采用横断面设计,从接受ATL+AH和TcMEP监测的TLE患者中获取数据。评估以下每个步骤的MEP振幅的降低:1)硬脑膜开口,2)打开下喇叭,2)垂直颞叶切除3)下静脉夹层,4)颞叶茎切除术,5)颞叶外侧切除术,6)海马切除术,7)杏仁核切除术,8)子宫切除和9)硬膜闭合。
    结果:本研究纳入了19例患者。根据弗里德曼测试,一个或多个步骤的平均MEP幅度降低显著不同(Friedman=50.7,p=0.0001).与基线(100%,截止p=0.005),海马切除(z=-3.81,p<0.0001),T1下解剖(z=-3.2,p=0.0010),肠切除(z=-3.48,p=0.0002),颞叶茎切除(z=-3.26,p=0.001),颞叶外侧切除术(z=-3.13,p=0.002)和杏仁核切除术(-z=-3.37,p=0.0005)明显较低。其中,海马切除术,肠切除和杏仁核切除术被认为是非常重要的。
    结论:在杏仁核期间,MEP振幅趋于降低,由于手术操作脉络膜动脉可能导致偏瘫,因此在这些步骤中应仔细注意MEP的变化。
    OBJECTIVE: Despite the benefits of anterior temporal lobectomy with amygdalohippocampectomy in patients with temporal lobe epilepsy (TLE), approximately up to 5% may have hemiparesis as its postoperative complication. This paper aims to describe which step/s of the anterior temporal lobectomy with amygdalohippocampectomy have the highest probability of having the greatest decrease in motor evoked potential (MEP) amplitude.
    METHODS: This study used a cross-sectional design of obtaining data from TLE patients who underwent anterior temporal lobectomy with amygdalohippocampectomy with transcranial MEP monitoring. Each of the following steps were evaluated for reduction in MEP amplitude: 1) dural opening, 2) opening the inferior horn, 2) vertical temporal lobe resection 3) subpial dissection, 4) temporal lobe stem resection, 5) lateral temporal lobe resection, 6) hippocampal resection, 7) amygdala resection, 8) uncus resection, and 9) dural closure.
    RESULTS: Nineteen patients were included in the study. Based on the Friedman Test, 1 or more steps had significantly different average MEP amplitude reductions (Friedman = 50.7, P = 0.0001). When compared with baseline (100%, cutoff P = 0.005), hippocampal resection (z = -3.81, P < 0.0001), T1 subpial dissection (z = -3.2, P = 0.0010), uncus resection (z = -3.48, P = 0.0002), temporal stem resection (z = -3.26, P = 0.001), lateral temporal lobe resection (z = -3.13, P = 0.002), and amygdalectomy (-z = -3.37, P = 0.0005) were significantly lower. Of these, hippocampal resection, uncus resection, and amygdalectomy were deemed highly significant.
    CONCLUSIONS: MEP amplitude tends to decrease during amygdala, hippocampal, and uncal resection because of surgical manipulation of anterior choroidal arteries, which can potentially cause hemiparesis. Careful attention should be paid to changes in MEP during these steps.
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  • 文章类型: Journal Article
    作为视听刺激的来源,电影让人们接触到各种各样的情绪。有趣的是,几种流派的特点是负面的情感内容。尽管存在理论方法,对特定电影类型的偏好和负面情绪的神经元处理知之甚少。
    我们调查了电影类型偏好与边缘和奖励相关的大脑反应性之间的关联,通过在257名健康参与者中采用具有负面情绪面孔的功能磁共振成像范式来缩小这一差距。我们比较了偏爱特定电影类型的个体和没有这种偏爱的个体之间杏仁核和伏隔核(NAcc)的功能活性。
    喜欢动作片的个体的杏仁核激活相对较高(pTFCE-FWE=0.013)。喜剧类型偏好与杏仁核(pTFCE-FWE=0.038)和NAcc活性(pTFCE-FWE=0.011)增加有关。相比之下,犯罪/惊悚片偏好(杏仁核:pTFCE-FWE≤0.010,NAcc:pTFCE-FWE=0.036),以及纪录片偏好,与杏仁核(pTFCE-FWE=0.012)和NAcc活性(pTFCE-FWE=0.015)降低有关。该研究揭示了参与者的体裁偏好与大脑对负面情感刺激的反应性之间的关联。有趣的是,对具有相似情感特征的流派的偏好(动作,犯罪/惊悚片)与相反方向的神经活动有关。讨论了大脑反应性与对不同电影相关满足的敏感性之间的潜在联系。
    UNASSIGNED: As a source of audio-visual stimulation, movies expose people to various emotions. Interestingly, several genres are characterized by negative emotional content. Albeit theoretical approaches exist, little is known about preferences for specific movie genres and the neuronal processing of negative emotions.
