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1.
J Clin Psychopharmacol ; 44(5): 457-461, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39146178

RESUMO

BACKGROUND: Preliminary evidence suggests that people with schizophrenia have decreased relative abundance of butyrate-producing bacteria in the gut microbiota. Butyrate plays a critical role in maintaining the integrity of the gut-blood barrier and has a number of anti-inflammatory effects. This proof-of-concept study was designed to assess whether the addition of the oligofructose-enriched inulin (OEI) prebiotic: Prebiotin could increase the production of butyrate. METHODS: Twenty-seven people who met the criteria for either Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, schizophrenia or schizoaffective disorder were entered into a 10-day, double-blind, placebo-controlled, randomized clinical trial. The study was conducted on an inpatient unit to standardize the participant diet and environment. Participants were randomized to either OEI (4 g, 3 times a day) or a placebo (4 g of maltodextrin, 3 times a day). In order to assess the effect of OEI treatment on butyrate levels, participants underwent pretreatment and posttreatment OEI challenges. The primary outcome measure was relative change in postchallenge plasma butyrate levels after 10 days of OEI treatment. RESULTS: In both the intent-to-treat and completer analyses, OEI treatment was associated with a greater number of participants who met the OEI challenge responder criteria than those treated with placebo. OEI treatment was also associated with an increase in baseline butyrate levels (effect size for the group difference in the change of baseline butyrate levels was 0.58). CONCLUSIONS: We were able to demonstrate that treatment with the prebiotic OEI selectively increased the level of plasma butyrate in people with schizophrenia.Trial registration:ClinicalTrials.gov identifier NCT03617783.


Assuntos
Butiratos , Oligossacarídeos , Prebióticos , Esquizofrenia , Humanos , Esquizofrenia/tratamento farmacológico , Esquizofrenia/sangue , Prebióticos/administração & dosagem , Método Duplo-Cego , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Oligossacarídeos/administração & dosagem , Oligossacarídeos/farmacologia , Inulina/administração & dosagem , Inulina/farmacologia , Microbioma Gastrointestinal/efeitos dos fármacos , Estudo de Prova de Conceito , Transtornos Psicóticos/tratamento farmacológico , Transtornos Psicóticos/dietoterapia , Transtornos Psicóticos/sangue , Adulto Jovem
2.
Mol Psychiatry ; 28(5): 2030-2038, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-37095352

RESUMO

Studies applying Free Water Imaging have consistently reported significant global increases in extracellular free water (FW) in populations of individuals with early psychosis. However, these published studies focused on homogenous clinical participant groups (e.g., only first episode or chronic), thereby limiting our understanding of the time course of free water elevations across illness stages. Moreover, the relationship between FW and duration of illness has yet to be directly tested. Leveraging our multi-site diffusion magnetic resonance imaging(dMRI) harmonization approach, we analyzed dMRI scans collected by 12 international sites from 441 healthy controls and 434 individuals diagnosed with schizophrenia-spectrum disorders at different illness stages and ages (15-58 years). We characterized the pattern of age-related FW changes by assessing whole brain white matter in individuals with schizophrenia and healthy controls. In individuals with schizophrenia, average whole brain FW was higher than in controls across all ages, with the greatest FW values observed from 15 to 23 years (effect size range = [0.70-0.87]). Following this peak, FW exhibited a monotonic decrease until reaching a minima at the age of 39 years. After 39 years, an attenuated monotonic increase in FW was observed, but with markedly smaller effect sizes when compared to younger patients (effect size range = [0.32-0.43]). Importantly, FW was found to be negatively associated with duration of illness in schizophrenia (p = 0.006), independent of the effects of other clinical and demographic data. In summary, our study finds in a large, age-diverse sample that participants with schizophrenia with a shorter duration of illness showed higher FW values compared to participants with more prolonged illness. Our findings provide further evidence that elevations in the FW are present in individuals with schizophrenia, with the greatest differences in the FW being observed in those at the early stages of the disorder, which might suggest acute extracellular processes.

