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1.
Eur Arch Psychiatry Clin Neurosci ; 274(3): 629-642, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37542558

RESUMO

Major depressive disorder (MDD) is one of the most disabling illnesses that profoundly restricts psychosocial functions and impairs quality of life. However, the treatment rate of MDD is surprisingly low because the availability and acceptability of appropriate treatments are limited. Therefore, identifying whether and how treatment delay affects the brain and the initial time point of the alterations is imperative, but these changes have not been thoroughly explored. We investigated the functional and structural alterations of MDD for different durations of untreated illness (DUI) using regional homogeneity (ReHo) and voxel-based morphometry (VBM) with a sample of 125 treatment-naïve MDD patients and 100 healthy controls (HCs). The MDD patients were subgrouped based on the DUI, namely, DUI ≤ 1 M, 1 < DUI ≤ 6 M, 6 < DUI ≤ 12 M, and 12 < DUI ≤ 48 M. Subgroup comparison (MDD with different DUIs) was applied to compare ReHo and grey matter volume (GMV) extracted from clusters of regions with significant differences (the pooled MDD patients relative to HCs). Correlations and mediation effects were analysed to estimate the relationships between the functional and structural neuroimaging changes and clinical characteristics. MDD patients exhibited decreased ReHo in the left postcentral gyrus and precentral gyrus and reduced GMV in the left middle frontal gyrus and superior frontal gyrus relative to HCs. The initial functional abnormalities were detected after being untreated for 1 month, whereas this duration was 3 months for GMV reduction. Nevertheless, a transient increase in ReHo was observed after being untreated for 3 months. No significant differences were discovered between HCs and MDD patients with a DUI less than 1 month or among MDD patients with different DUIs in either ReHo or GMV. Longer DUI was related to reduced ReHo with GMV as mediator in MDD patients. We identified disassociated functional and anatomical alterations in treatment-naïve MDD patients at different time points in distinct brain regions at the early stage of the disease. Additionally, we also discovered that GMV mediated the relationship between a longer DUI and diminished ReHo in MDD patients, disclosing the latent deleterious and neuro-progressive implications of DUI on both the structure and function of the brain and indicating the necessity of early treatment of MDD.


Assuntos
Transtorno Depressivo Maior , Humanos , Qualidade de Vida , Imageamento por Ressonância Magnética/métodos , Encéfalo , Substância Cinzenta/diagnóstico por imagem , Lobo Parietal , Lobo Frontal/diagnóstico por imagem
2.
Br J Psychiatry ; 219(1): 392-400, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-35048853

RESUMO

BACKGROUND: Schizophrenia is considered a polygenic disorder. People with schizophrenia and those with genetic high risk of schizophrenia (GHR) have presented with similar neurodevelopmental deficits in hemispheric asymmetry. The potential associations between neurodevelopmental abnormalities and schizophrenia-related risk genes in both schizophrenia and those with GHR remains unclear. AIMS: To investigate the shared and specific alternations to the structural network in people with schizophrenia and those with GHR. And to identify an association between vulnerable structural network alternation and schizophrenia-related risk genes. METHOD: A total of 97 participants with schizophrenia, 79 participants with GHR and 192 healthy controls, underwent diffusion tensor imaging (DTI) scans at a single site. We used graph theory to characterise hemispheric and whole-brain structural network topological metrics. For 26 people in the schizophrenia group and 48 in the GHR group with DTI scans we also calculated their schizophrenia-related polygenic risk scores (SZ-PRSs). The correlations between alterations to the structural network and SZ-PRSs were calculated. Based on the identified genetic-neural association, bioinformatics enrichment was explored. RESULTS: There were significant hemispheric asymmetric deficits of nodal efficiency, global and local efficiency in the schizophrenia and GHR groups. Hemispheric asymmetric deficit of local efficiency was significantly positively correlated with SZ-PRSs in the schizophrenia and GHR groups. Bioinformatics enrichment analysis showed that these risk genes may be linked to signal transduction, neural development and neuron structure. The schizophrenia group showed a significant decrease in the whole-brain structural network. CONCLUSIONS: The shared asymmetric deficits in people with schizophrenia and those with GHR, and the association between anomalous asymmetry and SZ-PRSs suggested a vulnerability imaging marker regulated by schizophrenia-related risk genes. Our findings provide new insights into asymmetry regulated by risk genes and provides a better understanding of the genetic-neural pathological underpinnings of schizophrenia.


