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Childhood Maltreatment and Amygdala-Mediated Anxiety and Posttraumatic Stress Following Adult Trauma 童年虐待与杏仁核介导的焦虑和成年创伤后应激反应
Q2 NEUROSCIENCES Pub Date : 2024-04-04 DOI: 10.1016/j.bpsgos.2024.100312
Farah Harb , Michael T. Liuzzi , Ashley A. Huggins , E. Kate Webb , Jacklynn M. Fitzgerald , Jessica L. Krukowski , Terri A. deRoon-Cassini , Christine L. Larson

Background

Childhood abuse (physical, emotional, and sexual) is associated with aberrant connectivity of the amygdala, a key threat-processing region. Heightened amygdala activity also predicts adult anxiety and posttraumatic stress disorder (PTSD) symptoms, as do experiences of childhood abuse. The current study explored whether amygdala resting-state functional connectivity may explain the relationship between childhood abuse and anxiety and PTSD symptoms following trauma exposure in adults.

Methods

Two weeks posttrauma, adult trauma survivors (n = 152, mean age [SD] = 32.61 [10.35] years; women = 57.2%) completed the Childhood Trauma Questionnaire and underwent resting-state functional magnetic resonance imaging. PTSD and anxiety symptoms were assessed 6 months posttrauma. Seed-to-voxel analyses evaluated the association between childhood abuse and amygdala resting-state functional connectivity. A mediation model evaluated the potential mediating role of amygdala connectivity in the relationship between childhood abuse and posttrauma anxiety and PTSD.

Results

Childhood abuse was associated with increased amygdala connectivity with the precuneus while covarying for age, gender, childhood neglect, and baseline PTSD symptoms. Amygdala-precuneus resting-state functional connectivity was a significant mediator of the effect of childhood abuse on anxiety symptoms 6 months posttrauma (B = 0.065; 95% CI, 0.013–0.130; SE = 0.030), but not PTSD. A secondary mediation analysis investigating depression as an outcome was not significant.

Conclusions

Amygdala-precuneus connectivity may be an underlying neural mechanism by which childhood abuse increases risk for anxiety following adult trauma. Specifically, this heightened connectivity may reflect attentional vigilance for threat or a tendency toward negative self-referential thoughts. Findings suggest that childhood abuse may contribute to longstanding upregulation of attentional vigilance circuits, which makes one vulnerable to anxiety-related symptoms in adulthood.

背景童年虐待(身体虐待、情感虐待和性虐待)与杏仁核的异常连接有关,而杏仁核是一个关键的威胁处理区域。杏仁核活动的增强也预示着成年后的焦虑和创伤后应激障碍(PTSD)症状,童年受虐经历也是如此。方法创伤后两周,成年创伤幸存者(n = 152,平均年龄 [SD] = 32.61 [10.35] 岁;女性 = 57.2%)填写了童年创伤问卷,并接受了静息状态功能磁共振成像检查。创伤后 6 个月对创伤后应激障碍和焦虑症状进行了评估。种子到象素分析评估了童年虐待与杏仁核静息状态功能连接之间的关联。一个中介模型评估了杏仁核连通性在童年虐待与创伤后焦虑和创伤后应激障碍之间的潜在中介作用。结果童年虐待与杏仁核与楔前肌连通性的增加有关,同时与年龄、性别、童年忽视和基线创伤后应激障碍症状有关。杏仁核-楔前静息状态功能连接是童年虐待对创伤后6个月焦虑症状影响的一个显著中介(B = 0.065; 95% CI, 0.013-0.130; SE = 0.030),但不是创伤后应激障碍的中介。结论杏仁核-丘脑连通性可能是童年虐待增加成年创伤后焦虑风险的潜在神经机制。具体来说,这种连接性的增强可能反映了对威胁的注意警觉或消极的自我反思倾向。研究结果表明,童年虐待可能会导致注意警觉回路的长期上调,从而使人在成年后容易出现焦虑相关症状。
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引用次数: 0
Astrocytes Regulate Neuronal Network Burst Frequency Through NMDA Receptors in a Species- and Donor-Specific Manner 星形胶质细胞通过 NMDA 受体以物种和供体特异性方式调控神经元网络爆发频率
Q2 NEUROSCIENCES Pub Date : 2024-04-03 DOI: 10.1016/j.bpsgos.2024.100313
Noora Räsänen , Jari Tiihonen , Marja Koskuvi , Šárka Lehtonen , Nelli Jalkanen , Nelli Karmila , Isabelle Weert , Olli Vaurio , Ilkka Ojansuu , Markku Lähteenvuo , Olli Pietiläinen , Jari Koistinaho

Background

Development of synaptic activity is a key neuronal characteristic that relies largely on interactions between neurons and astrocytes. Although astrocytes have known roles in regulating synaptic function and malfunction, the use of human- or donor-specific astrocytes in disease models is still rare. Rodent astrocytes are routinely used to enhance neuronal activity in cell cultures, but less is known about how human astrocytes influence neuronal activity.

