ABSTRACT
Facial features are important sources of information about perceived trustworthiness. Masks and protective clothing diminish the visibility of facial cues by either partially concealing the mouth and nose or covering the entire face. During the pandemic, the use of personal protective equipment affected and redefined who trusts whom in society. This study used the classical investment game of interpersonal trust with Chinese participants to explore the impact of occlusion on interpersonal trust. Faces with moderate initial trustworthiness were occluded by a mask or protective clothing in Experiment 1 and were digitally occluded by a square in Experiment 2, and faces with three levels of initial trustworthiness were occluded by a mask in Experiment 3. Results showed that both undergraduates (Experiment 1a) and non-student adults (Experiment 1b) perceived the faces with protective clothing as more trustworthy than faces wearing standard masks and faces not wearing masks. Faces with the top halves showing were perceived as trustworthy as full faces, while faces with the bottom halves showing were perceived as less trustworthy. The effect of masks is weak and complex. Masks reduced participants' trust in faces with high initial trustworthiness, had no effect on faces with low and moderate initial trustworthiness, and only slightly increased the trust of undergraduates in faces with moderate initial trustworthiness. Our findings indicate that the lack of information caused by occlusion and the social significance associated with occlusion collectively affect people's trust behavior in Chinese society. We believe the findings of this study will be useful in elucidating the effects of personal protective equipment usage on perceptions of trustworthiness.
Subject(s)
Facial Recognition , Masks , Protective Clothing , Social Perception , Trust , Humans , Male , Female , Young Adult , Adult , China , Facial Recognition/physiology , Protective Clothing/standards , Adolescent , Games, Experimental , COVID-19/prevention & control , East Asian PeopleABSTRACT
BACKGROUND: Intronic GAA repeat expansion ([GAA] ≥250) in FGF14 is associated with the late-onset neurodegenerative disorder, spinocerebellar ataxia 27B (SCA27B, GAA-FGF14 ataxia). We aim to determine the prevalence of the GAA repeat expansion in FGF14 in Chinese populations presenting late-onset cerebellar ataxia (LOCA) and evaluate the characteristics of tandem repeat inheritance, radiological features and sympathetic nerve involvement. METHODS: GAA-FGF14 repeat expansion was screened in an undiagnosed LOCA cohort (n = 664) and variations in repeat-length were analyzed in families of confirmed GAA-FGF14 ataxia patients. Brain magnetic resonance imaging (MRI) was used to evaluate the radiological feature in GAA-FGF14 ataxia patients. Clinical examinations and sympathetic skin response (SSR) recordings in GAA-FGF14 patients (n = 16) were used to quantify sympathetic nerve involvement. RESULTS: Two unrelated probands (2/664) were identified. Genetic screening for GAA-FGF14 repeat expansion was performed in 39 family members, 16 of whom were genetically diagnosed with GAA-FGF14 ataxia. Familial screening revealed expansion of GAA repeats in maternal transmissions, but contraction upon paternal transmission. Brain MRI showed slight to moderate cerebellar atrophy. SSR amplitude was lower in GAA-FGF14 patients in pre-symptomatic stage compared to healthy controls, and further decreased in the symptomatic stage. CONCLUSIONS: GAA-FGF14 ataxia was rare among Chinese LOCA cases. Parental gender appears to affect variability in GAA repeat number between generations. Reduced SSR amplitude is a prominent feature in GAA-FGF14 patients, even in the pre-symptomatic stage.
