Pub Date : 2025-11-01DOI: 10.1016/j.bpsc.2025.04.010
Andrew R. Gerlach , Helmet T. Karim , Kevin Kahru , Dana L. Tudorascu , James J. Gross , Meryl A. Butters , Carmen Andreescu
Background
Severe worry is a core component of anxiety and depressive disorders and is independently associated with significant morbidity and mortality. However, the neural basis of worry is poorly understood. We investigated effective connectivity (EC) using functional magnetic resonance imaging of a naturalistic worry induction and reappraisal task in late life.
Methods
A total of 112 participants age >50 years with varying worry severity completed a personalized, in-scanner worry induction and reappraisal task. We calculated voxelwise EC in neutral, worry, and reappraisal conditions with generalized psychophysiological interactions using seeds in the subgenual anterior cingulate cortex (ACC), dorsal ACC, and left and right amygdalae and used paired t tests to compare conditions. We assessed clusters for association with in-scanner worry severity using linear regression.
Results
During the worry condition, EC increased between the subgenual ACC and the default mode network (DMN) and major hubs of the executive control and salience networks. Left amygdala EC to the posterior cingulate also increased during worry, and dorsal ACC connectivity to primary sensory and motor regions decreased. Reappraisal reduced subgenual and dorsal ACC EC observed during worry and the EC between the left amygdala and regions of the dorsal attention network. Broadly, left amygdala EC was robustly associated with in-scanner worry severity.
Conclusions
Worry induction robustly engaged the DMN and increased connectivity with other high-order associative networks, potentially subsuming cortical resources. Reappraisal reduced these connectivities and disengaged the amygdala from areas associated with top-down attention. These findings could inform targets for neuromodulatory treatment of severe worry in older adults.
{"title":"The Desegregation of Neural Networks During Worry Induction in Late Life: An Effective Connectivity Analysis","authors":"Andrew R. Gerlach , Helmet T. Karim , Kevin Kahru , Dana L. Tudorascu , James J. Gross , Meryl A. Butters , Carmen Andreescu","doi":"10.1016/j.bpsc.2025.04.010","DOIUrl":"10.1016/j.bpsc.2025.04.010","url":null,"abstract":"<div><h3>Background</h3><div>Severe worry is a core component of anxiety and depressive disorders and is independently associated with significant morbidity and mortality. However, the neural basis of worry is poorly understood. We investigated effective connectivity (EC) using functional magnetic resonance imaging of a naturalistic worry induction and reappraisal task in late life.</div></div><div><h3>Methods</h3><div>A total of 112 participants age >50 years with varying worry severity completed a personalized, in-scanner worry induction and reappraisal task. We calculated voxelwise EC in neutral, worry, and reappraisal conditions with generalized psychophysiological interactions using seeds in the subgenual anterior cingulate cortex (ACC), dorsal ACC, and left and right amygdalae and used paired <em>t</em> tests to compare conditions. We assessed clusters for association with in-scanner worry severity using linear regression.</div></div><div><h3>Results</h3><div>During the worry condition, EC increased between the subgenual ACC and the default mode network (DMN) and major hubs of the executive control and salience networks. Left amygdala EC to the posterior cingulate also increased during worry, and dorsal ACC connectivity to primary sensory and motor regions decreased. Reappraisal reduced subgenual and dorsal ACC EC observed during worry and the EC between the left amygdala and regions of the dorsal attention network. Broadly, left amygdala EC was robustly associated with in-scanner worry severity.</div></div><div><h3>Conclusions</h3><div>Worry induction robustly engaged the DMN and increased connectivity with other high-order associative networks, potentially subsuming cortical resources. Reappraisal reduced these connectivities and disengaged the amygdala from areas associated with top-down attention. These findings could inform targets for neuromodulatory treatment of severe worry in older adults.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 11","pages":"Pages 1143-1154"},"PeriodicalIF":4.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/S2451-9022(25)00317-9
{"title":"Guide for Authors","authors":"","doi":"10.1016/S2451-9022(25)00317-9","DOIUrl":"10.1016/S2451-9022(25)00317-9","url":null,"abstract":"","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 11","pages":"Pages A5-A10"},"PeriodicalIF":4.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.bpsc.2025.05.008
Yu Chen , Huey-Ting Li , Xingguang Luo , Guangfei Li , Jaime S. Ide , Chiang-Shan R. Li
Background
Extensive research has shown aberrant reward and punishment processing in people with depression. Genetic risks contribute to depression, but whether or how these risks of depression may affect behavioral and neural responses to reward and punishment remains unclear.