Methods

We established human induced pluripotent stem cell–derived neuron-astrocyte cocultures and studied their functional development on microelectrode array. We used cell lines from 5 neurotypical control individuals and 3 pairs of monozygotic twins discordant for schizophrenia. A method combining NGN2 overexpression and dual SMAD inhibition was used for neuronal differentiation. The neurons were cocultured with human induced pluripotent stem cell–derived astrocytes differentiated from 6-month-old astrospheres or rat astrocytes.

Results

We found that the human induced pluripotent stem cell–derived cocultures developed complex network bursting activity similar to neuronal cocultures with rat astrocytes. However, the effect of NMDA receptors on neuronal network burst frequency (NBF) differed between cocultures containing human or rat astrocytes. By using cocultures derived from patients with schizophrenia and unaffected individuals, we found lowered NBF in the affected cells. We continued by demonstrating how astrocytes from an unaffected individual rescued the lowered NBF in the affected neurons by increasing NMDA receptor activity.

Conclusions

Our results indicate that astrocytes participate in the regulation of neuronal NBF through a mechanism that involves NMDA receptors. These findings shed light on the importance of using human and donor-specific astrocytes in disease modeling.

背景突触活动的发展是神经元的一个关键特征,主要依赖于神经元和星形胶质细胞之间的相互作用。虽然星形胶质细胞在调节突触功能和功能失常方面的作用众所周知,但在疾病模型中使用人类或供体特异性星形胶质细胞的情况仍然很少见。我们建立了人类诱导多能干细胞衍生的神经元-星形胶质细胞共培养物,并在微电极阵列上研究了它们的功能发展。我们使用了来自 5 个神经畸形对照组和 3 对精神分裂症单卵双生子的细胞系。神经元分化采用了NGN2过表达和SMAD双重抑制相结合的方法。结果我们发现,人类诱导多能干细胞衍生的共培养物产生的复杂网络爆发活动与神经元与大鼠星形胶质细胞共培养物相似。然而,NMDA受体对神经元网络猝发频率(NBF)的影响在含有人类或大鼠星形胶质细胞的共培养物中有所不同。通过使用来自精神分裂症患者和未受影响个体的共培养物,我们发现受影响细胞的 NBF 降低了。结论我们的研究结果表明,星形胶质细胞通过一种涉及 NMDA 受体的机制参与了神经元 NBF 的调节。这些发现揭示了在疾病建模中使用人类和供体特异性星形胶质细胞的重要性。
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引用次数: 0
Parietal-Frontal Pathway Controls Relapse of Fear Memory in a Novel Context 顶叶-额叶通路控制着新情境下恐惧记忆的复发
Q2 NEUROSCIENCES Pub Date : 2024-04-03 DOI: 10.1016/j.bpsgos.2024.100315
Bitna Joo , Shijie Xu , Hyungju Park , Kipom Kim , Jong-Cheol Rah , Ja Wook Koo

Background

Fear responses significantly affect daily life and shape our approach to uncertainty. However, the potential resurgence of fear in unfamiliar situations poses a significant challenge to exposure-based therapies for maladaptive fear responses. Nonetheless, how novel contextual stimuli are associated with the relapse of extinguished fear remains unknown.

Methods

Using a context-dependent fear renewal model, the functional circuits and underlying mechanisms of the posterior parietal cortex (PPC) and anterior cingulate cortex (ACC) were investigated using optogenetic, histological, in vivo, and ex vivo electrophysiological and pharmacological techniques.

Results

We demonstrated that the PPC-to-ACC pathway governs fear relapse in a novel context. We observed enhanced populational calcium activity in the ACC neurons that received projections from the PPC and increased synaptic activity in the basolateral amygdala–projecting PPC-to-ACC neurons upon renewal in a novel context, where excitatory postsynaptic currents amplitudes increased but inhibitory postsynaptic current amplitudes decreased. In addition, we found that parvalbumin–expressing interneurons controlled novel context-dependent fear renewal, which was blocked by the chronic administration of fluoxetine.