ABSTRACT
Background: Cushing disease (CD) is a rare clinical neuroendocrine disease. CD is characterized by abnormal hypercortisolism induced by a pituitary adenoma with the secretion of adrenocorticotropic hormone. Individuals with CD usually exhibit atrophy of gray matter volume. However, little is known about the alterations in topographical organization of individuals with CD. This study aimed to investigate the structural covariance networks of individuals with CD based on the gray matter volume using graph theory analysis. Methods: High-resolution T1-weighted images of 61 individuals with CD and 53 healthy controls were obtained. Gray matter volume was estimated and the structural covariance network was analyzed using graph theory. Network properties such as hubs of all participants were calculated based on degree centrality. Results: No significant differences were observed between individuals with CD and healthy controls in terms of age, gender, and education level. The small-world features were conserved in individuals with CD but were higher than those in healthy controls. The individuals with CD showed higher global efficiency and modularity, suggesting higher integration and segregation as compared to healthy controls. The hub nodes of the individuals with CD were Short insular gyri (G_insular_short_L), Anterior part of the cingulate gyrus and sulcus (G_and_S_cingul-Ant_R), and Superior frontal gyrus (G_front_sup_R). Conclusions: Significant differences in the structural covariance network of patients with CD were found based on graph theory. These findings might help understanding the pathogenesis of individuals with CD and provide insight into the pathogenesis of this CD.
ABSTRACT
People recognize familiar faces better than unfamiliar faces. However, it remains unknown whether familiarity affects part-based and/or holistic processing. Wang et al., Frontiers in Psychology, 6, 559 (2015), Vision Research, 157, 89-96 (2019) found both enhanced part-based and holistic processing in eye relative to mouth regions (i.e., in a region-selective manner) for own-race and own-species faces, i.e., faces with more experience. Here, we examined the role of face familiarity in eyes (part-based, region-selective) and holistic processing. Face familiarity was tested at three levels: high-familiar (faces of students from the same department and the same class who attended almost all courses together), low-familiar (faces of students from the same department but different classes who attended some courses together), and unfamiliar (faces of schoolmates from different departments who seldom attended the same courses). Using the old/new task in Experiment 1, we found that participants recognized eyes of high-familiar faces better than low-familiar and unfamiliar ones, while similar performance was observed for mouths, indicating a region-selective, eyes familiarity effect. Using the "Perceptual field" paradigm in Experiment 2, we observed a stronger inversion effect for high-familiar faces, a weaker inversion effect for low-familiar faces, but a non-significant inversion effect for unfamiliar faces, indicating that face familiarity plays a role in holistic processing. Taken together, our results suggest that familiarity, like other experience-based variables (e.g., race and species), can improve both eye processing and holistic processing.
Subject(s)
Facial Recognition , Recognition, Psychology , Humans , Eye , Face , Mouth , Pattern Recognition, VisualABSTRACT
Dominance is a major organizing principle of human societies that impacts a wide range of human behaviors, from gaze-following to voting choices. Here, we examined how dominance modulates a fundamental perceptual ability: the perception of proximity. We used the "Fat Face" illusion, a novel paradigm that measures perceived proximity implicitly. The illusion depicts a phenomenon that occurs when two identical faces are aligned vertically (one above the other) and the bottom face consistently appears larger. This illusion suggests that our visual system uses a vertical layout to infer the relative proximity of faces, so that the bottom face appears closer, and is thereby perceived as larger than the top one. We found that the illusion was larger for dominant than for submissive faces (Experiment 1). Moreover, when a dominant face was presented below a submissive one, participants reported a larger illusion than when a dominant face was above a submissive face (Experiments 2a and 2b). These findings suggest that dominant faces are perceived to be closer to observers than submissive faces. Furthermore, we found a stronger illusion for other-race faces as opposed to own-race faces, suggesting that we also misperceive other-race faces as closer than own-race faces. Together, these findings suggest that the visual system is highly sensitive to self-relevant, potentially threatening stimuli (e.g., dominant faces and other-race individuals) in the environment by misperceiving them as closer. In line with the recently proposed threat-signal hypothesis, this mechanism may allow for rapid and adaptive behaviors in our everyday social interactions. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Subject(s)
Facial Recognition , Illusions , Humans , Face , Adaptation, PsychologicalABSTRACT
Previous studies suggested that upper and lower facial halves might be involved in the human holistic face processing differently. In this study, we replicated and extended the finding above. In Experiment 1, we used the standard composite-face task to measure holistic face processing when participants made judgements on the upper and lower facial halves separately. Results showed that the composite-face effect was stronger for the upper facial half compared to the lower half. In Experiment 2, we investigated how facial information was integrated when participants focused on different features, using the perceptual field paradigm. Results showed that: (1) more "peripheral faces" were chosen when participants fixated at the eyes than when they fixated at the mouth; (2) less "peripheral faces" were chosen for inverted faces regardless of the fixated features. Findings from both experiments together indicate that more peripheral facial information were integrated when participants focused on the upper facial half, highlighting the significance of focusing on the upper facial half in face processing.