3.
Inorg Chem ; 63(21): 9992-10000, 2024 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-38742312

RESUMO

A series of thiosemicarbazonato-hydrazinatopyridine zinc(II) complexes were evaluated as direct air CO2 capture agents. The complexes sequester CO2 in a methanol solution as a metal-coordinated methylcarbonate. The reaction is reversible upon sparging of solutions with an inert gas (N2 or Ar). The capture process involves metal-ligand cooperativity with the noncoordinating nitrogen of the hydrazinatopyridine functional group serving as a Brønsted-Lowry base and the zinc acting as a Lewis acid. In this study, the pendent amine of the thiosemicarbazonato group was varied to include 4-phenyl (ZnL5), 4-(trifluoromethyl)phenyl (ZnL6), 4-cyanophenyl (ZnL7), 4-tolyl (ZnL8), and 4-naphthyl (ZnL9). Hyperconjugation between the pendent group and the ligand core resulted in modulation of the metal ion acidity, as quantified by ligand exchange equilibrium constants (K3 = 193-511) and ligand basicity (pKa,MeOH = 11.09-11.94). Variations in electronic structure that decreased ligand basicity were more than offset by increases in Lewis acidity. The equilibrium constant (K1) for CO2 capture varied from 46300 to 73700. Overall, the value of K1 was directly related to the relative Lewis acidity of the complexes (K3). Notably, there was an overall inverse relationship between K1 and the ligand basicity. The results provide insights into ligand design to further improve CO2 capture.

4.
Mol Psychiatry ; 27(9): 3719-3730, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35982257

RESUMO

Cognitive deficits are among the best predictors of real-world functioning in schizophrenia. However, our understanding of how cognitive deficits relate to neuropathology and clinical presentation over the disease lifespan is limited. Here, we combine multi-site, harmonized cognitive, imaging, demographic, and clinical data from over 900 individuals to characterize a) cognitive deficits across the schizophrenia lifespan and b) the association between cognitive deficits, clinical presentation, and white matter (WM) microstructure. Multimodal harmonization was accomplished using T-scores for cognitive data, previously reported standardization methods for demographic and clinical data, and an established harmonization method for imaging data. We applied t-tests and correlation analysis to describe cognitive deficits in individuals with schizophrenia. We then calculated whole-brain WM fractional anisotropy (FA) and utilized regression-mediation analyses to model the association between diagnosis, FA, and cognitive deficits. We observed pronounced cognitive deficits in individuals with schizophrenia (p < 0.006), associated with more positive symptoms and medication dosage. Regression-mediation analyses showed that WM microstructure mediated the association between schizophrenia and language/processing speed/working memory/non-verbal memory. In addition, processing speed mediated the influence of diagnosis and WM microstructure on the other cognitive domains. Our study highlights the critical role of cognitive deficits in schizophrenia. We further show that WM is crucial when trying to understand the role of cognitive deficits, given that it explains the association between schizophrenia and cognitive deficits (directly and via processing speed).


Assuntos
Transtornos Cognitivos , Esquizofrenia , Substância Branca , Humanos , Substância Branca/patologia , Esquizofrenia/patologia , Imagem de Tensor de Difusão , Transtornos Cognitivos/complicações , Anisotropia , Cognição , Encéfalo/patologia
5.
Inorg Chem ; 62(6): 2751-2759, 2023 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-36715745

RESUMO

In this study, a series of thiosemicarbazonato-hydrazinatopyridine metal complexes were evaluated as CO2 capture agents. The complexes incorporate a non-coordinating, basic hydrazinatopyridine nitrogen in close proximity to a Lewis acidic metal ion allowing for metal-ligand cooperativity. The coordination of various metal ions with (diacetyl-2-(4-methyl-thiosemicarbazone)-3-(2-hydrazinopyridine) (H2L1) yielded ML1 (M = Ni(II), Pd(II)), ML1(CH3OH) (M = Cu(II), Zn(II)), and [ML1(PPh3)2]BF4 (M = Co(III)) complexes. The ML1(CH3OH) complexes reversibly capture CO2 with equilibrium constants of 88 ± 9 and 6900 ± 180 for Cu(II) and Zn(II), respectively. Ligand effects were evaluated with Zn(II) through variation of the 4-methyl-thiosemicarbazone with 4-ethyl (H2L2), 4-phenethyl (H2L3), and 4-benzyl (H2L4) derivatives. The equilibrium constant for CO2 capture increased to 11,700 ± 300, 15,000 ± 400, and 35,000 ± 200 for ZnL2(MeOH), ZnL3(MeOH), and ZnL4(MeOH), respectively. Quantification of ligand basicity and metal ion Lewis acidity shows that changes in CO2 capture affinity are largely associated with ligand basicity upon substitution of Cu(II) with Zn(II), while variation of the thiosemicarbazone ligand enhances CO2 affinity by tuning the metal ion Lewis acidity. Overall, the Zn(II) complexes effectively capture CO2 from dilute sources with up to 90%, 86%, and 65% CO2 capture efficiency from 400, 1000, and 2500 ppm CO2 streams.

