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1.
Mol Psychiatry ; 28(8): 3524-3530, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37582857

RESUMO

Risky decision-making is a common, heritable endophenotype seen across many psychiatric disorders. Its underlying genetic architecture is incompletely explored. We examined behavior in the Balloon Analogue Risk Task (BART), which tests risky decision-making, in two independent samples of European ancestry. One sample (n = 1138) comprised healthy participants and some psychiatric patients (53 schizophrenia, 42 bipolar disorder, 47 ADHD); the other (n = 911) excluded for recent treatment of various psychiatric disorders but not ADHD. Participants provided DNA and performed the BART, indexed by mean adjusted pumps. We constructed a polygenic risk score (PRS) for discovery in each dataset and tested it in the other as replication. Subsequently, a genome-wide MEGA-analysis, combining both samples, tested genetic correlation with risk-taking self-report in the UK Biobank sample and psychiatric phenotypes characterized by risk-taking (ADHD, Bipolar Disorder, Alcohol Use Disorder, prior cannabis use) in the Psychiatric Genomics Consortium. The PRS for BART performance in one dataset predicted task performance in the replication sample (r = 0.13, p = 0.000012, pFDR = 0.000052), as did the reciprocal analysis (r = 0.09, p = 0.0083, pFDR=0.04). Excluding participants with psychiatric diagnoses produced similar results. The MEGA-GWAS identified a single SNP (rs12023073; p = 3.24 × 10-8) near IGSF21, a protein involved in inhibitory brain synapses; replication samples are needed to validate this result. A PRS for self-reported cannabis use (p = 0.00047, pFDR = 0.0053), but not self-reported risk-taking or psychiatric disorder status, predicted behavior on the BART in our MEGA-GWAS sample. The findings reveal polygenic architecture of risky decision-making as measured by the BART and highlight its overlap with cannabis use.


Assuntos
Transtorno Bipolar , Esquizofrenia , Humanos , Transtorno Bipolar/genética , Esquizofrenia/genética , Fatores de Risco , Encéfalo , Consumo de Bebidas Alcoólicas , Estudo de Associação Genômica Ampla , Herança Multifatorial/genética , Predisposição Genética para Doença/genética
2.
Ecology ; 102(3): e03261, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33226642

RESUMO

The United States is home to many anuran species, each with traits that set them apart from one another. Understanding trait variation within and between anurans is key to many successful conservation, management, and research efforts. However, compiling trait data is intensive and time consuming. Trait databases can meet this need, but currently there is no detailed database that collates trait data for anurans of the contiguous United States. into a single location with transparency regarding original data sources. Furthermore, many currently available trait databases rarely report multiple data points for a given species' trait, frequently reporting a single averaged value. We present an anuran traits database for the contiguous United States that includes trait data from 411 unique references. We collated trait values for 106 native and nonnative species using a tiered search protocol. First, we digitized trait data from 33 state guide books for 12 ecological, morphological, and life history traits commonly reported in the literature. We then performed a targeted search of the primary literature to address data gaps, ultimately identifying an additional 356 peer-reviewed publications, theses, and agency reports with data fitting our criteria. Finally, we digitized trait data from 22 national and regional guidebooks. Following data compilation, we conducted an intensive data quality check procedure that included both manual and statistical analyses. For full transparency, all trait values are traceable to their original reference with additional metrics (e.g., reference count, data tier) to allow users to easily filter the full data set to fit the user's needs. Overall, we report 89% of included species with trait values for at least half of the 12 traits included, providing high coverage for interspecific analyses. With a high degree of transparency, inclusion of all original data sources, and a tiered system for cataloguing data source type, ATraiU can uniquely contribute to anuran ecology and conservation in the United States. Please cite this data paper when using the data. If using a specific trait value or values, please cite the original reference(s).

