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Brain structural covariance networks in obsessive-compulsive disorder: a graph analysis from the ENIGMA Consortium

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机构: [1]Seoul National University Hospital, Seoul, Republic of Korea [2]Yeongeon Student Support Center, Seoul National University College of Medicine, Seoul, Republic of Korea [3]Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, Amsterdam Neuroscience, Amsterdam, The Netherlands [4]Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Anatomy & Neurosciences, Amsterdam Neuroscience, Amsterdam,The Netherlands [5]Imaging Genetics Center, Mark and Mary Stevens Neuroimaging & Informatics Institute, Keck School of Medicine of the Universityof Southern California, Marina del Rey, CA, USA [6]Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan [7]The Margaret and Wallace McCain Centre for Child, Youth & Family Mental Health, Campbell Family Mental Health ResearchInstitute, The Centre for Addiction and Mental Health, Department of Psychiatry, Faculty of Medicine, University of Toronto,Toronto, Canada [8]Centre for Brain and Mental Health, The Hospital for Sick Children, Toronto, Canada [9]Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA [10]Mathison Centre for Mental Health Research and Education, Hotchkiss Brain Institute, Cumming School of Medicine, University ofCalgary, Calgary, Alberta, Canada [11]Department of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada [12]Departamento e Instituto de Psiquiatria do Hospital das Clinicas, IPQ HCFMUSP, Faculdade de Medicina, Universidade de SaoPaulo, SP, Brazil [13]Psychiatry and Clinical Psychobiology, Division of Neuroscience, Scientific Institute Ospedale San Raffaele, Milano, Italy [14]Department of Psychology, Humboldt-Universita¨ t zu Berlin, Berlin, Germany [15]Obsessive-Compulsive Disorder (OCD) Clinic Department of Psychiatry National Institute of Mental Health and Neurosciences,Bangalore, India [16]Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric Hospital, University of Zurich, Zurich, Switzerland [17]Magnetic Resonance Image Core Facility, IDIBAPS (Institut d’Investigacions Biome`diques August Pi i Sunyer), Barcelona, Spain [18]Department of Psychiatry, First Affiliated Hospital of Kunming Medical University, Kunming, China [19]Institute of Human Behavioral Medicine, SNU-MRC, Seoul, Republic of Korea [20]Laboratory of Neuropsychiatry, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Rome, Italy [21]Amsterdam UMC, University of Amsterdam, Department of Psychiatry, Amsterdam Neuroscience, Amsterdam, The Netherlands [22]Netherlands Institute for Neuroscience, Royal Netherlands Academy of Arts and Sciences, Amsterdam, The Netherlands [23]Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, CA, USA [24]SAMRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, University of Cape Town, Cape Town, SouthAfrica [25]Centro de Investigacio´n Biome´dica en Red de Salud Mental (CIBERSAM), Carlos III Health Institute, Barcelona, Spain [26]Department of Psychiatry, Bellvitge University Hospital, Bellvitge Biomedical Research Institute-IDIBELL, L’Hospitalet de Llobregat,Barcelona, Spain [27]Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine, PR China [28]De Bascule, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands [29]Amsterdam UMC, Department of Child and Adolescent Psychiatry, Amsterdam, The Netherlands [30]Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi Higashi-ku, Fukuoka,Japan [31]Department of Neuroradiology, Klinikum rechts der Isar, Technische Universita¨t Mu¨nchen, Germany [32]TUM-Neuroimaging Center (TUM-NIC) of Klinikum rechts der Isar, Technische Universita¨t Mu¨nchen, Germany [33]Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clı´nic Universitari, Barcelona,Spain [34]Institut d’Investigacions Biome`diques August Pi i Sunyer (IDIBAPS), Barcelona, Spain [35]Department of Medicine, University of Barcelona, Barcelona, Spain [36]Centro de Investigacio´n Biome`dica en Red de Salud Mental (CIBERSAM), Barcelona, Spain [37]SAMRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, South Africa [38]Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal [39]Columbia University Medical College, Columbia University, New York, NY, USA [40]The New York State Psychiatric Institute, New York, NY, USA [41]Department of Psychiatry, Bellvitge University Hospital, Bellvitge Biomedical Research Institute-IDIBELL, L’Hospitalet de Llobregat,Barcelona, Spain [42]Department of Clinical Sciences, University of Barcelona, Spain [43]Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden [44]McMaster University, Department of Psychiatry and Behavioural Neurosciences, Hamilton, Ontario, Canada [45]Clinical Academic Center–Braga, Braga, Portugal [46]ICVS-3Bs PT Government Associate Laboratory, Braga, Portugal [47]Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan [48]Division of Child and Adolescent Psychiatry, University of California, Los Angeles, CA, USA [49]Center for Mathematics, Computing and Cognition, Universidade Federal do ABC, Santo Andre, Brazil [50]Center for OCD and Related Disorders, New York State Psychiatric Institute, New York, NY, USA [51]Pediatric OCD Consultation Service, Anxiety Treatment and Research Center, St. Joseph’s HealthCare, Hamilton, Ontario, Canada [52]Department of Psychobiology and Methodology of Health Sciences, Universitat Auto`noma de Barcelona, Spain [53]Beth K. and Stuart C. Yudofsky Division of Neuropsychiatry, Department of Psychiatry and Behavioral Sciences, Baylor College ofMedicine, Houston, Texas, USA [54]Yale University School of Medicine, New Haven, Connecticut, USA [55]Clinical Neuroscience and Development Laboratory, Olin Neuropsychiatry Research Center, Hartford, Connecticut, USA [56]Icahn School of Medicine at Mount Sinai, New York, USA [57]James J. Peters VA Medical Center, Bronx, New York, USA [58]Institute of Living/Hartford Hospital, Hartford, Connecticut, USA [59]Shanghai Key Laboratory of Psychotic Disorders, PR China [60]Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, PR China [61]Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea [62]Department of Brain and Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, Republic of Korea
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关键词: brain structural covariance network graph theory obsessive-compulsive disorder pharmacotherapy illness duration