Conclusions

Our findings highlight the PPC-to-ACC pathway in mediating the relapse of extinguished fear in novel contexts, thereby contributing significant insights into the intricate neural mechanisms that govern fear renewal.

背景恐惧反应严重影响着日常生活,并决定着我们对不确定性的态度。然而,在不熟悉的情境中,恐惧可能会死灰复燃,这对以暴露为基础的适应不良恐惧反应疗法构成了巨大挑战。结果我们证明,在新的情境中,顶叶后皮层(PPC)到扣带回皮层(ACC)的通路控制着恐惧的复发。我们观察到,在新情境下恐惧复发时,接受 PPC 投射的 ACC 神经元中的钙离子活动增强,杏仁核基底外侧投射的 PPC 至 ACC 神经元的突触活动增强,其中兴奋性突触后电流振幅增大,而抑制性突触后电流振幅减小。此外,我们还发现,表达旁白素的中间神经元控制着新情境依赖性恐惧的恢复,而长期服用氟西汀会阻断这种控制。结论我们的研究结果强调了 PPC-to-ACC 通路在介导新情境中已熄灭恐惧的复发方面的作用,从而对支配恐惧恢复的复杂神经机制提供了重要的见解。
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引用次数: 0
Segmentation and Volume Estimation of the Habenula Using Deep Learning in Patients With Depression 利用深度学习对抑郁症患者的哈脑膜进行分割和体积估算
Q2 NEUROSCIENCES Pub Date : 2024-04-03 DOI: 10.1016/j.bpsgos.2024.100314
Yusuke Kyuragi , Naoya Oishi , Momoko Hatakoshi , Jinichi Hirano , Takamasa Noda , Yujiro Yoshihara , Yuri Ito , Hiroyuki Igarashi , Jun Miyata , Kento Takahashi , Kei Kamiya , Junya Matsumoto , Tomohisa Okada , Yasutaka Fushimi , Kazuyuki Nakagome , Masaru Mimura , Toshiya Murai , Taro Suwa

Background

The habenula is involved in the pathophysiology of depression. However, its small structure limits the accuracy of segmentation methods, and the findings regarding its volume have been inconsistent. This study aimed to create a highly accurate habenula segmentation model using deep learning, test its generalizability to clinical magnetic resonance imaging, and examine differences between healthy participants and patients with depression.

Methods

This multicenter study included 382 participants (patients with depression: N = 234, women 47.0%; healthy participants: N = 148, women 37.8%). A 3-dimensional residual U-Net was used to create a habenula segmentation model on 3T magnetic resonance images. The reproducibility and generalizability of the predictive model were tested on various validation cohorts. Thereafter, differences between the habenula volume of healthy participants and that of patients with depression were examined.

Results

A Dice coefficient of 86.6% was achieved in the derivation cohort. The test-retest dataset showed a mean absolute percentage error of 6.66, indicating sufficiently high reproducibility. A Dice coefficient of >80% was achieved for datasets with different imaging conditions, such as magnetic field strengths, spatial resolutions, and imaging sequences, by adjusting the threshold. A significant negative correlation with age was observed in the general population, and this correlation was more pronounced in patients with depression (p < 10−7, r = −0.59). Habenula volume decreased with depression severity in women even when the effects of age and scanner were excluded (p = .019, η2 = 0.099).

Conclusions

Habenula volume could be a pathophysiologically relevant factor and diagnostic and therapeutic marker for depression, particularly in women.