3.
Mol Psychiatry ; 23(5): 1320-1327, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-28894300

RESUMO

Chronic methamphetamine use poses potentially devastating consequences for directly affected individuals and for society. Lower dopamine D2-type receptor availability has been observed in striata of methamphetamine users as compared with controls, but an analogous comparison of D1-type receptors has been conducted only on post-mortem material, with no differences in methamphetamine users from controls in the caudate nucleus and putamen and higher D1-receptor density in the nucleus accumbens. Released from neurons when methamphetamine is self-administered, dopamine binds to both D1- and D2-type receptors in the striatum, with downstream effects on cortical activity. Thus, both receptor subtypes may contribute to methamphetamine-induced alterations in cortical morphology and behavior. In this study, 21 methamphetamine-dependent subjects and 23 healthy controls participated in positron emission tomography and structural magnetic resonance imaging for assessment of striatal D1- and D2-type receptor availability and cortical gray-matter thickness, respectively. Although D2-type receptor availability (BPnd) was lower in the methamphetamine group, as shown previously, the groups did not differ in D1-type BPnd. In the methamphetamine group, mean cortical gray-matter thickness was negatively associated with cumulative methamphetamine use and craving for the drug. Striatal D1-type but not D2-type BPnd was negatively associated with global mean cortical gray-matter thickness in the methamphetamine group, but no association was found between gray-matter thickness and BPnd for either dopamine receptor subtype in the control group. These results suggest a role of striatal D1-type receptors in cortical adaptation to chronic methamphetamine use.


Assuntos
Transtornos Relacionados ao Uso de Anfetaminas/metabolismo , Corpo Estriado/metabolismo , Receptores de Dopamina D1/metabolismo , Adulto , Estudos de Casos e Controles , Núcleo Caudado/metabolismo , Dopamina/farmacologia , Feminino , Substância Cinzenta/metabolismo , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Metanfetamina/farmacologia , Núcleo Accumbens/metabolismo , Tomografia por Emissão de Pósitrons/métodos , Receptores de Dopamina D2/metabolismo , Adulto Jovem
5.
Mol Psychiatry ; 22(3): 336-345, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-28093568

RESUMO

The complex nature of human cognition has resulted in cognitive genomics lagging behind many other fields in terms of gene discovery using genome-wide association study (GWAS) methods. In an attempt to overcome these barriers, the current study utilized GWAS meta-analysis to examine the association of common genetic variation (~8M single-nucleotide polymorphisms (SNP) with minor allele frequency ⩾1%) to general cognitive function in a sample of 35 298 healthy individuals of European ancestry across 24 cohorts in the Cognitive Genomics Consortium (COGENT). In addition, we utilized individual SNP lookups and polygenic score analyses to identify genetic overlap with other relevant neurobehavioral phenotypes. Our primary GWAS meta-analysis identified two novel SNP loci (top SNPs: rs76114856 in the CENPO gene on chromosome 2 and rs6669072 near LOC105378853 on chromosome 1) associated with cognitive performance at the genome-wide significance level (P<5 × 10-8). Gene-based analysis identified an additional three Bonferroni-corrected significant loci at chromosomes 17q21.31, 17p13.1 and 1p13.3. Altogether, common variation across the genome resulted in a conservatively estimated SNP heritability of 21.5% (s.e.=0.01%) for general cognitive function. Integration with prior GWAS of cognitive performance and educational attainment yielded several additional significant loci. Finally, we found robust polygenic correlations between cognitive performance and educational attainment, several psychiatric disorders, birth length/weight and smoking behavior, as well as a novel genetic association to the personality trait of openness. These data provide new insight into the genetics of neurocognitive function with relevance to understanding the pathophysiology of neuropsychiatric illness.