Methods
We curated the data of 879 young adults performing a gambling task during brain imaging from the Human Connectome Project. Depression severity was assessed with the Achenbach Adult Self Report. Polygenic risk scores (PRSs) for depression were computed for all participants. With published routines and at a corrected threshold, we evaluated how brain responses to reward and punishment were associated with depression scores and PRSs in a linear regression in all, male, and female participants, with age, sex (for all), race, and drinking severity as covariates.
Results
The results showed broad frontal, parietal, and occipital cortical activation in negative correlation with PRSs during both reward and punishment processing. Notably, posterior cingulate cortical activation was specifically associated with PRS-related punishment processing. In addition, men and women displayed both shared and distinct neural responses to PRS-related reward and punishment processing.
Conclusions
These findings highlight the influence of genetic risks for depression on neural responses to reward and punishment and provide insights into genetically informed markers of depression.
{"title":"Polygenic Risks for Depression and Neural Responses to Reward and Punishment in Young Adults","authors":"Yu Chen , Huey-Ting Li , Xingguang Luo , Guangfei Li , Jaime S. Ide , Chiang-Shan R. Li","doi":"10.1016/j.bpsc.2025.05.008","DOIUrl":"10.1016/j.bpsc.2025.05.008","url":null,"abstract":"<div><h3>Background</h3><div>Extensive research has shown aberrant reward and punishment processing in people with depression. Genetic risks contribute to depression, but whether or how these risks of depression may affect behavioral and neural responses to reward and punishment remains unclear.</div></div><div><h3>Methods</h3><div>We curated the data of 879 young adults performing a gambling task during brain imaging from the Human Connectome Project. Depression severity was assessed with the Achenbach Adult Self Report. Polygenic risk scores (PRSs) for depression were computed for all participants. With published routines and at a corrected threshold, we evaluated how brain responses to reward and punishment were associated with depression scores and PRSs in a linear regression in all, male, and female participants, with age, sex (for all), race, and drinking severity as covariates.</div></div><div><h3>Results</h3><div>The results showed broad frontal, parietal, and occipital cortical activation in negative correlation with PRSs during both reward and punishment processing. Notably, posterior cingulate cortical activation was specifically associated with PRS-related punishment processing. In addition, men and women displayed both shared and distinct neural responses to PRS-related reward and punishment processing.</div></div><div><h3>Conclusions</h3><div>These findings highlight the influence of genetic risks for depression on neural responses to reward and punishment and provide insights into genetically informed markers of depression.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 11","pages":"Pages 1155-1165"},"PeriodicalIF":4.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.bpsc.2025.06.009
Helena van Nieuwenhuizen , Botond B. Antal , Antoine Hone-Blanchet , Andrew Lithen , Liam McMahon , Sofia Nikolaidou , Zeming Kuang , Kieran Clarke , Bruce G. Jenkins , Douglas L. Rothman , Lilianne R. Mujica-Parodi , Eva-Maria Ratai
Background
Ketosis is known to alter the balance of neuroactive amino acids and enhance neural function compared with a glycolytic condition. However, its influence on other metabolites, such as antioxidants and neural energy markers, and the mechanisms by which ketosis improves neural function remain unclear.
Methods
Here, we measured the neurochemical effects of acute ketosis on key brain metabolites (neurotransmitters, antioxidants, and energy markers) in the human brain using ultra-high-field proton magnetic resonance spectroscopy (1H-MRS) and investigated the subsequent impact on neural function, measured via dynamic functional connectivity, using resting-state functional magnetic resonance imaging (rs-fMRI). In a within-subjects design, 63 healthy adults (30 female) from across the lifespan underwent 1H-MRS and rs-fMRI scans before and after consuming individually weight-dosed and calorically matched ketone monoester or glucose drinks.