背景哈维纳小脑与抑郁症的病理生理学有关。然而,其细小的结构限制了分割方法的准确性,有关其体积的研究结果也不一致。本研究旨在利用深度学习创建一个高度准确的脑膜分割模型,测试其在临床磁共振成像中的通用性,并检查健康参与者与抑郁症患者之间的差异:N = 234,女性占 47.0%;健康参与者 N = 148,女性占 37.0%:N = 148,女性占 37.8%)。研究人员使用三维残余 U-Net 在 3T 磁共振图像上创建了脑膜分割模型。预测模型的可重复性和可推广性在不同的验证组群中进行了测试。随后,研究了健康参试者和抑郁症患者的脑叶体积之间的差异。测试-重测数据集显示平均绝对百分比误差为 6.66,表明重现性足够高。在磁场强度、空间分辨率和成像序列等不同成像条件下,通过调整阈值,数据集的 Dice 系数达到了 80%。在普通人群中,观察到与年龄有明显的负相关,这种相关性在抑郁症患者中更为明显(p < 10-7, r = -0.59)。即使排除年龄和扫描仪的影响(p = .019,η2 = 0.099),女性的脑桥体积也会随着抑郁症严重程度的增加而减小。
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引用次数: 0
Causally Probing the Role of the Hippocampus in Fear Discrimination: A Precision Functional Mapping–Guided, Transcranial Magnetic Stimulation Study in Participants With Posttraumatic Stress Symptoms 因果探测海马在恐惧辨别中的作用:创伤后应激症状参与者的精确功能图引导经颅磁刺激研究
Q2 NEUROSCIENCES Pub Date : 2024-03-22 DOI: 10.1016/j.bpsgos.2024.100309
Ryan D. Webler , Cristian Morales Carrasco , Samuel E. Cooper , Mo Chen , Christopher O. Hunt , Sierra Hennessy , Lancy Cao , Carol Lam , Allen Chiu , Cash Differding , Erin Todd , Timothy J. Hendrickson , Desmond J. Oathes , Alik S. Widge , Robert J.M. Hermosillo , Steven M. Nelson , Damien A. Fair , Shmuel M. Lissek , Ziad Nahas

Background

Fear overgeneralization is a promising pathogenic mechanism of clinical anxiety. A dominant model posits that hippocampal pattern separation failures drive overgeneralization. Hippocampal network–targeted transcranial magnetic stimulation (HNT-TMS) has been shown to strengthen hippocampal-dependent learning/memory processes. However, no study has examined whether HNT-TMS can alter fear learning/memory.

Methods

Continuous theta burst stimulation was delivered to individualized left posterior parietal stimulation sites derived via seed-based connectivity, precision functional mapping, and electric field modeling methods. A vertex control site was also stimulated in a within-participant, randomized controlled design. Continuous theta burst stimulation was delivered prior to 2 visual discrimination tasks (1 fear based, 1 neutral). Multilevel models were used to model and test data. Participants were undergraduates with posttraumatic stress symptoms (final n = 25).

Results

Main analyses did not indicate that HNT-TMS strengthened discrimination. However, multilevel interaction analyses revealed that HNT-TMS strengthened fear discrimination in participants with lower fear sensitization (indexed by responses to a control stimulus with no similarity to the conditioned fear cue) across multiple indices (anxiety ratings: β = 0.10, 95% CI, 0.04 to 0.17, p = .001; risk ratings: β = 0.07, 95% CI, 0.00 to 0.13, p = .037).

Conclusions

Overgeneralization is an associative process that reflects deficient discrimination of the fear cue from similar cues. In contrast, sensitization reflects nonassociative responding unrelated to fear cue similarity. Our results suggest that HNT-TMS may selectively sharpen fear discrimination when associative response patterns, which putatively implicate the hippocampus, are more strongly engaged.

背景恐惧过度泛化是临床焦虑的一种很有希望的致病机制。一种主流模型认为,海马模式分离失败是过度泛化的驱动因素。海马网络靶向经颅磁刺激(HNT-TMS)已被证明能加强依赖海马的学习/记忆过程。方法通过基于种子连接、精确功能映射和电场建模方法得出的个性化左侧顶叶后部刺激点进行连续θ脉冲刺激。在参与者内部随机对照设计中,一个顶点控制点也受到了刺激。在完成 2 项视觉辨别任务(1 项恐惧任务和 1 项中性任务)之前,对患者进行连续的θ脉冲刺激。多层次模型用于建模和测试数据。结果主要分析表明,HNT-TMS并没有增强辨别能力。然而,多层次交互分析表明,HNT-TMS 在多种指数(焦虑评分:β = 0.结论过度泛化是一个联想过程,反映了恐惧线索与类似线索之间的辨别能力不足。相比之下,敏感化反映的是与恐惧线索相似性无关的非联想反应。我们的研究结果表明,当联想反应模式更强烈地牵涉到海马体时,HNT-TMS 可选择性地提高恐惧辨别能力。
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引用次数: 0
Carbon Dioxide Reactivity Differentially Predicts Fear Expression After Extinction and Retrieval-Extinction in Rats 二氧化碳反应性对大鼠消退和恢复-消退后的恐惧表达有不同的预测作用
Q2 NEUROSCIENCES Pub Date : 2024-03-22 DOI: 10.1016/j.bpsgos.2024.100310
Marissa Raskin , Nicole E. Keller , Laura A. Agee , Jason Shumake , Jasper A.J. Smits , Michael J. Telch , Michael W. Otto , Hongjoo J. Lee , Marie-H. Monfils