Assuntos
Cognição/fisiologia , Transtornos Neurocognitivos/genética , Adulto , Alelos , Feminino , Frequência do Gene/genética , Estudos de Associação Genética/métodos , Loci Gênicos/genética , Predisposição Genética para Doença/genética , Variação Genética/genética , Estudo de Associação Genômica Ampla/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Herança Multifatorial/genética , Polimorfismo de Nucleotídeo Único/genética , População Branca/genética
6.
Sci Data ; 3: 160110, 2016 12 06.
Artigo em Inglês | MEDLINE | ID: mdl-27922632

RESUMO

This data descriptor outlines a shared neuroimaging dataset from the UCLA Consortium for Neuropsychiatric Phenomics, which focused on understanding the dimensional structure of memory and cognitive control (response inhibition) functions in both healthy individuals (130 subjects) and individuals with neuropsychiatric disorders including schizophrenia (50 subjects), bipolar disorder (49 subjects), and attention deficit/hyperactivity disorder (43 subjects). The dataset includes an extensive set of task-based fMRI assessments, resting fMRI, structural MRI, and high angular resolution diffusion MRI. The dataset is shared through the OpenfMRI project, and is formatted according to the Brain Imaging Data Structure (BIDS) standard.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/fisiopatologia , Transtorno Bipolar/fisiopatologia , Cognição/fisiologia , Inibição Psicológica , Memória/fisiologia , Esquizofrenia/fisiopatologia , Adulto , Feminino , Neuroimagem Funcional , Voluntários Saudáveis , Humanos , Disseminação de Informação , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Análise e Desempenho de Tarefas , Adulto Jovem
7.
Adv Pharmacol ; 76: 67-84, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27288074

RESUMO

The nonmedical use of amphetamine-type stimulants is a worldwide problem, with substantial medical and social consequences. Nonetheless, the identification of a pharmacological treatment for amphetamine use disorder remains elusive. Stimulant users exhibit neurochemical evidence of dopamine-system dysfunction as well as impulsive behaviors that may interfere with the success of treatments for their addiction. This review focuses on the potential role of dopaminergic neurotransmission in impulsivity, both in healthy individuals and chronic stimulant users who meet criteria for methamphetamine dependence. Presented are findings related to the potential contributions of signaling through dopamine D1- and D2-type receptors to self-control impulsivity in methamphetamine- dependent users. The information available points to signaling through striatal D2-type dopamine receptors as a potential therapeutic target for stimulant use disorders, but medications that target D2-type dopamine receptors have not been successful in treating stimulant-use disorders, possibly because D2-type receptors are downregulated. Other means to augment D2-type receptor signaling are therefore under consideration, and one promising approach is the addition of exercise training as an adjunct to behavioral treatment for addiction.


Assuntos
Transtornos Relacionados ao Uso de Anfetaminas/fisiopatologia , Comportamento Impulsivo/efeitos dos fármacos , Metanfetamina/efeitos adversos , Estimulantes do Sistema Nervoso Central , Corpo Estriado/metabolismo , Dopamina/metabolismo , Humanos , Receptores de Dopamina D2/metabolismo , Transmissão Sináptica
8.
Mol Psychiatry ; 21(11): 1554-1560, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-26830141

RESUMO

Stimulant use disorders are associated with deficits in striatal dopamine receptor availability, abnormalities in mesocorticolimbic resting-state functional connectivity (RSFC) and impulsivity. In methamphetamine-dependent research participants, impulsivity is correlated negatively with striatal D2-type receptor availability, and mesocorticolimbic RSFC is stronger than that in controls. The extent to which these features of methamphetamine dependence are interrelated, however, is unknown. This question was addressed in two studies. In Study 1, 19 methamphetamine-dependent and 26 healthy control subjects underwent [18F]fallypride positron emission tomography to measure ventral striatal dopamine D2-type receptor availability, indexed by binding potential (BPND), and functional magnetic resonance imaging (fMRI) to assess mesocorticolimbic RSFC, using a midbrain seed. In Study 2, an independent sample of 20 methamphetamine-dependent and 18 control subjects completed the Barratt Impulsiveness Scale in addition to fMRI. Study 1 showed a significant group by ventral striatal BPND interaction effect on RSFC, reflecting a negative relationship between ventral striatal BPND and RSFC between the midbrain and striatum, orbitofrontal cortex and insula in methamphetamine-dependent participants, but a positive relationship in the control group. In Study 2, an interaction of the group with RSFC on impulsivity was observed. Methamphetamine-dependent users exhibited a positive relationship of midbrain RSFC to the left ventral striatum with cognitive impulsivity, whereas a negative relationship was observed in healthy controls. The results indicate that ventral striatal D2-type receptor signaling may affect the system-level activity within the mesocorticolimbic system, providing a functional link that may help explain high impulsivity in methamphetamine-dependent individuals.