Results
Ketone monoester administration, but not glucose, significantly elevated cerebral antioxidants and energy markers while decreasing GABA (gamma-aminobutyric acid), glutamate, and glutamine levels in the posterior cingulate cortex. Notably, increased energy markers, specifically an increase in total creatine, correlated with greater improvements in neural function measured using rs-fMRI.
Conclusions
Our results integrate metabolic and functional neuroimaging findings, offering a comprehensive understanding of ketosis-induced changes in brain chemistry and functional network dynamics. These insights clarify potential mechanisms by which ketosis imparts its neural benefits and provide valuable information to assist the development of novel treatment strategies for a variety of psychiatric and neurodegenerative disorders.
背景:与糖酵解相比,酮症可以改变神经活性氨基酸的平衡,增强神经功能。然而,其对其他代谢物的影响,如抗氧化剂和神经能量标记物,以及酮症改善神经功能的机制尚不清楚。方法:在这里,我们使用超高场1H磁共振光谱(MRS)测量急性酮症对人脑关键脑代谢物(神经递质、抗氧化剂和能量标记物)的神经化学影响,并使用静息状态功能磁共振成像(rsfMRI)通过动态功能连接测量对神经功能的后续影响。在受试者内部设计中,63名健康成年人(30名女性)在饮用按体重剂量和热量匹配的酮单酯或葡萄糖饮料前后接受了1H磁共振成像和rsfMRI扫描。结果:给药酮单酯,而不是葡萄糖,显著提高大脑抗氧化剂和能量标志物,同时降低GABA,谷氨酸和谷氨酰胺在后扣带皮层的水平。值得注意的是,能量标记物的增加,特别是总肌酸的增加,与rsfMRI测量的神经功能的更大改善相关。结论:我们的研究结果整合了代谢和功能神经影像学结果,为酮症诱导的脑化学和功能网络动力学变化提供了全面的理解。这些见解阐明了酮症赋予其神经益处的潜在机制,并为协助开发各种精神和神经退行性疾病的新治疗策略提供了有价值的信息。临床试验注册:代谢约束下的动态连接,ClinicalTrials.gov ID NCT04840095, https://clinicaltrials.gov/study/NCT04840095。
{"title":"Ketosis Elevates Antioxidants and Markers of Energy Metabolism: A Proton Magnetic Resonance Spectroscopy Study","authors":"Helena van Nieuwenhuizen , Botond B. Antal , Antoine Hone-Blanchet , Andrew Lithen , Liam McMahon , Sofia Nikolaidou , Zeming Kuang , Kieran Clarke , Bruce G. Jenkins , Douglas L. Rothman , Lilianne R. Mujica-Parodi , Eva-Maria Ratai","doi":"10.1016/j.bpsc.2025.06.009","DOIUrl":"10.1016/j.bpsc.2025.06.009","url":null,"abstract":"<div><h3>Background</h3><div>Ketosis is known to alter the balance of neuroactive amino acids and enhance neural function compared with a glycolytic condition. However, its influence on other metabolites, such as antioxidants and neural energy markers, and the mechanisms by which ketosis improves neural function remain unclear.</div></div><div><h3>Methods</h3><div>Here, we measured the neurochemical effects of acute ketosis on key brain metabolites (neurotransmitters, antioxidants, and energy markers) in the human brain using ultra-high-field proton magnetic resonance spectroscopy (<sup>1</sup>H-MRS) and investigated the subsequent impact on neural function, measured via dynamic functional connectivity, using resting-state functional magnetic resonance imaging (rs-fMRI). In a within-subjects design, 63 healthy adults (30 female) from across the lifespan underwent <sup>1</sup>H-MRS and rs-fMRI scans before and after consuming individually weight-dosed and calorically matched ketone monoester or glucose drinks.</div></div><div><h3>Results</h3><div>Ketone monoester administration, but not glucose, significantly elevated cerebral antioxidants and energy markers while decreasing GABA (gamma-aminobutyric acid), glutamate, and glutamine levels in the posterior cingulate cortex. Notably, increased energy markers, specifically an increase in total creatine, correlated with greater improvements in neural function measured using rs-fMRI.</div></div><div><h3>Conclusions</h3><div>Our results integrate metabolic and functional neuroimaging findings, offering a comprehensive understanding of ketosis-induced changes in brain chemistry and functional network dynamics. These insights clarify potential mechanisms by which ketosis imparts its neural benefits and provide valuable information to assist the development of novel treatment strategies for a variety of psychiatric and neurodegenerative disorders.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 11","pages":"Pages 1186-1196"},"PeriodicalIF":4.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.bpsc.2024.07.019
