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Self and other body perception in anorexia nervosa: The role of posterior DMN nodes 厌食症神经的自我和他人身体知觉:DMN后淋巴结的作用
Pub Date : 2018-04-01 DOI: 10.1080/15622975.2016.1249951
E. Via, X. Goldberg, I. Sánchez, L. Forcano, B. Harrison, C. Davey, J. Pujol, I. Martínez-Zalacaín, F. Fernández-Aranda, C. Soriano-Mas, N. Cardoner, J. Menchón
Abstract Objectives: Body image distortion is a core symptom of anorexia nervosa (AN), which involves alterations in self- (and other’s) evaluative processes arising during body perception. At a neural level, self-related information is thought to rely on areas of the so-called default mode network (DMN), which, additionally, shows prominent synchronised activity at rest. Methods: Twenty female patients with AN and 20 matched healthy controls were scanned using magnetic resonance imaging when: (a) viewing video clips of their own body and another's body; (b) at rest. Between-group differences within the DMN during task performance were evaluated and further explored for task-related and resting-state-related functional connectivity alterations. Results: AN patients showed a hyperactivation of the dorsal posterior cingulate cortex during their own-body processing but a response failure to another’s body processing at the precuneus and ventral PCC. Increased task-related connectivity was found between dPCC–dorsal anterior cingulate cortex and precuneus–mid-temporal cortex. Further, AN patients showed decreased resting-state connectivity between the dPCC and the angular gyrus. Conclusions: The PCC and the precuneus are suggested as key components of a network supporting self–other-evaluative processes implicated in body distortion, while the existence of DMN alterations at rest might reflect a sustained, task-independent breakdown within this network in AN.
摘要目的:身体形象扭曲是神经性厌食症(AN)的核心症状,它涉及在身体感知过程中引起的自我(和他人)评价过程的改变。在神经层面上,自我相关的信息被认为依赖于所谓的默认模式网络(DMN)区域,此外,该区域在休息时显示出显著的同步活动。方法:对20名女性AN患者和20名匹配的健康对照者进行磁共振成像扫描:(a)观看自己和他人身体的视频片段;(b)静止。评估了任务执行期间DMN内的组间差异,并进一步探讨了任务相关和休息状态相关的功能连接改变。结果:AN患者在自己的身体加工过程中表现出背侧后扣带皮层的过度激活,但在楔前叶和腹侧PCC对他人的身体加工反应失败。在前扣带背侧皮层和楔前叶-中颞叶皮层之间发现任务相关连通性增加。此外,AN患者显示静息状态dPCC和角回之间的连通性下降。结论:PCC和楔前叶被认为是支持与身体扭曲有关的自我-他人评价过程的网络的关键组成部分,而休息时DMN改变的存在可能反映了AN中该网络中持续的、与任务无关的破坏。
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引用次数: 17
Common and specific genes and peripheral biomarkers in children and adults with attention-deficit/hyperactivity disorder 儿童和成人注意缺陷/多动障碍的共同和特定基因和周围生物标志物
Pub Date : 2018-02-17 DOI: 10.1080/15622975.2017.1282175
C. Bonvicini, S. Faraone, C. Scassellati
Abstract Objectives: Elucidating the biological mechanisms involved in attention-deficit/hyperactivity disorder (ADHD) has been challenging. Relatively unexplored is the fact that these mechanisms can differ with age. Methods: We present an overview on the major differences between children and adults with ADHD, describing several studies from genomics to metabolomics performed in ADHD children and in adults (cADHD and aADHD, respectively). A systematic search (up until February 2016) was conducted. Results: From a PRISMA flow-chart, a total of 350 and 91 genomics and metabolomics studies were found to be elligible for cADHD and aADHD, respectively. For children, associations were found for genes belonging to dopaminergic (SLC6A3, DRD4 and MAOA) and neurodevelopmental (LPHN3 and DIRAS2) systems and OPRM1 (Yates corrected P = 0.016; OR = 2.27 95%CI: 1.15–4.47). Studies of adults have implicated circadian rhythms genes, HTR2A, MAOB and a more generic neurodevelopmental/neurite outgrowth network (BCHE, SNAP25, BAIAP2, NOS1/NO, KCNIP4 and SPOCK3; Yates corrected P = 0.007; OR = 3.30 95%CI: 1.33–8.29). In common among cADHD and aADHD, the most significant findings are for oxidative stress proteins (MAD, SOD, PON1, ARES, TOS, TAS and OSI), and, in the second level, DISC1, DBH, DDC, microRNA and adiponectin. Conclusions: Through a convergent functional genomics, this review contributes to clarification of which genetic/biological mechanisms differ with age. The effects of some genes do not change throughout the lifetime, whereas others are linked to age-specific stages. Additional research and further studies are needed to generate firmer conclusions that might someday be useful for predicting the remission and persistence of the disorder. Despite the limitations, some of these genes/proteins could be potential useful biomarkers to discriminate cADHD from aADHD.