Assuntos
Comportamento Impulsivo/efeitos dos fármacos , Mesencéfalo/efeitos dos fármacos , Receptores de Dopamina D2/metabolismo , Adulto , Transtornos Relacionados ao Uso de Anfetaminas/metabolismo , Estimulantes do Sistema Nervoso Central , Dopamina/metabolismo , Feminino , Humanos , Comportamento Impulsivo/fisiologia , Imageamento por Ressonância Magnética , Masculino , Metanfetamina/efeitos adversos , Metanfetamina/metabolismo , Pessoa de Meia-Idade , Tomografia por Emissão de Pósitrons/métodos , Córtex Pré-Frontal/metabolismo , Receptores de Dopamina D2/fisiologia , Estriado Ventral/efeitos dos fármacos , Estriado Ventral/fisiopatologia
9.
Mol Psychiatry ; 21(2): 229-36, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25600111

RESUMO

Adding supraphysiologic doses of levothyroxine (L-T4) to standard treatment for bipolar depression shows promise, but the mechanisms underlying clinical improvement are unknown. In a previous pilot study, L-T4 treatment reduced depression scores and activity within the anterior limbic network. Here we extended this work in a randomized, double-blind, placebo-controlled study of patients with bipolar depression. Cerebral glucose metabolism was assessed with positron emission tomography and [F-18]fluorodeoxyglucose before and after 6 weeks of treatment with L-T4 (n=15) or placebo (n=10) in 12 volumes of interest (VOIs): the bilateral thalamus, amygdala, hippocampus, dorsal striatum and ventral striatum, and midline cerebellar vermis and subgenual cingulate cortex. Radioactivity in the VOIs, normalized to whole-brain radioactivity was taken as a surrogate index of glucose metabolism, and markers of thyroid function were assayed. Changes in brain activity and their association with clinical response were assessed using statistical parametric mapping. Adjunctive L-T4 treatment produced a significant decline in depression scores during the 6-week treatment. In patients treated with L-T4, we found a significant decrease in regional activity at P<0.05 after Bonferroni correction in the left thalamus, right amygdala, right hippocampus, left ventral striatum and the right dorsal striatum. Decreases in the left thalamus, left dorsal striatum and the subgenual cingulate were correlated with a reduction in depression scores (P<0.05 after Bonferroni correction). Placebo treatment was associated with a significant decrease in activity only in the right amygdala, and no region had a change in activity that was correlated with change in depression scores. The groups differed significantly in the relationship between the changes in depression scores and in activity in the thalamus bilaterally and the left ventral striatum. The findings provide evidence that administration of supraphysiologic thyroid hormone improves depressive symptoms in patients with bipolar disorder by modulating function in components of the anterior limbic network.


Assuntos
Transtorno Bipolar/metabolismo , Tiroxina/efeitos dos fármacos , Tiroxina/metabolismo , Adulto , Tonsila do Cerebelo/metabolismo , Transtorno Bipolar/tratamento farmacológico , Encéfalo/metabolismo , Mapeamento Encefálico , Depressão/complicações , Método Duplo-Cego , Feminino , Glucose/metabolismo , Giro do Cíngulo/metabolismo , Humanos , Sistema Límbico/metabolismo , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Placebos , Tomografia por Emissão de Pósitrons/métodos , Córtex Pré-Frontal/metabolismo , Escalas de Graduação Psiquiátrica , Resultado do Tratamento
11.
Mol Psychiatry ; 20(6): 764-71, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25896164

