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1.
Eur J Neurosci ; 60(7): 5671-5679, 2024 Oct.
Article in English | MEDLINE | ID: mdl-39189356

ABSTRACT

Previous studies have shown that the experience of beauty is dependent upon the co-activity of field A1 of the medial frontal cortex and sensory areas. This leaves us with the question of ugliness; are the same neural mechanisms involved in this experience, including neural activity patterns, or are different mechanisms at play? This question arises because ugliness, although often regarded as the opposite of beauty, could possibly be a distinct aesthetic category. Subjects were asked to rate faces according to how ugly they found them to be while their brain activity was measured with functional magnetic resonance imaging. There was moderate agreement in the experience of ugliness of faces among subjects. Univariate parametric analyses did not reveal any brain regions with increasing activity as the declared intensity of the experience of ugliness increased. In contrast, increasing activity appeared in the striatum and posterior medial orbitofrontal cortex with decreasing levels of ugliness. As with studies on facial beauty, representational similarity analysis revealed distinct neural activity patterns with the experience of facial ugliness in sensory areas relevant for face processing and in the medial orbitofrontal cortex. Thus, similar neural mechanisms appear to be involved in the experience of facial beauty and ugliness, the difference being the level and distribution of activity within the neural network. This suggests that ugliness and beauty are on the same aesthetic continuum.


Subject(s)
Beauty , Magnetic Resonance Imaging , Humans , Female , Male , Adult , Magnetic Resonance Imaging/methods , Brain Mapping/methods , Young Adult , Brain/physiology , Brain/diagnostic imaging , Facial Recognition/physiology , Face
2.
Genet Med ; 26(2): 101013, 2024 Feb.
Article in English | MEDLINE | ID: mdl-37924258

ABSTRACT

PURPOSE: RNF213, encoding a giant E3 ubiquitin ligase, has been recognized for its role as a key susceptibility gene for moyamoya disease. Case reports have also implicated specific variants in RNF213 with an early-onset form of moyamoya disease with full penetrance. We aimed to expand the phenotypic spectrum of monogenic RNF213-related disease and to evaluate genotype-phenotype correlations. METHODS: Patients were identified through reanalysis of exome sequencing data of an unselected cohort of unsolved pediatric cases and through GeneMatcher or ClinVar. Functional characterization was done by proteomics analysis and oxidative phosphorylation enzyme activities using patient-derived fibroblasts. RESULTS: We identified 14 individuals from 13 unrelated families with (de novo) missense variants in RNF213 clustering within or around the Really Interesting New Gene (RING) domain. Individuals presented either with early-onset stroke (n = 11) or with Leigh syndrome (n = 3). No genotype-phenotype correlation could be established. Proteomics using patient-derived fibroblasts revealed no significant differences between clinical subgroups. 3D modeling revealed a clustering of missense variants in the tertiary structure of RNF213 potentially affecting zinc-binding suggesting a gain-of-function or dominant negative effect. CONCLUSION: De novo missense variants in RNF213 clustering in the E3 RING or other regions affecting zinc-binding lead to an early-onset syndrome characterized by stroke or Leigh syndrome.


Subject(s)
Leigh Disease , Moyamoya Disease , Stroke , Humans , Child , Moyamoya Disease/genetics , Leigh Disease/complications , Transcription Factors/genetics , Ubiquitin-Protein Ligases/genetics , Zinc , Genetic Predisposition to Disease , Adenosine Triphosphatases/genetics
3.
Brain Behav Immun ; 116: 52-61, 2024 02.
Article in English | MEDLINE | ID: mdl-38030049

