Proton magnetic resonance spectroscopy

质子磁共振波谱
  • 文章类型: Journal Article
    研究扩散张量成像(DTI)和氢质子磁共振波谱(1H-MRS)参数在预测神经胶质瘤免疫组织化学(IHC)生物标志物中的性能。
    分析2015年3月至2019年9月病理证实的胶质瘤患者,术前采集DTI和1H-MRS图像,表观扩散系数(ADC)和分数各向异性(FA),在病变区域进行了测量,相对ADC(rADC)和相对FA(rFA)的相对值是通过病变区域与对侧正常区域的比值获得的。1H-MRS图像病变区域各代谢物的峰值:N-乙酰天冬氨酸(NAA),胆碱(Cho),和肌酸(Cr),和代谢物比率:NAA/Cho,选择并计算NAA/(Cho+Cr)。术前IHC数据包括CD34、Ki-67、p53、S-100、syn、波形蛋白,中子,Nestin,和胶质纤维酸性蛋白。
    筛选了DTI的一个预测参数,Ki-67阳性组的rADC值低于阴性组。发现1H-MRS的两个参数对胶质瘤分级具有重要的参考值,NAA和Cr随着胶质瘤分级的增加而降低,此外,Ki-67Li与NAA、Cr呈负相关。
    NAA和Cr在预测胶质瘤分级和肿瘤增殖活性方面具有潜在的应用价值。只有rADC对DTI参数中的Ki-67表达具有预测价值。
    UNASSIGNED: To investigate the performance of diffusion-tensor imaging (DTI) and hydrogen proton magnetic resonance spectroscopy (1H-MRS) parameters in predicting the immunohistochemistry (IHC) biomarkers of glioma.
    UNASSIGNED: Patients with glioma confirmed by pathology from March 2015 to September 2019 were analyzed, the preoperative DTI and 1H-MRS images were collected, apparent diffusion coefficient (ADC) and fractional anisotropy (FA), in the lesion area were measured, the relative values relative ADC (rADC) and relative FA (rFA) were obtained by the ratio of them in the lesion area to the contralateral normal area. The peak of each metabolite in the lesion area of 1H-MRS image: N-acetylaspartate (NAA), choline (Cho), and creatine (Cr), and metabolite ratio: NAA/Cho, NAA/(Cho + Cr) were selected and calculated. The preoperative IHC data were collected including CD34, Ki-67, p53, S-100, syn, vimentin, NeuN, Nestin, and glial fibrillary acidic protein.
    UNASSIGNED: One predicting parameter of DTI was screened, the rADC of the Ki-67 positive group was lower than that of the negative group. Two parameters of 1H-MRS were found to have significant reference values for glioma grades, the NAA and Cr decreased as the grade of glioma increased, moreover, Ki-67 Li was negatively correlated with NAA and Cr.
    UNASSIGNED: NAA and Cr have potential application value in predicting glioma grades and tumor proliferation activity. Only rADC has predictive value for Ki-67 expression among DTI parameters.
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  • 文章类型: Journal Article
    由于实际老化的中国白酒的价格差异,假冒白酒一直在出现。对不同年份的准确识别非常感兴趣。在这项研究中,采用气相色谱-质谱(GC-MS)和质子核磁共振(1HNMR)联用技术对酱香型白酒的化学成分进行了综合分析。此外,建立了一种结合机器学习算法的新型数据融合策略。结果表明,将中层数据融合与随机森林算法相结合是最佳的,并成功应用于不同白酒年份的分类。共有14种差异化合物(属于脂肪酸乙酯,酒精,有机酸,和醛)被鉴定出来,用于评价市售茅台酒味白酒。我们的结果表明,挥发物和非挥发物都导致了年份差异。这项研究表明,GC-MS和1HNMR光谱结合数据融合策略对于不同年份的酱香型白酒的分类是实用的。
    Counterfeit Baijiu has been emerging because of the price variances of real-aged Chinese Baijiu. Accurate identification of different vintages is of great interest. In this study, the combination of gas chromatography-mass spectrometry (GC-MS) and proton nuclear magnetic resonance (1H NMR) spectroscopy was applied for the comprehensive analysis of chemical constituents for Maotai-flavor Baijiu. Furthermore, a novel data fusion strategy combined with machine learning algorithms has been established. The results showed that the midlevel data fusion combined with the random forest algorithm were the best and successfully applied for classification of different Baijiu vintages. A total of 14 differential compounds (belonging to fatty acid ethyl esters, alcohols, organic acids, and aldehydes) were identified, and used for evaluation of commercial Maotai-flavor Baijiu. Our results indicated that both volatiles and nonvolatiles contributed to the vintage differences. This study demonstrated that GC-MS and 1H NMR spectra combined with a data fusion strategy are practical for the classification of different vintages of Maotai-flavor Baijiu.
