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Xie X, Shi Y, Ma L, Yang W, Pu J, Shen Y, Liu Y, Zhang H, Lv F, Hu L. Altered neurometabolite levels in the brains of patients with depression: A systematic analysis of magnetic resonance spectroscopy studies. J Affect Disord 2023; 328:95-102. [PMID: 36521666 DOI: 10.1016/j.jad.2022.12.020] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 12/04/2022] [Accepted: 12/06/2022] [Indexed: 12/14/2022]
Abstract
BACKGROUND Numerous magnetic resonance spectroscopy (MRS) studies have reported metabolic abnormalities in the brains of patients with depression, although inconsistent results have been reported. The aim of this study was to explore changes in neurometabolite levels in patients with depression across large-scale MRS studies. METHOD A total of 307 differential metabolite entries associated with depression were retrieved from 180 MRS studies retrieved from the Metabolite Network of Depression Database. The vote-counting method was used to identify consistently altered metabolites in the whole brain and specific brain regions of patients with depression. RESULTS Only few differential neurometabolites showed a stable change trend. The levels of total choline (tCho) and the tCho/N-acetyl aspartate (NAA) ratio were consistently higher in the brains of patients with depression, and that the levels of NAA, glutamate and glutamine (Glx), and gamma-aminobutyric acid (GABA) were lower. For specific brain regions, we found lower Glx levels in the prefrontal cortex and lower GABA concentrations in the occipital cortex. We also found lower concentrations of NAA in the anterior cingulate cortex and prefrontal cortex. The levels of tCho were higher in the prefrontal cortex and putamen. CONCLUSION Our results revealed that most altered neurometabolites in previous studies lack of adequate reproducibility. Through vote-counting method with large-scale studies, downregulation of glutamatergic neurometabolites, impaired neuronal integrity, and disturbed membrane metabolism were found in the pathobiology of depression, which contribute to existing knowledge of neurometabolic changes in depression. Further studies based on a larger dataset are needed to confirm our findings.
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Affiliation(s)
- Xiongfei Xie
- Department of Radiology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China
| | - Yan Shi
- Department of Radiology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China
| | - Lin Ma
- Department of Radiology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China
| | - Wenqin Yang
- Department of Radiology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China
| | - Juncai Pu
- Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China; NHC Key Laboratory of Diagnosis and Treatment on Brain Functional Diseases, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Yiqing Shen
- Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China; NHC Key Laboratory of Diagnosis and Treatment on Brain Functional Diseases, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Yiyun Liu
- NHC Key Laboratory of Diagnosis and Treatment on Brain Functional Diseases, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Hanping Zhang
- Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China; NHC Key Laboratory of Diagnosis and Treatment on Brain Functional Diseases, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Fajin Lv
- Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
| | - Liangbo Hu
- Department of Radiology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
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Marchitelli R, Paillère-Martinot ML, Bourvis N, Guerin-Langlois C, Kipman A, Trichard C, Douniol M, Stordeur C, Galinowski A, Filippi I, Bertschy G, Weibel S, Granger B, Limosin F, Cohen D, Martinot JL, Artiges E. Dynamic functional connectivity in adolescence-onset major depression: relationships with severity and symptom dimensions. BIOLOGICAL PSYCHIATRY: COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2021; 7:385-396. [PMID: 34051395 DOI: 10.1016/j.bpsc.2021.05.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Revised: 05/14/2021] [Accepted: 05/14/2021] [Indexed: 12/31/2022]
Abstract
BACKGROUND The spatial functional chronnectome is an innovative mathematical model designed to capture dynamic features in the organization of brain function derived from resting-state functional magnetic resonance imaging (rs-fMRI) data. Measurements of dynamic functional connectivity (dFC) have been developed from this model to quantify the brain dynamical self-reconfigurations at different spatial and temporal scales. This study examined whether two spatiotemporal dFC quantifications were linked to late adolescence-onset major depressive disorder (AO-MDD), and scaled with depression and symptom severity measured with the Montgomery-Asberg depression rating scale (MADRS) Methods: Thirty-five AO-MDD patients (21±6y) and fifty-three age- and gender-matched healthy young participants (20±3y) underwent 3T MRI structural and rs-fMRI acquisitions. The chronnectome here comprised seven individualized functional networks portrayed along 132 temporal overlapping windows, each framing 110s of resting brain activity Results: Based on voxelwise analyses, AO-MDD patients demonstrated significantly reduced temporal variability within the bilateral prefrontal cortex in five functional networks including the limbic network, the default-mode network (DMN) and frontoparietal network (FPN). Furthermore, the limbic network appeared to be particularly involved in this sample, and was associated with MADRS scores, and its progressive dynamic inflexibility was linked to sadness. DMN and FPN dynamics scaled with negative thoughts and neurovegetative symptoms, respectively Conclusions: This triple-network imbalance could delay spatiotemporal integration, while across-subject symptom variability would be network-specific. Therefore, the present approach supports that brain network dynamics underlie patients' symptom heterogeneity in AO-MDD.