ABSTRACT

Depressed patients exhibit altered levels of immune-inflammatory markers both in the peripheral blood and in the cerebrospinal fluid (CSF) and inflammatory processes have been widely implicated in the pathophysiology of mood disorders. The Choroid Plexus (ChP), located at the base of each of the four brain ventricles, regulates the exchange of substances between the blood and CSF and several evidence supported a key role for ChP as a neuro-immunological interface between the brain and circulating immune cells. Given the role of ChP as a regulatory gate between periphery, CSF spaces and the brain, we compared ChP volumes in patients with bipolar disorder (BP) or major depressive disorder (MDD) and healthy controls, exploring their association with history of illness and levels of circulating cytokines. Plasma levels of inflammatory markers and MRI scans were acquired for 73 MDD, 79 BD and 72 age- and sex-matched healthy controls (HC). Patients with either BD or MDD had higher ChP volumes than HC. With increasing age, the bilateral ChP volume was larger in patients, an effect driven by the duration of illness; while only minor effects were observed in HC. Right ChP volumes were proportional to higher levels of circulating cytokines in the clinical groups, including IFN-γ, IL-13 and IL-17. Specific effects in the two diagnostic groups were observed when considering the left ChP, with positive association with IL-1ra, IL-13, IL-17, and CCL3 in BD, and negative associations with IL-2, IL-4, IL-1ra, and IFN-γ in MDD. These results suggest that ChP could represent a reliable and easy-to-assess biomarker to evaluate the brain effects of inflammatory status in mood disorders, contributing to personalized diagnosis and tailored treatment strategies.


Subject(s)
Depressive Disorder, Major , Mood Disorders , Humans , Cytokines/metabolism , Interleukin 1 Receptor Antagonist Protein , Interleukin-17 , Interleukin-13 , Choroid Plexus/metabolism , Biomarkers
4.
Int Orthop ; 48(8): 1971-1978, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38658421

ABSTRACT

PURPOSE: The Sanders Scoring System has revolutionized the way we assess the remaining growth potential of the skeleton. However, because it involves radiation exposure, it must be used with caution in children. The purpose of the study was to evaluate whether the Sanders skeletal maturity score (SMS) could be accurately determined using ultrasound (U). METHODS: We took radiographs (R) of the hand and performed U of the thumb and index finger in 115 patients between six and 19 years of age who were undergoing treatment for scoliosis or limb deformities. Paediatric orthopaedic surgeons, a paediatrician, and a paediatric radiologist were evaluated the blinded images. Those classified images are based on the SMS and the Thumb Ossification Composite Index (TOCI). RESULTS: Intrarater reliability was high for SMS and slightly weaker for TOCI, but still significant. Interrater reliability was clear for R and weaker for U in both staging systems. Ultimately, SMS 3 and 7 achieved the highest percentage of concordance (P) of 71.7% and 66.0%, respectively, when U was performed. Combining the clinically relevant groups of SMS 3&4 and SMS 7&8 also significantly increased peak scores (SMS 3 and 4 P = 76.7%; SMS 7 and 8 P = 79.7%). The probabilities of peak scores were significantly weaker when the TOCI score was examined. CONCLUSION: Our study shows that U can be used effectively especially to measure stages 3 and 4 and stages 7 and 8 of SMS. The U method is easy to use and therefore may offer advantages in clinical practice without the need for radiation exposure.


Subject(s)
Age Determination by Skeleton , Clinical Decision-Making , Ultrasonography , Humans , Child , Adolescent , Male , Female , Ultrasonography/methods , Age Determination by Skeleton/methods , Clinical Decision-Making/methods , Reproducibility of Results , Young Adult , Radiography/methods , Hand/diagnostic imaging , Scoliosis/diagnostic imaging , Observer Variation
5.
Eur J Neurosci ; 57(4): 633-645, 2023 02.
Article in English | MEDLINE | ID: mdl-36633957

ABSTRACT

We have enquired into the neural activity which correlates with the experience of beauty aroused by abstract paintings consisting of arbitrary assemblies of lines and colours. During the brain imaging experiments, subjects rated abstract paintings according to aesthetic appeal. There was low agreement on the aesthetic classification of these paintings among participants. Univariate analyses revealed higher activity with higher declared aesthetic appeal in both the visual areas and the medial frontal cortex. Additionally, representational similarity analysis (RSA) revealed that the experience of beauty correlated with decodable patterns of activity in visual areas. These results are broadly similar to those obtained in previous studies on facial beauty. With abstract art, it was the involvement of visual areas implicated in the processing of lines and colours while with faces it was of visual areas implicated in the processing of faces. Both categories of aesthetic experience correlated with increased activity in medial frontal cortex. We conclude that the sensory areas participate in the selection of stimuli according to aesthetic appeal and that it is the co-operative activity between the sensory areas and the medial frontal cortex that is the basis for the experience of abstract visual beauty. Further, this co-operation is enabled by "experience dependent" functional connections, in the sense that currently the existence and high specificity of these connections can only be demonstrated during certain experiences.