摘要目的:阐明注意力缺陷/多动障碍(ADHD)的生物学机制一直具有挑战性。相对未被探索的事实是,这些机制可能随着年龄而不同。方法:我们概述了ADHD儿童和成人之间的主要差异,描述了在ADHD儿童和成人(分别为cADHD和aADHD)中进行的从基因组学到代谢组学的几项研究。系统搜索(截至2016年2月)进行。结果:从PRISMA流程图中,共发现350和91个基因组学和代谢组学研究分别符合cADHD和aADHD的条件。对于儿童,发现属于多巴胺能(SLC6A3, DRD4和MAOA)和神经发育(LPHN3和DIRAS2)系统和OPRM1的基因存在关联(Yates校正P = 0.016;Or = 2.27 95%ci: 1.15-4.47)。成人研究涉及昼夜节律基因、HTR2A、MAOB和更通用的神经发育/神经突生长网络(BCHE、SNAP25、BAIAP2、NOS1/NO、KCNIP4和SPOCK3;Yates校正P = 0.007;Or = 3.30 95%ci: 1.33-8.29)。在cADHD和aADHD中,最重要的发现是氧化应激蛋白(MAD、SOD、PON1、ARES、TOS、TAS和OSI),其次是DISC1、DBH、DDC、microRNA和脂联素。结论:通过聚合功能基因组学,本综述有助于澄清哪些遗传/生物学机制随年龄而不同。一些基因的影响在一生中不会改变,而另一些则与年龄特定阶段有关。需要更多的研究和进一步的研究来得出更确定的结论,这些结论可能有一天对预测这种疾病的缓解和持续时间有用。尽管存在局限性,但其中一些基因/蛋白质可能是区分cADHD和aADHD的潜在有用的生物标志物。
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引用次数: 57
Neural correlates of prediction violations in boys with Tourette syndrome: Evidence from harmonic expectancy 图雷特综合症男孩预测违反的神经相关性:来自和谐期望的证据
Pub Date : 2018-02-17 DOI: 10.1080/15622975.2016.1274052
Judith Buse, C. Beste, V. Roessner
Abstract Objectives: It has been suggested that Tourette syndrome (TS) might be associated with alterations of the attention system, but the nature of these alterations and the underlying neuroanatomical network remains elusive. We aimed at investigating the functional neuroanatomical modulators of attention allocation towards predictable versus unpredictable stimuli in boys with TS. Methods: Using functional magnetic resonance imaging, we ran a harmonic expectancy violation paradigm in 17 boys with TS and 23 matched healthy controls (HCs). We presented chord sequence in which the first four chords induced a strong expectancy for a harmonic chord at the next position. In 70% this expectancy was fulfilled (harmonic), in 30% the expectancy was violated (disharmonic). Results: HCs responded faster to the disharmonic compared to harmonic chords, indicating a stronger attention allocation towards unpredictable stimuli, while this effect was not found in boys with TS. HCs showed stronger anterior cingulate cortex (ACC) activation during disharmonic compared to harmonic chords. Boys with TS showed stronger ACC activation during harmonic chords, which was associated with greater tic severity. Conclusions: Our findings indicate that boys with TS showed altered reactions towards predictable versus unpredictable stimuli in brain regions playing an important role in attention control. This might indicate altered allocation of attention towards those stimuli.