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  • 文章类型: Journal Article
    目的:评估定量超声系统脂肪分数(USFF)和质子磁共振波谱(1H-MRS)之间的一致性以及USFF在评估代谢相关脂肪性肝病(MAFLD)中的诊断价值。
    方法:前瞻性招募患有或怀疑患有MAFLD的参与者,并接受1H-MRS,USFF,和受控衰减参数(CAP)测量。使用Pearson相关系数评估USFF和1H-MRS之间的相关性。使用受试者工作特征曲线分析(ROC)评估不同等级脂肪变性的USFF诊断性能,并与CAP进行比较。视觉肝脏脂肪变性分级(VHSG)。
    结果:共有113名参与者(平均年龄44.79岁±13.56(SD);71名男性)入组,其中98例(86.73%)患有肝脂肪变性(1H-MRS≥5.56%)。USFF与1H-MRS呈良好的相关性(Pearsonr=0.76),呈线性关系,优于CAP与1H-MRS的相关性(Pearsonr=0.61)。USFF为不同级别的肝脂肪变性提供了高诊断性能,ROC为0.84~0.98,诊断性能优于CAP和VHSG。不同等级的脂肪变性的USFF的截断值不同,S1、S2和S3的截止值为12.01%,19.98%,和22.22%,分别。
    结论:USFF和1H-MRS之间存在良好的相关性。同时,USFF对肝脂肪变性具有良好的诊断性能,优于CAP和VHSG。USFF代表了一种用于MAFLD的非侵入性定量评估的优越方法。
    定量超声系统脂肪分数(USFF)可准确评估肝脏脂肪含量,并与磁共振波谱(1H-MRS)具有良好的相关性,可评估代谢相关的脂肪肝疾病(MAFLD),以及提供肝脂肪变性的准确定量评估。
    结论:目前代谢相关脂肪肝的诊断和监测模式存在局限性。USFF与1H-MRS相关性良好,优于CAP。USFF对脂肪变性具有良好的诊断性能,优于CAP和VHSG。
    OBJECTIVE: To evaluate the agreement between quantitative ultrasound system fat fraction (USFF) and proton magnetic resonance spectroscopy (1H-MRS) and the diagnostic value of USFF in assessing metabolic-associated fatty liver disease (MAFLD).
    METHODS: The participants with or suspected of MAFLD were prospectively recruited and underwent 1H-MRS, USFF, and controlled attenuation parameter (CAP) measurements. The correlation between USFF and 1H-MRS was assessed using Pearson correlation coefficients. The USFF diagnostic performance for different grades of steatosis was evaluated using receiver operating characteristic curve analysis (ROC) and was compared with CAP, visual hepatic steatosis grade (VHSG).