6.
Eur J Inorg Chem ; 26(34)2023 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-38584911

RESUMO

A series of isomeric bis(alkylthiocarbamate) copper complexes have been synthesized, characterized, and evaluated for antiproliferation activity. The complexes were derived from ligand isomers with 3-methylpentyl (H2L2) and cyclohexyl (H2L3) backbone substituents, which each yield a pair of linkage isomers. The thermodynamic products CuL2a/3a have two imino N and two S donors resulting in three five-member chelate rings (555 isomers). The kinetic isomers CuL2b/3b have one imino and one hydrazino N donor and two S donors resulting in four-, six-, and five-member rings (465 isomers). The 555 isomers have more accessible CuII/I potentials (E1/2 = -811/-768 mV vs. ferrocenium/ferrocene) and lower energy charge transfer bands than their 465 counterparts (E1/2 = -923/-854 mV). Antiproliferation activities were evaluated against the lung adenocarcinoma cell line (A549) and nonmalignant lung fibroblast cell line (IMR-90) using the MTT assay. CuL2a was potent (A549EC50 = 0.080 µM) and selective (IMR-90EC50/A549EC50 = 25) for A549. Its linkage isomer CuL2b had equivalent A549 activity, but lower selectivity (IMR-90EC50/A549EC50 = 12.5). The isomers CuL3a and CuL3b were less potent with A549EC50 values of 1.9 and 0.19 µM and less selective with IMR-90EC50/A549EC50 ratios of 2.3 and 2.65, respectively. There was no correlation between reduction potential and A549 antiproliferation activity/selectivity.

7.
Food Microbiol ; 113: 104271, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37098431

RESUMO

Our previous study found that water activity (aw)- and matrix-dependent bacterial resistance wasdeveloped in Salmonella Typhimurium during antimicrobial-assisted heat treatment in low moisture foods (LMFs) matrices. To better understand the molecular mechanism behind the observed bacterial resistance, gene expression analysis was conducted on S. Typhimurium adapted to different conditions with or without the trans-cinnamaldehyde (CA)-assisted heat treatment via quantitative polymerase chain reaction (qPCR). Expression profiles of nine stress-related genes were analyzed. The upregulation of rpoH and dnaK and downregulation of ompC were observed during bacterial adaptation in LMF matrices and the combined heat treatment, which likely contributed to the bacterial resistance during the combined treatment. Their expression profiles were partially consistent with the previously-observed effect of aw or matrix on bacterial resistance. The upregulation of rpoE, otsB, proV, and fadA was also observed during adaptation in LMF matrices and might contribute to desiccation resistance, but likely did not contribute to bacterial resistance during the combined heat treatment. The observed upregulation of fabA and downregulation of ibpA could not be directly linked to bacterial resistance to either desiccation or the combined heat treatment. The results may assist the development of more efficient processing methods against S. Typhimurium in LMFs.


Assuntos
Temperatura Alta , Salmonella typhimurium , Salmonella typhimurium/genética , Acroleína/farmacologia , Microbiologia de Alimentos
8.
Food Microbiol ; 112: 104228, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36906318

RESUMO

Increased thermal resistance of Salmonella at low water activity (aw) is a significant food safety concern in low-moisture foods (LMFs). We evaluated whether trans-cinnamaldehyde (CA, 1000 ppm) and eugenol (EG, 1000 ppm), which can accelerate thermal inactivation of Salmonella Typhimurium in water, can show similar effect in bacteria adapted to low aw in different LMF components. Although CA and EG significantly accelerated thermal inactivation (55 °C) of S. Typhimurium in whey protein (WP), corn starch (CS) and peanut oil (PO) at 0.9 aw, such effect was not observed in bacteria adapted to lower aw (0.4). The matrix effect on bacterial thermal resistance was observed at 0.9 aw, which was ranked as WP > PO > CS. The effect of heat treatment with CA or EG on bacterial metabolic activity was also partially dependent on the food matrix. Bacteria adapted to lower aw had lower membrane fluidity and unsaturated to saturated fatty acids ratio, suggesting that bacteria at low aw can change its membrane composition to increase its rigidity, thus increasing resistance against the combined treatments. This study demonstrates the effect of aw and food components on the antimicrobials-assisted heat treatment in LMF and provides an insight into the resistance mechanism.


