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Rozovsky R, Bertocci M, Diwadkar V, Stiffler RS, Bebko G, Skeba AS, Aslam H, Phillips ML. Inter-network Effective Connectivity During An Emotional Working Memory Task in Two Independent Samples of Young Adults. BIOLOGICAL PSYCHIATRY. COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2025:S2451-9022(25)00028-X. [PMID: 39805554 DOI: 10.1016/j.bpsc.2025.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2024] [Revised: 12/09/2024] [Accepted: 01/03/2025] [Indexed: 01/16/2025]
Abstract
BACKGROUND Effective connectivity (EC) analysis provides valuable insights into the directionality of neural interactions, which are crucial for understanding the mechanisms underlying cognitive and emotional regulation in depressive and anxiety disorders. In this study, we examined EC within key neural networks during working memory (WM) and emotional regulation (ER) tasks in young adults, both healthy individuals and those seeking help from mental health professionals for emotional distress. METHODS Dynamic causal modeling was used to analyze EC in 2 independent samples (n = 97 and n = 94). Participants performed an emotional n-back task to assess EC across the central executive network (CEN), default mode network (DMN), salience network (SN), and face processing network. Group-level parametric empirical Bayes analyses were conducted to examine EC patterns, with subanalyses comparing individuals with and without depression and anxiety. RESULTS Consistent patterns of positive (posterior probability > .95) DMN→CEN and DMN→SN EC were observed in both samples, predominantly in low and high WM conditions without ER. However, individuals without depressive or anxiety disorders exhibited a significantly greater number of preserved connections that were replicated across both samples. CONCLUSIONS This study highlights the different patterns of DMN→CEN EC in conditions with high and low WM loads with and without ER, suggesting that in higher WM loads with ER, the integration of the DMN with the CEN is reduced to facilitate successful cognitive task performance. The findings also suggest that DMN→CEN and DMN→SN EC are significantly reduced in depressive and anxiety disorders, highlighting this pattern of reduced EC as a potential neural marker of these disorders.
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Affiliation(s)
- Renata Rozovsky
- Department of Psychiatry, University of Pittsburgh School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
| | - Michele Bertocci
- Department of Psychiatry, University of Pittsburgh School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
| | | | - Richelle S Stiffler
- Department of Psychiatry, University of Pittsburgh School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Genna Bebko
- Department of Psychiatry, University of Pittsburgh School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Alexander S Skeba
- Department of Psychiatry, University of Pittsburgh School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Haris Aslam
- Department of Psychiatry, University of Pittsburgh School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Mary L Phillips
- Department of Psychiatry, University of Pittsburgh School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
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Tarrano C, Galléa C, Delorme C, McGovern EM, Atkinson-Clement C, Brochard V, Thobois S, Tranchant C, Grabli D, Degos B, Corvol JC, Pedespan JM, Krystkowiak P, Houeto JL, Degardin A, Defebvre L, Beranger B, Martino D, Apartis E, Vidailhet M, Roze E, Worbe Y. Psychiatric phenotype in neurodevelopmental myoclonus-dystonia is underpinned by abnormality of cerebellar modulation on the cerebral cortex. Sci Rep 2024; 14:22341. [PMID: 39333780 PMCID: PMC11437022 DOI: 10.1038/s41598-024-73386-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Accepted: 09/17/2024] [Indexed: 09/30/2024] Open
Abstract
Psychiatric symptoms are common in neurodevelopmental movement disorders, including some types of dystonia. However, research has mainly focused on motor manifestations and underlying circuits. Myoclonus-dystonia is a rare and homogeneous neurodevelopmental condition serving as an illustrative paradigm of childhood-onset dystonias, associated with psychiatric symptoms. Here, we assessed the prevalence of psychiatric disorders and the severity of depressive symptoms in patients with myoclonus-dystonia and healthy volunteers (HV). Using resting-state functional neuroimaging, we compared the effective connectivity within and among non-motor and motor brain networks between patients and HV. We further explored the hierarchical organization of these networks and examined the relationship between their connectivity and the depressive symptoms. Comparing 19 patients to 25 HV, we found a higher prevalence of anxiety disorders and more depressive symptoms in the patient group. Patients exhibited abnormal modulation of the cerebellum on the cerebral cortex in the sensorimotor, dorsal attention, salience, and default mode networks. Moreover, the salience network activity was directed by the cerebellum in patients and was related to depressive symptoms. Altogether, our findings highlight the role of the cerebellar drive on both motor and non-motor cortical areas in this disorder, suggesting cerebellar involvement in the complex phenotype of such neurodevelopmental movement disorders.
