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Optimizing multi-site schizophrenia differentiation: MRI harmonization with 20 controls per scanner in a study of 3560 subjects across 15 MRI scanners 优化多位点精神分裂症分化:在15台MRI扫描仪上对3560名受试者进行的一项研究中,每台扫描仪与20个对照的MRI协调。
IF 3.9 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-02 DOI: 10.1016/j.pnpbp.2026.111607
Naoki Hashimoto , Kiyotaka Nemoto , Masaki Fukunaga , Junya Matsumoto , Naohiro Okada , Kentaro Morita , Hidenaga Yamamori , Michiko Fujimoto , Yuka Yasuda , Michihiko Koeda , Takahiko Kawashima , Morio Aki , Daiki Sasabayashi , Daisuke Fujikane , Kenichiro Harada , Maeri Yamamoto , Shuhei Ishikawa , Naomi Hasegawa , Satsuki Ito , Kazutaka Ohi , Ryota Hashimoto
Although structural abnormalities has been reported in schizophrenia, generalizability across MRI scanners and protocols remains a major limitation for clinical application.
Our previous study demonstrated that general linear model (GLM)-based harmonization can effectively distinguish patients with schizophrenia from healthy controls (HC) across MRI scanners. In this method, regions of interest (ROIs) showing volume reduction in schizophrenia were pre-defined, and age, sex, and total intracranial volume were included as dependent variables in the scanner and protocol specific GLM (spsGLM). The residuals (ε) of the spsGLM, the difference between estimated and measured ROI volume, were used as an indicator of schizophrenia.
In the present study, we assessed required number of HC to apply this method, and adapted it to a larger dataset. We analyzed data from 1179 schizophrenia patients and 2381 HC across 15 MRI scanners. The minimum number of HC required was estimated to be 20. To avoid sampling bias, 20 HC were randomly selected 1000 times, and spsGLM model fitting was implemented for each set. The coefficients of spsGLM were calculated by averaging the results of 1000 trials, and ε was computed. Receiver operating characteristic (ROC) analyses were performed to evaluate ε.
Results indicated that the area under the curve (AUC) from ROC analysis ranged from 0.66 to 0.83. ROC analysis using full sample showed an AUC of 0.74. These results were comparable to those obtained using ComBat harmonization or a Random Forrest classifier.
In conclusion, scanning 20 HC enables our GLM-based harmonization method to generalize across scanners.
尽管在精神分裂症中有结构异常的报道,但MRI扫描仪和协议的通用性仍然是临床应用的主要限制。我们之前的研究表明,基于一般线性模型(GLM)的协调可以在MRI扫描仪上有效地区分精神分裂症患者和健康对照(HC)。在这种方法中,显示精神分裂症体积减少的兴趣区域(roi)是预先定义的,年龄、性别和总颅内体积作为因变量包括在扫描仪和方案特定的GLM (spsGLM)中。spsGLM的残差(ε),即ROI的估计值与实测值之间的差值,被用作精神分裂症的指标。在本研究中,我们评估了应用该方法所需的HC数量,并将其适应于更大的数据集。我们通过15台MRI扫描仪分析了1179名精神分裂症患者和2381名HC患者的数据。所需的最少HC数估计为20。为避免抽样偏差,随机抽取20个HC 1000次,对每组进行spsGLM模型拟合。spsGLM的系数取1000次试验结果的平均值,并计算ε。采用受试者工作特征(ROC)分析评估ε。结果表明,ROC分析的曲线下面积(AUC)范围为0.66 ~ 0.83。全样本ROC分析显示AUC为0.74。这些结果与使用ComBat harmonization或Random Forrest分类器获得的结果相当。总之,扫描20 HC使我们基于glm的协调方法能够在扫描仪上推广。
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引用次数: 0
Alterations in edge-centric functional connectivity in patients with major depressive disorder and their genetic mechanisms: A transcriptome-neuroimaging correlation study 重性抑郁症患者边缘中心功能连通性的改变及其遗传机制:转录组-神经影像学相关研究
IF 3.9 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-02 DOI: 10.1016/j.pnpbp.2025.111603
Fanghui Dong , Kaili Che , Yinghong Shi , Heng Ma , Feng Zhao , Haizhu Xie , Ning Mao , Tongpeng Chu , Xin Zhao

Background

Previous studies on brain functional networks in Major Depressive Disorder (MDD) have mainly focused on node changes, but the dynamics of edge-to-edge connectivity remain unclear. This study combines edge-centric functional connectivity (eFC) and whole-brain transcriptomics to reveal higher-order network interactions in MDD.