Tavia E. Evans , Natalia Vilor-Tejedor , Gregory Operto , Carles Falcon , Albert Hofman , Agustin Ibáñez , Sudha Seshadari , Louis C.S. Tan , Michael Weiner , Suverna Alladi , Udunna Anazodo , Juan Domingo Gispert , Alzheimer’s Disease Neuroimaging Initiative, Australian Imaging Biomarkers and Lifestyle flagship study of ageing, Hieab H.H. Adams
Background
Neurodegenerative diseases require collaborative, multisite research to comprehensively grasp their complex and diverse pathological progression; however, there is caution in aggregating global data due to data heterogeneity. In the current study, we investigated brain structure across stages of Alzheimer’s disease (AD) and how relationships vary across sources of heterogeneity.
Methods
Using 6 international datasets (N > 27,000), associations of structural neuroimaging markers were investigated in relation to the AD continuum via meta-analysis. We investigated whether associations varied across elements of magnetic resonance imaging acquisition, study design, and populations.
Results
Modest differences in associations were found depending on how data were acquired; however, patterns were similar. Preliminary results suggested that neuroimaging marker–AD relationships differ across ethnic groups.
Conclusions
Diversity in data offers unique insights into the neural substrate of AD; however, harmonized processing and transparency of data collection are needed. Global collaborations should embrace the inherent heterogeneity that exists in the data and quantify its contribution to research findings at the meta-analytical stage.
导言:神经退行性疾病需要多机构合作研究才能全面掌握其复杂多样的病理发展过程,但由于数据的异质性,在汇总全球数据时需要谨慎。本研究调查了阿尔茨海默病(AD)各阶段的大脑结构,以及不同异质性来源之间的关系:利用 6 个国际数据集(n>27,000),通过荟萃分析研究了神经影像结构标记与阿尔茨海默病连续性的关联。我们研究了磁共振成像采集、研究设计和人群等因素之间的关联是否存在差异:结果:根据数据获取方式的不同,相关性略有不同,但模式相似。初步结果表明,不同种族群体的神经影像标记物与AD的关系存在差异:讨论:数据的多样性为了解 AD 的神经基质提供了独特的视角,但数据收集的统一处理和透明度仍有待提高。全球合作应接受数据中存在的固有异质性,并在荟萃分析阶段量化其对研究结果的贡献。
{"title":"Structural Brain Differences in the Alzheimer’s Disease Continuum: Insights Into the Heterogeneity From a Large Multisite Neuroimaging Consortium","authors":"Tavia E. Evans , Natalia Vilor-Tejedor , Gregory Operto , Carles Falcon , Albert Hofman , Agustin Ibáñez , Sudha Seshadari , Louis C.S. Tan , Michael Weiner , Suverna Alladi , Udunna Anazodo , Juan Domingo Gispert , Alzheimer’s Disease Neuroimaging Initiative, Australian Imaging Biomarkers and Lifestyle flagship study of ageing, Hieab H.H. Adams","doi":"10.1016/j.bpsc.2024.07.019","DOIUrl":"10.1016/j.bpsc.2024.07.019","url":null,"abstract":"<div><h3>Background</h3><div>Neurodegenerative diseases require collaborative, multisite research to comprehensively grasp their complex and diverse pathological progression; however, there is caution in aggregating global data due to data heterogeneity. In the current study, we investigated brain structure across stages of Alzheimer’s disease (AD) and how relationships vary across sources of heterogeneity.</div></div><div><h3>Methods</h3><div>Using 6 international datasets (<em>N</em> > 27,000), associations of structural neuroimaging markers were investigated in relation to the AD continuum via meta-analysis. We investigated whether associations varied across elements of magnetic resonance imaging acquisition, study design, and populations.</div></div><div><h3>Results</h3><div>Modest differences in associations were found depending on how data were acquired; however, patterns were similar. Preliminary results suggested that neuroimaging marker–AD relationships differ across ethnic groups.</div></div><div><h3>Conclusions</h3><div>Diversity in data offers unique insights into the neural substrate of AD; however, harmonized processing and transparency of data collection are needed. Global collaborations should embrace the inherent heterogeneity that exists in the data and quantify its contribution to research findings at the meta-analytical stage.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 10","pages":"Pages 1025-1036"},"PeriodicalIF":4.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.bpsc.2025.03.012