摘要目的:有人认为图雷特综合征(TS)可能与注意系统的改变有关,但这些改变的性质和潜在的神经解剖学网络尚不清楚。方法:利用功能性磁共振成像技术,对17名TS男孩和23名匹配的健康对照(hc)进行了谐波期望违反范式研究。我们提出了一个和弦序列,其中前四个和弦引起了对下一个和声位置的强烈期望。在70%的情况下,这种期望得到了满足(调和),在30%的情况下,这种期望被违背(不调和)。结果:与谐音相比,HCs对不谐音的反应更快,表明对不可预测的刺激有更强的注意力分配,而在TS男孩中没有发现这种效应。与谐音相比,HCs在不谐音时表现出更强的前扣带皮层(ACC)激活。患有TS的男孩在和弦时ACC激活更强,这与更严重的抽搐有关。结论:我们的研究结果表明,患有TS的男孩对可预测的刺激和不可预测的刺激的反应在大脑中起着重要的注意控制作用。这可能表明对这些刺激的注意力分配发生了变化。
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引用次数: 8
Neurocognitive function in paediatric obsessive-compulsive disorder 小儿强迫症的神经认知功能
Pub Date : 2018-02-17 DOI: 10.1080/15622975.2017.1282173
Daniel A. Geller, A. Abramovitch, A. Mittelman, Abigail M. Stark, Kesley A. Ramsey, Allison W. Cooperman, L. Baer, S. E. Stewart
Abstract Objectives: The small body of neuropsychological research in paediatric obsessive-compulsive disorder (OCD) yields inconsistent results. A recent meta-analysis found small effect sizes, concluding that paediatric OCD may not be associated with cognitive impairments, stressing the need for more research. We investigated neuropsychological performance in a large sample of youths with OCD, while assessing potential moderators. Methods: Participants with OCD (n = 102) and matched controls (n = 161) were thoroughly screened and blindly evaluated for comorbidities, and completed a neuropsychological battery assessing processing speed, visuospatial abilities (VSA), working memory (WM), non-verbal memory (NVM), and executive functions (EF). Results: Compared to controls, youths with OCD exhibited underperformance on tasks assessing processing speed. On tests of VSA and WM, underperformance was found only on timed tasks. There were no differences on NVM and EF tasks. Notably, the OCD group’s standardised scores were in the normative range. Test performance was not associated with demographic or clinical variables. Conclusions: Youths with OCD exhibited intact performance on memory and EF tests, but slower processing speed, and underperformance only on timed VSA and WM tasks. While the OCD group performed in the normative range, these findings reveal relative weaknesses that may be overlooked. Such an oversight may be of particular importance in clinical and school settings.
