Abnormal functional connectivity of the amygdala is associated with depressive symptoms in patients with multiple system atrophy

Bin Zhao,1,2 Hu Liu,3 Huanhuan Li,3 Xiuli Shang1 1Department of Neurology, The First Affiliated Hospital of China Medical University, Shenyang 110001, China; 2Department of Neurology, Shenyang Fifth People Hospital, Shenyang 110023, China; 3Department of Radiology, The First Affiliated Hospital of...

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Autores principales: Zhao B, Liu H, Li H, Shang X
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Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:94c16c8294404e77b491556cddc229382021-12-02T01:41:48ZAbnormal functional connectivity of the amygdala is associated with depressive symptoms in patients with multiple system atrophy1178-2021https://doaj.org/article/94c16c8294404e77b491556cddc229382018-11-01T00:00:00Zhttps://www.dovepress.com/abnormal-functional-connectivity-of-the-amygdala-is-associated-with-de-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Bin Zhao,1,2 Hu Liu,3 Huanhuan Li,3 Xiuli Shang1 1Department of Neurology, The First Affiliated Hospital of China Medical University, Shenyang 110001, China; 2Department of Neurology, Shenyang Fifth People Hospital, Shenyang 110023, China; 3Department of Radiology, The First Affiliated Hospital of China Medical University, Shenyang 110001, China Purpose: Depressive symptoms are frequent nonmotor symptoms that occur in multiple system atrophy (MSA) patients. However, possible changes that can present in the amygdala (AMY) functional connectivity (FC) of the brain in MSA patients with depressive symptoms (DMSA patients) remain largely unknown. Materials and methods: Resting-state functional magnetic resonance imaging scans were obtained from 29 DMSA patients, 28 MSA patients without depression symptoms (NDMSA patients), and 34 healthy controls (HCs). FC was analyzed by defining the bilateral AMY as the seed region. Correlation analysis was performed between the FC and clinical scores. Results: When compared with NDMSA patients, DMSA patients showed increased bilateral AMY FC in the left middle frontal gyrus (MFG) and decreased right AMY FC in the left middle occipital gyrus. Moreover, the AMY FC values in the left middle frontal cortex were positively correlated with the Hamilton Depression Rating Scale-17 item scores. Furthermore, relative to the HCs, DMSA patients presented decreased bilateral AMY FC values in the visuospatial cortex, sensorimotor networks, and limbic areas. Conclusion: Depressive symptoms are associated with AMY–MFG FC anomalies in MSA patients. We propose that the middle frontal cortex may play an important role in the neuropathophysiology of depression in MSA patients. Keywords: multiple system atrophy, depression, functional magnetic resonance imaging, functional connectivity, amygdalaZhao BLiu HLi HShang XDove Medical PressarticleMultiple system atrophydepressionfunctional magnetic resonance imagingfunctional connectivityamygdalaNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 3133-3142 (2018)
institution DOAJ
collection DOAJ
language EN
topic Multiple system atrophy
depression
functional magnetic resonance imaging
functional connectivity
amygdala
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Multiple system atrophy
depression
functional magnetic resonance imaging
functional connectivity
amygdala
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Zhao B
Liu H
Li H
Shang X
Abnormal functional connectivity of the amygdala is associated with depressive symptoms in patients with multiple system atrophy
description Bin Zhao,1,2 Hu Liu,3 Huanhuan Li,3 Xiuli Shang1 1Department of Neurology, The First Affiliated Hospital of China Medical University, Shenyang 110001, China; 2Department of Neurology, Shenyang Fifth People Hospital, Shenyang 110023, China; 3Department of Radiology, The First Affiliated Hospital of China Medical University, Shenyang 110001, China Purpose: Depressive symptoms are frequent nonmotor symptoms that occur in multiple system atrophy (MSA) patients. However, possible changes that can present in the amygdala (AMY) functional connectivity (FC) of the brain in MSA patients with depressive symptoms (DMSA patients) remain largely unknown. Materials and methods: Resting-state functional magnetic resonance imaging scans were obtained from 29 DMSA patients, 28 MSA patients without depression symptoms (NDMSA patients), and 34 healthy controls (HCs). FC was analyzed by defining the bilateral AMY as the seed region. Correlation analysis was performed between the FC and clinical scores. Results: When compared with NDMSA patients, DMSA patients showed increased bilateral AMY FC in the left middle frontal gyrus (MFG) and decreased right AMY FC in the left middle occipital gyrus. Moreover, the AMY FC values in the left middle frontal cortex were positively correlated with the Hamilton Depression Rating Scale-17 item scores. Furthermore, relative to the HCs, DMSA patients presented decreased bilateral AMY FC values in the visuospatial cortex, sensorimotor networks, and limbic areas. Conclusion: Depressive symptoms are associated with AMY–MFG FC anomalies in MSA patients. We propose that the middle frontal cortex may play an important role in the neuropathophysiology of depression in MSA patients. Keywords: multiple system atrophy, depression, functional magnetic resonance imaging, functional connectivity, amygdala
format article
author Zhao B
Liu H
Li H
Shang X
author_facet Zhao B
Liu H
Li H
Shang X
author_sort Zhao B
title Abnormal functional connectivity of the amygdala is associated with depressive symptoms in patients with multiple system atrophy
title_short Abnormal functional connectivity of the amygdala is associated with depressive symptoms in patients with multiple system atrophy
title_full Abnormal functional connectivity of the amygdala is associated with depressive symptoms in patients with multiple system atrophy
title_fullStr Abnormal functional connectivity of the amygdala is associated with depressive symptoms in patients with multiple system atrophy
title_full_unstemmed Abnormal functional connectivity of the amygdala is associated with depressive symptoms in patients with multiple system atrophy
title_sort abnormal functional connectivity of the amygdala is associated with depressive symptoms in patients with multiple system atrophy
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/94c16c8294404e77b491556cddc22938
work_keys_str_mv AT zhaob abnormalfunctionalconnectivityoftheamygdalaisassociatedwithdepressivesymptomsinpatientswithmultiplesystematrophy
AT liuh abnormalfunctionalconnectivityoftheamygdalaisassociatedwithdepressivesymptomsinpatientswithmultiplesystematrophy
AT lih abnormalfunctionalconnectivityoftheamygdalaisassociatedwithdepressivesymptomsinpatientswithmultiplesystematrophy
AT shangx abnormalfunctionalconnectivityoftheamygdalaisassociatedwithdepressivesymptomsinpatientswithmultiplesystematrophy
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