Methods

We enrolled 163 MDD patients and 135 healthy controls (HCs). First, time series were extracted to construct the functional connectivity (FC) matrix. Then, edges were extracted from this matrix, and their Pearson correlation coefficients were calculated to construct the eFC matrix. Between-group differences in eFC were compared. Subsequently, support vector machines (SVM), random forest (RF) and extreme gradient boosting (XGBoost) models were built to evaluate the classification performance of eFC in diagnosing MDD. Finally, by integrating transcriptomic data, we identified genes whose spatial expression profiles were associated with eFC alterations and performed functional enrichment analysis.

Results

We observed that compared to HCs, there are extensive changes in eFC. Specifically, individuals with MDD exhibited increased eFC in the left Superior frontal gyrus, right Middle frontal gyrus and bilateral Inferior temporal gyrus, while displaying decreased eFC in the bilateral Caudate nucleus. The classification results demonstrated that models based on eFC features outperformed those based on traditional FC in key metrics, and this advantage remained stable across different algorithms. Partial least squares (PLS) analysis revealed that alterations in eFC in MDD patients are associated with specific gene expression profiles. These genes were significantly enriched in pathways related to ion channels and synaptic transmission. These findings were replicated in validation cohort and HarvardOxford brain atlas.

Conclusion

Our study revealed alterations in the eFC network in MDD patients and their associations with gene expression profiles, providing a novel perspective to advance the understanding of MDD.
背景:以往对重度抑郁症(MDD)脑功能网络的研究主要集中在节点变化上,但边缘到边缘连接的动态尚不清楚。本研究结合边缘中心功能连接(eFC)和全脑转录组学来揭示MDD的高阶网络相互作用。方法:我们招募了163名重度抑郁症患者和135名健康对照(hc)。首先,提取时间序列,构建功能连通性(FC)矩阵;然后,从该矩阵中提取边缘,并计算其Pearson相关系数,构建eFC矩阵。比较eFC组间差异。随后,建立支持向量机(SVM)、随机森林(RF)和极端梯度增强(XGBoost)模型,评估eFC在MDD诊断中的分类性能。最后,通过整合转录组学数据,我们确定了与eFC改变相关的空间表达谱基因,并进行了功能富集分析。结果:我们观察到,与hcc相比,eFC有广泛的变化。具体而言,重度抑郁症患者左侧额上回、右侧额中回和双侧颞下回的eFC增加,而双侧尾状核的eFC减少。分类结果表明,基于eFC特征的模型在关键指标上优于基于传统FC的模型,并且这种优势在不同算法之间保持稳定。偏最小二乘(PLS)分析显示,MDD患者eFC的改变与特定基因表达谱有关。这些基因在与离子通道和突触传递相关的通路中显著富集。这些发现在验证队列和哈佛多克斯福德脑图谱中得到了重复。结论:我们的研究揭示了MDD患者eFC网络的改变及其与基因表达谱的关联,为促进对MDD的理解提供了一个新的视角。
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引用次数: 0
Unveiling the vestibular system's role in anxiety and the promise of electrical vestibular stimulation (VeNS) therapy 揭示前庭系统在焦虑中的作用和前庭电刺激(VeNS)治疗的前景。
IF 3.9 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-02 DOI: 10.1016/j.pnpbp.2025.111601
Wiktoria Ratajczak

Purpose of the review

Generalized Anxiety Disorder (GAD) is a chronic and prevalent psychiatric condition affecting approximately 4.05 % of the global population, with a higher incidence in women and early onset in childhood. GAD is associated with significant mental, emotional, and physical impairments, including insomnia, metabolic syndrome, and other psychiatric comorbidities such as depression. Current treatment options include pharmacotherapy and cognitive behavioural therapy (CBT), face challenges such as side effects, long treatment durations, and accessibility issues. This review explores the role of the vestibular system in anxiety pathophysiology and examines the potential of electrical vestibular stimulation (VeNS) as a novel, safe, and effective treatment option.

Recent findings

While the exact pathophysiology of anxiety remains unclear, recent studies suggest that GAD involves complex neurobiological mechanisms, including dysregulated inhibitory neurotransmission, hyperactivity of the amygdala, and impaired connectivity in anxiety-related neural circuits. The vestibular system has been identified as a critical modulator of emotional and stress responses, with vestibular dysfunction being linked to heightened anxiety levels. VeNS, a non-invasive neuromodulation technique, has demonstrated effectiveness in reducing anxiety symptoms by influencing key brain structures, including the amygdala, prefrontal cortex, hippocampus, and locus coeruleus. Clinical trials have shown significant reductions in GAD-7 scores and improvements in sleep and overall quality of life following VeNS treatment.