RESUMO

Dysfunction of the mesocorticolimbic system has a critical role in clinical features of addiction. Despite evidence suggesting that midbrain dopamine receptors influence amphetamine-induced dopamine release and that dopamine is involved in methamphetamine-induced neurotoxicity, associations between dopamine receptors and gray-matter volume have been unexplored in methamphetamine users. Here we used magnetic resonance imaging and [(18)F]fallypride positron emission tomography, respectively, to measure gray-matter volume (in 58 methamphetamine users) and dopamine D2/D3 receptor availability (binding potential relative to nondisplaceable uptake of the radiotracer, BPnd) (in 31 methamphetamine users and 37 control participants). Relationships between these measures and self-reported drug craving were examined. Although no difference in midbrain D2/D3 BPnd was detected between methamphetamine and control groups, midbrain D2/D3 BPnd was positively correlated with gray-matter volume in the striatum, prefrontal cortex, insula, hippocampus and temporal cortex in methamphetamine users, but not in control participants (group-by-midbrain D2/D3 BPnd interaction, P<0.05 corrected for multiple comparisons). Craving for methamphetamine was negatively associated with gray-matter volume in the insula, prefrontal cortex, amygdala, temporal cortex, occipital cortex, cerebellum and thalamus (P<0.05 corrected for multiple comparisons). A relationship between midbrain D2/D3 BPnd and methamphetamine craving was not detected. Lower midbrain D2/D3 BPnd may increase vulnerability to deficits in gray-matter volume in mesocorticolimbic circuitry in methamphetamine users, possibly reflecting greater dopamine-induced toxicity. Identifying factors that influence prefrontal and limbic volume, such as midbrain BPnd, may be important for understanding the basis of drug craving, a key factor in the maintenance of substance-use disorders.


Assuntos
Comportamento de Procura de Droga/fisiologia , Substância Cinzenta/patologia , Mesencéfalo/patologia , Metanfetamina , Receptores de Dopamina D2/metabolismo , Transtornos Relacionados ao Uso de Substâncias , Benzamidas/farmacocinética , Antagonistas de Dopamina/farmacocinética , Feminino , Fluordesoxiglucose F18/farmacocinética , Substância Cinzenta/efeitos dos fármacos , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Mesencéfalo/diagnóstico por imagem , Mesencéfalo/efeitos dos fármacos , Metanfetamina/farmacologia , Tomografia por Emissão de Pósitrons , Ligação Proteica/efeitos dos fármacos , Análise de Regressão , Transtornos Relacionados ao Uso de Substâncias/patologia , Transtornos Relacionados ao Uso de Substâncias/fisiopatologia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Fatores de Tempo
12.
Horm Metab Res ; 46(12): 897-903, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25295416

RESUMO

The cAMP signaling pathway is implicated in bilateral adrenocortical hyperplasias (BAHs), which are often associated with ACTH-independent Cushing syndrome (CS). Although CS is invariably associated with obesity and is frequently associated with PKA signaling defects, we recently reported that its different forms appear to also present with variable weight gain and adiposity. The present study was aimed at characterizing further the phenotypic and molecular differences in periadrenal adipose tissue (PAT) among patients with subtypes of CS, by anthropometric/biochemical analyses and quantification of PKA expression and activity in BAHs in comparison to a non-CS group with aldosterone producing adenomas (APAs). Glucocorticoid levels, serum parameters, and BMI were analyzed among a larger patient cohort including those with different forms of CS, APAs, and Cushing disease. Abdominal CT scans were available for a small subset of patients examined for fat distribution. PAT collected during adrenalectomy was assayed for PKA activity, cAMP, and PKA expression. BMI and BMI z-score were lower in adults with PPNAD with PRKAR1A mutations and in pediatric patients with PPNAD with and without PRKAR1A mutations, respectively. Patients with PPNAD had higher cAMP levels in PAT and different fat distribution. Thus, PKA activity in PAT differed between CS diagnostic groups. Increased cAMP and PKA activity may have contributed to phenotypic differences among subtypes of CS. In agreement with the known roles of cAMP signaling in the regulation of adiposity, patients with PPNAD were less obese than other patients with CS.