Subject(s)
Beauty , Visual Perception , Humans , Brain , Frontal Lobe , Brain Mapping
6.
Bipolar Disord ; 25(1): 32-42, 2023 02.
Article in English | MEDLINE | ID: mdl-36377438

ABSTRACT

BACKGROUND: Bipolar disorder (BD) is linked to several structural and functional brain alterations. In addition, BD patients have a three-fold increased risk of developing insulin resistance, which is associated with neural changes and poorer BD outcomes. Therefore, we investigated the effects of insulin and two derived measures (insulin resistance and sensitivity) on white matter (WM) microstructure, resting-state (rs) functional connectivity (FC), and fractional amplitude of low-frequency fluctuation (fALFF). METHODS: BD patients (n = 92) underwent DTI acquisition, and a subsample (n = 22) underwent rs-fMRI. Blood samples were collected to determine insulin and glucose levels. The Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) and quantitative insulin sensitivity check index (QUICKI) were computed. DTI data were analyzed via tract-based spatial statistics and threshold-free cluster enhancement. From rs-fMRI data, both ROI-to-ROI FC matrices and fALFF maps were extracted. RESULTS: Insulin showed a widespread negative association with fractional anisotropy (FA) and a positive effect on radial diffusivity (RD) and mean diffusivity (MD). HOMA-IR exerted a significant effect on RD in the right superior longitudinal fasciculus, whereas QUICKI was positively associated with FA and negatively with RD and MD in the left superior longitudinal fasciculus, left anterior corona radiata, and forceps minor. fALFF was negatively modulated by insulin and HOMA-IR and positively associated with QUICKI in the precuneus. No significant results were found in the ROI-to-ROI analysis. CONCLUSION: Our findings suggest that WM microstructure and functional alterations might underlie the effect of IR on BD pathophysiology, even if the causal mechanisms need to be further investigated.


Subject(s)
Bipolar Disorder , Insulin Resistance , Insulins , White Matter , Humans , Diffusion Tensor Imaging/methods , Brain , Anisotropy
7.
Eur J Neurosci ; 55(1): 91-106, 2022 01.
Article in English | MEDLINE | ID: mdl-34837282

ABSTRACT

The perception of faces correlates with activity in a number of brain areas, but only when a face is perceived as beautiful is the medial orbitofrontal cortex (mOFC) also engaged. Here, we enquire whether it is the emergence of a particular pattern of neural activity in face perceptive areas during the experience of a face as beautiful that determines whether there is, as a correlate, activity in mOFC. Seventeen subjects of both genders viewed and rated facial stimuli according to how beautiful they perceived them to be while the activity in their brains was imaged with functional magnetic resonance imaging. A univariate analysis revealed parametrically scaled activity within several areas, including the occipital face area (OFA), fusiform face area (FFA) and the cuneus; the strength of activity in these areas correlated with the declared intensity of the aesthetic experience of faces; multivariate analyses showed strong patterns of activation in the FFA and the cuneus and weaker patterns in the OFA and the posterior superior temporal sulcus (pSTS). The mOFC was only engaged when specific patterns of activity emerged in these areas. A psychophysiological interaction analysis with mOFC as the seed area revealed the involvement of the right FFA and the right OFA. We conjecture that it is the collective specific pattern-based activity in these face perceptive areas, with activity in the mOFC as a correlate, that constitutes the neural basis for the experience of facial beauty, bringing us a step closer to understanding the neural determinants of aesthetic experience.