摘要:
Brain structural covariance networks reflect covariation in morphology of different brain areas and are thought to reflect commontrajectories in brain development and maturation. Large-scale investigation of structural covariance networks in obsessive-compulsivedisorder (OCD) may provide clues to the pathophysiology of this neurodevelopmental disorder. Using T1-weighted MRI scansacquired from 1616 individuals with OCD and 1463 healthy controls across 37 datasets participating in the ENIGMA-OCDWorking Group, we calculated intra-individual brain structural covariance networks (using the bilaterally-averaged values of 33cortical surface areas, 33 cortical thickness values, and six subcortical volumes), in which edge weights were proportional to thesimilarity between two brain morphological features in terms of deviation from healthy controls (i.e. z-score transformed). Globalnetworks were characterized using measures of network segregation (clustering and modularity), network integration (global efficiency),and their balance (small-worldness), and their community membership was assessed. Hub profiling of regional networkswas undertaken using measures of betweenness, closeness, and eigenvector centrality. Individually calculated network measureswere integrated across the 37 datasets using a meta-analytical approach. These network measures were summated across the networkdensity range of K = 0.10-0.25 per participant, and were integrated across the 37 datasets using a meta-analytical approach. Compared with healthy controls, at a global level, the structural covariance networks of OCD showed lower clustering(P<0.0001), lower modularity (P<0.0001), and lower small-worldness (P = 0.017). Detection of community membershipemphasized lower network segregation in OCD compared to healthy controls. At the regional level, there were lower (rank-transformed)centrality values in OCD for volume of caudate nucleus and thalamus, and surface area of paracentral cortex, indicativeof altered distribution of brain hubs. Centrality of cingulate and orbito-frontal as well as other brain areas was associated withOCD illness duration, suggesting greater involvement of these brain areas with illness chronicity. In summary, the findings of thisstudy, the largest brain structural covariance study of OCD to date, point to a less segregated organization of structural covariancenetworks in OCD, and reorganization of brain hubs. The segregation findings suggest a possible signature of altered brain morphometryin OCD, while the hub findings point to OCD-related alterations in trajectories of brain development and maturation, particularlyin cingulate and orbitofrontal regions.

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出版当年[2020]版:
大类 | 1 区 医学
小类 | 1 区 临床神经病学 1 区 神经科学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 临床神经病学 1 区 神经科学
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出版当年[2019]版:
Q1 NEUROSCIENCES Q1 CLINICAL NEUROLOGY
最新[2023]版:
Q1 CLINICAL NEUROLOGY Q1 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Seoul National University Hospital, Seoul, Republic of Korea [2]Yeongeon Student Support Center, Seoul National University College of Medicine, Seoul, Republic of Korea
通讯作者:
通讯机构: [61]Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea [62]Department of Brain and Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, Republic of Korea [*1]Department of Psychiatry, Seoul National University College of Medicine, 101, Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea
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