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Disrupted small-world white matter networks in patients with major depression and recent suicide plans or attempts

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机构: [1]Sichuan Univ, Huaxi MR Res Ctr HMRRC, Dept Radiol, West China Hosp, Chengdu 610041, Peoples R China [2]Kunming Med Univ, Affiliated Hosp 1, Kunming 650032, Yunnan, Peoples R China [3]Sichuan Univ, West China Hosp, Dept Psychiat, Chengdu 610041, Peoples R China [4]Univ Cincinnati, Dept Psychiat & Behav Neurosci, Cincinnati, OH USA [5]Chinese Acad Med Sci, Res Unit Psychoradiol, Chengdu 610041, Peoples R China [6]Sichuan Univ, Funct & Mol Imaging Key Lab, Chengdu 610041, Peoples R China [7]Sichuan Univ, West China Hosp, Dept Nucl Med, 37 Guoxue Xiang, Chengdu 610041, Sichuan, Peoples R China
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关键词: Suicide Major depressive disorder Connectome Graph theory Diffusion tensor imaging

摘要:
Suicide is a major concern for health, and depression is an established proximal risk factor for suicide. This study aimed to investigate white matter features associated with suicide. We constructed white matter structural networks by deterministic tractography via diffusion tensor imaging in 51 healthy controls, 47 depressed patients without suicide plans or attempts and 56 depressed patients with suicide plans or attempts. Then, graph theory analysis was used to measure global and nodal network properties. We found that local efficiency was decreased and path length was increased in suicidal depressed patients compared to healthy controls and non-suicidal depressed patients; moreover, the clustering coefficient was decreased in depressed patients compared to healthy controls; and the global efficiency and normalized characteristic path length was increased in suicidal depressed patients compared to healthy controls. Similarly, compared with those in non-suicidal depressed patients, nodal efficiency in the thalamus, caudate, medial orbitofrontal cortex, hippocampus, olfactory cortex, supplementary motor area and Rolandic operculum was decreased. In summary, compared with those of non-suicidal depressed patients, the structural connectome of suicidal depressed patients exhibited weakened integration and segregation and decreased nodal efficiency in the fronto-limbic-basal ganglia-thalamic circuitry. These alterations in the structural networks of depressed suicidal brains provide insights into the underlying neurobiology of brain features associated with suicide.

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大类 | 3 区 医学
小类 | 3 区 神经成像
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Q2 NEUROIMAGING

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第一作者机构: [1]Sichuan Univ, Huaxi MR Res Ctr HMRRC, Dept Radiol, West China Hosp, Chengdu 610041, Peoples R China [2]Kunming Med Univ, Affiliated Hosp 1, Kunming 650032, Yunnan, Peoples R China
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通讯机构: [1]Sichuan Univ, Huaxi MR Res Ctr HMRRC, Dept Radiol, West China Hosp, Chengdu 610041, Peoples R China [5]Chinese Acad Med Sci, Res Unit Psychoradiol, Chengdu 610041, Peoples R China [6]Sichuan Univ, Funct & Mol Imaging Key Lab, Chengdu 610041, Peoples R China [7]Sichuan Univ, West China Hosp, Dept Nucl Med, 37 Guoxue Xiang, Chengdu 610041, Sichuan, Peoples R China
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