Subject(s)
Beauty , Brain Mapping , Brain Mapping/methods , Female , Humans , Magnetic Resonance Imaging/methods , Male , Occipital Lobe/diagnostic imaging , Occipital Lobe/physiology , Pattern Recognition, Visual/physiology , Photic Stimulation/methods , Temporal Lobe/diagnostic imaging
8.
Eur Arch Psychiatry Clin Neurosci ; 272(4): 557-569, 2022 Jun.
Article in English | MEDLINE | ID: mdl-34622344

ABSTRACT

Identifying treatment options for patients with alcohol dependence is challenging. This study investigates the application of real-time functional MRI (rtfMRI) neurofeedback (NF) to foster resistance towards craving-related neural activation in alcohol dependence. We report a double-blind, placebo-controlled rtfMRI study with three NF sessions using alcohol-associated cues as an add-on therapy to the standard treatment. Fifty-two patients (45 male; 7 female) diagnosed with alcohol dependence were recruited in Munich, Germany. RtfMRI data were acquired in three sessions and clinical abstinence was evaluated 3 months after the last NF session. Before the NF training, BOLD responses and clinical data did not differ between groups, apart from anger and impulsiveness. During NF training, BOLD responses of the active group were decreased in medial frontal areas/caudate nucleus, and increased, e.g. in the cuneus/precuneus and occipital cortex. Within the active group, the down-regulation of neuronal responses was more pronounced in patients who remained abstinent for at least 3 months after the intervention compared to patients with a relapse. As BOLD responses were comparable between groups before the NF training, functional variations during NF cannot be attributed to preexisting distinctions. We could not demonstrate that rtfMRI as an add-on treatment in patients with alcohol dependence leads to clinically superior abstinence for the active NF group after 3 months. However, the study provides evidence for a targeted modulation of addiction-associated brain responses in alcohol dependence using rtfMRI.


Subject(s)
Alcoholism , Neurofeedback , Alcoholism/diagnostic imaging , Alcoholism/therapy , Brain Mapping , Female , Humans , Magnetic Resonance Imaging , Male , Pilot Projects
10.
Medicina (Kaunas) ; 55(12)2019 Dec 12.
Article in English | MEDLINE | ID: mdl-31842504

ABSTRACT

Background and objectives: In recent years, a growing body of research has focused on identifying possible biological markers for suicidal behavior, including infective and immunological markers. In this paper, our aim was to review available evidence concerning the association between cytomegalovirus (CMV) infection and suicide. Materials and Methods: A systematic search according to the PRISMA statement was performed on Pubmed. After the screening procedure, we identified five relevant papers. Results: We found inconsistent evidence linking CMV infection and suicide, with some papers reporting an association between CMV seropositivity and suicidal behavior, and others not finding the association. Conclusions: With the evidence available presently, it is not possible to infer whether there is a correlation between suicide and CMV infection.


Subject(s)
Cytokines/metabolism , Cytomegalovirus Infections/immunology , Cytomegalovirus/immunology , Intracellular Signaling Peptides and Proteins/immunology , Suicide, Attempted/psychology , Biomarkers/metabolism , Cytomegalovirus Infections/complications , Cytomegalovirus Infections/psychology , Humans , Predictive Value of Tests , Risk Factors , Suicidal Ideation
11.
Radiol Med ; 123(11): 818-826, 2018 Nov.
Article in English | MEDLINE | ID: mdl-29961228