    UNASSIGNED: We investigated associations between movie genre preference and limbic and reward-related brain reactivity to close this gap by employing an fMRI paradigm with negative emotional faces in 257 healthy participants. We compared the functional activity of the amygdala and the nucleus accumbens (NAcc) between individuals with a preference for a particular movie genre and those without such preference.
    UNASSIGNED: Amygdala activation was relatively higher in individuals with action movie preference (p TFCE-FWE = 0.013). Comedy genre preference was associated with increased amygdala (p TFCE-FWE = 0.038) and NAcc activity (p TFCE-FWE = 0.011). In contrast, crime/thriller preference (amygdala: p TFCE-FWE ≤ 0.010, NAcc: p TFCE-FWE = 0.036), as well as documentary preference, was linked to the decreased amygdala (p TFCE-FWE = 0.012) and NAcc activity (p TFCE-FWE = 0.015). The study revealed associations between participants\' genre preferences and brain reactivity to negative affective stimuli. Interestingly, preferences for genres with similar emotion profiles (action, crime/thriller) were associated with oppositely directed neural activity. Potential links between brain reactivity and susceptibility to different movie-related gratifications are discussed.
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  • 文章类型: Journal Article
    背景:迫切需要在青春期前识别与青春期抑郁症发展有关的神经标记,尤其是在家庭风险升高的年轻人中。然而,纵向研究仍然很少,结果喜忧参半。在这里,我们旨在阐明与家族性抑郁症风险相互作用的青春期前的功能连接(FC)模式,以预测两年后的抑郁症。
    方法:青少年大脑认知发育(ABCD)研究中的9-10岁儿童被归类为健康(即,无终生精神病诊断)在抑郁症的高家族风险(HR;n=559)或精神病理学的低家族风险(LR;n=1203)。具有杏仁核的全脑种子到体素的静息状态FC模式,壳核,伏隔核,计算了尾状。多层次,我们进行了混合效应回归分析,以检验9~10岁的FC是否与预测11~12岁抑郁症状的家族风险相关.
    结果:HR青年与LR青年(ps>0.001)相比,青春期前FC和青少年抑郁症状(ps<0.001)之间的关联更强,主要在杏仁核/纹状体FC中,具有视觉和感觉/躯体运动网络。
    结论:青春期杏仁核和纹状体FC可能是青少年抑郁症的有用生物标志物,特别是对于有抑郁症家族史的年轻人。这项研究可能指向预防和干预青少年抑郁症的神经生物学方法。
    BACKGROUND: There is an imminent need to identify neural markers during preadolescence that are linked to developing depression during adolescence, especially among youth at elevated familial risk. However, longitudinal studies remain scarce and exhibit mixed findings. Here we aimed to elucidate functional connectivity (FC) patterns among preadolescents that interact with familial depression risk to predict depression two years later.
    METHODS: 9-10 year-olds in the Adolescent Brain Cognitive Development (ABCD) Study were classified as healthy (i.e., no lifetime psychiatric diagnoses) at high familial risk for depression (HR; n=559) or at low familial risk for psychopathology (LR; n=1203). Whole-brain seed-to-voxel resting-state FC patterns with the amygdala, putamen, nucleus accumbens, and caudate were calculated. Multi-level, mixed-effects regression analyses were conducted to test whether FC at ages 9-10 interacted with familial risk to predict depression symptoms at ages 11-12.