Assuntos
Esquizofrenia , Encéfalo , Imagem de Tensor de Difusão , Humanos , Imageamento por Ressonância Magnética , Herança Multifatorial , Fatores de Risco , Esquizofrenia/genética
3.
Macromol Rapid Commun ; 42(19): e2100469, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34378267

RESUMO

Conjugated organic polymers (COPs) have been excellent candidates because the conjugated structure occupied π structure that is useful to develop light-emitting materials. However, most COPs emitt weak luminescence owing to the H-aggregation effect. Light-emitting conjugated organic polymers (LCOP-1) possess rich butyl groups anchored in the skeleton to enhance light-emitting activity via reducing the H-aggregation effect. Owing to abundant hydroxyl and nitrogen atoms, LCOP-1 exhibits high sensitivity, selectivity, and fast response to Cu2+ ions within 1 min in comparison with the cations of Na+ , Mg2+ , Al3+ , Zn2+ , Cd2+ , Ni2+ , Cr3+ , Hg2+ , Fe3+ , Fe2+ , Pb2+ , Co2+ , etc. The detection limit can be down to nanomolar. Moreover, the sensor exhibits detection toward Cu2+ ions via a naked eye colorful change from pale-yellow to yellowish-brown. Furthermore, the light-emitting probe also successfully achieves the detection of Cu2+ ions in cells without cytotoxicity, indicating its great potentials in biological function.


Assuntos
Corantes Fluorescentes , Mercúrio , Cátions , Polímeros
4.
Transl Psychiatry ; 14(1): 9, 2024 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-38191549

RESUMO

Nearly a quarter of bipolar disorder (BD) patients were misdiagnosed as major depressive disorder (MDD) patients, which cannot be corrected until mania/hypomania develops. It is important to recognize these obstacles so that the appropriate treatment can be initiated. Thus, we sought to distinguish patients with BD from MDD, especially to identify misdiagnosed BD before mania/hypomania, and further explore potential trait features that allow accurate differential diagnosis independent of state matters. Functional magnetic resonance imaging scans were performed at baseline on 92 MDD patients and 48 BD patients. The MDD patients were then followed up for more than two years. After follow-up, 23 patients transformed into BD (tBD), and 69 patients whose diagnoses remained unchanged were eligible for unipolar depression (UD). A support vector machine classifier was trained on the amygdala-based functional connectivity (FC) of 48 BD and 50 UD patients using a novel region-based feature selection. Then, the classifier was tested on the dataset, encompassing tBD and the remaining UD. It performed well for known BD and UD and can also distinguish tBD from UD with an accuracy of 81%, sensitivity of 82.6%, specificity of 79%, and AUC of 74.6%, respectively. Feature selection results revealed that ten regions within the cortico-limbic neural circuit contributed most to classification. Furthermore, in the FC comparisons among diseases, BD and tBD shared almost overlapped FC patterns in the cortico-limbic neural circuit, and both of them presented pronounced differences in most regions within the circuit compared with UD. The FC values of the most discriminating brain regions had no prominent correlations with the severity of depression, anxiety, and mania/hypomania (FDR correction). It suggests that BD possesses some trait features in the cortico-limbic neural circuit, rendering it dichotomized by the classifier based on known-diagnosis data.


Assuntos
Transtorno Bipolar , Transtorno Depressivo Maior , Humanos , Transtorno Bipolar/diagnóstico por imagem , Mania , Transtorno Depressivo Maior/diagnóstico por imagem , Imageamento por Ressonância Magnética , Seguimentos , Máquina de Vetores de Suporte , Transtornos do Humor
5.
Chem Sci ; 15(21): 8106-8111, 2024 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-38817588

RESUMO

Efficient electron-transporting materials (ETMs) are critical to achieving excellent performance of organic light-emitting diodes (OLEDs), yet developing such materials remains a major long-term challenge, particularly ETMs with high electron mobilities (µeles). Herein, we report a short conjugated ETM molecule (PICN) with a dipolar phenanthroimidazole group, which exhibits an electron mobility of up to 1.52 × 10-4 cm2 (V-1 s-1). The origin of this high µele is long-ranged, regulated special cage-like interactions with C-H⋯N radii, which are also favorable for the excellent efficiency stability and operational stability in OLEDs. It is worth noting that the green phosphorescent OLED operation half-lifetimes can reach up to 630 h under unencapsulation, which is 20 times longer than that based on the commonly used commercial ETM TPBi.