Lilia Del Mauro , Alessandra Vergallito , Francantonio Devoto , Gaia Locatelli , Gabriel Hassan , Leonor Josefina Romero Lauro
Background
Substance use disorders (SUDs) and gambling disorder (GD) are addictive diseases with a chronic course. Due to the limited efficacy of conventional treatments, there is growing interest in alternative approaches that target the altered neural circuits underlying these disorders. Deep transcranial magnetic stimulation (dTMS) has emerged as a promising neuromodulation technique capable of reaching deep and bilateral brain regions. However, no definite recommendation for its use in addiction treatment exists. In this study, we systematically reviewed and quantitatively analyzed dTMS effects in SUDs and GD.
Methods
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we screened 4 electronic databases up to February 2024 and selected relevant original English-language research articles. Seventeen articles were included in the systematic review and 12 in the meta-analysis. Because only a minority of studies used a sham-controlled design, we ran a main analysis computing the standardized mean change (SMCC) from pre to post real stimulation as the effect size, with self-reported craving scores as the outcome measure.
Results
The results showed a significant and large effect of real dTMS in reducing craving scores (SMCC = −1.26; 95% CI, −1.67 to −0.86; p < .001). High heterogeneity across studies was found at both quantitative and qualitative levels.
Conclusions
Results provide preliminary evidence supporting the effectiveness of dTMS for the treatment of SUDs. Current limitations and future directions are critically discussed, highlighting the need for further rigorous research to refine the therapeutic potential and develop consensus-based guidelines for dTMS clinical application.
背景:物质使用障碍(SUDs)和赌博障碍(GD)是一种慢性成瘾疾病。由于常规治疗的疗效有限,人们对针对这些疾病背后改变的神经回路的替代方法越来越感兴趣。深经颅磁刺激(dTMS)已成为一种很有前途的神经调节技术,能够到达深部和双侧脑区。然而,目前尚无明确的建议将其用于成瘾治疗。本研究系统回顾并定量分析了dTMS在sud和GD中的作用。方法:根据PRISMA指南,筛选截至2024年2月的4个电子数据库,并选择相关的英文原创研究文章。17篇论文被纳入系统评价。由于只有少数研究采用假对照设计,我们对12项研究的子集进行了荟萃分析,计算真实刺激前后的标准化平均变化(SMCC)作为效应大小,使用自我报告的渴望分数作为因变量。结果:结果显示,真正的dTMS在降低渴望评分方面有显著而大的效果(SMCC = - 1.26, 95% CI [-1.67, - 0.86], p)。结论:结果为dTMS治疗SUDs的有效性提供了初步证据。目前的局限性和未来的方向进行了批判性的讨论,强调需要进一步严格的研究,以完善治疗潜力,并为dTMS临床应用制定基于共识的指导方针。
{"title":"Beyond the Surface: Deep Transcranial Magnetic Stimulation Efficacy in Reducing Craving in Addictive Disorders: A Systematic Review and Meta-Analysis","authors":"Lilia Del Mauro , Alessandra Vergallito , Francantonio Devoto , Gaia Locatelli , Gabriel Hassan , Leonor Josefina Romero Lauro","doi":"10.1016/j.bpsc.2025.03.012","DOIUrl":"10.1016/j.bpsc.2025.03.012","url":null,"abstract":"<div><h3>Background</h3><div>Substance use disorders (SUDs) and gambling disorder (GD) are addictive diseases with a chronic course. Due to the limited efficacy of conventional treatments, there is growing interest in alternative approaches that target the altered neural circuits underlying these disorders. Deep transcranial magnetic stimulation (dTMS) has emerged as a promising neuromodulation technique capable of reaching deep and bilateral brain regions. However, no definite recommendation for its use in addiction treatment exists. In this study, we systematically reviewed and quantitatively analyzed dTMS effects in SUDs and GD.