Subject(s)
Facial Recognition , Humans , Orientation, Spatial , Judgment , Face , MouthABSTRACT
Previous studies suggested that (1) facial attractiveness perception can be increased with facial skin homogeneity improving; and (2) human's facial change detection increases along with facial skin homogeneity increases. However, it's unknown whether a face can be perceived prettier than it did before while still being considered as physically the same. It is possible that these two kinds of cognitive-aesthetic processing may have separate mathematical functions in psychophysical studies. In other words, human's facial attractiveness differentiation may be more sensitive than facial change detection. In this current study, we explored the above questions. Using three types of psychophysical techniques to manipulate facial skin homogeneity, we measured how participants' sensitivity to facial skin homogeneity and attractiveness change. Results showed a linear function curve for facial physical change detection and a logarithmic function curve was drawn in the forced-choice technique, which was the most sensitive one, indicating that participants can judge a face prettier than before without being aware of it has physically changed. Besides, two linear function curves were shown in the same/different technique and a rating technique. Taken together, this current study revealed that facial attractiveness can be enhanced and discriminated by improving facial skin homogeneity, without being realized by people with conscious awareness that the face has been changed.
ABSTRACT
Converging evidence has demonstrated our remarkable capacities to process individual faces. However, in real-life contexts, we rarely see faces in isolation. It is largely unknown how our visual system processes a multitude of faces. The current study explored this question by using the "Fat Face" illusion: when two identical faces are vertically aligned, the bottom face appears bigger. In Experiment 1, we tested the robustness of this illusion by using faces varied by gender and race, by recruiting participants from different countries (Canadian, Chinese, and French), and by implementing different task requirements. We found that the illusion was stable and immune to variations in face gender or face race, perceptual familiarity, and task requirements. Experiment 2 further indicated that binocular vision was essential for this visual illusion. When participants performed the task with one eye covered, the previously robust illusion completely disappeared. Together, these findings revealed a visual adaptation for processing multiple faces in the environment: the face at the top is perceived as more distant from the viewer and appears smaller in size than the face at the bottom. More broadly, overestimating the size of the bottom face may represent a fundamental mechanism for social interactions, ensuring the deployment of attention to those closest to self.
Subject(s)
Optical Illusions , Canada , Face , Humans , Recognition, Psychology , Vision, BinocularABSTRACT
Interleukin-3 (IL-3) is a hematopoietic growth factor and critical regulator of inflammatory response such as sepsis. IL-3 binds to IL-3 receptor α (IL-3Rα), which is then associated with IL-3Rß to initiate signaling. How IL-3-triggered physiological and pathological effects are regulated at the receptor level is unclear. Here, we show that the plasma membrane-associated E3 ubiquitin ligase MARCH3 negatively regulates IL-3-triggered signaling. MARCH3 is associated with IL-3Rα, mediates its K48-linked polyubiquitination at K377 and promotes its proteasomal degradation. MARCH3-deficiency promotes IL-3-triggered transcription of downstream effector genes and IL-3-induced expansion of myeloid cells. In the cecal ligation and puncture (CLP) model of sepsis, MARCH3-deficiency aggravates IL-3-ampified expression of inflammatory cytokines, organ damage and inflammatory death. Our findings suggest that regulation of IL-3Rα by MARCH3 plays an important role in IL-3-triggered physiological functions and inflammatory diseases.