Summary: electrical

Vestibular stimulation (VeNS) has emerged as a promising, non-invasive therapeutic approach for managing GAD. By targeting the vestibular system's extensive neural connections, VeNS modulates anxiety-related brain regions, regulates stress responses, and enhances emotional well-being. Clinical evidence supports its efficacy in significantly reducing anxiety symptoms and improving sleep quality. Given its favorable safety profile and ease of use, VeNS presents a viable alternative or complementary option to conventional pharmacological and psychotherapeutic treatments for anxiety disorders.
综述的目的:广泛性焦虑障碍(GAD)是一种慢性和普遍的精神疾病,影响约4.05% 全球人口,女性发病率较高,儿童期发病早。广泛性焦虑症与严重的精神、情感和身体损伤有关,包括失眠、代谢综合征和其他精神合并症,如抑郁症。目前的治疗方案包括药物治疗和认知行为治疗(CBT),面临着副作用、治疗持续时间长和可及性问题等挑战。这篇综述探讨了前庭系统在焦虑病理生理中的作用,并探讨了前庭电刺激(VeNS)作为一种新颖、安全、有效的治疗选择的潜力。最新发现:虽然焦虑的确切病理生理学尚不清楚,但最近的研究表明广泛性焦虑症涉及复杂的神经生物学机制,包括抑制神经传递失调、杏仁核过度活跃和焦虑相关神经回路的连通性受损。前庭系统已被确定为情绪和压力反应的关键调节器,前庭功能障碍与焦虑水平升高有关。VeNS是一种非侵入性的神经调节技术,已经证明通过影响关键的大脑结构,包括杏仁核、前额叶皮层、海马体和蓝斑,可以有效地减轻焦虑症状。临床试验显示,在接受VeNS治疗后,GAD-7评分显著降低,睡眠和整体生活质量得到改善。摘要:电:前庭刺激(VeNS)已成为一种有前途的、非侵入性的治疗广泛性焦虑症的方法。通过瞄准前庭系统广泛的神经连接,VeNS调节与焦虑相关的大脑区域,调节压力反应,并增强情绪健康。临床证据支持其显著减轻焦虑症状和改善睡眠质量的功效。鉴于其良好的安全性和易用性,VeNS为焦虑障碍的传统药物和心理治疗提供了可行的替代或补充选择。
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引用次数: 0
Sex heterogeneity of functional brain network dynamics in autism spectrum disorder based on the high-amplitude co-fluctuation analysis 基于高振幅共波动分析的自闭症谱系障碍脑功能网络动态的性别异质性。
IF 3.9 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-02 DOI: 10.1016/j.pnpbp.2025.111604
Le Gao , Yue Hou , Xiaojiao Dong , Chenchen Wang , Dong Cui , Xiaonan Guo
Autism spectrum disorder (ASD) is a neurodevelopmental condition exhibiting marked sex heterogeneity in functional connectivity. Given that high-amplitude co-fluctuation patterns dominate whole-brain functional connectivity, this study investigated sex heterogeneity in these patterns in ASD from the perspective of temporal variability. Resting-state functional magnetic resonance imaging data were obtained from the Autism Brain Imaging Data Exchange database, comprising 284 males/65 females with ASD and 340 male/119 female typical controls. High-amplitude co-fluctuation patterns were obtained using an edge time series analysis, and temporal variability of intra-network and inter-network functional architecture was calculated to characterize functional brain network dynamics. A two-way analysis of variance was further conducted to explore sex heterogeneity of functional brain network dynamics in ASD. At the intra-network level, significant diagnosis-by-sex interactions were observed in the default-mode network (DMN), salience network (SAN), cingulo-opercular network (CO), motor and somatosensory network (SMN), subcortical network (SUB), and visual network (VN). In ASD, sex differences in temporal variability were reduced in the DMN, SMN, and VN, increased in the CO and SUB, and an additional sex difference emerged in the SAN relative to controls. In contrast, at the inter-network level, all brain networks showed varying degrees of diagnosis-by-sex interaction effects. Moreover, network-level functional connectivity dynamics predicted the severity of social interaction impairments in females with ASD and social communication impairments in males with ASD, respectively. These findings reveal the sex heterogeneity of functional brain network dynamics in ASD, and highlight the potential role of altered high-amplitude co-fluctuations in the sex-specific neural mechanism underlying ASD.
自闭症谱系障碍(ASD)是一种神经发育疾病,在功能连接方面表现出明显的性别异质性。鉴于高振幅共波动模式在全脑功能连接中占主导地位,本研究从时间变异性的角度研究了ASD中这些模式的性别异质性。静息状态功能磁共振成像数据来自自闭症脑成像数据交换数据库,包括284名男性/65名女性ASD患者和340名男性/119名女性典型对照。利用边缘时间序列分析获得了高振幅的共波动模式,并计算了网络内和网络间功能结构的时间变异性,以表征功能性脑网络动态。进一步进行双向方差分析,探讨ASD患者脑功能网络动态的性别异质性。在网络内水平,在默认模式网络(DMN)、突出网络(SAN)、扣谷-眼窝网络(CO)、运动和体感网络(SMN)、皮层下网络(SUB)和视觉网络(VN)中观察到显著的性别诊断相互作用。在ASD中,DMN、SMN和VN在时间变异性上的性别差异减少,CO和SUB在时间变异性上的性别差异增加,而SAN在时间变异性上也出现了额外的性别差异。相反,在网络间水平上,所有的大脑网络都表现出不同程度的性别诊断互动效应。此外,网络水平的功能连接动力学分别预测了女性ASD患者的社会互动障碍和男性ASD患者的社会沟通障碍的严重程度。这些发现揭示了ASD中功能性脑网络动力学的性别异质性,并强调了ASD中改变的高振幅共同波动在性别特异性神经机制中的潜在作用。
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引用次数: 0
Distinct cortical inhibitory profiles in schizophrenia and bipolar disorder: A TMS-EEG study of GABAb function 精神分裂症和双相情感障碍中不同的皮层抑制谱:GABAb功能的TMS-EEG研究
IF 3.9 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-12-25 DOI: 10.1016/j.pnpbp.2025.111593
Gema Mijancos-Martínez , Inés Fernández-Linsenbarth , Alejandro Bachiller , Rosa Beño-Ruiz de la Sierra , Emma Osorio-Iriarte , Alejandro Roig , Claudia Rodríguez-Valbuena , Juan Carlos Fiorini-Talavera , Saúl J. Ruiz-Gómez , Ricardo D. Mancha , Vicente Molina , Miguel Angel Mañanas