ABSTRACT

PURPOSE: Mediastinal, hilar, and peripheral pulmonary lymphadenopathy is a hallmark sign of different benign and malignant diseases of the chest. Contrast-enhanced (CE) chest CT is a test frequently applied to examine thoracic lymph node zones. We attempted to find out whether mediastinal, hilar, and peripheral lymph nodes delineate equally in CE chest CT with reduced dose (CE-LDCT, about 1 mSv) when compared with accepted standard CE chest CT (CE-SDCT). MATERIALS AND METHODS: In this ethics committee-approved, mono-institutional, retrospective (20 months) matched case-control study, two independent, blinded observers compared measurable lymph node delineation (yes-no) in six different International Association for the Study of Lung Cancer (IASLC) zones (upper mediastinal, aortopulmonary, subcarinal, lower mediastinal, hilar, peripheral) between 62 CE-LDCT cases and 124 CE-SDCT controls (respective tube charge, 100, 120 KVp, computed tomography dose index, 1.66 ± 0.51, 5.36 ± 2.24 mGy, automatic exposure control-modulated 64-row multi-detector chest CT with iterative image reconstruction). Individual matching for gender (53% female), age (53 ± 19 years), body height, weight, anterior-posterior and transverse diameters of chest and lung ruled out pre-test confounders. Lymph node size (cut-off value, 1 cm) was a potential post-test confounder. Two-tailed T test and Chi-square test were significant for p < 0.05. RESULTS: Measurable lymph nodes delineated equally in cases (261/372 IASLC zones, 70%; 280/372, 75%) and controls (528/744, 71%; 519/744, 70%; no significant differences, power 90%). One observer delineated significantly more peripheral zone lymph nodes in cases (35/62) than in controls (43/124); there were no significant differences otherwise. Lymph node size did not differ significantly; effective dose was 1.0 ± 0.3 mSv in cases and 3.4 ± 1.5 mSv in controls. CONCLUSION: CE-LDCT with about 1 mSv demonstrated equal delineation of thoracic lymph nodes when compared with accepted standard CE-SDCT.


Subject(s)
Contrast Media , Lymphadenopathy/diagnostic imaging , Multidetector Computed Tomography/methods , Radiation Dosage , Case-Control Studies , Female , Humans , Lymphadenopathy/etiology , Male , Middle Aged , Retrospective Studies , Thorax
12.
Radiol Med ; 121(8): 644-51, 2016 Aug.
Article in English | MEDLINE | ID: mdl-27154525

ABSTRACT

PURPOSE: To compare contrast-enhanced low-dose multidetector-row computed tomography (CE-LDCT) of the chest with unenhanced (UN-) LDCT and contrast-enhanced standard-dose CT (CE-SDCT) in regard to the delineation of intrathoracic lymph nodes. MATERIALS AND METHODS: Based on the international association for the study of lung cancer (IASLC) grouping of thoracic lymph nodes, two independent radiologists retrospectively assessed lymph node delineation in 9 CE-LDCTs (64 rows, 120 KV, p < 30 mAs/slice) and in 2 control groups of 36 UN-LDCTs and 36 CE-SDCTs, each matched for gender, age, chest/lung diameters, and clinical history. At a significance level of p < 0.025 (Bonferroni-correction for two control groups), two-tailed Chi-square and Fisher's exact tests were applied. For the evaluation of the inter-observer agreement, Cohen's kappa statistics were used. RESULTS: CE-LDCT delineated lymph node groups significantly more often than UN-LDCT, in general (p < 0.001) and individually in the subcarinal (p < 0.025), the hilar (p < 0.001), and the peripheral lung (p < 0.001) zones. There were no significant differences in lymph node delineation between CE-LDCT and CE-SDCT. Inter-observer agreement was substantial to perfect for all lymph node zones (κ 0.64-1.0). Measurable lymph nodes did not significantly differ in size between cases and controls. CONCLUSION: At CE-LDCT of the chest, delineation of mediastinal and hilar lymph node groups was superior to UN-LDCT and similar to CE-SDCT. CE-LDCT may be a promising alternative for patients with non-malignant lung disease, unclear chest X-ray findings, or the need for follow-up.