Assuntos
Eugenol , Salmonella typhimurium , Temperatura Alta , Microbiologia de Alimentos , Água/análise , Contagem de Colônia Microbiana
9.
J Neurophysiol ; 128(1): 160-180, 2022 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-35704705

RESUMO

Functional imaging studies indicate that the insula encodes the salience of stimuli and deviations from expectations, signals that can mobilize cognitive resources and facilitate learning. However, there is no information about the physiological underpinnings of these phenomena beyond changing BOLD signals. To shed light on this question, we analyzed intracerebral local field potentials (LFPs) in five patients with epilepsy of both genders performing a virtual reality task that featured varying odds of monetary rewards and losses. Upon outcome disclosure, the anterior (but not the posterior) insula generated bursts of beta oscillations whose amplitudes were lower for neutral than positive and negative outcomes, consistent with a salience signal. Moreover, beta burst power was higher when outcomes deviated from expectations, whether the outcome was better or worse than expected, indicating that the insula provides an unsigned prediction error signal. Last, in relation to insular beta bursts, many higher-order cortical areas exhibited robust changes in LFP activity that ranged from spectrally nonspecific or differentiated increases in gamma power to bursts of beta activity that closely resembled the insular beta bursts themselves. Critically, the activity of these other cortical regions was more closely tied in time to insular bursts than task events, suggesting that they are associated with particularly significant cognitive phenomena. Overall, our findings suggest that the insula signals salience and prediction errors via amplitude modulations of beta bursts, which coincide with the near simultaneous recruitment of vast cortical territories.NEW & NOTEWORTHY Functional imaging studies indicate that the anterior insula encodes salience and deviations from expectations. Beyond changing BOLD signals, however, the physiological underpinnings of these signals are unknown. By recording local field potentials in patients with epilepsy, we found that the anterior insula generates large bursts of beta oscillations whose amplitude is modulated by the salience of outcomes and deviations from expectations. Moreover, insular beta bursts coincide with the activation of many high-order cortical areas.


Assuntos
Córtex Cerebral , Epilepsia , Feminino , Humanos , Masculino , Motivação , Recompensa
10.
Mol Psychiatry ; 26(9): 5357-5370, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-33483689

RESUMO

White matter (WM) abnormalities are repeatedly demonstrated across the schizophrenia time-course. However, our understanding of how demographic and clinical variables interact, influence, or are dependent on WM pathologies is limited. The most well-known barriers to progress are heterogeneous findings due to small sample sizes and the confounding influence of age on WM. The present study leverages access to the harmonized diffusion magnetic-resonance-imaging data and standardized clinical data from 13 international sites (597 schizophrenia patients (SCZ)). Fractional anisotropy (FA) values for all major WM structures in patients were predicted based on FA models estimated from a healthy population (n = 492). We utilized the deviations between predicted and real FA values to answer three essential questions. (1) "Which clinical variables explain WM abnormalities?". (2) "Does the degree of WM abnormalities predict symptom severity?". (3) "Does sex influence any of those relationships?". Regression and mediator analyses revealed that a longer duration-of-illness is associated with more severe WM abnormalities in several tracts. In addition, they demonstrated that a higher antipsychotic medication dose is related to more severe corpus callosum abnormalities. A structural equation model revealed that patients with more WM abnormalities display higher symptom severity. Last, the results exhibited sex-specificity. Males showed a stronger association between duration-of-illness and WM abnormalities. Females presented a stronger association between WM abnormalities and symptom severity, with IQ impacting this relationship. Our findings provide clear evidence for the interaction of demographic, clinical, and behavioral variables with WM pathology in SCZ. Our results also point to the need for longitudinal studies, directly investigating the casualty and sex-specificity of these relationships, as well as the impact of cognitive resiliency on structure-function relationships.