6.
Chem Sci ; 15(15): 5589-5595, 2024 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-38638218

RESUMO

Organic deep-red (DR) and near-infrared (NIR) emitters with high photoluminescence quantum yield (PLQY) are rare due to the strong non-radiative (knr) decay. Here, we report two DR/NIR emitters with high PLQY, TPANZPyPI and TPANZ3PI. Interestingly, the TPANZPyPI film exhibits 46.5% PLQY at 699 nm. Theoretical calculations indicate that TPANZPyPI can achieve this high PLQY in the near-infrared emission region due to its small S1 to S0 internal conversion (IC) rate. Meanwhile, research has found that, compared to TPANZ3PI, TPANZPyPI with a more rigid structure can effectively suppress the T2 to T1 IC process, which is conducive to higher exciton utilization efficiency (EUE). TPANZPyPI's non-doped OLED shows NIR emission with 4.6% @ 684 nm maximum external quantum efficiency (EQEmax). Its doped OLEDs radiate DR with an EQEmax of 6.9% @ 666 nm. These EQEs are among the highest values for hybridized local charge transfer state materials emitting more than 640 nm. This work demonstrates for the first time, based on a combination of theory and experiment, that increasing the molecular rigidity can inhibit the excited state IC process in addition to the S1 to S0 IC, realizing efficient electroluminescence.

7.
Chem Sci ; 14(19): 5177-5181, 2023 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-37206397

RESUMO

Organic-doped polymers and room-temperature phosphorescence (RTP) mechanisms have been widely reported. However, RTP lifetimes >3 s are rare and RTP-enhancing strategies are incompletely understood. Herein, we demonstrate a rational molecular doping strategy to obtain ultralong-lived, yet bright RTP polymers. The n-π* transitions of boron- and nitrogen-containing heterocyclic compounds can promote a triplet-state population, and the grafting of boronic acid onto polyvinyl alcohol can inhibit molecular thermal deactivation. However, excellent RTP properties were achieved by grafting 1-0.1% (N-phenylcarbazol-2-yl)-boronic acid rather than (2-/3-/4-(carbazol-9-yl)phenyl)boronic acids to afford record-breaking ultralong RTP lifetimes up to 3.517-4.444 s. These results showed that regulation of the interacting position between the dopant and matrix molecules to directly confine the triplet chromophore could more effectively stabilize triplet excitons, disclosing a rational molecular-doping strategy for achieving polymers with ultralong RTP. Based on the energy-donor function of blue RTP, an ultralong red fluorescent afterglow was demonstrated by co-doping with an organic dye.

8.
J Affect Disord ; 340: 396-404, 2023 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-37572701

RESUMO

BACKGROUND: Bipolar disorder (BD) is difficult to discriminate from major depressive disorder (MDD) before the appearance of mania or hypomania. This study was designed to identify whether patients with MDD and those who converted to BD are distinguishable using dynamic amplitude low-frequency fluctuations (dALFF) and describe the sex effects on the identification of the two disorders. METHODS: We compared the dALFF values of 35 BD patients who converted from MDD during the 2-year follow-up, 99 MDD patients, and 130 healthy controls (HCs) using two-way ANOVA. Pearson's correlation was used to compare dALFF in dysfunctional brain regions and clinical characteristics. RESULTS: A main effect of diagnosis was discovered in the frontal and occipital gyrus. For the main effect of sex, both the left middle occipital gyrus and the medial part of the superior frontal gyrus had higher dALFF values in males compared to females. An interaction of sex and diagnosis effect was observed in the right precentral gyrus. Male MDD patients exhibited a higher dALFF value than male BD patients. Additionally, we discovered a higher dALFF value in females than in males in BD patients. WCST scores were positively associated with dALFF values in the frontal and occipital gyrus in MDD patients. Meanwhile, dALFF values in the occipital gyrus positively correlated with WCST in female MDD patients only. LIMITATION: Most of the participants were on medication and the sample size was small. CONCLUSIONS: Our study is the first to find the non-neglectable role of sex effects in differentiating BD and MDD at an early stage.