Background

EEG recordings associated with transcranial magnetic stimulation (TMS) with paired pulse paradigms allow the in vivo assessment of cortical inhibitory function. The long-interval cortical inhibition (LICI) paradigm can be used to estimate this function related to GABAb receptors.

Methods

We compared LICI values between 25 patients with schizophrenia, 16 patients with bipolar disorder (BD), and 23 healthy controls (HC). We also assessed the relationship between LICI values and cognitive performance, as well as the treatment with antipsychotics, benzodiazepines, and anticonvulsants.

Results

LICI was significantly lower in patients with schizophrenia than in controls, but not in BD patients. In the former group, LICI was negatively associated with cognitive performance and positive symptoms. However, benzodiazepines increased LICI values, which does not explain its decrease in schizophrenia patients.

Conclusions

Our data support the existence of a functional inhibitory deficit mediated by GABAb receptors in schizophrenia, that is associated with cognitive performance and symptoms. In the context of existing literature, this deficit may characterize a subgroup of patients with this diagnosis.
背景:经颅磁刺激(TMS)与配对脉冲模式相关联的脑电图记录可以在体内评估皮质抑制功能。长间隔皮质抑制(LICI)模式可用于估计与GABAb受体相关的这种功能。方法比较25例精神分裂症患者、16例双相情感障碍(BD)患者和23例健康对照(HC)的LICI值。我们还评估了LICI值与认知表现之间的关系,以及抗精神病药物、苯二氮卓类药物和抗惊厥药物的治疗。结果精神分裂症患者的slici明显低于对照组,而双相障碍患者的slici明显低于对照组。在前一组中,LICI与认知表现和阳性症状呈负相关。然而,苯二氮卓类药物增加了LICI值,这并不能解释其在精神分裂症患者中的减少。结论sour数据支持精神分裂症患者存在由GABAb受体介导的功能性抑制缺陷,该缺陷与认知表现和症状有关。在现有文献的背景下,这种缺陷可能是具有这种诊断的患者亚组的特征。
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引用次数: 0
Hyperlearning Hypothesis: Network disruption and maladaptive learning in schizophrenia 超学习假说:精神分裂症的网络中断和不适应学习
IF 3.9 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-12-24 DOI: 10.1016/j.pnpbp.2025.111599
Yuichi Takei , Masakazu Sunaga , Kazuyuki Fujihara , Takefumi Ohki , Yutaka Kato , Seiichiro Jinde
Schizophrenia unfolds through a dynamic course in which perceptual instability, aberrant salience, negative symptoms, and cognitive impairment emerge and interact over time. Existing models have not fully explained how acute disturbances in perceptual inference develop into persistent dysfunction across large-scale neural systems. Here, we advance the Hyperlearning Hypothesis, a mechanistic account proposing that schizophrenia arises from a two-stage disruption in neural learning. First, NMDA/GABA abnormalities impair the precision of prediction-error signaling, leading to unstable perceptual inferences. Second, excessive hippocampal ripple activity drives maladaptive overlearning, which reinforces and stabilizes inaccurate internal models. This cascade links acute perceptual instability to long-term network disorganization and the emergence of chronic negative and cognitive symptoms. Importantly, this framework highlights how aberrant learning signals—rather than static structural deficits—shape the evolution of psychopathology over time.
Electrophysiological evidence supports this framework, as individuals with schizophrenia exhibit elevated ripple frequency and power, delayed ripple-initiated network transitions, and reduced clustering and local efficiency within beta-band cortical networks. Together, these abnormalities suggest a progressive disintegration of large-scale templates that normally support stable cognitive function.