</div></div><div><h3>Methods</h3><div>Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we screened 4 electronic databases up to February 2024 and selected relevant original English-language research articles. Seventeen articles were included in the systematic review and 12 in the meta-analysis. Because only a minority of studies used a sham-controlled design, we ran a main analysis computing the standardized mean change (SMCC) from pre to post real stimulation as the effect size, with self-reported craving scores as the outcome measure.</div></div><div><h3>Results</h3><div>The results showed a significant and large effect of real dTMS in reducing craving scores (SMCC = −1.26; 95% CI, −1.67 to −0.86; <em>p</em> < .001). High heterogeneity across studies was found at both quantitative and qualitative levels.</div></div><div><h3>Conclusions</h3><div>Results provide preliminary evidence supporting the effectiveness of dTMS for the treatment of SUDs. Current limitations and future directions are critically discussed, highlighting the need for further rigorous research to refine the therapeutic potential and develop consensus-based guidelines for dTMS clinical application.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 10","pages":"Pages 1005-1014"},"PeriodicalIF":4.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.bpsc.2024.12.003
Hanna Seelemeyer , Caroline Gurr , Johanna Leyhausen , Lisa M. Berg , Charlotte M. Pretzsch , Tim Schäfer , Bassem Hermila , Christine M. Freitag , Eva Loth , Bethany Oakley , Luke Mason , Jan K. Buitelaar , Christian F. Beckmann , Dorothea L. Floris , Tony Charman , Tobias Banaschewski , Emily Jones , Thomas Bourgeron
Background
Autism is accompanied by highly individualized patterns of neurodevelopmental differences in brain anatomy. This variability makes the neuroanatomy of autism inherently difficult to describe at the group level. Here, we examined interindividual neuroanatomical differences using a dimensional approach that decomposed the domains of social communication and interaction (SCI), restricted and repetitive behaviors (RRBs), and atypical sensory processing (ASP) within a neurodiverse study population. Moreover, we aimed to link the resulting neuroanatomical patterns to specific molecular underpinnings.
Methods
Neurodevelopmental differences in cortical thickness (CT) and surface area (SA) were correlated with SCI, RRB, and ASP domain scores by regression of a general linear model in a large neurodiverse sample of 288 autistic individuals and 140 nonautistic individuals, ages 6 to 30 years, recruited within the European Autism Interventions Longitudinal European Autism Project (EU-AIMS LEAP). The domain-specific patterns of neuroanatomical variability were subsequently correlated with cortical gene expression profiles via the Allen Human Brain Atlas.
Results
Across groups, behavioral variations in SCI, RRBs, and ASP were associated with interindividual differences in CT and SA in partially non-overlapping frontoparietal, temporal, and occipital networks. These domain-specific imaging patterns were enriched for genes that 1) are differentially expressed in autism, 2) mediate typical brain development, and 3) are associated with specific cortical cell types. Many of these genes were implicated in pathways governing synaptic structure and function.
Conclusions
Our study corroborates the close relationship between neuroanatomical variation and interindividual differences in autism-related symptoms and traits within the general framework of neurodiversity and links domain-specific patterns of neuroanatomical differences to putative molecular underpinnings.