Subject(s)
Lung Neoplasms/diagnostic imaging , Lung Neoplasms/pathology , Lymph Nodes/diagnostic imaging , Lymph Nodes/pathology , Multidetector Computed Tomography/methods , Radiography, Thoracic/methods , Adult , Aged , Case-Control Studies , Contrast Media , Female , Humans , Male , Middle Aged , Pilot Projects , Radiation Dosage , Radiographic Image Interpretation, Computer-Assisted , Retrospective Studies
13.
Acta Radiol ; 56(5): 605-13, 2015 May.
Article in English | MEDLINE | ID: mdl-25585849

ABSTRACT

BACKGROUND: Little research exists on the influence of a magnetic resonance imaging (MRI) head coil's channel count on measured resting-state functional connectivity. PURPOSE: To compare a 32-element (32ch) and an 8-element (8ch) phased array head coil with respect to their potential to detect functional connectivity within resting-state networks. MATERIAL AND METHODS: Twenty-six healthy adults (mean age, 21.7 years; SD, 2.1 years) underwent resting-state functional MRI at 3.0 Tesla with both coils using equal standard imaging parameters and a counterbalanced design. Independent component analysis (ICA) at different model orders and a dual regression approach were performed. Voxel-wise non-parametric statistical between-group contrasts were determined using permutation-based non-parametric inference. RESULTS: Phantom measurements demonstrated a generally higher image signal-to-noise ratio using the 32ch head coil. However, the results showed no significant differences between corresponding resting-state networks derived from both coils (p < 0.05, FWE-corrected). CONCLUSION: Using the identical standard acquisition parameters, the 32ch head coil does not offer any significant advantages in detecting ICA-based functional connectivity within RSNs.


Subject(s)
Brain Mapping/methods , Brain/anatomy & histology , Magnetic Resonance Imaging/instrumentation , Magnetic Resonance Imaging/methods , Adolescent , Adult , Female , Humans , Image Processing, Computer-Assisted/methods , Male , Phantoms, Imaging , Reference Values , Rest , Signal-To-Noise Ratio , Young Adult
14.
Psych J ; 2024 Jul 17.
Article in English | MEDLINE | ID: mdl-39019467

ABSTRACT

Patients with lesions in the visual cortex are blind in corresponding regions of the visual field, but they still may process visual information, a phenomenon referred to as residual vision or "blindsight". Here we report behavioral and fMRI observations with a patient who reports conscious vision across an extended area of blindness for moving, but not for stationary stimuli. This completion effect is shown to be of perceptual and not of conceptual origin, most likely mediated by spared representations of the visual field in the striate cortex. The neural output to extra-striate areas from regions of the deafferented striate cortex is apparently still intact; this is, for instance, indicated by preserved size constancy of visually completed stimuli. Neural responses as measured with fMRI reveal an activation only for moving stimuli, but importantly on the ipsilateral side of the brain. In a conceptual model this shift of activation to the "wrong" hemisphere is explained on the basis of an imbalance of excitatory and inhibitory interactions within and between the striate cortices due to the brain injury. The observed neuroplasticity indicated by this shift together with the behavioral observations provide important new insights into the functional architecture of the human visual system and provide new insight into the concept of consciousness.

15.
Front Psychol ; 15: 1256046, 2024.
Article in English | MEDLINE | ID: mdl-38375106

ABSTRACT

Introduction: Cognitive behaviour therapy with exposure and response prevention is efficient in treating patients with obsessive-compulsive disorder (OCD). Nevertheless, it would be helpful for many patients to complement the therapeutic treatment with acceptance strategies to further increase the therapeutic benefit. The aim of the present study was to examine neurobiological responses to acceptance and intensification strategies during symptom provocation alongside the psychotherapeutic process. Method: A total of 23 patients diagnosed with OCD (subtype: washing/contamination fear) was instructed to utilise either an acceptance strategy (ACS) or an intensification strategy (INS) to cope with their emotional and cognitive reactions to personalised symptom-triggering and neutral pictures. Fourteen patients participated twice: at the beginning [T1] and at the end [T2] of an inpatient multimodal treatment including cognitive behaviour therapy with response prevention to assess functional variations. Results: For the contrast of T1 and T2, ACS showed increased brain activity in the left inferior frontal gyrus (IFG), left caudate body, and posterior cingulate gyrus (PCC). They also showed decreased activity in the left anterior insula. INS showed decreased activation in right lingual gyrus and right caudate body. At T2, ACS showed increased activation compared to INS in the left cerebrum: IFG, caudate nucleus, middle and superior temporal gyrus, and PCC/cuneus. For the comparison of T1 and T2, the ACS revealed increased brain activity in the left IFG, left caudate body, and right inferior parietal lobe. It showed decreased activity in the left anterior insula. The INS revealed decreased activity in right lingual gyrus and right caudate body.The psychometric questionnaires suggested that patients were able to reduce obsession, compulsion, and depression symptoms. Furthermore, patients rated the ACS as more useful for themselves compared with the INS. Conclusion: The increased left IFG activity using ACS (T1 vs. T2) could be interpreted as a better inhibitory top-down process, while the increased PCC response might be due to a better reappraisal strategy after therapy. ACS seems to mobilise neuronal activations under therapy, especially in the left hemisphere. Both strategies showed reductions in emotional networks as a neuronal correlate of therapy success. Overall, ACS may be more efficient than INS, as rated by the patients and as in accordance with neurobiological findings.

