Striatal Functional Alterations Link to Distinct Symptomatology Across Mood States in Bipolar Disorder

被引:1
作者
Wu, Yan-Kun [1 ]
Zhu, Lin-Lin [1 ]
Li, Ji-Tao [1 ]
Li, Qian [1 ]
Dai, You-Ran [1 ]
Li, Ke [2 ]
Mitchell, Philip B. [3 ,4 ]
Si, Tian-Mei [1 ]
Su, Yun-Ai [1 ]
机构
[1] Peking Univ, Peking Univ Hosp 6, Natl Clin Res Ctr Mental Disorders, NHC Key Lab Mental Hlth,Peking Univ Inst Mental Hl, Beijing, Peoples R China
[2] PLA Strateg support Force Characterist Med Ctr, Beijing, Peoples R China
[3] Univ New South Wales, Sch Psychiat, Randwick, NSW, Australia
[4] Prince Wales Hosp, Black Dog Inst, Randwick, NSW 2031, Australia
基金
中国国家自然科学基金; 北京市自然科学基金;
关键词
COGNITIVE DEFICITS; RATING-SCALE; CONNECTIVITY; DEPRESSION; NETWORK; DYSREGULATION; NEUROANATOMY; ASSOCIATION; DYSFUNCTION; VALIDATION;
D O I
10.1016/j.bpsc.2024.04.014
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
BACKGROUND: As a central hub in cognitive and emotional brain circuits, the striatum is considered likely to be integrally involved in the psychopathology of bipolar disorder (BD). However, it remains unclear how alterations in striatal function contribute to distinct symptomatology of BD during different mood states. METHODS: Behavioral assessment (i.e., emotional symptoms and cognitive performance) and neuroimaging data were collected from 125 participants comprising 31 (hypo)manic, 31 depressive, and 31 euthymic patients with BD, and 32 healthy control participants. We compared the functional connectivity (FC) of striatal subregions across BD mood states with healthy control participants and then used a multivariate data-driven approach to explore dimensional associations between striatal connectivity and behavioral performance. Finally, we compared the FC and behavioral composite scores, which reflect the individual weighted representation of the associations, among RESULTS: Patients in all mood states exhibited increased FC between the bilateral ventral rostral putamen and ventrolateral thalamus. Bipolar (hypo)mania uniquely exhibited increased ventral rostral putamen connectivity and superior ventral striatum connectivity. One latent component was identified, whereby increased FCs of striatal subregions were associated with distinct psychopathological symptomatology (more manic symptoms, elevated positive mood, less depressive symptoms, and worse cognitive performance). Patients with bipolar (hypo)mania had the highest FC and behavioral composite scores while bipolar patients with depression had the lowest scores. CONCLUSIONS: Our data demonstrated both trait features of BD and state features specific to bipolar (hypo)mania. The findings underscored the fundamental role of the striatum in the pathophysiological processes underlying specific symptomatology across all mood states.
引用
收藏
页码:777 / 785
页数:9
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