Assuntos
Adiposidade , Síndrome de Cushing/diagnóstico , Síndrome de Cushing/patologia , Glucocorticoides/efeitos adversos , Obesidade/induzido quimicamente , Obesidade/complicações , Adulto , Biomarcadores/metabolismo , Índice de Massa Corporal , Criança , Síndrome de Cushing/complicações , Síndrome de Cushing/diagnóstico por imagem , AMP Cíclico/metabolismo , Proteínas Quinases Dependentes de AMP Cíclico/metabolismo , Humanos , Metabolismo dos Lipídeos , Obesidade/diagnóstico por imagem , Subunidades Proteicas/metabolismo , Gordura Subcutânea/patologia , Tomografia Computadorizada por Raios X
13.
Brain Behav Immun ; 37: 73-7, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24365060

RESUMO

BACKGROUND: Hypothyroidism induced by an autoimmune process is associated with neuropsychiatric symptoms and metabolic abnormalities in the brain. The aim of this study was to examine the relationship between autoimmune thyroiditis and regional brain function in hypothyroid patients. METHODS: Cerebral glucose metabolism, as an index of brain function, was assessed in regional whole-brain analyses using positron emission tomography (PET) and [18F]fluorodeoxyglucose in thirteen hypothyroid patients with autoimmune thyroiditis suffering from neuropsychiatric symptoms. The primary biological measures were radioactivity in pre-selected brain regions, relative to whole-brain radioactivity, as a surrogate index of glucose metabolism, and serum levels of thyroglobulin (TG) and thyroid peroxidase (TPO) antibodies as endocrine markers of autoimmune thyroiditis. RESULTS: Serum levels of anti-TG antibodies in hypothyroid patients were significantly correlated with glucose metabolism in the perigenual anterior cingulate cortex, a brain region previously shown to regulate affect and emotional homeostasis. CONCLUSION: Thyroid autoimmune processes may play an important role in the still poorly defined pathogenic correlates of disturbed function in brain regions critically involved in emotional processing in hypothyroid conditions.


Assuntos
Anticorpos/sangue , Encéfalo/metabolismo , Giro do Cíngulo/imunologia , Giro do Cíngulo/metabolismo , Tireoidite Autoimune/imunologia , Tireoidite Autoimune/metabolismo , Adulto , Encéfalo/diagnóstico por imagem , Feminino , Fluordesoxiglucose F18 , Giro do Cíngulo/diagnóstico por imagem , Humanos , Hipotireoidismo/complicações , Hipotireoidismo/diagnóstico por imagem , Hipotireoidismo/metabolismo , Masculino , Pessoa de Meia-Idade , Tomografia por Emissão de Pósitrons , Tireoidite Autoimune/complicações , Tireoidite Autoimune/diagnóstico por imagem
14.
Transl Psychiatry ; 2: e80, 2012 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-22832817

RESUMO

Individuals who abuse methamphetamine (MA) exhibit heightened aggression, but the neurobiological underpinnings are poorly understood. As variability in the serotonin transporter (SERT) gene can influence aggression, this study assessed possible contributions of this gene to MA-related aggression. In all, 53 MA-dependent and 47 control participants provided self-reports of aggression, and underwent functional magnetic resonance imaging while viewing pictures of faces. Participants were genotyped at two functional polymorphic loci in the SERT gene: the SERT-linked polymorphic region (SERT-LPR) and the intron 2 variable number tandem repeat polymorphism (STin2 VNTR); participants were then classified as having high or low risk for aggression according to individual SERT risk allele combinations. Comparison of SERT risk allele loads between groups showed no difference between MA-dependent and control participants. Comparison of self-report scores showed greater aggression in MA-dependent than control participants, and in high genetic risk than low-risk participants. Signal change in the amygdala was lower in high genetic risk than low-risk participants, but showed no main effect of MA abuse; however, signal change correlated negatively with MA use measures. Whole-brain differences in activation were observed between MA-dependent and control groups in the occipital and prefrontal cortex, and between genetic high- and low-risk groups in the occipital, fusiform, supramarginal and prefrontal cortex, with effects overlapping in a small region in the right ventrolateral prefrontal cortex. The findings suggest that the investigated SERT risk allele loads are comparable between MA-dependent and healthy individuals, and that MA and genetic risk influence aggression independently, with minimal overlap in associated neural substrates.