16.
Article in English | MEDLINE | ID: mdl-39362408

ABSTRACT

BACKGROUND: The neurobiological differences between women who have experienced a peripartum episode and those who have only had episodes outside of this period are not well understood. METHODS: 64 parous female patients with major depressive disorder that have either a positive (n=30) or negative (n=34) history of peripartum depression (PPD) underwent MRI acquisition to obtain structural brain images. An independent two-sample t-test comparing patients with and without a history of PPD was performed using voxel-based morphometry analysis (VBM). Additionally, polygenic risk scores (PRSs) for estradiol were calculated and a moderation analysis was conducted between 3 estradiol PRSs and PPD history status on extracted cluster volumes using IBM SPSS PROCESS macro. RESULTS: The VBM analysis identified larger grey matter volumes in bilateral clusters encompassing the putamen, pallidum, caudate, and thalamus in patients with PPD history compared to patients without a history. The moderation analysis identified a significant interaction of 2 estradiol PRSs and PPD history on grey matter cluster volumes with a positive effect in PPD women and a negative effect in women with no history of PPD. CONCLUSIONS: Our findings demonstrate that women who have experienced a peripartum episode are neurobiologically distinct from women who have no history of PPD in a cluster within the basal ganglia, an area important for motivation, decision-making, and emotional processing. Furthermore, we show that the genetic load for estradiol has a differing effect in this area based on PPD status which supports the claim that PPD is associated with sensitivity to sex steroid hormones.

17.
Neuropsychopharmacology ; 49(3): 573-583, 2024 Feb.
Article in English | MEDLINE | ID: mdl-37737273

ABSTRACT

Cognitively impaired and spared patient subgroups were identified in psychosis and depression, and in clinical high-risk for psychosis (CHR). Studies suggest differences in underlying brain structural and functional characteristics. It is unclear whether cognitive subgroups are transdiagnostic phenomena in early stages of psychotic and affective disorder which can be validated on the neural level. Patients with recent-onset psychosis (ROP; N = 140; female = 54), recent-onset depression (ROD; N = 130; female = 73), CHR (N = 128; female = 61) and healthy controls (HC; N = 270; female = 165) were recruited through the multi-site study PRONIA. The transdiagnostic sample and individual study groups were clustered into subgroups based on their performance in eight cognitive domains and characterized by gray matter volume (sMRI) and resting-state functional connectivity (rsFC) using support vector machine (SVM) classification. We identified an impaired subgroup (NROP = 79, NROD = 30, NCHR = 37) showing cognitive impairment in executive functioning, working memory, processing speed and verbal learning (all p < 0.001). A spared subgroup (NROP = 61, NROD = 100, NCHR = 91) performed comparable to HC. Single-disease subgroups indicated that cognitive impairment is stronger pronounced in impaired ROP compared to impaired ROD and CHR. Subgroups in ROP and ROD showed specific symptom- and functioning-patterns. rsFC showed superior accuracy compared to sMRI in differentiating transdiagnostic subgroups from HC (BACimpaired = 58.5%; BACspared = 61.7%, both: p < 0.01). Cognitive findings were validated in the PRONIA replication sample (N = 409). Individual cognitive subgroups in ROP, ROD and CHR are more informative than transdiagnostic subgroups as they map onto individual cognitive impairment and specific functioning- and symptom-patterns which show limited overlap in sMRI and rsFC. CLINICAL TRIAL REGISTRY NAME: German Clinical Trials Register (DRKS). Clinical trial registry URL: https://www.drks.de/drks_web/ . Clinical trial registry number: DRKS00005042.