Assuntos
Transtorno Bipolar , Transtorno Depressivo Maior , Humanos , Masculino , Feminino , Transtorno Depressivo Maior/diagnóstico por imagem , Transtorno Bipolar/diagnóstico por imagem , Imageamento por Ressonância Magnética , Seguimentos , Córtex Pré-Frontal , Mania , Encéfalo/diagnóstico por imagem
9.
Adv Mater ; 35(21): e2301369, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36853204

RESUMO

Tuning the metal-support interaction of supported metal catalysts has been found to be the most effective approach to modulating electronic structure and improving catalytic performance. But practical understanding of the charge transfer mechanism at the electronic level of catalysis process has remained elusive. Here, it is reported that ruthenium (Ru) nanoparticles can self-accommodate into Fe3 O4 and carbon support (Ru-Fe3 O4 /C) through the electronic metal-support interaction, resulting in robust catalytic activity toward the alkaline hydrogen evolution reaction (HER). Spectroscopic evidence and theoretical calculations demonstrate that electronic perturbation occurred in the Ru-Fe3 O4 /C, and that charge redistribution directly influenced adsorption behavior during the catalytic process. The RuO bond formed by orbital mixing changes the charge state of the surface Ru site, enabling more electrons to flow to H intermediates (H* ) for favorable adsorption. The weak binding strength of the RuO bond also reinforces the anti-bonding character of H* with a more favorable recombination of H* species into H2 molecules. Because of this satisfactory catalytic mechanism, the Ru-Fe3 O4 /C supported nanoparticle catalyst demonstrated better HER activity and robust stability than the benchmark commercial Pt/C benchmark in alkaline media.

10.
Neuroimage Clin ; 37: 103341, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36739789

RESUMO

BACKGROUND: Major depressive disorder (MDD) is a severe mental disorder characterized by reduced gray matter volume (GMV). To date, the pathogenesis of MDD remains unclear, but neurotrophic factors play an essential role in the pathophysiological alterations of MDD during disease development. In particular, plasma glial cell line-derived neurotrophic factor (GDNF) has been suggested as a potential biomarker that may be associated with disease activity and neurological progression in MDD. Our study investigated whether plasma GDNF levels in MDD patients and healthy controls (HCs) are correlated with GMV alterations. METHODS: We studied 54 MDD patients and 48 HCs. The effect of different diagnoses on whole-brain GMV was investigated using ANOVA (Analysis of Variance). The threshold of significance was p < 0.05, and Gaussian random-field (GRF) correction for error was used. All analyses were controlled for covariates such as ethnicity, handedness, age, and gender that could affect GMV. RESULT: Compared with the HC group, the GMV in the MDD group was significantly reduced in the right inferior orbitofrontal cortex (OFC), and plasma GDNF levels were significantly higher in the MDD group than in the HC group. In the right inferior OFC, the GDNF levels were positively correlated with GMV reduction in the MDD group, whereas in the HC group, a negative correlation was observed between GDNF levels and GMV reduction. CONCLUSION: Although increased production of GDNF in MDD may help repair neural damage in brain regions associated with brain disease, its repairing effects may be interfered with and hindered by underlying neuroinflammatory processes.


Assuntos
Transtorno Depressivo Maior , Humanos , Transtorno Depressivo Maior/diagnóstico por imagem , Transtorno Depressivo Maior/patologia , Substância Cinzenta/patologia , Fator Neurotrófico Derivado de Linhagem de Célula Glial , Encéfalo , Córtex Pré-Frontal , Imageamento por Ressonância Magnética
11.
Neuroimage Clin ; 38: 103403, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37079937

RESUMO

BACKGROUNDS: Suicidal ideation (SI) is one of the most serious consequences of major depressive disorder (MDD). Understanding the unique mechanism of MDD with SI (MDD + S) is crucial for treatment development. While abundant research has studied MDD, past studies have not reached a consensus on the mechanism of MDD + S. The study aimed to investigate the abnormalities of the gray matter volumes (GMVs) and plasma IL-6 level in MDD + S to further reveal the mechanism of MDD + S. METHODS: We tested the plasma IL-6 level using Luminex multifactor assays and collected the Structural Magnetic Resonance Imaging (SMRI) data from 34 healthy controls (HCs), 36 MDD patients without SI (MDD - S) and 34 MDD + S patients. We performed a partial correlation between the GMVs of the brain regions with significant differences and plasma IL-6 level with age, sex, medication, scores of HAMD-17 and HAMA as the covariates. RESULTS: Compared with HCs and MDD - S, MDD + S had significantly decreased GMVs in the left cerebellum Crus I/II and significantly increased plasma IL-6 level; compared with HCs, both the MDD + S and MDD - S had significantly decreased GMVs in right precentral and postcentral gyri. No significant correlation was found between the GMVs and the plasma IL-6 level in the MDD + S and MDD - S, respectively. While the GMVs of the right precentral and postcentral gyri negatively correlated with the level of IL-6 in the whole MDD (r = -0.28, P = 0.03). The GMVs of the left cerebellum Crus I/II (r = -0.47, P = 0.02), and the right precentral and postcentral gyri (r = -0.42, P = 0.04) negatively correlated with the level of IL-6 in HCs. CONCLUSION: The altered GMVs and the plasma IL-6 level may provide a scientific basis to understand the pathophysiological mechanisms of MDD + S.