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Affiliation(s)
- Rocco Marchitelli
- Institut National de la Santé et de la Recherche Médicale U1299 "Trajectoires développementales & psychiatrie", Centre Borelli, Ecole Normale Supérieure Paris-Saclay, University Paris-Saclay/Centre National de la Recherche Scientifique, Gif-sur-Yvette, France.
| | - Marie-Laure Paillère-Martinot
- Institut National de la Santé et de la Recherche Médicale U1299 "Trajectoires développementales & psychiatrie", Centre Borelli, Ecole Normale Supérieure Paris-Saclay, University Paris-Saclay/Centre National de la Recherche Scientifique, Gif-sur-Yvette, France; Department of Child and Adolescent Psychiatry, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne Université, Paris, France
| | - Nadège Bourvis
- Maison des Adolescents du Var (MDA83), Pôle de Psychiatrie Infanto-Juvénile, Centre Hospitalier Intercommunal Toulon - la Seyne sur mer, Toulon, France
| | - Christophe Guerin-Langlois
- Department of Psychiatry and Addictology, Hôpital Corentin Celton, Assistance Publique-Hôpitaux de Paris, Paris Descartes University, Paris, France
| | - Amélie Kipman
- Psychiatry Department, Hôtel-Dieu Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Christian Trichard
- Institut National de la Santé et de la Recherche Médicale U1299 "Trajectoires développementales & psychiatrie", Centre Borelli, Ecole Normale Supérieure Paris-Saclay, University Paris-Saclay/Centre National de la Recherche Scientifique, Gif-sur-Yvette, France; Psychiatry Department, EPS Barthélémy Durand, Etampes, France
| | - Marie Douniol
- Centre médico-psychologique pour adolescents, Sceaux, France
| | - Coline Stordeur
- Service de Psychiatrie de l'Enfant et de l'Adolescent, Hôpital Robert Debré, Paris, France
| | - André Galinowski
- Institut National de la Santé et de la Recherche Médicale U1299 "Trajectoires développementales & psychiatrie", Centre Borelli, Ecole Normale Supérieure Paris-Saclay, University Paris-Saclay/Centre National de la Recherche Scientifique, Gif-sur-Yvette, France
| | - Irina Filippi
- Institut National de la Santé et de la Recherche Médicale U1299 "Trajectoires développementales & psychiatrie", Centre Borelli, Ecole Normale Supérieure Paris-Saclay, University Paris-Saclay/Centre National de la Recherche Scientifique, Gif-sur-Yvette, France
| | - Gilles Bertschy
- Psychiatry Department, Hôpital Civil de Strasbourg, Strasbourg University, Strasbourg, France; Institut National de la Santé et de la Recherche Médicale U1114, Strasbourg University, Strasbourg, France
| | - Sébastien Weibel
- Psychiatry Department, Hôpital Civil de Strasbourg, Strasbourg University, Strasbourg, France; Institut National de la Santé et de la Recherche Médicale U1114, Strasbourg University, Strasbourg, France
| | - Bernard Granger
- Institut National de la Santé et de la Recherche Médicale U1299 "Trajectoires développementales & psychiatrie", Centre Borelli, Ecole Normale Supérieure Paris-Saclay, University Paris-Saclay/Centre National de la Recherche Scientifique, Gif-sur-Yvette, France; Psychiatry Department, Tarnier Hospital, Assistance Publique-Hôpitaux de Paris, University Paris Descartes, Paris, France
| | - Frédéric Limosin
- Department of Psychiatry and Addictology, Hôpital Corentin Celton, Assistance Publique-Hôpitaux de Paris, Paris Descartes University, Paris, France
| | - David Cohen
- Department of Child and Adolescent Psychiatry, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne Université, Paris, France
| | - Jean-Luc Martinot
- Institut National de la Santé et de la Recherche Médicale U1299 "Trajectoires développementales & psychiatrie", Centre Borelli, Ecole Normale Supérieure Paris-Saclay, University Paris-Saclay/Centre National de la Recherche Scientifique, Gif-sur-Yvette, France.
| | - Eric Artiges
- Institut National de la Santé et de la Recherche Médicale U1299 "Trajectoires développementales & psychiatrie", Centre Borelli, Ecole Normale Supérieure Paris-Saclay, University Paris-Saclay/Centre National de la Recherche Scientifique, Gif-sur-Yvette, France; Psychiatry Department, EPS Barthélémy Durand, Etampes, France
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