摘要目的:儿童强迫症(OCD)的小体神经心理学研究得出了不一致的结果。最近的一项荟萃分析发现了较小的效应大小,结论是儿科强迫症可能与认知障碍无关,强调需要更多的研究。我们调查了大量患有强迫症的青少年的神经心理学表现,同时评估了潜在的调节因子。方法:对102名强迫症患者(n = 102)和161名对照组(n = 161)进行全面筛选和盲目评估共病,并完成神经心理测试,评估处理速度、视觉空间能力(VSA)、工作记忆(WM)、非言语记忆(NVM)和执行功能(EF)。结果:与对照组相比,强迫症青少年在评估处理速度的任务上表现不佳。在VSA和WM测试中,只有在定时任务中才发现表现不佳。在NVM和EF任务上没有差异。值得注意的是,强迫症组的标准化分数在标准范围内。测试表现与人口统计学或临床变量无关。结论:强迫症青少年在记忆和EF测试中表现良好,但处理速度较慢,仅在定时VSA和WM任务中表现不佳。虽然强迫症组的表现在标准范围内,但这些发现揭示了可能被忽视的相对弱点。这种监督在临床和学校环境中可能特别重要。
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引用次数: 30
Hyperactivity in motor response inhibition networks in unmedicated children with attention deficit-hyperactivity disorder 未服药儿童注意缺陷-多动障碍的运动反应抑制网络异常
Pub Date : 2018-02-17 DOI: 10.1080/15622975.2016.1237040
I. Massat, H. Slama, T. Villemonteix, A. Mary, S. Baijot, A. Albajara Sáenz, D. Balériaux, T. Metens, M. Kavec, P. Peigneux
Abstract Objectives: Hypo/reduced activity in motor response inhibition (RI) cerebral networks was recently proposed as a promising specific neurobiological marker of attention deficit-hyperactivity disorder (ADHD). Before adopting such a pattern as a key diagnosis tool, we aim to replicate in an independent study the mechanisms underlying reduced RI-related activity in ADHD, after controlling for potentially confounding effects. Methods: In this fMRI study, we investigated the neural networks mediating successful and failed motor RI in children with ADHD and typically developing children (TDC) using the stop-signal task (SST) paradigm. Results: In contrast to hypofrontality predictions, children with ADHD exhibit increased neural activity during successful response inhibition in an RI-related brain network encompassing the indirect and/or hyperdirect pathways between the basal ganglia and cortex. Voxel-based morphometry analyses have further evidenced reduced grey matter volume in the left caudate in children with ADHD, which paralleled higher functional responses. Finally, connectivity analyses disclosed tighter coupling between a set of cortical regions and the right caudate as well as the right IFG, networks involved in successful RI. Conclusions: Hypo/reduced activity in RI cerebral networks in children with ADHD cannot at this time be considered as a systematic biomarker for ADHD.
摘要目的:运动反应抑制(RI)大脑网络活性低/活性降低最近被提出作为注意缺陷多动障碍(ADHD)的一个有希望的特异性神经生物学标志物。在采用这种模式作为关键诊断工具之前,我们的目标是在控制潜在的混杂效应后,在一项独立研究中复制ADHD中ri相关活动降低的机制。方法:在这项fMRI研究中,我们使用停止信号任务(SST)范式研究了神经网络介导ADHD儿童和典型发育儿童(TDC)运动再激活的成功和失败。结果:与低额预测相反,ADHD儿童在成功的反应抑制过程中表现出增加的神经活动,其中包括基底神经节和皮层之间的间接和/或超直接通路。基于体素的形态学分析进一步证明了ADHD儿童左尾状核灰质体积减少,这与更高的功能反应相对应。最后,连通性分析揭示了一组皮质区域与右侧尾状核以及右侧IFG之间更紧密的耦合,这些网络与成功的RI有关。结论:ADHD儿童RI脑网络活性低/降低目前不能被认为是ADHD的系统生物标志物。
{"title":"Hyperactivity in motor response inhibition networks in unmedicated children with attention deficit-hyperactivity disorder","authors":"I. Massat, H. Slama, T. Villemonteix, A. Mary, S. Baijot, A. Albajara Sáenz, D. Balériaux, T. Metens, M. Kavec, P. Peigneux","doi":"10.1080/15622975.2016.1237040","DOIUrl":"https://doi.org/10.1080/15622975.2016.1237040","url":null,"abstract":"Abstract Objectives: Hypo/reduced activity in motor response inhibition (RI) cerebral networks was recently proposed as a promising specific neurobiological marker of attention deficit-hyperactivity disorder (ADHD). Before adopting such a pattern as a key diagnosis tool, we aim to replicate in an independent study the mechanisms underlying reduced RI-related activity in ADHD, after controlling for potentially confounding effects. Methods: In this fMRI study, we investigated the neural networks mediating successful and failed motor RI in children with ADHD and typically developing children (TDC) using the stop-signal task (SST) paradigm. Results: In contrast to hypofrontality predictions, children with ADHD exhibit increased neural activity during successful response inhibition in an RI-related brain network encompassing the indirect and/or hyperdirect pathways between the basal ganglia and cortex. Voxel-based