Assuntos
Agressão/fisiologia , Alelos , Transtornos Relacionados ao Uso de Anfetaminas/genética , Transtornos Relacionados ao Uso de Anfetaminas/fisiopatologia , Encéfalo/fisiopatologia , Estimulantes do Sistema Nervoso Central , Emoções/fisiologia , Predisposição Genética para Doença/genética , Variação Genética/genética , Genótipo , Metanfetamina , Rede Nervosa/fisiopatologia , Proteínas da Membrana Plasmática de Transporte de Serotonina/genética , Adulto , Transtornos Relacionados ao Uso de Anfetaminas/psicologia , Tonsila do Cerebelo/fisiopatologia , Mapeamento Encefálico , Estimulantes do Sistema Nervoso Central/efeitos adversos , Expressão Facial , Feminino , Lobo Frontal/fisiopatologia , Humanos , Íntrons/genética , Imageamento por Ressonância Magnética , Masculino , Metanfetamina/efeitos adversos , Pessoa de Meia-Idade , Repetições Minissatélites/genética , Lobo Occipital/fisiopatologia , Reconhecimento Visual de Modelos/fisiologia , Córtex Pré-Frontal/fisiopatologia , Síndrome de Abstinência a Substâncias/genética , Síndrome de Abstinência a Substâncias/fisiopatologia , Inquéritos e Questionários
18.
J Clin Endocrinol Metab ; 94(8): 2922-9, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19435829

RESUMO

CONTEXT: Hypothyroidism is frequently associated with subtle behavioral and psychiatric symptoms. The consequences of inadequate thyroid hormone availability to brain metabolism are poorly understood. OBJECTIVE: This study assessed the relationships between neuropsychiatric symptoms and changes in relative regional cerebral glucose metabolism in hypothyroid patients undergoing thyroid hormone replacement therapy. DESIGN, SETTING, AND OUTCOME MEASURE: Relative regional cerebral glucose metabolism was compared in 13 previously untreated hypothyroid patients and 10 healthy control participants. Effects of thyroid hormone replacement therapy (levothyroxine, 3 months) were assessed using neuropsychiatric measures and positron emission tomography with [(18)F]fluorodeoxyglucose. RESULTS: Before treatment, hypothyroid patients exhibited lower regional activity than control subjects in the bilateral amygdala, hippocampus, and perigenual anterior cingulate cortex (ACC), left subgenual ACC, and right posterior cingulate cortex. Severity of depressive symptoms covaried negatively with pretreatment activity in the bilateral middle frontal gyrus and right subgenual and dorsal ACC. Thyroid hormone replacement therapy abolished pretreatment group differences in regional activity, robustly increased activity in the ventral ACC, and significantly reduced both clinician-rated and self-rated behavioral and psychiatric symptoms. Increased activity within the ventral ACC was associated with reduced somatic complaints, whereas increased activity within the dorsal ACC was associated with reduced depressive symptoms. CONCLUSIONS: Reduction of the behavioral complaints during thyroid hormone therapy is associated with a restoration of metabolic activity in brain areas that are integral to the regulation of affect and cognition. The findings suggest that thyroid hormone modulates regional glucose metabolism and psychiatric symptoms in the mature brain.