By integrating computational psychiatry, electrophysiology, and network neuroscience, the Hyperlearning Hypothesis offers a coherent mechanistic account of schizophrenia's evolution and outlines potential avenues for clarifying how learning-related and network-level processes contribute to illness progression.
精神分裂症是一个动态的过程,在这个过程中,知觉不稳定、异常突出、阴性症状和认知障碍随着时间的推移而出现并相互作用。现有的模型并没有完全解释知觉推理中的急性干扰如何发展成大规模神经系统的持续功能障碍。在这里,我们提出了“超级学习假说”,这是一种机械性的解释,提出精神分裂症是由神经学习的两阶段中断引起的。首先,NMDA/GABA异常损害了预测错误信号的准确性,导致不稳定的感知推断。其次,过度的海马纹波活动会导致不适应的过度学习,从而加强和稳定不准确的内部模型。这种级联将急性知觉不稳定与长期网络紊乱以及慢性阴性和认知症状的出现联系起来。重要的是,这个框架强调了异常的学习信号——而不是静态的结构缺陷——如何随着时间的推移塑造精神病理学的演变。电生理学证据支持这一框架,因为精神分裂症患者表现出波纹频率和功率升高,波纹引发的网络转换延迟,β波段皮质网络的聚类和局部效率降低。总之,这些异常表明,通常支持稳定认知功能的大规模模板正在逐步瓦解。通过整合计算精神病学、电生理学和网络神经科学,超学习假说为精神分裂症的进化提供了连贯的机制解释,并概述了阐明学习相关过程和网络水平过程如何促进疾病进展的潜在途径。
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引用次数: 0
Norepinephrine and inhibitory transmission: Regional diversity and mechanisms of modulation 去甲肾上腺素与抑制传递:区域多样性和调节机制
IF 3.9 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-12-24 DOI: 10.1016/j.pnpbp.2025.111592
Prabhjeet Singh , Tak Pan Wong
Norepinephrine, a stress-related neuromodulator, is a key regulator of synaptic transmission and neuronal activity. While the impact of norepinephrine on excitatory transmission has been frequently discussed, how norepinephrine regulates inhibitory transmission remains poorly understood. Norepinephrine modulates inhibitory synaptic function and the firing property of inhibitory neurons. These norepinephrine effects on inhibitory transmission are complex and often region- and inhibitory neuron subtype-specific. Malfunctioning of the norepinephrine-induced modulation of inhibitory transmission could underlie various brain diseases, especially norepinephrine-related psychiatric and neurodegenerative disorders. In this review, we examine findings on the expression of norepinephrine receptors in inhibitory neurons and norepinephrine-induced modulation of inhibitory transmission across different regions of the central nervous system. Furthermore, we discuss the role of adrenergic receptors, norepinephrine concentrations, signaling and inhibitory neuron subtypes in norepinephrine-induced modulation of inhibitory transmission. Overall, this review highlights inhibitory transmission as a major target of norepinephrine for influencing circuit functions and shaping behavioral outcomes.
去甲肾上腺素是一种与压力相关的神经调节剂,是突触传递和神经元活动的关键调节剂。虽然去甲肾上腺素对兴奋性传递的影响经常被讨论,但去甲肾上腺素如何调节抑制性传递仍然知之甚少。去甲肾上腺素调节抑制性突触功能和抑制性神经元的放电特性。这些去甲肾上腺素对抑制性传递的影响是复杂的,通常是区域和抑制性神经元亚型特异性的。去甲肾上腺素诱导的抑制性传递调节功能障碍可能是多种脑部疾病的基础,特别是与去甲肾上腺素相关的精神和神经退行性疾病。在这篇综述中,我们研究了去甲肾上腺素受体在抑制性神经元中的表达,以及去甲肾上腺素诱导的跨中枢神经系统不同区域的抑制性传递的调节。此外,我们还讨论了肾上腺素能受体、去甲肾上腺素浓度、信号传导和抑制性神经元亚型在去甲肾上腺素诱导的抑制性传递调节中的作用。总的来说,这篇综述强调了抑制传递是去甲肾上腺素影响电路功能和塑造行为结果的主要目标。
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引用次数: 0
The neural pathways and genetic substrates of non-suicidal self-injury as a “sensation of pain” addiction in drug-naïve depressed adolescents drug-naïve抑郁青少年非自杀性自伤作为“疼痛感”成瘾的神经通路和遗传基础。
IF 3.9 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-12-23 DOI: 10.1016/j.pnpbp.2025.111597
Xianliang Chen , Hui Chen , Sihong Li , Huajia Tang , Jiawei Zhou , Bohao Cheng , Zhengqian Jiang , Yanyue Ye , Jiali Liu , Peiqu Liu , Fengmei Lu , Jiansong Zhou