Subject(s)
Interleukin-3 Receptor alpha Subunit/immunology , Interleukin-3/immunology , Intracellular Signaling Peptides and Proteins/immunology , Proteolysis , Ubiquitination/immunology , Animals , HEK293 Cells , Humans , Inflammation/genetics , Inflammation/immunology , Interleukin-3/genetics , Interleukin-3 Receptor alpha Subunit/genetics , Intracellular Signaling Peptides and Proteins/genetics , Mice , Ubiquitination/geneticsABSTRACT
The IL-6-STAT3 axis is critically involved in inflammation-associated carcinogenesis (IAC). How this axis is regulated to modulate IAC remains unknown. Here, we show that the plasma membrane-associated E3 ubiquitin ligase MARCH3 negatively regulates STAT3 activation triggered by IL-6, as well as another IL-6 subfamily member, Oncostatin M (OSM). MARCH3 is associated with the IL-6 receptor α-chain (IL-6Rα) and its coreceptor gp130. Biochemical experiments indicated that MARCH3 mediates the polyubiquitination of IL-6Rα at K401 and gp130 at K849 following IL-6 stimulation, leading to their translocation to and degradation in lysosomes. MARCH3 deficiency increases IL-6- and OSM-triggered activation of STAT3 and induction of downstream effector genes in various cell types. MARCH3 deficiency enhances dextran sulfate sodium (DSS)-induced STAT3 activation, increases the expression of inflammatory cytokines, and exacerbates colitis, as well as azoxymethane (AOM)/DSS-induced colitis-associated cancer in mice. In addition, MARCH3 is downregulated in human colorectal cancer tissues and associated with poor survival across different cancer types. Our findings suggest that MARCH3 is a pivotal negative regulator of IL-6-induced STAT3 activation, inflammation, and inflammation-associated carcinogenesis.
Subject(s)
Colitis , Ubiquitin-Protein Ligases , Animals , Carcinogenesis/metabolism , Colitis/chemically induced , Colitis/complications , Colitis/metabolism , Dextran Sulfate/adverse effects , Disease Models, Animal , Interleukin-6/metabolism , Mice , Mice, Inbred C57BL , Receptors, Interleukin-6 , Signal Transduction , Ubiquitin-Protein Ligases/genetics , Ubiquitin-Protein Ligases/metabolismABSTRACT
OBJECTIVE: Cushing disease (CD) is a rare clinical disease in which brain structural and function are impaired as the result of excessive cortisol. However, little is known whether rich-club organization changes in patients with CD, as visualized on resting-state magnetic resonance imaging (fMRI), can reverse to normal conditions after transsphenoidal surgery (TSS). In this study, we aimed to investigate whether the functional connectivity of rich-club organization is affected and whether any abnormal changes may reverse after TSS. METHODS: In this study, 38 patients with active CD, 33 with patients with CD in remission, and 41 age-, sex-, and education-matched healthy control participants underwent resting-state fMRI. Brain functional connectivity was constructed based on fMRI and rich club was calculated with graph theory approach. We constructed the functional brain networks for all participants and calculated rich-club connectivity based on fMRI. RESULTS: We identified left precuneus, right precuneus, left middle cingulum, right middle cingulum, right inferior temporal, right middle temporal, right lingual, right postcentral, right middle occipital, and right precentral regions as rich club nodes. Compared with healthy control participants, rich-club connectivity was significantly lower in patients with active CD (P < 0.001). Moreover, abnormal rich-club connectivity improved to normal after TSS. CONCLUSIONS: Our results show rich-club organization was disrupted in patients with active CD with excessive cortisol production. TSS can reverse abnormal rich-club connectivity. Rich club may be a new indicator to investigate the outcomes of TSS and to increase our understanding of the effect of excessive cortisol on brain functional connectivity in patients with CD.
