Grey matter volume and its association with cognitive impairment and peripheral cytokines in excited individuals with schizophrenia.

Although excited behavior in patients with schizophrenia has been linked to brain structural abnormalities, whether cortical abnormalities in this subgroup are related to cognitive impairment or peripheral immune responses is unknown. We included 28 patients with excitability (EC), 28 patients witho...

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Publicado en:Brain Imaging & Behavior Vol. 16; no. 6; pp. 2618 - 2627
Autores principales: Fan, Yajuan, Gao, Yuan, Ma, Qingyan, Zhao, Binbin, He, Xiaoyan, Zhu, Feng, Wang, Wei, Ma, Xiancang, Li, Yening
Formato: Journal Article
Publicado: Springer Nature Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s11682-022-00717-7
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        atl: Grey matter volume and its association with cognitive impairment and peripheral cytokines in excited individuals with schizophrenia.
      aug:
        au:
          Fan, Yajuan
          Gao, Yuan
          Ma, Qingyan
          Zhao, Binbin
          He, Xiaoyan
          Zhu, Feng
          Wang, Wei
          Ma, Xiancang
          Li, Yening
        affil: Department of Psychiatry, The First Affiliated Hospital of Xi'an Jiaotong University, 277 Yanta West Road, 710061, Xi'an, China
      sug:
        subj:
          Schizophrenia Drug Therapy
          Schizophrenia
          Brain
          Cytokines
          Gray Matter
          Magnetic Resonance Imaging Methods
          Clinical Assessment Tools
      ab: Although excited behavior in patients with schizophrenia has been linked to brain structural abnormalities, whether cortical abnormalities in this subgroup are related to cognitive impairment or peripheral immune responses is unknown. We included 28 patients with excitability (EC), 28 patients without excitability (NEC), and 48 healthy controls (HCs) to evaluate the associations. Compared with the HC group, the EC and NEC groups showed significant cognitive impairment and increased serum cytokine levels. Analysis of variance in whole-brain grey matter volume (GMV) showed that the volumes of several brain areas, including the superior frontal gyrus (SFG), superior temporal gyrus, and cingulate gyrus, were decreased in patients with schizophrenia. Notably, the left SFG volume was significantly lower in the EC group than in the NEC group. Spearman correlation analysis showed that elevated cytokines were negatively correlated with the GMV of the bilateral SFG, bilateral inferior parietal gyrus, left anterior cingulate gyrus, right fusiform gyrus and parahippocampal gyrus, which were mainly positive correlated with cognitive tests. Moreover, interleukin 4 may contribute to poor scores on Brief Assessment of Cognition and Neuropsychological Assessment Battery by reducing the left SFG volume (17%, Pmediation = 0.044; and 24%, Pmediation = 0.040, respectively). In conclusion, our results confirm GMV changes in excited patients with schizophrenia, and characterize the GMV as an important interface between inflammatory cytokines and cognitive impairment. Therefore, targeted anti-inflammatory adjuvant antipsychotic therapy may improve cognitive function and volumetric brain abnormalities in these patients.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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