Assuntos
Transtorno Depressivo Maior , Substância Cinzenta , Humanos , Substância Cinzenta/patologia , Interleucina-6 , Ideação Suicida , Encéfalo , Imageamento por Ressonância Magnética
12.
Front Psychiatry ; 13: 861881, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35463510

RESUMO

Objective: Bipolar disorder (BD) has a higher lifetime rate of suicide attempts (SA) than other psychiatric disorders. Furthermore, BD patients with SA (BD + S) are prone to a worse quality of life. However, the pathophysiology of BD + S is poorly understood. To further reveal the potential mechanisms of BD + S, abnormalities in peripheral plasma inflammatory cytokines and brain white matter (WM) in BD + S, as well as the correlation between them are investigated. Methods: We tested the levels of TNF-α, IL-1ß, and IL-6 in peripheral plasma and collected the diffusion tensor imaging (DTI) data from 14 BD + S, 24 BD patients without SA (BD-S), and 26 healthy controls (HCs). The three groups were matched by age and gender. The levels of TNF-α, IL-1ß, and IL-6 were detected by Luminex multifactor detection technology, and the fractional anisotropy (FA) values were employed to depict the alterations of WM. Partial correlation analyses were conducted to detect correlations between levels of TNF-α, IL-1ß, and IL-6 and changes of WM, and the relationships between severity of clinical symptoms, including scores of HAMD-17 and YMRS, and cytokine levels or FA values in all groups. Results: For plasma inflammatory cytokines, there was no significant difference in their levels except for IL-6 among the three groups. Post-hoc analyses revealed that increased IL-6 level was only detected in BD + S (p < 0.05, Bonferroni correction). For DTI, BD + S showed specifically decreased FA in the bilateral middle cerebellar peduncle and the left superior corona radiata compared to BD-S and HCs (p < 0.05, Bonferroni correction). Additionally, both BD + S and BD-S groups revealed decreased FA in the bilateral body and genu of corpus callosum (CC) compared to HCs (p < 0.05, Bonferroni correction). No significant correlation between plasma inflammatory cytokines and WM integrity was found. In the BD + S group, we found negative correlation between the scores of YMRS and FA values of the left middle cerebellar peduncle (r = -0.74, p = 0.035). Conclusion: The inflammation and impaired WM integrity may provide a scientific basis to understand the potential mechanisms of BD + S.

13.
Neuroimage Clin ; 35: 103074, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35691252

RESUMO

BACKGROUND: Nowadays, increasing evidence has found transdiagnostic neuroimaging biomarkers across major psychiatric disorders (MPDs). However, it remains to be known whether this transdiagnostic pattern of abnormalities could also be seen in individuals at familial high-risk for MPDs (FHR). We aimed to examine shared neuroanatomical endophenotypes and protective biomarkers for MPDs. METHODS: This study examined brain grey matter volume (GMV) of individuals by voxel-based morphometry method. A total of 287 individuals were included, involving 100 first-episode medication-naive MPDs, 87 FHR, and 110 healthy controls (HC). They all underwent high-resolution structural magnetic resonance imaging (MRI). RESULTS: At the group level, we found MPDs were characterized by decreased GMV in the right fusiform gyrus, the right inferior occipital gyrus, and the left anterior and middle cingulate gyri compared to HC and FHR. Of note, the GMV of the left superior temporal gyrus was increased in FHR relative to MPDs and HC. At the subgroup level, the comparisons within the FHR group did not return any significant difference, and we found GMV difference among subgroups within the MPDs group only in the opercular part of the right inferior frontal gyrus. CONCLUSION: Together, our findings uncover common structural disturbances across MPDs and substantial changes in grey matter that may relate to high hereditary risk across FHR, potentially underscoring the importance of a transdiagnostic way to explore the neurobiological mechanisms of major psychiatric disorders.