Assuntos
Esquizofrenia , Substância Branca , Anisotropia , Encéfalo/diagnóstico por imagem , Demografia , Imagem de Tensor de Difusão , Feminino , Humanos , Masculino , Substância Branca/diagnóstico por imagem
11.
Acta Psychiatr Scand ; 145(5): 494-506, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-35243618

RESUMO

OBJECTIVE: Difficulties in social cognition are common in individuals with schizophrenia (SZ) and are not ameliorated by antipsychotic treatment. Intranasal oxytocin (OT) administration has been explored as a potential intervention to improve social cognition; however, results are inconsistent, suggesting potential individual difference variables that may influence treatment response. Less is known about the relationship between endogenous OT and social cognition in SZ, knowledge of which may improve the development of OT-focused therapies. We examined plasma OT in relationship to facial emotion recognition and visual attention to salient facial features in SZ and controls. METHODS: Forty-two individuals with SZ and 23 healthy controls viewed photographs of facial expressions of varying emotional intensity and identified the emotional expression displayed. Participants' gaze behavior during the task was recorded via eye tracking. Plasma oxytocin concentrations were determined by radioimmunoassay. RESULTS: SZ were less accurate than controls at identifying high-intensity fearful facial expressions and low-intensity sad expressions. Lower overall and high-intensity facial emotion recognition accuracy was associated with lower plasma OT levels in SZ but not controls. OT was not associated with visual attention to salient facial features; however, SZ had reduced visual attention to the nose region compared to controls. CONCLUSION: Individual differences in endogenous OT predict facial emotion recognition ability in SZ but are not associated with visual attention to salient facial features. Increased understanding of the association between endogenous OT and social cognitive abilities in SZ may help improve the design and interpretation of OT-focused clinical trials in SZ.


Assuntos
Reconhecimento Facial , Ocitocina , Esquizofrenia , Emoções , Expressão Facial , Humanos , Ocitocina/metabolismo , Esquizofrenia/metabolismo , Psicologia do Esquizofrênico , Percepção Social
12.
Inorg Chem ; 61(20): 7715-7719, 2022 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-35549215

RESUMO

Linkage isomers are coordination compounds with the same composition but different donor atoms, resulting in distinct physical and electronic structures. A pair of linkage isomers, CuL555 and CuL465, derived from phenylglyoxal bis(ethylthiocarbamate) were synthesized, isolated, and characterized by structural, electrochemical, and spectroscopic methods. The isomers are stable in solution under ambient conditions, but CuL465 converts to CuL555 in acid, consistent with quantum-chemical calculations. The complexes were screened against a lung adenocarcinoma cell line (A549) and a nonmalignant lung fibroblast cell line (IMR-90) to evaluate the antiproliferation activity. CuL555 and CuL465 possessed EC50 values of 0.113 ± 0.030 and 0.115 ± 0.038 µM for A549 and 1.87 ± 0.29 and 0.77 ± 0.22 µM for IMR-90, respectively.


Assuntos
Cobre , Cobre/química , Cobre/farmacologia , Isomerismo
13.
Inorg Chem ; 61(25): 9792-9800, 2022 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-35687329

RESUMO

In this study, we report a pair of electrocatalysts for the hydrogen evolution reaction (HER) based on the noninnocent ligand diacetyl-2-(4-methyl-3-thiosemicarbazone)-3-(2-pyridinehydrazone) (H2DMTH, H2L1). The neutral complexes NiL1 and PdL1 were synthesized and characterized by spectroscopic and electrochemical methods. The complexes contain a non-coordinating, basic hydrazino nitrogen that is protonated during the HER. The pKa of this nitrogen was determined by spectrophotometric titration in acetonitrile to be 12.71 for NiL1 and 13.03 for PdL1. Cyclic voltammograms of both NiL1 and PdL1 in acetonitrile exhibit diffusion-controlled, reversible ligand-centered events at -1.83 and -1.79 V (vs ferrocenium/ferrocene) for NiL1 and PdL1, respectively. A quasi-reversible, ligand-centered event is observed at -2.43 and -2.34 V for NiL1 and PdL1, respectively. The HER activity in acetonitrile was evaluated using a series of neutral and cationic acids for each catalyst. Kinetic isotope effect (KIE) studies suggest that the precatalytic event observed is associated with a proton-coupled electron transfer step. The highest turnover frequency values observed were 6150 s-1 at an overpotential of 0.74 V for NiL1 and 8280 s-1 at an overpotential of 0.44 V for PdL1. Density functional theory (DFT) computations suggest both complexes follow a ligand-centered HER mechanism where the metals remain in the +2 oxidation state.


