No Alterations of Brain Structural Asymmetry in Major Depressive Disorder: An ENIGMA Consortium Analysis

Objective:Asymmetry is a subtle but pervasive aspect of the human brain, and it may be altered in several psychiatric conditions. MRI studies have shown subtle differences of brain anatomy between people with major depressive disorder and healthy control subjects, but few studies have specifically e...

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Published inThe American journal of psychiatry Vol. 176; no. 12; pp. 1039 - 1049
Main Authors de Kovel, Carolien G.F, Aftanas, Lyubomir, Aleman, André, Alexander-Bloch, Aaron F, Baune, Bernhard T, Brack, Ivan, Bülow, Robin, Busatto Filho, Geraldo, Carballedo, Angela, Connolly, Colm G, Cullen, Kathryn R, Dannlowski, Udo, Davey, Christopher G, Dima, Danai, Dohm, Katharina, Erwin-Grabner, Tracy, Frodl, Thomas, Fu, Cynthia H.Y, Hall, Geoffrey B, Glahn, David C, Godlewska, Beata, Gotlib, Ian H, Goya-Maldonado, Roberto, Grabe, Hans Jörgen, Groenewold, Nynke A, Grotegerd, Dominik, Gruber, Oliver, Harris, Mathew A, Harrison, Ben J, Hatton, Sean N, Hickie, Ian B, Ho, Tiffany C, Jahanshad, Neda, Kircher, Tilo, Krämer, Bernd, Krug, Axel, Lagopoulos, Jim, Leehr, Elisabeth J, Li, Meng, MacMaster, Frank P, MacQueen, Glenda, McIntosh, Andrew M, McLellan, Quinn, Medland, Sarah E, Mueller, Bryon A, Nenadic, Igor, Osipov, Evgeny, Papmeyer, Martina, Portella, Maria J, Reneman, Liesbeth, Rosa, Pedro G.P, Sacchet, Matthew D, Schnell, Knut, Schrantee, Anouk, Sim, Kang, Simulionyte, Egle, Sindermann, Lisa, Singh, Aditya, Stein, Dan J, Ubani, Benjamin N, Van der Wee, Nic J.A, Van der Werff, Steven J.A, Veer, Ilya M, Vives-Gilabert, Yolanda, Völzke, Henry, Walter, Henrik, Walter, Martin, Schreiner, Melinda Westlund, Whalley, Heather, Winter, Nils, Wittfeld, Katharina, Yang, Tony T, Yüksel, Dilara, Zaremba, Dario, Thompson, Paul M, Veltman, Dick J, Schmaal, Lianne, Francks, Clyde
Format Journal Article
LanguageEnglish
Published United States American Psychiatric Association 01.12.2019
Subjects
Online AccessGet full text
ISSN0002-953X
1535-7228
1535-7228
DOI10.1176/appi.ajp.2019.18101144

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Abstract Objective:Asymmetry is a subtle but pervasive aspect of the human brain, and it may be altered in several psychiatric conditions. MRI studies have shown subtle differences of brain anatomy between people with major depressive disorder and healthy control subjects, but few studies have specifically examined brain anatomical asymmetry in relation to this disorder, and results from those studies have remained inconclusive. At the functional level, some electroencephalography studies have indicated left fronto-cortical hypoactivity and right parietal hypoactivity in depressive disorders, so aspects of lateralized anatomy may also be affected. The authors used pooled individual-level data from data sets collected around the world to investigate differences in laterality in measures of cortical thickness, cortical surface area, and subcortical volume between individuals with major depression and healthy control subjects.Methods:The authors investigated differences in the laterality of thickness and surface area measures of 34 cerebral cortical regions in 2,256 individuals with major depression and 3,504 control subjects from 31 separate data sets, and they investigated volume asymmetries of eight subcortical structures in 2,540 individuals with major depression and 4,230 control subjects from 32 data sets. T1-weighted MRI data were processed with a single protocol using FreeSurfer and the Desikan-Killiany atlas. The large sample size provided 80% power to detect effects of the order of Cohen’s d=0.1.Results:The largest effect size (Cohen’s d) of major depression diagnosis was 0.085 for the thickness asymmetry of the superior temporal cortex, which was not significant after adjustment for multiple testing. Asymmetry measures were not significantly associated with medication use, acute compared with remitted status, first episode compared with recurrent status, or age at onset.Conclusions:Altered brain macro-anatomical asymmetry may be of little relevance to major depression etiology in most cases.