Assuntos
Encéfalo/metabolismo , Glucose/metabolismo , Terapia de Reposição Hormonal , Hipotireoidismo/metabolismo , Tomografia por Emissão de Pósitrons/métodos , Hormônios Tireóideos/uso terapêutico , Adulto , Idoso , Feminino , Giro do Cíngulo/fisiologia , Humanos , Hipotireoidismo/diagnóstico por imagem , Hipotireoidismo/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Tireotropina/sangue , Tiroxina/sangue , Tomografia Computadorizada de Emissão de Fóton Único
19.
Neuroscience ; 164(1): 30-42, 2009 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-19344640

RESUMO

Phenomics is an emerging transdiscipline dedicated to the systematic study of phenotypes on a genome-wide scale. New methods for high-throughput genotyping have changed the priority for biomedical research to phenotyping, but the human phenome is vast and its dimensionality remains unknown. Phenomics research strategies capable of linking genetic variation to public health concerns need to prioritize development of mechanistic frameworks that relate neural systems functioning to human behavior. New approaches to phenotype definition will benefit from crossing neuropsychiatric syndromal boundaries, and defining phenotypic features across multiple levels of expression from proteome to syndrome. The demand for high throughput phenotyping may stimulate a migration from conventional laboratory to web-based assessment of behavior, and this offers the promise of dynamic phenotyping-the iterative refinement of phenotype assays based on prior genotype-phenotype associations. Phenotypes that can be studied across species may provide greatest traction, particularly given rapid development in transgenic modeling. Phenomics research demands vertically integrated research teams, novel analytic strategies and informatics infrastructure to help manage complexity. The Consortium for Neuropsychiatric Phenomics at UCLA has been supported by the National Institutes of Health Roadmap Initiative to illustrate these principles, and is developing applications that may help investigators assemble, visualize, and ultimately test multi-level phenomics hypotheses. As the transdiscipline of phenomics matures, and work is extended to large-scale international collaborations, there is promise that systematic new knowledge bases will help fulfill the promise of personalized medicine and the rational diagnosis and treatment of neuropsychiatric syndromes.


Assuntos
Técnicas Genéticas , Genoma , Fenótipo , Animais , Pesquisa Biomédica/métodos , Humanos , Transtornos Mentais/genética , Modelos Genéticos
20.
Mol Psychiatry ; 14(2): 197-205, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18180761

RESUMO

Brief intensive cognitive-behavioral therapy (CBT) using exposure and response prevention significantly improves obsessive-compulsive disorder (OCD) symptoms in as little as 4 weeks. However, it has been thought that much longer treatment was needed to produce the changes in brain function seen in neuroimaging studies of OCD. We sought to elucidate the brain mediation of response to brief intensive CBT for OCD and determine whether this treatment could induce functional brain changes previously seen after longer trials of pharmacotherapy or standard CBT. [(18)F]-fluorodeoxyglucose positron emission tomography brain scans were obtained on 10 OCD patients before and after 4 weeks of intensive individual CBT. Twelve normal controls were scanned twice, several weeks apart, without treatment. Regional glucose metabolic changes were compared between groups. OCD symptoms, depression, anxiety and overall functioning improved robustly with treatment. Significant changes in normalized regional glucose metabolism were seen after brief intensive CBT (P=0.04). Compared to controls, OCD patients showed significant bilateral decreases in normalized thalamic metabolism with intensive CBT but had a significant increase in right dorsal anterior cingulate cortex activity that correlated strongly with the degree of improvement in OCD symptoms (P=0.02). The rapid response of OCD to intensive CBT is mediated by a distinct pattern of changes in regional brain function. Reduction of thalamic activity may be a final common pathway for improvement in OCD, but response to intensive CBT may require activation of dorsal anterior cingulate cortex, a region involved in reappraisal and suppression of negative emotions.


Assuntos
Encéfalo/metabolismo , Terapia Cognitivo-Comportamental/métodos , Glucose/metabolismo , Transtorno Obsessivo-Compulsivo/patologia , Transtorno Obsessivo-Compulsivo/terapia , Adulto , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico , Feminino , Fluordesoxiglucose F18/metabolismo , Lateralidade Funcional , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Transtorno Obsessivo-Compulsivo/diagnóstico por imagem , Tomografia por Emissão de Pósitrons/métodos , Adulto Jovem
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