Subject(s)
Cognitive Dysfunction , Psychotic Disorders , Female , Humans , Brain/diagnostic imaging , Cognitive Dysfunction/diagnosis , Executive Function , Gray Matter/diagnostic imaging , Psychotic Disorders/complications , Psychotic Disorders/diagnosis , Male , Multicenter Studies as Topic
18.
J Clin Med ; 13(16)2024 Aug 18.
Article in English | MEDLINE | ID: mdl-39201016

ABSTRACT

Background/Objectives: Lithium taken during pregnancy was linked in the past with increased risk for foetal/newborn malformations, but clinicians believe that it is worse for newborn children not to treat the mothers' underlying psychiatric illness. We set to review the available evidence of adverse foetal outcomes in women who received lithium treatment for some time during their pregnancy. Methods: We searched four databases and a register to seek papers reporting neonatal outcomes of women who took lithium during their pregnancy by using the appropriate terms. We adopted the PRISMA statement and used Delphi rounds among all the authors to assess eligibility and the Cochrane Risk-of-Bias tool to evaluate the RoB of the included studies. Results: We found 28 eligible studies, 10 of which met the criteria for inclusion in the meta-analysis. The studies regarded 1402 newborn babies and 2595 women exposed to lithium. Overall, the systematic review found slightly increased adverse pregnancy outcomes for women taking lithium for both the first trimester only and any time during pregnancy, while the meta-analysis found increased odds for cardiac or other malformations, preterm birth, and a large size for gestational age with lithium at any time during pregnancy. Conclusions: Women with BD planning a pregnancy should consider discontinuing lithium when euthymic; lithium use during the first trimester and at any time during pregnancy increases the odds for some adverse pregnancy outcomes. Once the pregnancy has started, there is no reason for discontinuing lithium; close foetal monitoring and regular blood lithium levels may obviate some disadvantages of lithium administration during pregnancy.

19.
Psych J ; 12(6): 829-831, 2023 Dec.
Article in English | MEDLINE | ID: mdl-37852609

ABSTRACT

Using fMRI, precise temporal control was extracted from routine activities in a female blind subject. Findings reveal a specific neural machinery for temporal control of recalled sequential events in episodic memory.


Subject(s)
Memory, Episodic , Humans , Female , Magnetic Resonance Imaging , Mental Recall
20.
Psych J ; 12(6): 763-773, 2023 Dec.
Article in English | MEDLINE | ID: mdl-37586874

ABSTRACT

The cognitive preparation of an operation without overt motor execution is referred to as imagery (of any kind). Over the last two decades of progress in brain timing studies, the timing of imagery has received little focus. This study compared the time perception of ten professional violinists' actual and imagery performances to see if such an analysis could offer a different model of timing in musicians' imagery skills. When comparing the timing profiles of the musicians between the two situations (actual and imagery), we found a significant correlation in overestimation of time in the imagery. In our fMRI analysis, we found high activation in the left cerebellum. This finding seems consistent with dedicated models of timing such as the cerebellar timing hypothesis, which assigns a "specialized clock" for tasks. In addition, the present findings might provide empirical data concerning imagery, creativity, and time. Maintaining imagery over time is one of the foundations of creativity, and understanding the underlying temporal neuronal mechanism might help us to apprehend the machinery of creativity per se.


Subject(s)
Music , Time Perception , Humans , Magnetic Resonance Imaging , Music/psychology , Brain/physiology , Imagery, Psychotherapy
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