    RESULTS: A total of 113 participants (mean age 44.79 years ± 13.56 (SD); 71 males) were enrolled, of whom 98 (86.73%) had hepatic steatosis (1H-MRS ≥ 5.56%). USFF showed a good correlation (Pearson r = 0.76) with 1H-MRS and showed a linear relationship, which was superior to the correlation between CAP and 1H-MRS (Pearson r = 0.61). The USFF provided high diagnostic performance for different grades of hepatic steatosis, with ROC from 0.84 to 0.98, and the diagnostic performance was better than that of the CAP and the VHSG. The cut-off values of the USFF were different for various grades of steatosis, and the cut-off values for S1, S2, and S3 were 12.01%, 19.98%, and 22.22%, respectively.
    CONCLUSIONS: There was a good correlation between USFF and 1H-MRS. Meanwhile, USFF had good diagnostic performance for hepatic steatosis and was superior to CAP and VHSG. USFF represents a superior method for noninvasive quantitative assessment of MAFLD.
    UNASSIGNED: Quantitative ultrasound system fat fraction (USFF) accurately assesses liver fat content and has a good correlation with magnetic resonance spectroscopy (1H-MRS) for the assessment of metabolic-associated fatty liver disease (MAFLD), as well as for providing an accurate quantitative assessment of hepatic steatosis.
    CONCLUSIONS: Current diagnostic and monitoring modalities for metabolic-associated fatty liver disease have limitations. USFF correlated well with 1H-MRS and was superior to the CAP. USFF has good diagnostic performance for steatosis, superior to CAP and VHSG.
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    文章类型: Journal Article
    目的:恶性胸腔积液(MPE)是肺癌的常见并发症,预后较差。良性胸腔积液(BPE),如结核性和肺炎性胸腔积液,通常预后良好。MPE和BPE之间的鉴别诊断仍然是临床挑战。
    方法:52MPE,93BPE,和他们相应的血清样品通过氢核磁共振(1HNMR)为基础的代谢组学分析。
    结果:1HNMR研究表明,与BPE患者相比,MPE中的一些氨基酸和甜菜碱在胸腔积液和血清中发生了显着变化。MPE患者的血清葡萄糖和谷氨酰胺水平与胸腔积液(r>0.6)有很强的正相关。在区分MPE和BPE时,胸腔积液或血清中代谢物的受试者工作特征曲线下面积(AUROC)值小于0.805。使用胸腔积液-谷氨酸的血清比率来区分MPE和BPE,观察到AUROC值提高了0.901。15个双盲样本进一步验证。
    结论:与BPE患者相比,MPE中的氨基酸和甜菜碱在胸腔积液和血清中明显改变。通过1HNMR分析,胸腔积液与血清谷氨酸的比值可能有助于BPE的MPE的快速诊断。
    OBJECTIVE: Malignant pleural effusion (MPE) is a common complication of lung cancer with poor prognosis. Benign pleural effusion (BPE), such as tuberculous and pneumonic pleural effusion, usually has a good prognosis. Differential diagnosis between MPE and BPE remains a clinical challenge.
    METHODS: 52 MPE, 93 BPE, and their corresponding serum samples were analyzed by hydrogen nuclear magnetic resonance (1HNMR) based metabolomics.
    RESULTS: The 1HNMR study showed that some amino acids and betaine in MPE are significantly altered in pleural effusion and serum compared to BPE patients. Levels of serum glucose and glutamine have strong positive correlation with those in pleural effusion (r>0.6) for MPE patients. The area under the receiver operating characteristic curve (AUROC) values of metabolites in pleural effusion or serum were less than 0.805 in differentiating MPE from BPE. Improved an AUROC value of 0.901 was observed using pleural effusion-serum ratios of glutamic acid in differentiating MPE from BPE, which was further validated by 15 double-blind samples.
    CONCLUSIONS: Compared with BPE patients, amino acids and betaine in MPE are significantly altered in pleural effusion and serum. Pleural effusion-serum ratio of glutamic acid may contribute to the rapid diagnosis of MPE from BPE by 1HNMR analysis.