morphometry analyses have further evidenced reduced grey matter volume in the left caudate in children with ADHD, which paralleled higher functional responses. Finally, connectivity analyses disclosed tighter coupling between a set of cortical regions and the right caudate as well as the right IFG, networks involved in successful RI. Conclusions: Hypo/reduced activity in RI cerebral networks in children with ADHD cannot at this time be considered as a systematic biomarker for ADHD.","PeriodicalId":22963,"journal":{"name":"The World Journal of Biological Psychiatry","volume":"1 1","pages":"101 - 111"},"PeriodicalIF":0.0,"publicationDate":"2018-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76120488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 20
Increased deficits in emotion recognition and regulation in children and adolescents with exogenous obesity 外源性肥胖儿童和青少年情绪识别和调节缺陷增加
Pub Date : 2018-02-17 DOI: 10.1080/15622975.2016.1265147
I. Perçinel, B. Ozbaran, Sezen Kose, D. Simsek, S. Darcan
Abstract Objectives: In this study we aimed to evaluate emotion recognition and emotion regulation skills of children with exogenous obesity between the ages of 11 and 18 years and compare them with healthy controls. Methods: The Schedule for Affective Disorders and Schizophrenia for School Aged Children was used for psychiatric evaluations. Emotion recognition skills were evaluated using Faces Test and Reading the Mind in the Eyes Test. The Difficulties in Emotions Regulation Scale was used for evaluating skills of emotion regulation. Results: Children with obesity had lower scores on Faces Test and Reading the Mind in the Eyes Test, and experienced greater difficulty in emotional regulation skills. Conclusions: Improved understanding of emotional recognition and emotion regulation in young people with obesity may improve their social adaptation and help in the treatment of their disorder. To the best of our knowledge, this is the first study to evaluate both emotional recognition and emotion regulation functions in obese children and obese adolescents between 11 and 18 years of age.
摘要目的:本研究旨在评估11 ~ 18岁外源性肥胖儿童的情绪识别和情绪调节技能,并与健康对照进行比较。方法:采用《学龄儿童情感障碍与精神分裂症量表》进行精神病学评价。情绪识别能力通过面部测试和眼睛读心术测试进行评估。采用情绪调节困难量表评估情绪调节技能。结果:肥胖儿童在面部测试和眼睛读心术测试中得分较低,在情绪调节技能上有较大的困难。结论:提高对青少年肥胖患者情绪识别和情绪调节的认识,有助于改善青少年肥胖患者的社会适应,有助于青少年肥胖障碍的治疗。据我们所知,这是第一个评估11 - 18岁肥胖儿童和肥胖青少年情绪识别和情绪调节功能的研究。
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引用次数: 17
Usefulness of repetitive transcranial magnetic stimulation as a maintenance treatment in patients with major depression 重复经颅磁刺激作为重度抑郁症患者维持治疗的有效性
Pub Date : 2018-01-02 DOI: 10.1080/15622975.2016.1255353
F. Haesebaert, R. Moirand, A. Schott-Pethelaz, J. Brunelin, E. Poulet
Abstract Objectives: To investigate the clinical efficacy of repetitive transcranial magnetic stimulation (rTMS), venlafaxine or a combination of both treatments as a maintenance treatment in patients with treatment-resistant depression (TRD). Methods: In a three-arm open-label study, 66 patients, including 45 remitters, who responded to rTMS (n = 25), venlafaxine (n = 22), or a combination of both treatments (n = 19) continued to receive the treatment that led to a response as a maintenance treatment over 12 months. Maintenance rTMS was administered twice per week for 1 month, once per week for 2 months, and once every 2 weeks for 9 months. Venlafaxine was maintained at the dose that induced a clinical response (150 or 225 mg/day). Results: After the 12-month follow-up, the rates of remitters (HDRS < 8) were not different between the three groups (χ2 = 1.25; P = .3). The rates of patients who not relapsed (HDRS < 15) were not different between groups (χ2 = 0.33; P = .8): 40.0% in the rTMS group, 45.1% in the venlafaxine group and 36.9% in the combination group. Conclusions: The three maintenance approaches exhibited similar efficacies in relapse prevention and the maintenance of remission in patients with TRD.