Subject(s)
ACTH-Secreting Pituitary Adenoma/surgery , Connectome , Gray Matter/pathology , Pituitary ACTH Hypersecretion/physiopathology , Pituitary Neoplasms/surgery , ACTH-Secreting Pituitary Adenoma/complications , Adolescent , Adult , Brain Mapping , Female , Gray Matter/diagnostic imaging , Humans , Hydrocortisone/blood , Hypophysectomy/methods , Magnetic Resonance Imaging , Male , Middle Aged , Models, Theoretical , Neuroimaging , Pituitary ACTH Hypersecretion/diagnostic imaging , Pituitary ACTH Hypersecretion/pathology , Pituitary ACTH Hypersecretion/surgery , Pituitary Neoplasms/complications , Remission Induction , Sphenoid Bone/surgery , Young AdultABSTRACT
PURPOSE: Glucocorticoid (GC) is probably related to biological aging, but the exact mechanism remains unknown. Cushing's disease (CD) could represent a unique human model for examining the effects of prolonged exposure to hypercortisolism and its relationship with aging. Thus, we studied the alterations of neurites in CD patients with Neurite orientation dispersion and density imaging (NODDI). METHODS: CD patients (n = 15) and healthy control subjects (n = 15) were included in this study. Orientation dispersion index (Odi), neurite density index (Ndi), partial fraction of free water (fiso), partial fraction of extracellular water (fec) were examined in a cross-sectional analysis. RESULTS: Significant altered NODDI parameters were found in CD patients. Some of these alterations were correlated with current age. Additionally, increased dendritic density was found in cerebellar of CD patients. CONCLUSION: Hypercortisolism relative reductions of the dendritic density were correlated with current age in several regions of CD patients. Our study enhances the understanding of the link between the aging and GC.
Subject(s)
Neurites , Pituitary ACTH Hypersecretion , Aging , Brain , Cross-Sectional Studies , Diffusion Magnetic Resonance Imaging , Diffusion Tensor Imaging , Humans , Pituitary ACTH Hypersecretion/diagnostic imagingABSTRACT
To investigate the whole functional brain networks of active Cushing disease (CD) patients about topological parameters (small world and rich club et al.) and compared with healthy control (NC). Nineteen active CD patients and twenty-two healthy control subjects, matched in age, gender, and education, underwent resting-state fMRI. Graph theoretical analysis was used to calculate the functional brain network organizations for all participants, and those for active CD patients were compared for and NCs. Active CD patients revealed higher global efficiency, shortest path length and reduced cluster efficiency compared with healthy control. Additionally, small world organization was present in active CD patients but higher than healthy control. Moreover, rich club connections, feeder connections and local connections were significantly decreased in active CD patients. Functional network properties appeared to be disrupted in active CD patients compared with healthy control. Analyzing the changes that lead to abnormal network metrics will improve our understanding of the pathophysiological mechanisms underlying CD.
Subject(s)
Brain/physiopathology , Nerve Net/physiopathology , Pituitary ACTH Hypersecretion/physiopathology , Adult , Case-Control Studies , Female , Humans , Magnetic Resonance Imaging , Male , Middle AgedABSTRACT
The adverse effects of hypercortisolism on the human brain have been highlighted in previous studies of Cushing's disease (CD). However, the reversibility of brain damage after the resolution of hypercortisolism remains unclear. Thus, we studied the potential volumetric reversibility in biochemically remitted CD patients. Cross-sectional analysis demonstrated the active CD patients (nâ¯=â¯61) had the smallest gray matter (GM) volumes (553.33⯱â¯45.90â¯CM3) among four groups. While the GM volumes of short-term remitted CD patients (586.62⯱â¯46.89â¯CM3, nâ¯=â¯28) and long-term remitted CD patients (596.58⯱â¯45.95â¯CM3, nâ¯=â¯35) were between those of the active CD patients and healthy control subjects (628.14⯱â¯46.88â¯CM3, nâ¯=â¯74). Moreover, significant positive correlations between remitted time and GM volumes were only found in short-term remitted CD patients. On the contrary, the alterations of white matter (WM) in CD patients seem to be independent of concomitant hypercortisolism, persisting after remission. A preliminary longitude analysis also demonstrated similar results. Volumetric reversibility of GM, but not WM is highly prevalent in short-term after resolution of hypercortisolism in Cushing disease. Our study enhances our understanding of the reversible and the irreversible structural alterations in the human brain due to hypercortisolism.