Assuntos
Hidrogênio , Níquel , Acetonitrilas , Ligantes , Níquel/química , Oxirredução
14.
Cereb Cortex ; 31(1): 201-212, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-32851404

RESUMO

Axonal myelination and repair, critical processes for brain development, maturation, and aging, remain controlled by sexual hormones. Whether this influence is reflected in structural brain differences between sexes, and whether it can be quantified by neuroimaging, remains controversial. Diffusion-weighted magnetic resonance imaging (dMRI) is an in vivo method that can track myelination changes throughout the lifespan. We utilize a large, multisite sample of harmonized dMRI data (n = 551, age = 9-65 years, 46% females/54% males) to investigate the influence of sex on white matter (WM) structure. We model lifespan trajectories of WM using the most common dMRI measure fractional anisotropy (FA). Next, we examine the influence of both age and sex on FA variability. We estimate the overlap between male and female FA and test whether it is possible to label individual brains as male or female. Our results demonstrate regionally and spatially specific effects of sex. Sex differences are limited to limbic structures and young ages. Additionally, not only do sex differences diminish with age, but tracts within each subject become more similar to one another. Last, we show the high overlap in FA between sexes, which implies that determining sex based on WM remains open.


Assuntos
Caracteres Sexuais , Substância Branca/anatomia & histologia , Substância Branca/diagnóstico por imagem , Adolescente , Adulto , Idoso , Envelhecimento , Anisotropia , Axônios/fisiologia , Criança , Imagem de Difusão por Ressonância Magnética , Imagem de Tensor de Difusão , Feminino , Humanos , Sistema Límbico/diagnóstico por imagem , Sistema Límbico/fisiologia , Masculino , Pessoa de Meia-Idade , Bainha de Mielina/fisiologia , Vias Neurais/diagnóstico por imagem , Vias Neurais/fisiologia , Adulto Jovem
15.
Hum Brain Mapp ; 42(14): 4658-4670, 2021 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-34322947

RESUMO

Diffusion MRI studies consistently report group differences in white matter between individuals diagnosed with schizophrenia and healthy controls. Nevertheless, the abnormalities found at the group-level are often not observed at the individual level. Among the different approaches aiming to study white matter abnormalities at the subject level, normative modeling analysis takes a step towards subject-level predictions by identifying affected brain locations in individual subjects based on extreme deviations from a normative range. Here, we leveraged a large harmonized diffusion MRI dataset from 512 healthy controls and 601 individuals diagnosed with schizophrenia, to study whether normative modeling can improve subject-level predictions from a binary classifier. To this aim, individual deviations from a normative model of standard (fractional anisotropy) and advanced (free-water) dMRI measures, were calculated by means of age and sex-adjusted z-scores relative to control data, in 18 white matter regions. Even though larger effect sizes are found when testing for group differences in z-scores than are found with raw values (p < .001), predictions based on summary z-score measures achieved low predictive power (AUC < 0.63). Instead, we find that combining information from the different white matter tracts, while using multiple imaging measures simultaneously, improves prediction performance (the best predictor achieved AUC = 0.726). Our findings suggest that extreme deviations from a normative model are not optimal features for prediction. However, including the complete distribution of deviations across multiple imaging measures improves prediction, and could aid in subject-level classification.


Assuntos
Imagem de Tensor de Difusão/normas , Aprendizado de Máquina , Esquizofrenia/classificação , Esquizofrenia/diagnóstico por imagem , Substância Branca/diagnóstico por imagem , Adulto , Imagem de Tensor de Difusão/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Teóricos , Medicina de Precisão , Valor Preditivo dos Testes , Esquizofrenia/patologia , Substância Branca/patologia , Adulto Jovem
16.
J Clin Psychopharmacol ; 41(3): 236-243, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33783399

RESUMO

BACKGROUND: A significant proportion of people with schizophrenia are characterized by impaired ability to socially engage with others. The development of effective interventions for social functioning remains a central therapeutic challenge. Cognitive-behavioral social skills training (CBSST) has been found to improve social functioning in schizophrenia, but with only medium effect sizes. Intranasal oxytocin also has prosocial effects, but also only with modest effect sizes. This study assessed whether the addition of intranasal oxytocin to CBSST can strengthen their impact on social function. METHODS: Participants (N = 62) with schizophrenia or schizoaffective disorder entered a 24-week, double-blind, placebo-controlled, randomized clinical trial with a 3-month follow-up evaluation at 2 sites: Maryland and San Diego. Participants were randomized to either intranasal oxytocin 36 IU (3 sprays) twice a day (n = 31) or intranasal placebo-oxytocin (3 sprays) twice a day (n = 31). All participants received CBSST plus a social cognition skills training module (48 total sessions). RESULTS: There were no significant treatment group differences in social functioning, positive symptoms, negative symptoms, defeatist beliefs, or asocial beliefs. The interpretation of treatment effects was complicated by site effects, whereby participants in San Diego began the trial with greater severity of impairments and subsequently showed greater improvements compared with participants in Maryland. CONCLUSIONS: The results did not support the utility of add-on intranasal oxytocin to psychosocial rehabilitation interventions like CBSST for improvement in social function (ClinicalTrials.gov trial number: NCT01752712).