摘要目的:探讨重复经颅磁刺激(rTMS)、文拉法辛或两者联合维持治疗难治性抑郁症(TRD)的临床疗效。方法:在一项三组开放标签研究中,66名患者,包括45名缓解者,对rTMS (n = 25)、文拉法辛(n = 22)或两种治疗联合(n = 19)有反应的患者继续接受治疗,并作为维持治疗持续12个月。维持性rTMS每周2次,持续1个月,每周1次,持续2个月,每2周1次,持续9个月。文拉法辛维持在引起临床反应的剂量(150或225 mg/天)。结果:随访12个月后,三组患者缓解率(HDRS < 8)比较,差异无统计学意义(χ2 = 1.25;p = .3)。两组患者未复发率(HDRS < 15)差异无统计学意义(χ2 = 0.33;P = 0.8): rTMS组40.0%,文拉法辛组45.1%,联合用药组36.9%。结论:三种维持方式在TRD患者预防复发和维持缓解方面效果相似。
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引用次数: 24
Vascular endothelial growth factor: Potential predictor of treatment response in major depression 血管内皮生长因子:重度抑郁症治疗反应的潜在预测因子
Pub Date : 2017-11-17 DOI: 10.3109/15622975.2015.1117655
Anne Clark-Raymond, E. Meresh, D. Hoppensteadt, J. Fareed, J. Sinacore, Brittany Garlenski, A. Halaris
Abstract Objectives: The aim of the study was to evaluate baseline plasma VEGF levels as a potential predictor of response to antidepressant pharmacotherapy. The study also sought to determine whether baseline plasma VEGF would be useful in predicting treatment outcome when two pharmacodynamically diverse agents with established antidepressant efficacy, escitalopram and quetiapine, were administered monotherapeutically to MDD patients. Methods: Two groups of qualifying MDD subjects were enrolled. One group was treated with escitalopram and the other with quetiapine. Plasma concentrations of VEGF were measured using Randox Technologies at baseline, and at weeks 8 and 12 of treatment. Results: We stratified the MDD patients into those who remitted and those who failed to respond. Mean baseline VEGF for the remitters and non-responders was 9.61  and 5.40 pg/ml, respectively (P < 0.0005). Using optimal data analysis a cut score of 7.49 pg/ml for baseline plasma VEGF distinguished remitters from non-responders with a 63% overall accuracy. The remission rate was comparable for both drugs (73 and 81% for quetiapine and escitalopram, respectively). VEGF levels did not significantly change following antidepressant treatment with either escitalopram or quetiapine when measured at 8 and 12 weeks; this result held true for both remitters and non-responders. Conclusions: Our results suggest that VEGF may predict response to antidepressant treatment and may ultimately prove to be a potential biomarker that can be measured with a routine blood draw at the point of service.