Subject(s)
Brain/pathology , Cushing Syndrome/pathology , Adult , Brain/diagnostic imaging , Brain/metabolism , Cross-Sectional Studies , Cushing Syndrome/diagnostic imaging , Cushing Syndrome/metabolism , Female , Humans , Magnetic Resonance Imaging , MaleABSTRACT
Using a composite-face paradigm, we examined the holistic processing induced by Asian faces, Caucasian faces, and monkey faces with human Asian participants in two experiments. In Experiment 1, participants were asked to judge whether the upper halves of two faces successively presented were the same or different. A composite-face effect was found for Asian faces and Caucasian faces, but not for monkey faces. In Experiment 2, participants were asked to judge whether the lower halves of the two faces successively presented were the same or different. A composite-face effect was found for monkey faces as well as for Asian faces and Caucasian faces. Collectively, these results reveal that own-species (i.e., own-race and other-race) faces engage holistic processing in both upper and lower halves of the face, but other-species (i.e., monkey) faces engage holistic processing only when participants are asked to match the lower halves of the face. The findings are discussed in the context of a region-based holistic processing account for the species-specific effect in face recognition.
Subject(s)
Facial Recognition , Recognition, Psychology , Adolescent , Adult , Analysis of Variance , Animals , Asian People , Female , Haplorhini , Humans , Male , White People , Young AdultABSTRACT
In the present study, we examined whether social categorization based on university affiliation can induce an advantage in recognizing faces. Moreover, we investigated how the reputation or location of the university affected face recognition performance using an old/new paradigm. We assigned five different university labels to the faces: participants' own university and four other universities. Among the four other university labels, we manipulated the academic reputation and geographical location of these universities relative to the participants' own university. The results showed that an own-group face recognition bias emerged for faces with own-university labels comparing to those with other-university labels. Furthermore, we found a robust own-group face recognition bias only when the other university was located in a different city far away from participants' own university. Interestingly, we failed to find the influence of university reputation on own-group face recognition bias. These results suggest that categorizing a face as a member of one's own university is sufficient to enhance recognition accuracy and the location will play a more important role in the effect of social categorization on face recognition than reputation. The results provide insight into the role of motivational factors underlying the university membership in face perception.
ABSTRACT
OBJECTIVE: The data on patients with short-term remission of Cushing's disease (CD) might provide information that is not available from previous long-term remission studies. We aimed to investigate structural changes in the brain in these patients and to examine whether these changes were associated with clinical characteristics. DESIGN: A cross-sectional study was performed. METHODS: Thirty-four patients with CD (14 with CD in short-term remission and 20 with active CD) and 34 controls matched for age, sex and education underwent clinical evaluation and magnetic resonance imaging brain scans. Biometric measurements, disease duration and remission duration data were collected. Grey matter volumes in the whole brain were examined using voxel-based morphometry (VBM). RESULTS: No differences were observed in the grey matter volumes of the medial frontal gyrus (MFG) and cerebellum between the patients with remitted CD and healthy controls, whereas patients with active CD had smaller grey matter volumes in these two regions compared with controls and patients with remitted CD. Furthermore, significant correlations were found between remission time and grey matter values in these regions in short-term remission patients with CD. Additionally, greater grey matter volumes in the bilateral caudate of short-term remission patients with CD were observed. CONCLUSIONS: Trends for structural restoration were found in CD patients with short-term remission. This finding was associated with the number of days elapsed since curative surgery and the current age of the patients. This study enhances our understanding of potential reversibility after the resolution of hypercortisolism in CD patients.
Subject(s)
Magnetic Resonance Imaging/methods , Pituitary ACTH Hypersecretion/diagnostic imaging , Pituitary ACTH Hypersecretion/pathology , Adult , Cross-Sectional Studies , Cushing Syndrome/diagnostic imaging , Cushing Syndrome/pathology , Female , Humans , Male , Middle Aged , Prefrontal Cortex/diagnostic imaging , Prefrontal Cortex/pathology , Young AdultABSTRACT
Exposure to chronic hypercortisolism has multiple adverse effects on brain biology in humans. Cushing's disease (CD) represents a unique and natural human model for examining the effects of hypercortisolism on the brain. This cross-sectional study used Diffusional Kurtosis Imaging (DKI) to investigate the microstructure alterations in both white matter (WM) and gray matter (GM) of CD patients and to determine the relationship of these changes with clinical characteristics. DKI images were obtained from 15 active CD patients. DKI parametric maps were estimated through voxel-based analyses (VBA) and compared with 15 healthy controls matched for age, sex and education. In addition, correlations were analyzed between the altered DKI parameters and clinical characteristics. Compared with healthy controls, CD patients mainly exhibited significantly altered diffuse parameters in the GM and WM of the left medial temporal lobe (MTL). The mean values of increased radial diffusivity (RD) of CD patients in GM of the left hippocampus/parahippocampal gyrus correlated positively with the clinical severity of CD. Additionally, we also found altered kurtosis parameters in the cerebellum and frontal lobe. DKI imaging of CD patients could represent complementary information in both white matter and gray matter. The impairment of the left MTL might explain some part of the memory and cognition impairments in CD patients.