Assuntos
Terapia Cognitivo-Comportamental/métodos , Ocitocina/administração & dosagem , Transtornos Psicóticos/cirurgia , Esquizofrenia/terapia , Administração Intranasal , Adulto , Terapia Combinada , Método Duplo-Cego , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos Psicóticos/terapia , Habilidades Sociais , Resultado do Tratamento
17.
Mol Psychiatry ; 25(12): 3208-3219, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-31511636

RESUMO

Several prominent theories of schizophrenia suggest that structural white matter pathologies may follow a developmental, maturational, and/or degenerative process. However, a lack of lifespan studies has precluded verification of these theories. Here, we analyze the largest sample of carefully harmonized diffusion MRI data to comprehensively characterize age-related white matter trajectories, as measured by fractional anisotropy (FA), across the course of schizophrenia. Our analysis comprises diffusion scans of 600 schizophrenia patients and 492 healthy controls at different illness stages and ages (14-65 years), which were gathered from 13 sites. We determined the pattern of age-related FA changes by cross-sectionally assessing the timing of the structural neuropathology associated with schizophrenia. Quadratic curves were used to model between-group FA differences across whole-brain white matter and fiber tracts at each age; fiber tracts were then clustered according to both the effect-sizes and pattern of lifespan white matter FA differences. In whole-brain white matter, FA was significantly lower across the lifespan (up to 7%; p < 0.0033) and reached peak maturation younger in patients (27 years) compared to controls (33 years). Additionally, three distinct patterns of neuropathology emerged when investigating white matter fiber tracts in patients: (1) developmental abnormalities in limbic fibers, (2) accelerated aging and abnormal maturation in long-range association fibers, (3) severe developmental abnormalities and accelerated aging in callosal fibers. Our findings strongly suggest that white matter in schizophrenia is affected across entire stages of the disease. Perhaps most strikingly, we show that white matter changes in schizophrenia involve dynamic interactions between neuropathological processes in a tract-specific manner.


Assuntos
Esquizofrenia , Substância Branca , Adolescente , Adulto , Idoso , Anisotropia , Encéfalo/diagnóstico por imagem , Imagem de Difusão por Ressonância Magnética , Imagem de Tensor de Difusão , Humanos , Longevidade , Pessoa de Meia-Idade , Esquizofrenia/diagnóstico por imagem , Substância Branca/diagnóstico por imagem , Adulto Jovem
18.
J Neurophysiol ; 124(6): 1914-1922, 2020 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-33052729

RESUMO

Neural oscillations are routinely analyzed using methods that measure activity in fixed frequency bands (e.g., alpha, 8-12 Hz), although the frequency of neural signals varies within and across individuals based on numerous factors including neuroanatomy, behavioral demands, and species. Furthermore, band-limited activity is an often assumed, typically unmeasured model of neural activity, and band definitions vary considerably across studies. Together, these factors mask individual differences and can lead to noisy spectral estimates and interpretational problems when linking electrophysiology to behavior. We developed the Oscillatory ReConstruction Algorithm ("ORCA"), an unsupervised method to measure the spectral characteristics of neural signals in adaptively identified bands, which incorporates two new methods for frequency band identification. ORCA uses the instantaneous amplitude, phase, and frequency of activity in each band to reconstruct the signal and directly quantify spectral decomposition performance using each of four different models. To reduce researcher bias, ORCA provides spectral estimates derived from the best model and requires minimal hyperparameterization. Analyzing human scalp EEG data during eyes-open and eyes-closed "resting" conditions, we first identify variability in the frequency content of neural signals across subjects and electrodes. We demonstrate that ORCA significantly improves spectral decomposition compared with conventional methods and captures the well-known increase in low-frequency activity during eye closure in electrode- and subject-specific frequency bands. We further illustrate the utility of our method in rodent CA1 recordings. ORCA is a novel analytic tool that allows researchers to investigate how nonstationary neural oscillations vary across behaviors, brain regions, individuals, and species.NEW & NOTEWORTHY Neural oscillations show substantial variability within and across individuals and brain regions, yet most existing studies analyze oscillations using canonical, fixed-frequency bands. Thus, there is an ongoing need for tools that capture oscillatory variability in neural signals. Toward this end, Oscillatory ReConstruction Algorithm is a novel and adaptive analytic tool that allows researchers to measure neural oscillations with more precision and less researcher bias.