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  • 文章类型: Journal Article
    目的:本研究旨在通过质子磁共振波谱(1H-MRS)研究葛根素早期干预对宫内生长受限(IUGR)大鼠生长参数和肝脂肪信号分数(HFF)定量的影响。
    方法:孕鼠分为三组:对照组,用葛根素治疗IUGR,和IUGR未经治疗。治疗组和非治疗组在怀孕期间接受低蛋白饮食,而对照组接受正常饮食。出生后,治疗组接受单侧腹腔注射50mg/kg/d葛根素。在3、8和12周评估雄性大鼠,包括体重的测量,体长、腰围和体重指数(BMI)。使用3.0T全身MR扫描仪进行常规磁共振成像和1HMRS。
    结果:治疗组和非治疗组的新生幼崽体重明显降低,BMI,与对照组相比,3周时的体长。然而,3周时三组间的HFF和腰围均无显著差别。在分娩后8周和12周,体重的显著差异,BMI,与对照组相比,在未处理的IUGR大鼠的新生幼崽中观察到腰围。相比之下,体重没有显著差异,BMI,治疗组与对照组的腰围在第8周和第12周。此外,在两个时间点,与对照组相比,治疗组表现出显著更高的HFF。出生后12周,在IUGR非治疗组和治疗组之间观察到HFF的显着差异,尽管在8周时没有发现显着差异。
    结论:出生后葛根素的早期干预对肝脏脂肪含量有显著影响,并可能减少IUGR大鼠的成年肥胖。
    OBJECTIVE: This study aimed to investigate the impact of puerarin early intervention on growth parameters and Hepatic Fat Signal Fraction (HFF) quantification in Intrauterine Growth Restricted(IUGR)rats through Proton Magnetic resonance spectroscopy (1H-MRS).
    METHODS: Pregnant rats were divided into three groups: control, IUGR with puerarin treatment, and IUGR without treatment. The treatment and nontreatment groups were received a low-protein diet during pregnancy, while the control group received a normal diet. After birth, pups in the treatment group received a unilateral intraperitoneal injection of 50 mg/kg/d puerarin. Male rats were evaluated at 3,8 and 12 weeks, including measurements of weight, body length and waist circumference and body mass index (BMI). Conventional magnetic resonance imaging and 1HMRS were conducted using a 3.0 T whole-body MR scanner.
    RESULTS: Newborn pups in the treatment and non-treatment groups showed significantly lower body weight, BMI, and body length at 3 weeks compared to the control group. However, there were no significant differences in HFF and waist circumference between the three groups at 3 weeks. At 8 and 12 weeks post-delivery, significant differences in body weight, BMI, waist circumference were observed in newborn pups of IUGR non-treatment rats compared to the control group. In contrast, there were no significant differences in body weight, BMI, waist circumference between the treatment group and the control group at 8 and 12 weeks. Moreover, the treatment group exhibited notably higher HFF compared to the control group at both time points. At 12 weeks post-birth, a significant difference in HFF was observed between the IUGR non-treatment and treatment groups, although no significant difference was found at 8 weeks.
    CONCLUSIONS: Early intervention with puerarin following birth has a significant impact on liver fat content and may potentially reduce adult obesity among IUGR rats.