Subject(s)
Gray Matter/diagnostic imaging , White Matter/diagnostic imaging , Adult , Algorithms , Cognitive Dysfunction/diagnosis , Cross-Sectional Studies , Diffusion Magnetic Resonance Imaging/methods , Diffusion Tensor Imaging/methods , Female , Humans , Image Interpretation, Computer-Assisted/methods , Male , Middle AgedABSTRACT
CONTEXT AND OBJECTIVE: Cushing's disease (CD) provides a unique and naturalist model for studying the influence of hypercortisolism on the human brain and the reversibility of these effects after resolution of the condition. This cross-sectional study used resting-state fMRI (rs-fMRI) to investigate the altered spontaneous brain activity in CD patients and the trends for potential reversibility after the resolution of the hypercortisolism. We also aim to determine the relationship of these changes with clinical characteristics and cortisol levels. SUBJECTS AND METHODS: Active CD patients (n = 18), remitted CD patients (n = 14) and healthy control subjects (n = 22) were included in this study. Amplitude of low-frequency fluctuation (ALFF) and regional homogeneity (ReHo) values were calculated to represent spontaneous brain activity. RESULTS: Our study resulted in three major findings: (i) active CD patients showed significantly altered spontaneous brain activity in the posterior cingulate cortex (PCC)/precuneus (PCu), occipital lobe (OC)/cerebellum, thalamus, right postcentral gyrus (PoCG) and left prefrontal cortex (PFC); (ii) trends for partial restoration of altered spontaneous brain activity after the resolution hypercortisolism were found in several brain regions; and (iii) active CD patients showed a significant correlation between cortisol levels and ALFF/ReHo values in the PCC/PCu, a small cluster in the OC and the right IPL. CONCLUSIONS: This study provides a new approach to investigating brain function abnormalities in patients with CD and enhances our understanding of the effect of hypercortisolism on the human brain. Furthermore, our explorative potential reversibility study of patients with CD may facilitate the development of future longitudinal studies.
Subject(s)
Brain/physiopathology , Pituitary ACTH Hypersecretion/physiopathology , Adult , Brain/diagnostic imaging , Case-Control Studies , Cross-Sectional Studies , Cushing Syndrome/physiopathology , Humans , Magnetic Resonance Imaging/methods , Middle Aged , Pituitary ACTH Hypersecretion/diagnostic imaging , Young AdultABSTRACT
The focusing nonlinear Schrödinger equation (NLSE) describes propagation of quasimonochromatic waves in weakly nonlinear media. The aim of this study is to determine conditions of soliton synchronization in the NLSE in terms of the solitons' position and phase parameters. For this purpose, the concept of asymptotic middle states of solitons in the NLSE is first introduced. With soliton solutions of the NLSE, it is shown that soliton synchronization can be achieved by synchronizing the asymptotic middle states of the solitons, and conditions of soliton synchronization in terms of the solitons' position and phase parameters are given. Although the interaction of the solitons is nonlinear, the conditions are linear equations. Then, aided with the synchronization conditions, simple initial conditions are presented for producing synchronized interaction of solitons without the need to obtain analytic expressions for the synchronized interaction of the solitons. The initial conditions are summations of fundamental solitons with no mutual overlap, so they might be convenient to implement in applicative contexts.