AbstractList Asymmetry is a subtle but pervasive aspect of the human brain, and it may be altered in several psychiatric conditions. MRI studies have shown subtle differences of brain anatomy between people with major depressive disorder and healthy control subjects, but few studies have specifically examined brain anatomical asymmetry in relation to this disorder, and results from those studies have remained inconclusive. At the functional level, some electroencephalography studies have indicated left fronto-cortical hypoactivity and right parietal hypoactivity in depressive disorders, so aspects of lateralized anatomy may also be affected. The authors used pooled individual-level data from data sets collected around the world to investigate differences in laterality in measures of cortical thickness, cortical surface area, and subcortical volume between individuals with major depression and healthy control subjects.OBJECTIVEAsymmetry is a subtle but pervasive aspect of the human brain, and it may be altered in several psychiatric conditions. MRI studies have shown subtle differences of brain anatomy between people with major depressive disorder and healthy control subjects, but few studies have specifically examined brain anatomical asymmetry in relation to this disorder, and results from those studies have remained inconclusive. At the functional level, some electroencephalography studies have indicated left fronto-cortical hypoactivity and right parietal hypoactivity in depressive disorders, so aspects of lateralized anatomy may also be affected. The authors used pooled individual-level data from data sets collected around the world to investigate differences in laterality in measures of cortical thickness, cortical surface area, and subcortical volume between individuals with major depression and healthy control subjects.The authors investigated differences in the laterality of thickness and surface area measures of 34 cerebral cortical regions in 2,256 individuals with major depression and 3,504 control subjects from 31 separate data sets, and they investigated volume asymmetries of eight subcortical structures in 2,540 individuals with major depression and 4,230 control subjects from 32 data sets. T1-weighted MRI data were processed with a single protocol using FreeSurfer and the Desikan-Killiany atlas. The large sample size provided 80% power to detect effects of the order of Cohen's d=0.1.METHODSThe authors investigated differences in the laterality of thickness and surface area measures of 34 cerebral cortical regions in 2,256 individuals with major depression and 3,504 control subjects from 31 separate data sets, and they investigated volume asymmetries of eight subcortical structures in 2,540 individuals with major depression and 4,230 control subjects from 32 data sets. T1-weighted MRI data were processed with a single protocol using FreeSurfer and the Desikan-Killiany atlas. The large sample size provided 80% power to detect effects of the order of Cohen's d=0.1.The largest effect size (Cohen's d) of major depression diagnosis was 0.085 for the thickness asymmetry of the superior temporal cortex, which was not significant after adjustment for multiple testing. Asymmetry measures were not significantly associated with medication use, acute compared with remitted status, first episode compared with recurrent status, or age at onset.RESULTSThe largest effect size (Cohen's d) of major depression diagnosis was 0.085 for the thickness asymmetry of the superior temporal cortex, which was not significant after adjustment for multiple testing. Asymmetry measures were not significantly associated with medication use, acute compared with remitted status, first episode compared with recurrent status, or age at onset.Altered brain macro-anatomical asymmetry may be of little relevance to major depression etiology in most cases.CONCLUSIONSAltered brain macro-anatomical asymmetry may be of little relevance to major depression etiology in most cases.
Magnetic resonance imaging (MRI) studies have shown subtle differences of brain anatomy between people with major depressive disorder (MDD) and healthy controls, but few studies have specifically examined brain anatomical asymmetry in relation to this disorder, and results from those studies have remained inconclusive. Asymmetry is a subtle but pervasive aspect of the human brain, and it may be altered in several psychiatric conditions. At the functional level, some electroencephalography studies have indicated left fronto-cortical hypo-activity and right parietal hypo-activity in depressive disorders, so that aspects of lateralized anatomy might also be affected. In the current study, we investigated 2256 individuals with MDD and 3504 controls, from 31 separate datasets, for differences in the laterality of thickness and surface area measures of 34 cerebral cortical regions. We also investigated volume asymmetries of eight subcortical structures, in 2540 MDD individuals and 4230 controls, from 32 datasets. T1-weighted MRI data were processed with a single protocol using FreeSurfer software and the Desikan-Killiany atlas. The unprecedented sample size provided 80% power to detect effects of the order of Cohen’s d = 0.1. However, the largest effect size of MDD diagnosis was Cohen’s d = 0.085 for the thickness asymmetry of the superior temporal cortex, which was not significant when adjusting for multiple testing. Asymmetry measures were also not significantly associated with medication use, acute versus remitted status, first episode versus recurrent status, or age at onset. Altered brain macro-anatomical asymmetry may therefore be of little relevance to MDD aetiology in most cases.