Background

Cues present during a traumatic event may result in persistent fear responses. These responses can be attenuated through extinction learning, a core component of exposure therapy. Exposure/extinction is effective for some people, but not all. We recently demonstrated that carbon dioxide (CO2) reactivity predicts fear extinction memory and orexin activation and that orexin activation predicts fear extinction memory, which suggests that a CO2 challenge may enable identification of whether an individual is a good candidate for an extinction-based approach. Another method to attenuate conditioned responses, retrieval-extinction, renders the original associative memory labile via distinct neural mechanisms. The purpose of the current study was to examine whether we could replicate previous findings that retrieval-extinction is more effective than extinction at preventing the return of fear and that CO2 reactivity predicts fear memory after extinction. We also examined whether CO2 reactivity predicts fear memory after retrieval-extinction.

Methods

Male rats first underwent a CO2 challenge and fear conditioning and were assigned to receive either standard extinction (n = 28) or retrieval-extinction (n = 28). Then, they underwent a long-term memory (LTM) test and a reinstatement test.

Results

We found that retrieval-extinction resulted in lower freezing during extinction, LTM, and reinstatement than standard extinction. Using the best subset approach to linear regression, we found that CO2 reactivity predicted LTM after extinction and also predicted LTM after retrieval-extinction, although to a lesser degree.

Conclusions

CO2 reactivity could be used as a screening tool to determine whether an individual may be a good candidate for an extinction-based therapeutic approach.

背景创伤事件中出现的线索可能会导致持续的恐惧反应。这些反应可以通过消退学习来减弱,消退学习是暴露疗法的核心组成部分。暴露/消退疗法对某些人有效,但并非对所有人都有效。我们最近证明,二氧化碳(CO2)反应性可以预测恐惧消减记忆和奥曲肽激活,而奥曲肽激活可以预测恐惧消减记忆,这表明二氧化碳挑战可以识别一个人是否适合采用基于消减的方法。另一种减弱条件反应的方法是 "检索-消退 "法,它通过不同的神经机制使原有的联想记忆失效。本研究的目的是考察我们是否能重复之前的研究结果,即在防止恐惧恢复方面,恢复-消退比消退更有效,而且二氧化碳反应性能预测消退后的恐惧记忆。方法雄性大鼠首先接受二氧化碳挑战和恐惧条件反射,然后被分配接受标准消退(n = 28)或复归消退(n = 28)。结果我们发现,与标准消退法相比,复归消退法在消退、LTM 和复归过程中的冻结率更低。使用线性回归的最佳子集方法,我们发现二氧化碳反应性可以预测消亡后的LTM,也可以预测复归-消亡后的LTM,但程度较低。
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引用次数: 0
The Role of Subgenual Resting-State Connectivity Networks in Predicting Prognosis in Major Depressive Disorder 亚基因静息态连接网络在预测重度抑郁障碍预后中的作用
Q2 NEUROSCIENCES Pub Date : 2024-03-13 DOI: 10.1016/j.bpsgos.2024.100308
Diede Fennema , Gareth J. Barker , Owen O’Daly , Suqian Duan , Ewan Carr , Kimberley Goldsmith , Allan H. Young , Jorge Moll , Roland Zahn

Background

A seminal study found higher subgenual frontal cortex resting-state connectivity with 2 left ventral frontal regions and the dorsal midbrain to predict better response to psychotherapy versus medication in individuals with treatment-naïve major depressive disorder (MDD). Here, we examined whether these subgenual networks also play a role in the pathophysiology of clinical outcomes in MDD with early treatment resistance in primary care.

Methods

Forty-five people with current MDD who had not responded to ≥2 serotonergic antidepressants (n = 43, meeting predefined functional magnetic resonance imaging minimum quality thresholds) were enrolled and followed over 4 months of standard care. Functional magnetic resonance imaging resting-state connectivity between the preregistered subgenual frontal cortex seed and 3 previously identified left ventromedial, ventrolateral prefrontal/insula, and dorsal midbrain regions was extracted. The clinical outcome was the percentage change on the self-reported 16-item Quick Inventory of Depressive Symptomatology.