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Affiliation(s)
- Clément Tarrano
- Paris Brain Institute, Sorbonne University - ICM, Inserm CNRS, Paris, F-75013, France
- Department of Neurology, Clinical Investigation Center for Neurosciences, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Paris, France
- Department of Neurophysiology, Saint-Antoine Hospital, Paris, France
| | - Cécile Galléa
- Paris Brain Institute, Sorbonne University - ICM, Inserm CNRS, Paris, F-75013, France
- Centre de NeuroImagerie de Recherche (CENIR), Sorbonne Université, UMR S 975, CNRS UMR 7225, ICM, Paris, F-75013, France
| | - Cécile Delorme
- Paris Brain Institute, Sorbonne University - ICM, Inserm CNRS, Paris, F-75013, France
- Department of Neurology, Clinical Investigation Center for Neurosciences, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Paris, France
| | - Eavan M McGovern
- Department of Neurology, St Vincent's University Hospital Dublin, Dublin, Ireland
| | - Cyril Atkinson-Clement
- Paris Brain Institute, Sorbonne University - ICM, Inserm CNRS, Paris, F-75013, France
- School of Medicine, University of Nottingham, Nottingham, UK
| | - Vanessa Brochard
- Department of Neurology, Clinical Investigation Center for Neurosciences, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Paris, France
| | - Stéphane Thobois
- Department of Neurology, Hospices Civils de Lyon, Pierre Wertheimer Neurological Hospital, Expert Parkinson Center NS-PARK/FCRIN, Bron, France
- Marc Jeannerod Cognitive Neuroscience Institute, CNRS, UMR 5229, Bron, France
- University of Lyon, Université Claude Bernard Lyon 1, Faculté de Médecine et de Maïeutique Lyon Sud Charles Mérieux, Oullins, France
| | - Christine Tranchant
- Département of Neurology, Universitary Hospital of Strasbourg, Strasbourg, France
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM- U964/CNRS-UMR7104/ University of Strasbourg, Illkirch, France
- Fédération de Médecine Translationnelle de Strasbourg (FMTS), University of Strasbourg, Strasbourg, France
| | - David Grabli
- Department of Neurology, Clinical Investigation Center for Neurosciences, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Paris, France
| | - Bertrand Degos
- Department of Neurology, Avicenne Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne Paris Nord, Bobigny, France
| | - Jean Christophe Corvol
- Paris Brain Institute, Sorbonne University - ICM, Inserm CNRS, Paris, F-75013, France
- Department of Neurology, Clinical Investigation Center for Neurosciences, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Paris, France
| | - Jean-Michel Pedespan
- Department of Neuropediatry, Universitary Hospital of Pellegrin, Bordeaux, France
| | | | - Jean-Luc Houeto
- Department of Neurology CHU Limoges, EpiMaCT - Epidemiology of chronic diseases in tropical zone, Institute of Epidemiology and Tropical Neurology, Inserm U1094, IRD U270, Univ. Limoges, OmegaHealth, Limoges, France
| | - Adrian Degardin
- Department of Neurology, Tourcoing Hospital, Tourcoing, France
| | - Luc Defebvre
- , Troubles cognitifs dégénératifs et vasculaires, Lille, F-59000, France
- Lille Centre of Excellence for Neurodegenerative Diseases (LiCEND), University of Lille, CHU Lille, INSERM, Lille, U1172, F-59000, France
| | - Benoit Beranger
- Paris Brain Institute, Sorbonne University - ICM, Inserm CNRS, Paris, F-75013, France
- Centre de NeuroImagerie de Recherche (CENIR), Sorbonne Université, UMR S 975, CNRS UMR 7225, ICM, Paris, F-75013, France
| | - Davide Martino
- Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
- Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada
| | - Emmanuelle Apartis
- Paris Brain Institute, Sorbonne University - ICM, Inserm CNRS, Paris, F-75013, France
- Department of Neurophysiology, Saint-Antoine Hospital, Paris, France
| | - Marie Vidailhet
- Paris Brain Institute, Sorbonne University - ICM, Inserm CNRS, Paris, F-75013, France
- Department of Neurology, Clinical Investigation Center for Neurosciences, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Paris, France
| | - Emmanuel Roze
- Paris Brain Institute, Sorbonne University - ICM, Inserm CNRS, Paris, F-75013, France
- Department of Neurology, Clinical Investigation Center for Neurosciences, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Paris, France
| | - Yulia Worbe
- Paris Brain Institute, Sorbonne University - ICM, Inserm CNRS, Paris, F-75013, France.
- Department of Neurology, Clinical Investigation Center for Neurosciences, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Paris, France.
- Department of Neurophysiology, Saint-Antoine Hospital, Paris, France.
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