Assuntos
Predisposição Genética para Doença , Transtornos Mentais , Encéfalo/diagnóstico por imagem , Encéfalo/patologia , Substância Cinzenta/diagnóstico por imagem , Substância Cinzenta/patologia , Humanos , Imageamento por Ressonância Magnética/métodos , Transtornos Mentais/patologia , Neuroimagem
14.
Adv Sci (Weinh) ; 9(5): e2103402, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34951140

RESUMO

Room temperature phosphorescent (RTP) polymers have advantages of strength, toughness, and processing and application flexibility over organic small molecular crystals, but the current RTP polymers are all from rigid plastics and involve chemical linkage and hydrogen and ionic bonds, and thermoplastic RTP elastomer has not been attempted and realized. Moreover, solution-processed films by simply mixing polymers and organic RTP materials can only show weak and single blue RTP. Here it is presented that such elastomer films, once thermomechanically plasticized, can emit bright and long-lived dual RTP. Moreover, they exhibit photo-activation memory effect, variable RTP colors and dynamic deformation RTP response. These results reveal that thermoplasticizing has altered the dispersion states and micro-environment of RTP molecules in matrix, and the cohesion of elastic polymer itself can also greatly restrict non-radiative relaxations to boost both blue mono-molecular and yellow micro-crystalline RTP. This work provides an effective and versatile processing strategy for tuning and enhancing the RTP properties of doped RTP polymers.

15.
Neuroimage Clin ; 36: 103184, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36095891

RESUMO

BACKGROUND: Bipolar disorder is a chronic and highly recurrent mental disorder that can be classified as bipolar type I (BD I) and bipolar type II (BD II). BD II is sometimes taken as a milder form of BD I or even doubted as an independent subtype. However, the fact that symptoms and severity differ in patients with BD I and BD II suggests different pathophysiologies and underlying neurobiological mechanisms. In this study, we aimed to explore the shared and unique functional abnormalities between subtypes. METHODS: The dynamic amplitude of low-frequency fluctuation (dALFF) was performed to compare 31 patients with BD I, 32 with BD II, and 79 healthy controls (HCs). Global dALFF was calculated using sliding-window analysis. Group differences in dALFF among the 3 groups were compared using analysis of covariance (ANCOVA), with covariates of age, sex, years of education, and mean FD, and Bonferroni correction was applied for post hoc analysis. Pearson and Spearman's correlations were conducted between clusters with significant differences and clinical features in the BD I and BD II groups, after which false error rate (FDR) was used for correction. RESULTS: We found a significant decrease in dALFF values in BD patients compared with HCs in the following brain regions: the bilateral-side inferior frontal gyrus (including the triangular, orbital, and opercular parts), inferior temporal gyrus, the medial part of the superior frontal gyrus, middle frontal gyrus, anterior cingulum, insula gyrus, lingual gyrus, calcarine gyrus, precuneus gyrus, cuneus gyrus, left-side precentral gyrus, postcentral gyrus, inferior parietal gyrus, superior temporal pole gyrus, middle temporal gyrus, middle occipital gyrus, superior occipital gyrus and right-side fusiform gyrus, parahippocampal gyrus, hippocampus, middle cingulum, orbital part of the medial frontal gyrus and superior frontal gyrus. Unique alterations in BD I were observed in the right-side supramarginal gyrus and postcentral gyrus. In addition, dALFF values in BD II were significantly higher than those in BD I in the right superior temporal gyrus and middle temporal gyrus. The variables of dALFF correlated with clinical characteristics differently according to the subtypes, but no correlations survived after FDR correction. LIMITATIONS: Our study was cross-sectional. Most of our patients were on medication, and the sample was limited. CONCLUSIONS: Our findings demonstrated neurobiological characteristics of BD subtypes, providing evidence for BD II as an independent existence, which could be the underlying explanation for the specific symptoms and/or severity and point to potential biomarkers for the differential diagnosis of bipolar subtypes.