Results

We observed a reversal of our preregistered hypothesis in that higher resting-state connectivity between the subgenual cortex and the a priori ventrolateral prefrontal/insula region predicted favorable rather than unfavorable clinical outcomes (rs39 = −0.43, p = .006). This generalized to the sample including participants with suboptimal functional magnetic resonance imaging quality (rs43 = −0.35, p = .02). In contrast, no effects (rs39 = 0.12, rs39 = −0.01) were found for connectivity with the other 2 preregistered regions or in a whole-brain analysis (voxel-based familywise error–corrected p < .05).

Conclusions

Subgenual connectivity with the ventrolateral prefrontal cortex/insula is relevant for subsequent clinical outcomes in current MDD with early treatment resistance. Its positive association with favorable outcomes could be explained primarily by psychosocial rather than the expected pharmacological changes during the follow-up period.

背景一项开创性研究发现,额叶皮层下源与两个左侧腹侧额叶区和背侧中脑的静息态连接性较高,可预测治疗无效的重度抑郁障碍(MDD)患者对心理治疗和药物治疗的反应。在此,我们研究了这些亚基因网络是否也在初级保健中早期治疗抵抗的 MDD 临床结果的病理生理学中发挥作用。方法45 名对≥2 种血清素能抗抑郁药无应答的当前 MDD 患者(n = 43,符合预定义的功能磁共振成像最低质量阈值)被纳入并接受了为期 4 个月的标准护理。提取预先登记的额叶皮质下种子与先前确定的左侧腹内侧、前额叶/半岛外侧和中脑背侧 3 个区域之间的功能磁共振成像静息态连接。临床结果是自我报告的 16 项抑郁症状快速量表的百分比变化。结果我们观察到与我们预先登记的假设相反的情况,即额下皮层与先验的腹外侧前额叶/半岛区域之间较高的静息态连接预示着有利而非不利的临床结果(rs39 = -0.43,p = .006)。这在包括功能磁共振成像质量不佳的参与者在内的样本中也得到了验证(rs43 = -0.35,p = .02)。与此相反,与其他两个预先登记区域的连接性或全脑分析(基于体素的家族误差校正 p <.05)均未发现影响(rs39 = 0.12,rs39 = -0.01)。在随访期间,其与良好疗效的正相关性主要可以用社会心理变化而非预期的药物变化来解释。
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引用次数: 0
Examining Differences in the Genetic and Functional Architecture of Attention-Deficit/Hyperactivity Disorder Diagnosed in Childhood and Adulthood 研究儿童期和成年期被诊断为注意力缺陷/多动障碍的遗传和功能结构差异
Q2 NEUROSCIENCES Pub Date : 2024-03-13 DOI: 10.1016/j.bpsgos.2024.100307
Sophie Breunig , Jeremy M. Lawrence , Isabelle F. Foote , Hannah J. Gebhardt , Erik G. Willcutt , Andrew D. Grotzinger

Background

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder with diagnostic criteria requiring symptoms to begin in childhood. We investigated whether individuals diagnosed as children differ from those diagnosed in adulthood with respect to shared and unique architecture at the genome-wide and gene expression level of analysis.

Methods

We used genomic structural equation modeling (SEM) to investigate differences in genetic correlations (rg) of childhood-diagnosed (ncases = 14,878) and adulthood-diagnosed (ncases = 6961) ADHD with 98 behavioral, psychiatric, cognitive, and health outcomes. We went on to apply transcriptome-wide SEM to identify functional annotations and patterns of gene expression associated with genetic risk sharing or divergence across the ADHD subgroups.

Results

Compared with the childhood subgroup, adulthood-diagnosed ADHD exhibited a significantly larger negative rg with educational attainment, the noncognitive skills of educational attainment, and age at first sexual intercourse. We observed a larger positive rg for adulthood-diagnosed ADHD with major depression, suicidal ideation, and a latent internalizing factor. At the gene expression level, transcriptome-wide SEM analyses revealed 22 genes that were significantly associated with shared genetic risk across the subtypes that reflected a mixture of coding and noncoding genes and included 15 novel genes relative to the ADHD subgroups.

