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Reduced nucleus accumbens functional connectivity in reward network and default mode network in patients with recurrent major depressive disorder

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机构: [1]Cent South Univ, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China [2]Cent South Univ, Natl Clin Res Ctr Mental Disorders, Changsha, Peoples R China [3]Inst Psychol, CAS Key Lab Behav Sci, Beijing, Peoples R China [4]Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China [5]Chinese Acad Sci, Int Big Data Ctr Depress Res, Beijing, Peoples R China [6]Zhejiang Univ, Affiliated Hosp 1, Coll Med, Dept Rehabil Med, Hangzhou, Zhejiang, Peoples R China [7]Beijing Language & Culture Univ, Ctr Cognit Sci Language, Beijing, Peoples R China [8]Univ Chinese Acad Sci, Sino Danish Coll, Beijing, Peoples R China [9]Sino Danish Ctr Educ & Res, Beijing, Peoples R China [10]NYU Grossman Sch Med, Dept Child & Adolescent Psychiat, New York, NY USA [11]Nathan S Kline Inst Psychiat Res, Orangeburg, NY USA [12]Anhui Med Univ, Hefei, Anhui, Peoples R China [13]Capital Med Univ, Beijing Anding Hosp, Beijing, Peoples R China [14]Chongqing Med Univ, Dept Psychiat, Affiliated Hosp 1, Chongqing, Peoples R China [15]Jinan Univ, Affiliated Hosp 1, Guangzhou, Guangdong, Peoples R China [16]Zhejiang Univ, Sir Run Run Shaw Hosp, Sch Med, Hangzhou, Zhejiang, Peoples R China [17]Zhejiang Univ, Affiliated Hosp 1, Coll Med, Dept Radiol, Hangzhou, Zhejiang, Peoples R China [18]Kunming Med Univ, Affiliated Hosp 1, Dept Psychiat, Kunming, Yunnan, Peoples R China [19]China Med Univ, Affiliated Hosp 1, Dept Psychiat, Shenyang, Liaoning, Peoples R China [20]Shanghai Jiao Tong Univ, Dept Psychiat, Sch Med, Shanghai, Peoples R China [21]Sichuan Univ, Huanxi MR Res Ctr HMRRC, Dept Radiol, West China Hosp, Chengdu, Sichuan, Peoples R China [22]Sichuan Univ, Psychoradiol Res Unit, West China Hosp, Chinese Acad Med Sci, Chengdu, Sichuan, Peoples R China [23]Southeast Univ, Zhongda Hosp, Sch Med, Dept Psychosomat & Psychiat, Nanjing, Jiangsu, Peoples R China [24]Sichuan Univ, West China Hosp, Mental Hlth Ctr, Chengdu, Sichuan, Peoples R China [25]Soochow Univ, Suzhou Psychiat Hosp, Dept Clin Psychol, Affiliated Guangji Hosp, Suzhou, Jiangsu, Peoples R China [26]Southwest Univ, Fac Psychol, Chongqing, Peoples R China [27]Hangzhou Normal Univ, Affiliated Hosp, Dept Diagnost, Med Sch, Hangzhou, Zhejiang, Peoples R China [28]Peking Univ, Peking Univ Hosp 6, Natl Clin Res Ctr Mental Disorders, Beijing, Peoples R China [29]Peking Univ, Minist Hlth, Key Lab Mental Hlth, Beijing, Peoples R China [30]Xian Cent Hosp, Xian, Shaanxi, Peoples R China [31]Southeast Univ, Dept Neurol, Affiliated ZhongDa Hosp, Nanjing, Jiangsu, Peoples R China [32]Zhejiang Univ, Affiliated Hosp 4, Coll Med, Dept Psychiat, Yiwu, Zhejiang, Peoples R China [33]Chongqing Med Univ, Inst Neurosci, Chongqing, Peoples R China [34]Chongqing Key Lab Neurobiol, Chongqing, Peoples R China [35]Chongqing Med Univ, Dept Neurol, Affiliated Hosp 1, Chongqing, Peoples R China [36]Hangzhou Normal Univ, Ctr Cognit & Brain Disorders, Inst Psychol Sci, Hangzhou, Zhejiang, Peoples R China [37]Zhejiang Key Lab Res Assessment Cognit Impairment, Hangzhou, Zhejiang, Peoples R China [38]Xi An Jiao Tong Univ, Affiliated Hosp 1, Xian, Shaanxi, Peoples R China [39]Shanxi Med Univ, Hosp 1, Taiyuan, Shanxi, Peoples R China [40]Shanghai Jiao Tong Univ, Shanghai Mental Hlth Ctr, Lab Psychol Hlth & Imaging, Sch Med, Shanghai, Peoples R China [41]Beijing Normal Univ, State Key Lab Cognit Neurosci & Learning, Beijing, Peoples R China [42]Beijing Normal Univ, IDG McGovern Inst Brain Res, Beijing, Peoples R China [43]Chinese Acad Sci, Magnet Resonance Imaging Res Ctr, Inst Psychol, Beijing, Peoples R China
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The nucleus accumbens (NAc) is considered a hub of reward processing and a growing body of evidence has suggested its crucial role in the pathophysiology of major depressive disorder (MDD). However, inconsistent results have been reported by studies on reward network-focused resting-state functional MRI (rs-fMRI). In this study, we examined functional alterations of the NAc-based reward circuits in patients with MDD via meta- and mega-analysis. First, we performed a coordinated-based meta-analysis with a new SDM-PSI method for all up-to-date rs-fMRI studies that focused on the reward circuits of patients with MDD. Then, we tested the meta-analysis results in the REST-meta-MDD database which provided anonymous rs-fMRI data from 186 recurrent MDDs and 465 healthy controls. Decreased functional connectivity (FC) within the reward system in patients with recurrent MDD was the most robust finding in this study. We also found disrupted NAc FCs in the DMN in patients with recurrent MDD compared with healthy controls. Specifically, the combination of disrupted NAc FCs within the reward network could discriminate patients with recurrent MDD from healthy controls with an optimal accuracy of 74.7%. This study confirmed the critical role of decreased FC in the reward network in the neuropathology of MDD. Disrupted inter-network connectivity between the reward network and DMN may also have contributed to the neural mechanisms of MDD. These abnormalities have potential to serve as brain-based biomarkers for individual diagnosis to differentiate patients with recurrent MDD from healthy controls.

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出版当年[2023]版:
大类 | 1 区 医学
小类 | 1 区 精神病学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 精神病学
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出版当年[2022]版:
Q1 PSYCHIATRY
最新[2023]版:
Q1 PSYCHIATRY

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Cent South Univ, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China [2]Cent South Univ, Natl Clin Res Ctr Mental Disorders, Changsha, Peoples R China
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通讯机构: [1]Cent South Univ, Dept Psychiat, Xiangya Hosp 2, Changsha, Peoples R China [2]Cent South Univ, Natl Clin Res Ctr Mental Disorders, Changsha, Peoples R China
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