背景:自闭症伴随着高度个性化的大脑解剖学神经发育差异模式。这种差异性使得自闭症的神经解剖学很难在群体层面上进行描述。在此,我们采用一种维度方法,对神经多样性研究人群中的社会交流和互动(SCI)、限制性和重复性行为(RRB)以及非典型感觉处理(ASP)等领域进行分解,从而研究个体间的神经解剖学差异。此外,我们还旨在将由此得出的神经解剖模式与特定的分子基础联系起来:方法:在欧盟-AIMS 欧洲自闭症纵向项目(LEAP)中招募了大量神经多样性样本,其中包括 288 名自闭症患者和 140 名非自闭症患者,年龄在 6-30 岁之间,通过回归一般线性模型,将皮层厚度和表面积的神经发育差异与 SCI、RRB 和 ASP 领域得分相关联。随后,通过 Allan 人类脑图谱将特定领域的神经解剖变异模式与皮层基因表达谱进行了关联:结果:在各组中,SCI、RRB 和 ASP 的行为差异与部分不重叠的前顶叶、颞叶和枕叶网络中 CT 和 SA 的个体间差异相关。这些特定领域的成像模式富含以下基因:(i) 在自闭症中表达不同;(ii) 介导典型的大脑发育;(iii) 与特定的皮层细胞类型相关。其中许多基因与突触结构和功能的调节途径有关:我们的研究证实了在神经多样性的总体框架内,神经解剖学变异与自闭症相关症状和特征的个体差异之间的密切关系,并将特定领域的神经解剖学差异模式与推测的分子基础联系起来。
{"title":"Decomposing the Brain in Autism: Linking Behavioral Domains to Neuroanatomical Variation and Genomic Underpinnings","authors":"Hanna Seelemeyer , Caroline Gurr , Johanna Leyhausen , Lisa M. Berg , Charlotte M. Pretzsch , Tim Schäfer , Bassem Hermila , Christine M. Freitag , Eva Loth , Bethany Oakley , Luke Mason , Jan K. Buitelaar , Christian F. Beckmann , Dorothea L. Floris , Tony Charman , Tobias Banaschewski , Emily Jones , Thomas Bourgeron","doi":"10.1016/j.bpsc.2024.12.003","DOIUrl":"10.1016/j.bpsc.2024.12.003","url":null,"abstract":"<div><h3>Background</h3><div>Autism is accompanied by highly individualized patterns of neurodevelopmental differences in brain anatomy. This variability makes the neuroanatomy of autism inherently difficult to describe at the group level. Here, we examined interindividual neuroanatomical differences using a dimensional approach that decomposed the domains of social communication and interaction (SCI), restricted and repetitive behaviors (RRBs), and atypical sensory processing (ASP) within a neurodiverse study population. Moreover, we aimed to link the resulting neuroanatomical patterns to specific molecular underpinnings.</div></div><div><h3>Methods</h3><div>Neurodevelopmental differences in cortical thickness (CT) and surface area (SA) were correlated with SCI, RRB, and ASP domain scores by regression of a general linear model in a large neurodiverse sample of 288 autistic individuals and 140 nonautistic individuals, ages 6 to 30 years, recruited within the European Autism Interventions Longitudinal European Autism Project (EU-AIMS LEAP). The domain-specific patterns of neuroanatomical variability were subsequently correlated with cortical gene expression profiles via the Allen Human Brain Atlas.</div></div><div><h3>Results</h3><div>Across groups, behavioral variations in SCI, RRBs, and ASP were associated with interindividual differences in CT and SA in partially non-overlapping frontoparietal, temporal, and occipital networks. These domain-specific imaging patterns were enriched for genes that 1) are differentially expressed in autism, 2) mediate typical brain development, and 3) are associated with specific cortical cell types. Many of these genes were implicated in pathways governing synaptic structure and function.</div></div><div><h3>Conclusions</h3><div>Our study corroborates the close relationship between neuroanatomical variation and interindividual differences in autism-related symptoms and traits within the general framework of neurodiversity and links domain-specific patterns of neuroanatomical differences to putative molecular underpinnings.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 10","pages":"Pages 1067-1077"},"PeriodicalIF":4.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.bpsc.2025.08.003
Renata Basso Cupertino
{"title":"Bridging Neural Circuits and Gene Expression in Attention-Deficit/Hyperactivity Disorder: Insights From a Multimodal Approach","authors":"Renata Basso Cupertino","doi":"10.1016/j.bpsc.2025.08.003","DOIUrl":"10.1016/j.bpsc.2025.08.003","url":null,"abstract":"","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"10 10","pages":"Pages 1003-1004"},"PeriodicalIF":4.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145227744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/S2451-9022(25)00274-5
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