Conclusions

This study demonstrated that ADHD diagnosed later in life shows much stronger genetic overlap with internalizing disorders and related traits. This may indicate the potential clinical relevance of distinguishing these subgroups or increased misdiagnosis for those diagnosed later in life. Top transcriptome-wide SEM results implicated genes related to neuronal function and clinical characteristics (e.g., sleep).

背景注意缺陷/多动障碍(ADHD)是一种神经发育障碍,其诊断标准要求症状始于儿童时期。我们使用基因组结构方程建模(SEM)研究了儿童期诊断的 ADHD(病例数=14878)和成年期诊断的 ADHD(病例数=6961)与 98 种行为、精神、认知和健康结果的遗传相关性(rg)差异。结果与儿童亚组相比,成年诊断的ADHD与受教育程度、受教育程度的非认知技能和初次性交年龄的负相关率明显更大。我们观察到,成年后确诊的多动症与重度抑郁、自杀倾向和潜在的内化因素的正相关性更大。在基因表达水平上,全转录组 SEM 分析显示,有 22 个基因与各亚型的共同遗传风险显著相关,这些基因反映了编码基因和非编码基因的混合情况,其中包括 15 个与 ADHD 亚型相关的新基因。这可能表明,区分这些亚组具有潜在的临床意义,或者晚期诊断的患者会被误诊。全转录组 SEM 的最高结果牵涉到与神经元功能和临床特征(如睡眠)相关的基因。
{"title":"Examining Differences in the Genetic and Functional Architecture of Attention-Deficit/Hyperactivity Disorder Diagnosed in Childhood and Adulthood","authors":"Sophie Breunig ,&nbsp;Jeremy M. Lawrence ,&nbsp;Isabelle F. Foote ,&nbsp;Hannah J. Gebhardt ,&nbsp;Erik G. Willcutt ,&nbsp;Andrew D. Grotzinger","doi":"10.1016/j.bpsgos.2024.100307","DOIUrl":"https://doi.org/10.1016/j.bpsgos.2024.100307","url":null,"abstract":"<div><h3>Background</h3><p>Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder with diagnostic criteria requiring symptoms to begin in childhood. We investigated whether individuals diagnosed as children differ from those diagnosed in adulthood with respect to shared and unique architecture at the genome-wide and gene expression level of analysis.</p></div><div><h3>Methods</h3><p>We used genomic structural equation modeling (SEM) to investigate differences in genetic correlations (<em>r</em><sub><em>g</em></sub>) of childhood-diagnosed (<em>n</em><sub><em>cases</em></sub> = 14,878) and adulthood-diagnosed (<em>n</em><sub><em>cases</em></sub> = 6961) ADHD with 98 behavioral, psychiatric, cognitive, and health outcomes. We went on to apply transcriptome-wide SEM to identify functional annotations and patterns of gene expression associated with genetic risk sharing or divergence across the ADHD subgroups.</p></div><div><h3>Results</h3><p>Compared with the childhood subgroup, adulthood-diagnosed ADHD exhibited a significantly larger negative <em>r</em><sub><em>g</em></sub> with educational attainment, the noncognitive skills of educational attainment, and age at first sexual intercourse. We observed a larger positive <em>r</em><sub><em>g</em></sub> for adulthood-diagnosed ADHD with major depression, suicidal ideation, and a latent internalizing factor. At the gene expression level, transcriptome-wide SEM analyses revealed 22 genes that were significantly associated with shared genetic risk across the subtypes that reflected a mixture of coding and noncoding genes and included 15 novel genes relative to the ADHD subgroups.</p></div><div><h3>Conclusions</h3><p>This study demonstrated that ADHD diagnosed later in life shows much stronger genetic overlap with internalizing disorders and related traits. This may indicate the potential clinical relevance of distinguishing these subgroups or increased misdiagnosis for those diagnosed later in life. Top transcriptome-wide SEM results implicated genes related to neuronal function and clinical characteristics (e.g., sleep).</p></div>","PeriodicalId":72373,"journal":{"name":"Biological psychiatry global open science","volume":"4 3","pages":"Article 100307"},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266717432400020X/pdfft?md5=3ca5ec9970a8199978e570c835878074&pid=1-s2.0-S266717432400020X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140546332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complement C5a Receptor Signaling Alters Stress Responsiveness and Modulates Microglia Following Chronic Stress Exposure 补体C5a受体信号改变应激反应能力,并调节慢性应激暴露后的小胶质细胞。
Q2 NEUROSCIENCES Pub Date : 2024-03-07 DOI: 10.1016/j.bpsgos.2024.100306
Hsiao-Jou Cortina Chen , Jereme G. Spiers , Titaya Lerskiatiphanich , Sandra E. Parker , Nickolas A. Lavidis , Jenny N. Fung , Trent M. Woodruff , John D. Lee