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  • 文章类型: Journal Article
    质子磁共振波谱(1HMRS)是揭示分子水平代谢物信息的有力工具,与磁共振成像(MRI)提供的解剖学洞察力互补,因此在体内/体外生物学研究中起着重要作用。然而,它的进一步应用通常受限于由有限质子频率范围内包含的许多生物代谢物引起的光谱拥塞。在这里,我们提出了一种基于纯移位的1H局部MRS方法,作为高分辨率生物样品研究的概念证明。受益于从多重峰到单线峰的光谱简化,这种方法解决了常规MRS实验中遇到的光谱拥塞的挑战,并有助于从拥挤的NMR共振中进行代谢物分析。在不同类型的样本上证明了所提出的纯移位1HMRS方法的性能,包括完整的猪脑组织和葡萄组织的脑代谢物模型和体外生物样本,使用7.0T动物MRI扫描仪。由于其通常采用的脉冲序列模块,因此所提出的MRS方法很容易在普通的商用NMR/MRI仪器中实现。因此,这项研究为MRS研究在代谢物分析和疾病诊断方面的潜在应用迈出了有意义的一步。
    Proton magnetic resonance spectroscopy (1H MRS) presents a powerful tool for revealing molecular-level metabolite information, complementary to the anatomical insight delivered by magnetic resonance imaging (MRI), thus playing a significant role in in vivo/in vitro biological studies. However, its further applications are generally confined by spectral congestion caused by numerous biological metabolites contained within the limited proton frequency range. Herein, we propose a pure-shift-based 1H localized MRS method as a proof of concept for high-resolution studies of biological samples. Benefitting from the spectral simplification from multiplets to singlet peaks, this method addresses the challenge of spectral congestion encountered in conventional MRS experiments and facilitates metabolite analysis from crowded NMR resonances. The performance of the proposed pure-shift 1H MRS method is demonstrated on different kinds of samples, including brain metabolite phantom and in vitro biological samples of intact pig brain tissue and grape tissue, using a 7.0 T animal MRI scanner. This proposed MRS method is readily implemented in common commercial NMR/MRI instruments because of its generally adopted pulse-sequence modules. Therefore, this study takes a meaningful step for MRS studies toward potential applications in metabolite analysis and disease diagnosis.
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  • 文章类型: Journal Article
    背景:众所周知,性别差异对重度抑郁症(MDD)患者具有重大影响。这项研究旨在评估MDD患者前扣带回皮质(ACC)中血清微量元素与神经代谢变化之间的性别相关关系。
    方法:109名未经治疗的MDD患者和59名健康对照者在静息条件下接受质子磁共振波谱(1H-MRS)检查。我们从两侧测量了ACC的代谢比率。此外,从所有参与者中抽取静脉血样本以检测钙(Ca),磷,镁(Mg),铜(Cu),铜蓝蛋白(CER),锌(Zn),和铁(Fe)水平。我们进行了关联和相互作用分析,以探索疾病与性别之间的联系。
    结果:在患有MDD的个体中,铜/锌比增加,而镁的含量,CER,Zn和Fe降低。男性MDD患者的铜水平较低,而女性患者的Cu/Zn比值增加。我们观察到Cu的显著性别差异,MDD中的CER和Cu/Zn比。男性患者在左侧ACC中显示N-乙酰天冬氨酸(NAA)/磷酸肌酸肌酸(PCrCr)比率降低。MDD患者右侧ACC的NAA/PCrCr比值降低。在男性MDD患者的左ACC中,Cu/Zn比与NAA/PCr+Cr比呈负相关,Fe含量与GPC+PC/PCr+Cr比值呈负相关。
    结论:我们的研究结果强调了男性MDD患者中Cu稳态的性别特异性变化。男性MDD患者的Cu/Zn比率和Fe水平与ACC的神经代谢改变显着相关。
    BACKGROUND: It is widely known that sex differences have a significant impact on patients with major depressive disorder (MDD). This study aims to evaluate the sex-related connection between serum trace elements and changes in neurometabolism in the anterior cingulate cortex (ACC) of MDD patients.
    METHODS: 109 untreated MDD patients and 59 healthy controls underwent proton magnetic resonance spectroscopy (1H-MRS) under resting conditions. We measured metabolic ratios in the ACC from both sides. Additionally, venous blood samples were taken from all participants to detect calcium (Ca), phosphorus, magnesium (Mg), copper (Cu), ceruloplasmin (CER), zinc (Zn), and iron (Fe) levels. We performed association and interaction analyses to explore the connections between the disease and gender.