目的:本研究的目的是评估基线血浆VEGF水平作为抗抑郁药物治疗反应的潜在预测因子。该研究还试图确定当两种药效学上不同且具有抗抑郁疗效的药物(艾司西酞普兰和喹硫平)单药治疗重度抑郁症患者时,基线血浆VEGF是否有助于预测治疗结果。方法:选取两组符合条件的重度抑郁症患者。一组用艾司西酞普兰治疗,另一组用喹硫平治疗。在基线、治疗第8周和第12周时,使用Randox Technologies测量血浆VEGF浓度。结果:我们将MDD患者分为缓解组和无效组。缓解者和无反应者的平均基线VEGF分别为9.61和5.40 pg/ml (P < 0.0005)。使用最佳数据分析,基线血浆VEGF切割评分为7.49 pg/ml,以63%的总体准确率区分缓解者和无反应者。两种药物的缓解率相当(奎硫平和艾司西酞普兰分别为73%和81%)。在8周和12周测量时,使用艾司西酞普兰或喹硫平进行抗抑郁治疗后VEGF水平没有显著变化;这一结果对汇款人和无反应者都适用。结论:我们的研究结果表明,VEGF可以预测抗抑郁治疗的反应,并可能最终被证明是一种潜在的生物标志物,可以在服务点通过常规抽血来测量。
{"title":"Vascular endothelial growth factor: Potential predictor of treatment response in major depression","authors":"Anne Clark-Raymond, E. Meresh, D. Hoppensteadt, J. Fareed, J. Sinacore, Brittany Garlenski, A. Halaris","doi":"10.3109/15622975.2015.1117655","DOIUrl":"https://doi.org/10.3109/15622975.2015.1117655","url":null,"abstract":"Abstract Objectives: The aim of the study was to evaluate baseline plasma VEGF levels as a potential predictor of response to antidepressant pharmacotherapy. The study also sought to determine whether baseline plasma VEGF would be useful in predicting treatment outcome when two pharmacodynamically diverse agents with established antidepressant efficacy, escitalopram and quetiapine, were administered monotherapeutically to MDD patients. Methods: Two groups of qualifying MDD subjects were enrolled. One group was treated with escitalopram and the other with quetiapine. Plasma concentrations of VEGF were measured using Randox Technologies at baseline, and at weeks 8 and 12 of treatment. Results: We stratified the MDD patients into those who remitted and those who failed to respond. Mean baseline VEGF for the remitters and non-responders was 9.61  and 5.40 pg/ml, respectively (P < 0.0005). Using optimal data analysis a cut score of 7.49 pg/ml for baseline plasma VEGF distinguished remitters from non-responders with a 63% overall accuracy. The remission rate was comparable for both drugs (73 and 81% for quetiapine and escitalopram, respectively). VEGF levels did not significantly change following antidepressant treatment with either escitalopram or quetiapine when measured at 8 and 12 weeks; this result held true for both remitters and non-responders. Conclusions: Our results suggest that VEGF may predict response to antidepressant treatment and may ultimately prove to be a potential biomarker that can be measured with a routine blood draw at the point of service.","PeriodicalId":22963,"journal":{"name":"The World Journal of Biological Psychiatry","volume":"38 1","pages":"575 - 585"},"PeriodicalIF":0.0,"publicationDate":"2017-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82829095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 30
Analytical approaches for lipidomics and its potential applications in neuropsychiatric disorders 脂质组学的分析方法及其在神经精神疾病中的潜在应用
Pub Date : 2017-10-01 DOI: 10.3109/15622975.2015.1117656
S. Sethi, M. Hayashi, Alessandra Sussulini, L. Tasić, E. Brietzke
Abstract Objectives: In this review, the authors discuss an overview of lipidomics followed by in-depth discussion of its application to the study of human diseases, including extraction methods of lipids, analytical techniques and clinical research in neuropsychiatric disorders. Methods: Lipidomics is a lipid-targeted metabolomics approach aiming at the comprehensive analysis of lipids in biological systems. Recent technological advancements in mass spectrometry and chromatography have greatly enhanced the development and applications of metabolic profiling of diverse lipids in complex biological samples. Results: An effective evaluation of the clinical course of diseases requires the application of very precise diagnostic and assessment approaches as early as possible. In order to achieve this, “omics” strategies offer new opportunities for biomarker identification and/or discovery in complex diseases and may provide pathological pathways understanding for diseases beyond traditional methodologies. Conclusions: This review highlights the importance of lipidomics for the future perspectives as a tool for biomarker identification and discovery and its clinical application.