Background

Emerging evidence posits repetitive non-suicidal self-injury (NSSI) shares behavioral and neurobiological parallels with addiction. However, the neural mechanisms underlying NSSI, particularly within the framework of “sensation of pain” addiction, remain poorly understood. This study combines the effective connectivity (EC) and transcriptomic profiling to explore addiction-related neural circuit and their potential genetic substrates of NSSI.

Method

A total of 76 medication-free adolescents with depression were included in the study, comprising 36 with NSSI (NSSI group) and 40 without NSSI (non-NSSI group). The addictive subscale of the Ottawa Self-Injury Inventory (OSI) was used to assess the addictive features of NSSI in the NSSI group. Resting-state functional magnetic resonance imaging were analyzed using Spectral dynamic causal modeling to explore the directed neural interactions within predefined circuits of “sensation of pain” addiction. Correlation analyses were performed between the EC and clinical data. Spatial transcriptomic mapping integrated with Allen Human Brain Atlas further detect alterations in connectivity-associated gene expression signatures.

Results

Compared with the non-NSSI group, the NSSI group exhibited four distinct EC alterations from the ventral tegmental area (VTA) to left amygdala (AMYG), from the right medial prefrontal cortex (mPFC) to right AMYG, from the left ventral striatum (VS) to right insula (INS) and from the right VS to left AMYG. Crucially, EC values from the VTA to left AMYG and from the right VS to left AMYG are associated with the addictive characteristics and the NSSI frequency, respectively. Genes associated with altered connectivity patterns primarily focus on the brain development, axon, dendrite, oligodendrocytes, D1+ spiny neurons, D2+ spiny neurons, and cholinergic neurons of habenula.