Background

Accumulating evidence underscores the pivotal role of heightened inflammation in the pathophysiology of stress-related diseases, but the underlying mechanisms remain elusive. The complement system, a key effector of the innate immune system, produces the C5–cleaved activation product C5a upon activation, initiating inflammatory responses through the canonical C5a receptor 1 (C5aR1). While C5aR1 is expressed in stress-responsive brain regions, its role in stress responsiveness remains unknown.

Methods

To investigate C5a-C5aR1 signaling in stress responses, mice underwent acute and chronic stress paradigms. Circulating C5a levels and messenger RNA expression of C5aR1 in the hippocampus and adrenal gland were measured. C5aR1-deficient mice were used to elucidate the effects of disrupted C5a-C5aR1 signaling across behavioral, hormonal, metabolic, and inflammation parameters.

Results

Chronic restraint stress elevated circulating C5a levels while reducing C5aR1 messenger RNA expression in the hippocampus and adrenal gland. Notably, the absence of C5aR1 signaling enhanced adrenal sensitivity to adrenocorticotropic hormone, concurrently reducing pituitary adrenocorticotropic hormone production and enhancing the response to acute stress. C5aR1-deficient mice exhibited attenuated reductions in locomotor activity and body weight under chronic stress. Additionally, these mice displayed increased glucocorticoid receptor sensitivity and disrupted glucose and insulin homeostasis. Chronic stress induced an increase in C5aR1-expressing microglia in the hippocampus, a response mitigated in C5aR1-deficient mice.

Conclusions

C5a-C5aR1 signaling emerges as a key metabolic regulator during stress, suggesting that complement activation and dysfunctional C5aR1 signaling may contribute to neuroinflammatory phenotypes in stress-related disorders. The results advocate for further exploration of complement C5aR1 as a potential therapeutic target for stress-related conditions.

背景越来越多的证据表明,炎症加剧在应激相关疾病的病理生理学中起着关键作用,但其潜在机制仍难以捉摸。补体系统是先天性免疫系统的一个关键效应器,它在激活时会产生 C5 裂解活化产物 C5a,并通过典型 C5a 受体 1(C5aR1)启动炎症反应。为了研究应激反应中的 C5a-C5aR1 信号传导,小鼠接受了急性和慢性应激范式。为了研究 C5a-C5aR1 信号在应激反应中的作用,对小鼠进行了急性和慢性应激范式实验,测定了循环中的 C5a 水平以及海马和肾上腺中 C5aR1 的信使 RNA 表达。结果 慢性束缚应激升高了循环中的C5a水平,同时降低了海马和肾上腺中C5aR1信使RNA的表达。值得注意的是,C5aR1 信号的缺失增强了肾上腺对促肾上腺皮质激素的敏感性,同时减少了垂体促肾上腺皮质激素的分泌,增强了对急性应激的反应。缺乏 C5aR1 的小鼠在慢性应激状态下的运动活动和体重的减少有所减弱。此外,这些小鼠对糖皮质激素受体的敏感性增加,葡萄糖和胰岛素平衡紊乱。结论C5a-C5aR1信号传导是应激过程中的一个关键代谢调节因子,这表明补体激活和C5aR1信号传导失调可能会导致应激相关疾病的神经炎症表型。研究结果主张进一步探索补体C5aR1作为应激相关疾病潜在治疗靶点的可能性。
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引用次数: 0
Guide for Authors 作者指南
Q2 NEUROSCIENCES Pub Date : 2024-03-01 DOI: 10.1016/S2667-1743(24)00016-8
{"title":"Guide for Authors","authors":"","doi":"10.1016/S2667-1743(24)00016-8","DOIUrl":"https://doi.org/10.1016/S2667-1743(24)00016-8","url":null,"abstract":"","PeriodicalId":72373,"journal":{"name":"Biological psychiatry global open science","volume":"4 2","pages":"Article 100303"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667174324000168/pdfft?md5=7ecdec12c83f82a66840b3044549899e&pid=1-s2.0-S2667174324000168-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Biological psychiatry global open science
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