Objective: Asymmetry is a subtle but pervasive aspect of the human brain, and it may be altered in several psychiatric conditions. MRI studies have shown subtle differences of brain anatomy between people with major depressive disorder and healthy control subjects, but few studies have specifically examined brain anatomical asymmetry in relation to this disorder, and results from those studies have remained inconclusive. At the functional level, some electroencephalography studies have indicated left fronto-cortical hypoactivity and right parietal hypoactivity in depressive disorders, so aspects of lateralized anatomy may also be affected. The authors used pooled individual-level data from data sets collected around the world to investigate differences in laterality in measures of cortical thickness, cortical surface area, and subcortical volume between individuals with major depression and healthy control subjects. Methods: The authors investigated differences in the laterality of thickness and surface area measures of 34 cerebral cortical regions in 2,256 individuals with major depression and 3,504 control subjects from 31 separate data sets, and they investigated volume asymmetries of eight subcortical structures in 2,540 individuals with major depression and 4,230 control subjects from 32 data sets. T1-weighted MRI data were processed with a single protocol using FreeSurfer and the Desikan-Killiany atlas. The large sample size provided 80% power to detect effects of the order of Cohen's d=0.1. Results: The largest effect size (Cohen's d) of major depression diagnosis was 0.085 for the thickness asymmetry of the superior temporal cortex, which was not significant after adjustment for multiple testing. Asymmetry measures were not significantly associated with medication use, acute compared with remitted status, first episode compared with recurrent status, or age at onset. Conclusions: Altered brain macro-anatomical asymmetry may be of little relevance to major depression etiology in most cases.
Asymmetry is a subtle but pervasive aspect of the human brain, and it may be altered in several psychiatric conditions. MRI studies have shown subtle differences of brain anatomy between people with major depressive disorder and healthy control subjects, but few studies have specifically examined brain anatomical asymmetry in relation to this disorder, and results from those studies have remained inconclusive. At the functional level, some electroencephalography studies have indicated left fronto-cortical hypoactivity and right parietal hypoactivity in depressive disorders, so aspects of lateralized anatomy may also be affected. The authors used pooled individual-level data from data sets collected around the world to investigate differences in laterality in measures of cortical thickness, cortical surface area, and subcortical volume between individuals with major depression and healthy control subjects. The authors investigated differences in the laterality of thickness and surface area measures of 34 cerebral cortical regions in 2,256 individuals with major depression and 3,504 control subjects from 31 separate data sets, and they investigated volume asymmetries of eight subcortical structures in 2,540 individuals with major depression and 4,230 control subjects from 32 data sets. T -weighted MRI data were processed with a single protocol using FreeSurfer and the Desikan-Killiany atlas. The large sample size provided 80% power to detect effects of the order of Cohen's d=0.1. The largest effect size (Cohen's d) of major depression diagnosis was 0.085 for the thickness asymmetry of the superior temporal cortex, which was not significant after adjustment for multiple testing. Asymmetry measures were not significantly associated with medication use, acute compared with remitted status, first episode compared with recurrent status, or age at onset. Altered brain macro-anatomical asymmetry may be of little relevance to major depression etiology in most cases.