Conclusion

Our findings yield empirical support for reconceptualizing the NSSI within behavioral addiction frameworks, revealing underlying neurobiological pathways and genetic basis driving repeated NSSI. Notably, EC from the VTA to the left AMYG was positively associated with the addictive features of NSSI, highlighting a potentially important neural pathway underlying its addictive nature. The identified EC dysfunction and associated genetic markers could offer novel potential targets for therapeutic interventions.
背景:越来越多的证据表明,重复性非自杀性自伤(NSSI)与成瘾具有行为和神经生物学上的相似之处。然而,自伤背后的神经机制,特别是在“痛觉”成瘾的框架内,仍然知之甚少。本研究结合有效连通性(effective connectivity, EC)和转录组学分析来探索成瘾相关的神经回路及其潜在的自伤基因底物。方法:选取76例无药物治疗的青少年抑郁症患者,其中有自伤者36例(自伤组),无自伤者40例(非自伤组)。采用渥太华自伤量表(OSI)的成瘾子量表评估自伤组的自伤成瘾特征。静息状态功能磁共振成像采用频谱动态因果模型,探讨“痛觉”成瘾预设回路中的定向神经相互作用。对EC与临床数据进行相关性分析。空间转录组作图结合Allen人脑图谱进一步检测连接相关基因表达特征的改变。结果:与非自伤组相比,自伤组表现出从腹侧被盖区(VTA)到左杏仁核(AMYG)、从右内侧前额叶皮层(mPFC)到右AMYG、从左腹侧纹状体(VS)到右岛(INS)、从右VS到左AMYG的4种明显的EC改变。至关重要的是,从VTA到左AMYG和从右VS到左AMYG的EC值分别与成瘾特征和自伤频率相关。与连接模式改变相关的基因主要集中在脑发育、轴突、树突、少突胶质细胞、D1+棘神经元、D2+棘神经元和缰状核胆碱能神经元。结论:我们的研究结果为在行为成瘾框架内重新定义自伤提供了经验支持,揭示了驱动重复自伤的潜在神经生物学途径和遗传基础。值得注意的是,从VTA到左侧AMYG的EC与自伤的成瘾性特征呈正相关,突出了其成瘾性背后潜在的重要神经通路。发现的EC功能障碍和相关的遗传标记可以为治疗干预提供新的潜在靶点。
{"title":"The neural pathways and genetic substrates of non-suicidal self-injury as a “sensation of pain” addiction in drug-naïve depressed adolescents","authors":"Xianliang Chen ,&nbsp;Hui Chen ,&nbsp;Sihong Li ,&nbsp;Huajia Tang ,&nbsp;Jiawei Zhou ,&nbsp;Bohao Cheng ,&nbsp;Zhengqian Jiang ,&nbsp;Yanyue Ye ,&nbsp;Jiali Liu ,&nbsp;Peiqu Liu ,&nbsp;Fengmei Lu ,&nbsp;Jiansong Zhou","doi":"10.1016/j.pnpbp.2025.111597","DOIUrl":"10.1016/j.pnpbp.2025.111597","url":null,"abstract":"<div><h3>Background</h3><div>Emerging evidence posits repetitive non-suicidal self-injury (NSSI) shares behavioral and neurobiological parallels with addiction. However, the neural mechanisms underlying NSSI, particularly within the framework of “sensation of pain” addiction, remain poorly understood. This study combines the effective connectivity (EC) and transcriptomic profiling to explore addiction-related neural circuit and their potential genetic substrates of NSSI.</div></div><div><h3>Method</h3><div>A total of 76 medication-free adolescents with depression were included in the study, comprising 36 with NSSI (NSSI group) and 40 without NSSI (non-NSSI group). The addictive subscale of the Ottawa Self-Injury Inventory (OSI) was used to assess the addictive features of NSSI in the NSSI group. Resting-state functional magnetic resonance imaging were analyzed using Spectral dynamic causal modeling to explore the directed neural interactions within predefined circuits of “sensation of pain” addiction. Correlation analyses were performed between the EC and clinical data. Spatial transcriptomic mapping integrated with Allen Human Brain Atlas further detect alterations in connectivity-associated gene expression signatures.</div></div><div><h3>Results</h3><div>Compared with the non-NSSI group, the NSSI group exhibited four distinct EC alterations from the ventral tegmental area (VTA) to left amygdala (AMYG), from the right medial prefrontal cortex (mPFC) to right AMYG, from the left ventral striatum (VS) to right insula (INS) and from the right VS to left AMYG. Crucially, EC values from the VTA to left AMYG and from the right VS to left AMYG are associated with the addictive characteristics and the NSSI frequency, respectively. Genes associated with altered connectivity patterns primarily focus on the brain development, axon, dendrite, oligodendrocytes, D1+ spiny neurons, D2+ spiny neurons, and cholinergic neurons of habenula.</div></div><div><h3>Conclusion</h3><div>Our findings yield empirical support for reconceptualizing the NSSI within behavioral addiction frameworks, revealing underlying neurobiological pathways and genetic basis driving repeated NSSI. Notably, EC from the VTA to the left AMYG was positively associated with the addictive features of NSSI, highlighting a potentially important neural pathway underlying its addictive nature. The identified EC dysfunction and associated genetic markers could offer novel potential targets for therapeutic interventions.</div></div>","PeriodicalId":54549,"journal":{"name":"Progress in Neuro-Psychopharmacology & Biological Psychiatry","volume":"144 ","pages":"Article 111597"},"PeriodicalIF":3.9,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835231","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}