    RESULTS: In individuals with MDD, the Cu/Zn ratio increased, while the levels of Mg, CER, Zn and Fe decreased. Male MDD patients had lower Cu levels, while female patients had an increased Cu/Zn ratio. We observed significant gender differences in Cu, CER and the Cu/Zn ratio in MDD. Male patients showed a reduced N-acetyl aspartate (NAA)/phosphocreatine + creatine (PCr + Cr) ratio in the left ACC. The NAA/PCr + Cr ratio decreased in the right ACC in patients with MDD. In the left ACC of male MDD patients, the Cu/Zn ratio was inversely related to the NAA/PCr + Cr ratio, and Fe levels were negatively associated with the GPC + PC/PCr + Cr ratio.
    CONCLUSIONS: Our findings highlight gender-specific changes in Cu homeostasis among male MDD patients. The Cu/Zn ratio and Fe levels in male MDD patients were significantly linked to neurometabolic alterations in the ACC.
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  • 文章类型: Journal Article
    Wilson病(WD)是一种常染色体隐性遗传疾病,其特征是铜代谢异常。铜在肝脏中的积累可以进展为肝纤维化,最终,肝硬化,这是WD患者死亡的主要原因。代谢组学技术通过监测体内小分子代谢物的变化,为研究WD相关肝纤维化的中医证型提供了有效的方法。在这项研究中,我们采用1H-核磁共振(1HNMR)代谢组学评估与WD相关肝纤维化的5种中医证型相关的代谢谱,并分析了各种代谢物的诊断和预测能力.研究发现了多种代谢产物,每个都有不同水平的诊断和预测能力。此外,识别的差异代谢途径主要与涉及碳水化合物代谢的各种途径有关,氨基酸代谢,和脂质代谢。本研究已经确定了各种特征性的代谢标志物和通路与不同中医证型的肝纤维化相关。为研究这些中医证型的潜在机制提供了坚实的基础。
    Wilson disease (WD) is an autosomal recessive disorder characterized by abnormal copper metabolism. The accumulation of copper in the liver can progress to liver fibrosis and, ultimately, cirrhosis, which is a primary cause of death in WD patients. Metabonomic technology offers an effective approach to investigate the traditional Chinese medicine (TCM) syndrome types of WD-related liver fibrosis by monitoring the alterations in small molecule metabolites within the body. In this study, we employed 1H-Nuclear Magnetic Resonance (1H NMR) metabonomics to assess the metabolic profiles associated with five TCM syndrome types of WD-related liver fibrosis and analyzed the diagnostic and predictive capabilities of various metabolites. The study found a variety of metabolites, each with varying levels of diagnostic and predictive capabilities. Furthermore, the discerned differential metabolic pathways were primarily associated with various pathways involving carbohydrate metabolism, amino acid metabolism, and lipid metabolism. This study has identified various characteristic metabolic markers and pathways associated with different TCM syndromes of liver fibrosis in WD, providing a substantial foundation for investigating the mechanisms underlying these TCM syndromes.
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  • 文章类型: Journal Article
    九种3-芳基异喹啉生物碱,包括五种未描述的生物碱,增生瘤A-E(1-5),在1H-NMR的指导下,从整个草本植物中分离得到。它们的结构是通过1D的组合建立的,2DNMR,和HRESIMS光谱法。其中,上皮瘤A和B具有稀有的尿素部分,而上皮瘤C和D的特征是3-(甲基氨基)丙酸支架。生物学分析表明,生物碱hypectomineB和2,3-二甲氧基-N-甲酰山莨菪碱通过抑制LPS诱导的RAW264.7细胞产生NO而具有抗炎作用,IC50值分别为24.4和44.2μM。分别。此外,hypectomineB可以降低促炎细胞因子TNF-α和IL-6的表达,提示其可能是治疗炎症性疾病的潜在候选药物。
    Nine 3-arylisoquinoline alkaloids including five undescribed ones, hypectumines A-E (1-5), were isolated from the whole herb of Hypecoum erectum L. with the guidance of 1H-NMR. Their structures were established by a combination of 1D, 2D NMR, and HRESIMS spectrometry. Among them, hypectumines A and B possessed rare urea moieties while hypectumines C and D were characterized by 3-(methylamino)propanoic acid scaffolds. Biological assay demonstrated that alkaloids hypectumine B and 2,3-dimethoxy-N-formylcorydamine had anti-inflammatory effects by inhibiting NO production on LPS-induced RAW264.7 cells with IC50 values of 24.4 and 44.2 μM, respectively. Furthermore, hypectumine B could reduce the expression of pro-inflammatory cytokines TNF-α and IL-6, suggesting it might be a potential candidate for treating inflammatory disease.