Assuntos
Algoritmos , Ondas Encefálicas/fisiologia , Córtex Cerebral/fisiologia , Eletroencefalografia/métodos , Adulto , Ritmo alfa/fisiologia , Animais , Região CA1 Hipocampal/fisiologia , Eletroencefalografia/normas , Humanos , Ratos , Aprendizado de Máquina não Supervisionado
19.
J Clin Psychopharmacol ; 40(5): 444-450, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32796391

RESUMO

BACKGROUND: Despite adequate antipsychotic treatment, most people with schizophrenia continue to exhibit persistent positive and negative symptoms and cognitive impairments. The current study was designed to examine the efficacy and safety of adjunctive anti-inflammatory combination therapy for these illness manifestations. METHODS: Thirty-nine people with either Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, schizophrenia or schizoaffective disorder were entered into a 12-week double-blind, 2-arm, triple-dummy, placebo-controlled, randomized clinical trial: 19 were randomized to anti-inflammatory combination therapy and 20 were randomized to placebo. The Brief Psychiatric Rating Scale positive symptom item total score was used to assess positive symptom change, the Scale for the Assessment of Negative Symptoms total score was used to assess negative symptom change, the Calgary Depression Scale total score was used to assess depressive symptom change, and the MATRICS Consensus Cognitive Battery was used to assess neuropsychological test performance. RESULTS: There was a significant time effect for Brief Psychiatric Rating Scale positive symptom item score (t226 = -2.66, P = 0.008), but the treatment (t54=1.52, P = 0.13) and treatment × time (t223 = 0.47, P = 0.64) effects were not significant. There were no significant time (t144 = 0.53, P = 0.72), treatment (t58=0.48, P = 0.63), or treatment × time (t143 = -0.20, P = 0.84) effects for the Scale for the Assessment of Negative Symptoms total score; or for any of the other symptom measures. There were no significant group differences in the change in the MATRICS Consensus Cognitive Battery composite score over the course of the study (F1,26=2.20, P = 0.15). CONCLUSIONS: The study results suggest that there is no significant benefit of combined anti-inflammatory treatment for persistent positive symptoms or negative symptoms or cognitive impairments (clinicaltrials.gov trial number: NCT01514682).


Assuntos
Anti-Inflamatórios/uso terapêutico , Antipsicóticos/uso terapêutico , Cognição/efeitos dos fármacos , Esquizofrenia/tratamento farmacológico , Psicologia do Esquizofrênico , Adulto , Anti-Inflamatórios/efeitos adversos , Antipsicóticos/efeitos adversos , Baltimore , Biomarcadores/sangue , Citocinas/sangue , Ácidos Docosa-Hexaenoicos/uso terapêutico , Método Duplo-Cego , Quimioterapia Combinada , Ácido Eicosapentaenoico/uso terapêutico , Feminino , Fluvastatina/uso terapêutico , Humanos , Mediadores da Inflamação/sangue , Masculino , Pessoa de Meia-Idade , Salicilatos/uso terapêutico , Esquizofrenia/sangue , Esquizofrenia/diagnóstico , Fatores de Tempo , Resultado do Tratamento
20.
Inorg Chem ; 59(7): 4835-4841, 2020 Apr 06.
Artigo em Inglês | MEDLINE | ID: mdl-32193928

RESUMO

As atmospheric levels of carbon dioxide (CO2) continue to increase, there is an immediate need to balance the carbon cycle. Current approaches require multiple processes to fix CO2 from the atmosphere or flue gas and then reduce it to value-added products. The zinc(II) catalyst Zn(DMTH) (DMTH = diacetyl-2-(4-methyl-3-thiosemicarbazonate)-3-(2-pyridinehydrazonato)) reduces CO2 from air to formate with a faradaic efficiency of 15.1% based on total charge. The catalyst utilizes metal-ligand cooperativity and redox-active ligands to fix, activate, and reduce CO2. This approach provides a new strategy that incorporates sustainable earth-abundant metals that are oxygen and water tolerant.

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