摘要目的:本文综述了脂质组学的研究概况,并对其在人类疾病研究中的应用进行了深入讨论,包括脂质提取方法、分析技术和神经精神疾病的临床研究。方法:脂质组学是一种以脂质为目标的代谢组学方法,旨在全面分析生物系统中的脂质。近年来质谱和色谱技术的进步极大地促进了复杂生物样品中各种脂质代谢谱的发展和应用。结果:对临床病程的有效评价需要尽早采用非常精确的诊断和评估方法。为了实现这一目标,“组学”策略为复杂疾病的生物标志物鉴定和/或发现提供了新的机会,并可能提供超越传统方法的疾病病理途径的理解。结论:本综述强调了脂质组学作为生物标志物鉴定和发现工具及其临床应用的重要性。
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引用次数: 37
Association between the variability of the ABCA13 gene and the risk of major depressive disorder and schizophrenia in the Han Chinese population ABCA13基因变异与汉族人群重度抑郁症和精神分裂症风险之间的关系
Pub Date : 2017-10-01 DOI: 10.1080/15622975.2016.1245442
Jianhua Chen, Raja Amjad Waheed Khan, Meng Wang, Kuanjun He, Qingzhong Wang, Zhiqiang Li, Wenjin Li, Z. Wen, Zhijian Song, Jiawei Shen, Yifeng Xu, Yongyong Shi
Abstract Objectives: The ATP-binding cassette transporter superfamily is one of the largest membrane protein families, which is responsible for transportation of substances across the membranes by utilising energy. Some research has bridged the variations in ABCA13 with occurrence of psychiatric disorders. To investigate the overlapping risk conferred by ABCA13 for both major depressive disorder and schizophrenia, we analysed tag single nucleotide polymorphisms (tag SNPs). Methods: We used TaqMan® technology to genotype 1045 major depressive disorder patients, 1235 schizophrenia patients and 1235 healthy controls of Han Chinese origin. Results: We found that rs7789493 (Pallele = 7.23E-04, Pgenotype =.001) was associated with major depressive disorder, while rs17132388 (Pallele = 1.63E-04, Pgenotype = 7.50E-04) and rs6583476 (Pallele = 5.50E-04, Pgenotype =.002) showed statistically significant association with schizophrenia. Conclusions: Our results indicate that the ABCA13 gene may contain overlapping common genetic risk factors for both major depressive disorder and schizophrenia in the Han Chinese population. The study on variants conferring overlapping risk for multiple psychiatric disorders could be tangible pathogenesis support in clinical or diagnostic references.
摘要目的:atp结合盒转运蛋白超家族是最大的膜蛋白家族之一,它通过利用能量负责物质跨膜运输。一些研究将ABCA13的变异与精神疾病的发生联系起来。为了研究ABCA13对重度抑郁症和精神分裂症的重叠风险,我们分析了标签单核苷酸多态性(标签snp)。方法:采用TaqMan®技术对1045例重度抑郁症患者、1235例精神分裂症患者和1235例汉族健康对照进行基因分型。结果:我们发现rs7789493 (Pallele = 7.23E-04, Pgenotype =.001)与重度抑郁症相关,rs17132388 (Pallele = 1.63E-04, Pgenotype = 7.50E-04)和rs6583476 (Pallele = 5.50E-04, Pgenotype =.002)与精神分裂症相关有统计学意义。结论:我们的研究结果表明,ABCA13基因可能包含汉族人群重度抑郁症和精神分裂症的重叠共同遗传危险因素。对多种精神疾病重叠风险的变异的研究可以为临床或诊断参考提供切实的发病机制支持。
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引用次数: 9
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The World Journal of Biological Psychiatry
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