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  • 文章类型: Journal Article
    背景:这项研究的目的是调查睡眠质量差(PSQ定义为匹兹堡睡眠质量指数>5且睡眠效率≤85%)的强迫症(OCD)患者与睡眠质量好(GSQ)和健康对照(HCs)的强迫症患者的静息和活跃丘脑神经代谢水平和抑制功能之间的差异,以及这些指标与强迫症状的关系。
    方法:使用功能磁共振波谱(fMRS)测量72名受试者(研究分析中包括20名HCs和38名OCD患者)的静息和活跃丘脑神经代谢物水平。在MRS记录之前和期间通过Go-Nogo任务测量反应抑制功能。使用匹兹堡睡眠质量指数(PSQI)评估主观睡眠质量。强迫症的症状,使用相关临床量表评估焦虑和抑郁情绪。
    结果:OCD患者静息丘脑中Glx/Cr水平显着降低。静息丘脑Glu/Cr和Glx/Cr在伴PSQ的OCD患者中的程度显著最低。强迫症患者在围棋任务上的正确率明显较低,Nogo任务的错误率更高,对Nogo任务的错误平均响应时间(EART)更长。具有PSQ的OCD患者表现出最高的Nogo任务差错率和最长的EART至Nogo任务。此外,PSQI评分与静息丘脑中的Glu/Cr和Glx/Cr呈负相关。
    结论:患有PSQ的强迫症患者表现出丘脑静息Glx水平降低和更明显的反应抑制功能损害。关键大脑区域的神经代谢物水平异常,再加上增强的反应抑制功能缺陷,可能是OCD患者通常表现出的PSQ的神经生物学基础。
    BACKGROUND: The aim of this study was to investigate the differences between resting and active thalamic neurometabolite levels and inhibitory function in obsessive compulsive disorder (OCD) patients with poor sleep quality (PSQ was defined as Pittsburgh Sleep Quality Index >5 and sleep efficiency ≤85%) compared to OCD patients with good sleep quality (GSQ) and healthy controls (HCs), as well as the relationship of these indices to obsessive compulsive symptoms.
    METHODS: Functional magnetic resonance spectroscopy (fMRS) was used to measure resting and active thalamic neurometabolite levels in 72 subjects (20 HCs and 38 OCD patients included in study analysis). Response inhibition function was measured by the Go-Nogo task before and during MRS recording. Subjective sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). The symptoms of OCD, anxiety and depression were evaluated using relevant clinical scales.
    RESULTS: OCD patients exhibited significantly reduced Glx/Cr levels in the resting thalamus. The levels of resting thalamic Glu/Cr and Glx/Cr in OCD patients with PSQ were significantly lowest. OCD patients had significantly lower correct rates on Go tasks, higher error rates on Nogo tasks, and longer error average response times (EART) to the Nogo task. OCD patients with PSQ demonstrated the highest Nogo task error rate and the longest EART to Nogo task. Furthermore, PSQI scores exhibited negative correlations with Glu/Cr and Glx/Cr in the resting thalamus.
    CONCLUSIONS: OCD patients with PSQ demonstrated reduced levels of thalamic resting Glx and more pronounced response inhibitory function impairment. Aberrant neurometabolite levels in critical brain regions, coupled with heightened response inhibition function deficits, may be a neurobiological basis for the PSQ that OCD patients generally exhibit.
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