    RESULTS: HR youth demonstrated stronger associations between preadolescent FC and adolescent depression symptoms (ps<0.001) as compared to LR youth (ps>0.001), primarily among amygdala/striatal FC with visual and sensory/somatomotor networks.
    CONCLUSIONS: Preadolescent amygdala and striatal FC may be useful biomarkers of adolescent-onset depression, particularly for youth with family histories of depression. This research may point to neurobiologically-informed approaches to prevention and intervention for depression in adolescents.
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  • 文章类型: Journal Article
    背景:研究表明,全身性炎症升高与脑功能变化之间存在关联。参与处理威胁的大脑情感区域(例如,杏仁核)和奖励(例如,伏隔核[NAcc])似乎对炎症敏感。早期生活压力(ELS),例如经历低社会经济地位(SES),也可能加强这种联系,但相关证据主要来自脑功能的横断面研究。目前尚不清楚ELS之间是否存在类似的关联,炎症,和大脑结构,特别是在典型的发展中人口。
    方法:我们从社区招募并评估了50名青少年(31F/19M)(M±SD年龄=15.5±1.1;范围=13.1-17.5年),并在探索性分析中检查了血斑中C反应蛋白(ΔCRP)的变化是否可以预测两年内双侧杏仁核和NAcc的灰质体积(ΔGMV)的变化。我们还调查了是否经历ELS,在家庭和社区层面使用SES劣势的综合综合评分进行操作,显著缓解了ΔCRP和ΔGMV之间的关联。
    结果:我们发现ΔCRP与Δ杏仁核GMV呈负相关(即CRP水平升高与杏仁核体积减少有关;β=-0.84;p=0.012)。在经历了更大的SES劣势的年轻人中,这种影响更强(β=-0.56;p=0.025)。
    结论:这些研究结果表明,在青少年中,系统性炎症的增加与杏仁核GMV的减少有关。潜在的信号加速成熟,这些神经免疫过程在经历了更大的SES劣势的青少年中更加复杂。我们的发现与神经免疫关联的理论框架一致,并表明它们可能影响青少年神经发育。
    BACKGROUND: Research has demonstrated an association between elevated systemic inflammation and changes in brain function. Affective areas of the brain involved in processing threat (e.g., amygdala) and reward (e.g., nucleus accumbens) appear to be sensitive to inflammation. Early-life stress, such as experiencing low socioeconomic status (SES), may also potentiate this association, but relevant evidence has come primarily from cross-sectional studies of brain function. It is unclear whether similar associations are present between early-life stress, inflammation, and brain structure, particularly in typically developing populations.
    METHODS: We recruited and assessed 50 adolescents (31 females/19 males) from the community (mean [SD] age = 15.5 [1.1] years, range = 13.1-17.5 years) and examined in exploratory analyses whether changes in C-reactive protein (ΔCRP) from blood spots predict changes in gray matter volume (ΔGMV) in the bilateral amygdala and nucleus accumbens over a 2-year period. We also investigated whether experiencing early-life stress, operationalized using a comprehensive composite score of SES disadvantage at the family and neighborhood levels, significantly moderated the association between ΔCRP and ΔGMV.
    RESULTS: We found that ΔCRP was negatively associated with Δamygdala GMV (i.e., increasing CRP levels were associated with decreasing amygdala volume; β = -0.84, p = .012). This effect was stronger in youths who experienced greater SES disadvantage (β = -0.56, p = .025).
    CONCLUSIONS: These findings suggest that increases in systemic inflammation are associated with reductions in amygdala GMV in adolescents, potentially signaling accelerated maturation, and that these neuroimmune processes are compounded in adolescents who experienced greater SES disadvantage. Our findings are consistent with theoretical frameworks of neuroimmune associations and suggest that they may influence adolescent neurodevelopment.
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