Assuntos
Transtorno Bipolar , Imageamento por Ressonância Magnética , Humanos , Estudos Transversais , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico , Transtorno Bipolar/diagnóstico por imagem
16.
J Affect Disord ; 319: 8-14, 2022 12 15.
Artigo em Inglês | MEDLINE | ID: mdl-36058360

RESUMO

BACKGROUND: It is challenging to differentiate major depressive disorder (MDD) from bipolar disorder (BD) in depression and remission. To exclude the potential influence of depressive episodes, we compared the white matter (WM) network between MDD and BD patients in remission to find disease-specific alterations in MDD and BD, and then distinguish these two affective disorders. METHODS: We recruited 33 patients with remitted MDD (rMDD), 54 patients with remitted BD (rBD), and 60 healthy controls (HCs). Diffusion tensor imaging and high-resolution 3D T1-weighted image were acquired. Global and nodal topological parameters were used to depict the alterations of the whole-brain WM network. RESULTS: We found that rMDD displayed increased global network efficiency (Eglob) and local network efficiency (Eloc) compared with HCs, whereas we found no significance between rBD and HCs. Compared with rBD and HCs, patients in the rMDD group showed increased nodal degree and nodal efficiency, and decreased nodal shortest path length in the four cerebral regions, including the right calcarine fissure (CAL.R), right cuneus (CUN.R), left lingual gyrus (LING.L), and left middle occipital gyrus (MOG.L). We did not find any rBD specific changes of nodal topological metrics. LIMITATIONS: The main limitation is the possible effects of medication and BD subtypes on the results. CONCLUSIONS: Our findings indicate that rMDD exhibited elevated global properties compared with HCs group, and increased nodal properties in the CAL.R, CUN.R, LING.L, and MOG.L specifically compared with rBD and HCs, which may underlie the distinction of the two affective disorders in remission.


Assuntos
Transtorno Bipolar , Transtorno Depressivo Maior , Humanos , Transtorno Depressivo Maior/diagnóstico por imagem , Transtorno Bipolar/diagnóstico por imagem , Imagem de Tensor de Difusão , Imageamento por Ressonância Magnética/métodos , Encéfalo/diagnóstico por imagem
17.
Front Psychiatry ; 13: 958994, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36072459

RESUMO

Background: Insomnia is considered one of the manifestations of sleep disorders, and its intensity is linked to the treatment effect or suicidal thoughts. Major depressive disorder (MDD) is classified into various subtypes due to heterogeneous symptoms. Melancholic MDD has been considered one of the most common subtypes with special sleep features. However, the brain functional mechanisms in melancholic MDD with insomnia remain unclear. Materials and methods: Melancholic MDD and healthy controls (HCs, n = 46) were recruited for the study. Patients were divided into patients with melancholic MDD with low insomnia (mMDD-LI, n = 23) and patients with melancholic MDD with high insomnia (mMDD-HI, n = 30), according to the sleep disturbance subscale of the 17-item Hamilton Depression Rating Scale. The dynamic amplitude of low-frequency fluctuation was employed to investigate the alterations of brain activity among the three groups. Then, the correlations between abnormal dALFF values of brain regions and the severity of symptoms were investigated. Results: Lower dALFF values were found in the mMDD-HI group in the right middle temporal gyrus (MTG)/superior temporal gyrus (STG) than in the mMDD-LI (p = 0.014) and HC groups (p < 0.001). Melancholic MDD groups showed decreased dALFF values than HC in the right middle occipital gyri (MOG)/superior occipital gyri (SOG), the right cuneus, the bilateral lingual gyrus, and the bilateral calcarine (p < 0.05). Lower dALFF values than HC in the left MOG/SOG and the left cuneus in melancholic MDD groups were found, but no significant difference was found between the mMDD-LI group and HC group (p = 0.079). Positive correlations between the dALFF values in the right MTG/STG and HAMD-SD scores (the sleep disturbance subscale of the HAMD-17) in the mMDD-HI group (r = 0.41, p = 0.042) were found. In the pooled melancholic MDD, the dALFF values in the right MOG/SOG and the right cuneus (r = 0.338, p = 0.019), the left MOG/SOG and the left cuneus (r = 0.299, p = 0.039), and the bilateral lingual gyrus and the bilateral calcarine (r = 0.288, p = 0.047) were positively correlated with adjusted HAMD scores. Conclusion: The occipital cortex may be related to depressive symptoms in melancholic MDD. Importantly, the right MTG/STG may play a critical role in patients with melancholic MDD with more severe insomnia.