引用次数: 0
Uncovering the female phenotype in the VPA autism model: Brain-region specific synaptic pattern, microglial priming and behavioral singularity 揭示VPA自闭症模型中的女性表型:脑区特异性突触模式、小胶质启动和行为奇异性。
IF 3.9 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-12-20 DOI: 10.1016/j.pnpbp.2025.111591
Marianela E. Traetta , Martin G. Codagnone , Einav Litvak , María José Maleville Corpa , Nonthué A. Uccelli , Sandra C. Zárate , Analía G. Reinés
Neurodevelopmental disorders, such as autism spectrum disorders (ASD), exhibit a poorly understood male bias. While sex differences may provide key insights into ASD etiology and treatment, the female side of animal models, such as prenatal valproic acid (VPA) exposure, remains incompletely characterized. Here, we evaluated the behavioral, synaptic, and microglial profiles of female VPA rats. Female VPA animals exhibited social deficits, including a decreased sociability index in the three-chamber test and reduced play and social-recognition behaviors in a peer-interaction test, while exploratory and repetitive activities were preserved. At the synaptic level, the medial prefrontal cortex (mPFC) showed increased synaptophysin (SYN) immunostaining, whereas the hippocampal subfield CA3, displayed reduced SYN. Additionally, CA3 neurons exhibited increased neuronal cell adhesion molecule (NCAM) immunostaining, while the mPFC showed increased levels of its polysialylated form (PSA-NCAM), resulting in distinct NCAM/PSA-NCAM ratio shifts in each region. In vitro, hippocampal and cortical neurons from female VPA animals exhibited preserved synaptic puncta number and dendritic tree length and responded to glutamate-induced remodeling similarly to controls, suggesting no intrinsic neuronal alterations. Microglia from the mPFC and the hippocampus exhibited a less ramified morphology, with increased cell numbers in the mPFC. Isolated and cultured microglia retained this reactive phenotype, yet they responded to the exposure to synaptic terminals similarly to controls. Our findings indicate that female VPA rats display a distinctive social deficit linked to brain-area-specific synaptic remodeling impairment and microglial reactivity. Sex-differences in the VPA model could provide valuable insights into neuron-glia interactions underlying autism.
神经发育障碍,如自闭症谱系障碍(ASD),表现出一种鲜为人知的男性偏见。虽然性别差异可能为ASD的病因和治疗提供了关键的见解,但动物模型的女性方面,如产前丙戊酸(VPA)暴露,仍然没有完全表征。在这里,我们评估了雌性VPA大鼠的行为、突触和小胶质特征。雌性VPA动物表现出社会缺陷,包括在三室测试中社交指数下降,在同伴互动测试中玩耍和社会识别行为减少,而探索性和重复性活动保留下来。在突触水平上,内侧前额叶皮层(mPFC)突触素(SYN)免疫染色增加,而海马亚区CA3显示SYN减少。此外,CA3神经元表现出神经元细胞粘附分子(NCAM)免疫染色增加,而mPFC显示其多口化形式(PSA-NCAM)水平增加,导致每个区域的NCAM/PSA-NCAM比值明显变化。体外实验显示,雌性VPA动物的海马和皮质神经元突触点数量和树突状树长度保持不变,并对谷氨酸诱导的重塑做出反应,与对照组相似,表明没有内在的神经元改变。来自mPFC和海马的小胶质细胞表现出较少的分枝形态,mPFC的细胞数量增加。分离和培养的小胶质细胞保留了这种反应性表型,但它们对暴露于突触终端的反应与对照组相似。我们的研究结果表明,雌性VPA大鼠表现出与脑区域特异性突触重塑损伤和小胶质细胞反应性相关的独特的社交缺陷。VPA模型中的性别差异可以为自闭症背后的神经元-神经胶质相互作用提供有价值的见解。
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引用次数: 0
Expression of concern: "Adolescent nicotine abstinence increases anxiety and depressive-like behaviors, alcohol consumption, oxidative stress and inflammatory response accompanied by attenuated serotonergic/dopaminergic and cholinergic function in rats" [Progress in Neuro-Psychopharmacology & Biological Psychiatry, volume 141 (2025), 111464]. 关注的表达:“青少年尼古丁戒断会增加大鼠的焦虑和抑郁样行为、酒精消耗、氧化应激和炎症反应,并伴有血清素能/多巴胺能和胆碱能功能的减弱”[Progress in neuropsychopharmacology & Biological Psychiatry,卷141(2025),111464]。
IF 3.9 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-12-20 Epub Date: 2025-10-28 DOI: 10.1016/j.pnpbp.2025.111542
{"title":"Expression of concern: \"Adolescent nicotine abstinence increases anxiety and depressive-like behaviors, alcohol consumption, oxidative stress and inflammatory response accompanied by attenuated serotonergic/dopaminergic and cholinergic function in rats\" [Progress in Neuro-Psychopharmacology & Biological Psychiatry, volume 141 (2025), 111464].","authors":"","doi":"10.1016/j.pnpbp.2025.111542","DOIUrl":"https://doi.org/10.1016/j.pnpbp.2025.111542","url":null,"abstract":"","PeriodicalId":54549,"journal":{"name":"Progress in Neuro-Psychopharmacology & Biological Psychiatry","volume":"143 ","pages":"111542"},"PeriodicalIF":3.9,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764314","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}
引用次数: 0
期刊
Progress in Neuro-Psychopharmacology & Biological Psychiatry
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