18.
Front Psychiatry ; 12: 627198, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34539456

RESUMO

Objective: Cortical-limbic system neural circuit abnormalities are closely related to the onset of schizophrenia (SZ). The amygdala, hippocampus, cingulate, and prefrontal lobe are important components of the loop. In this study, we compared resting-state functional connectivity (rs-FC) between the amygdala/hippocampus and cingulate/prefrontal regions among patients with first-episode schizophrenia (FE-SZ), high risk populations with SZ (HR-SZ), and healthy controls (HCs). By discovering the abnormal pattern of the cortical-limbic system of SZ and HR-SZ, we attempted to elucidate the pathophysiological mechanism of SZ. Method: This study collected seventy-five FE-SZ patients, 59 HR-SZ, and 64 HCs. Analysis of variance and chi-square tests were used to analyze their demographic data. Analysis of covariance and post-hoc analysis were performed on the functional connectivity of the three groups. Finally, correlation analysis between the significant brain functional connectivity value and the scale score was performed. Results: The results of the analysis of covariance showed that there were significant differences in rs-FC between the amygdala and the right middle cingulate and between the hippocampus and the bilateral medial superior frontal gyrus among the three groups (Gaussian random field (GRF)-corrected voxel p < 0.001, cluster p < 0.05). Post hoc comparisons showed that the rs-FC of the amygdala-right middle cingulate and the hippocampus-bilateral medial superior frontal gyrus in patients with SZ was significantly lower than that of HR-SZ and HC (Bonferroni corrected p < 0.001). There was no significant difference between the HR-SZ and HC groups. The results of the correlation analysis showed that rs-FC of the hippocampus-medial frontal gyrus in patients with SZ was positively correlated with core depression factor scores on the Hamilton Depression Scale (P = 0.006, R = 0.357). Conclusion: There were different patterns of functional connectivity impairment in the amygdala and hippocampal neural circuits in the schizophrenic cortical-limbic system, and these patterns may be more useful than genetics as state-related imaging changes of the disease.

19.
J Phys Chem Lett ; 12(47): 11616-11621, 2021 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-34813339

RESUMO

Trace guest doping systems often show better room temperature phosphorescence (RTP), but trace guest doping role and mechanism are not recognized well. Here we cocrystallize commercial (CCZ) and self-made (LCZ) carbazole derivatives and verify that 0.2‰ isomer doping can afford the deserved crystal RTP, but further increasing the isomer amount hardly improves RTP. Isomer doping does not affect crystal stacking modes and intermolecular interactions and is inefficient in monomolecular and amorphous states. LCZ derivatives are intrinsically phosphorescent, but crystallization itself cannot effectively inhibit thermal deactivation, and isomer doping restricts nonradiative relaxation and reduces the energy level of the triplet emissive state via space action at a distance rather than currently described adjacent intermolecular interactions. This work has updated some existing views and represented an important conceptual advance in a fresh understanding of trace guest doping RTP systems.

20.
ACS Appl Mater Interfaces ; 13(1): 970-980, 2021 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-33356101

RESUMO

Tremendous efforts have been made on researching triplet-triplet annihilation (TTA) and thermally activated delayed fluorescence (TADF) materials for realizing high-efficiency blue organic light-emitting diodes (OLEDs) through utilizing triplet exciton conversion to the lowest singlet excited state (S1) from the lowest triplet excited state (T1). However, hot exciton conversion from the upper triplet energy level state (Tn, n > 1) to the lowest singlet excited state (S1) is an increasingly promising method for realizing pure-blue non-doped OLEDs with performances comparable to those of TTA and TADF materials. Herein, two pure-blue fluorescent emitters of donor (D)-π-acceptor (A) type, PIAnCz and PIAnPO, were designed and synthesized. The excited-state characteristics of PIAnCz and PIAnPO, confirmed by theoretical calculations and photophysical experiments, demonstrated these materials' hot exciton properties. Based on PIAnCz and PIAnPO as emission layer materials, the fabricated non-doped devices exhibited pure-blue emission with Commission Internationale de l'Eclairage (CIE) coordinates of (0.16, 0.12) and (0.16, 0.15), maximum luminescences of 10,484 and 15,485 cd m-2, and maximum external quantum efficiencies (EQEs) of 10.9 and 8.3%. Besides, at a luminescence of 1000 cd m-2, the EQEs of PIAnPO-based devices can still be high at 7.7%, and the negligible efficiency roll-off was 6.0%. The device performance of both materials demonstrates their outstanding potential for commercial application.

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