Author Connolly, Colm G
Lagopoulos, Jim
Rosa, Pedro G.P
Stein, Dan J
Davey, Christopher G
Medland, Sarah E
Baune, Bernhard T
Frodl, Thomas
Fu, Cynthia H.Y
Li, Meng
Schrantee, Anouk
Yang, Tony T
Portella, Maria J
Leehr, Elisabeth J
Busatto Filho, Geraldo
Harrison, Ben J
Sim, Kang
Groenewold, Nynke A
Glahn, David C
Bülow, Robin
Erwin-Grabner, Tracy
Sindermann, Lisa
Veltman, Dick J
Ho, Tiffany C
Van der Werff, Steven J.A
Van der Wee, Nic J.A
Dima, Danai
Sacchet, Matthew D
Vives-Gilabert, Yolanda
Yüksel, Dilara
Ubani, Benjamin N
Thompson, Paul M
Reneman, Liesbeth
Winter, Nils
Cullen, Kathryn R
Schmaal, Lianne
Gotlib, Ian H
Goya-Maldonado, Roberto
Mueller, Bryon A
Walter, Henrik
MacMaster, Frank P
Whalley, Heather
Alexander-Bloch, Aaron F
Hatton, Sean N
Veer, Ilya M
Nenadic, Igor
Hickie, Ian B
Godlewska, Beata
Aleman, André
Francks, Clyde
Schreiner, Melinda Westlund
Osipov, Evgeny
Völzke, Henry
Aftanas, Lyubomir
Schnell, Knut
Krug, Axel
Singh, Aditya
Carballedo, Angela
Jahanshad, Neda
MacQueen, Glenda
Grotegerd, Dominik
Walter, Martin
de Kovel, Carolien G.F
M
AuthorAffiliation 31 Division of Psychiatry, University of Edinburgh, Edinburgh, UK
30 Department of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Canada
45 German Center for Neurodegenerative Diseases (DZNE), Site Rostock/ Greifswald, Germany
47 Department of Psychology, University of Groningen, the Netherlands
37 SA MRC Unit on Risk & Resilience, Department of Psychiatry, University of Cape Town, Cape Town, South Africa
56 Rehabilitation Services and Care Unit, Swiss Paraplegic Research, Nottwil, Switzerland
29 Psychiatry and Paediatrics, University of Calgary, Calgary, Canada
53 Sunshine Coast Mind and Neuroscience Thompson Institute, Queensland, Australia
13 Department of Psychiatry, University of Münster, Münster, Germany
58 Centre for Youth Mental Health, The University of Melbourne, Australia
49 Department of Biomedical Sciences, Florida State University, Tallahassee, USA
63 German Center for Cardiovascular Research (DZHK), partner site Greifswald, Greifswald, Germany
19 Department
AuthorAffiliation_xml – name: 17 Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
– name: 4 Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Marina del Rey, USA
– name: 49 Department of Biomedical Sciences, Florida State University, Tallahassee, USA
– name: 61 Boston University School of Public Health, Boston University, Boston, USA
– name: 39 Department of Psychiatry, Leiden University Medical Center, Leiden, the Netherlands
– name: 59 Spinoza Centre for Neuroimaging, Royal Netherlands Academy of Arts and Sciences, Amsterdam, the Netherlands
– name: 35 Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, USA
– name: 62 Leiden Institute for Brain and Cognition, Leiden, the Netherlands
– name: 10 Department of Psychiatry, Trinity College Dublin, Ireland
– name: 38 Brain function and dysfunction, Leids Universitair Medisch Centrum, Leiden, the Netherlands
– name: 26 Youth Mental Health Team, Brain and Mind Centre, University of Sydney, Sydney, Australia
– name: 42 Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany
– name: 14 Department of Psychology, School of Arts and Social Sciences, City, University of London, London, UK
– name: 6 Department of Neuroscience, NeuroImaging Center, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
– name: 16 Department of Psychiatry and Psychotherapy, Otto von Guericke University Magdeburg, Magdeburg, Germany
– name: 5 Laboratory of Affective, Cognitive & Translational Neuroscience, Scientific Research Institute of Physiology & Basic Medicine, Novosibirsk, Russian Federation
– name: 57 CIBERSAM, Madrid, Spain
– name: 60 Yong Loo Lin School of Medicine, National University of Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
– name: 27 Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Marburg, Germany
– name: 19 Department of Psychiatry, Yale School of Medicine, New Haven, USA
– name: 21 Department of Psychology, Stanford University, Stanford, USA
– name: 55 Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, 7 George Square, Edinburgh, UK
– name: 46 Department of Neuroscience, Novosibirsk State University, Novosibirsk, Russian Federation
– name: 52 School of Psychology, University of East London, London, UK
– name: 12 Department of Psychiatry, University of Minnesota Medical School, Minneapolis, USA
– name: 30 Department of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Canada
– name: 1 Department Language & Genetics, Max Planck Institute for Psycholinguistics, Nijmegen, the Netherlands
– name: 48 Center for Interdisciplinary Research on Applied Neurosciences (NAPNA), University of São Paulo, São Paulo, Brazil
– name: 3 Department of Psychiatry, Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, The Netherlands
– name: 8 Institute for Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, Greifswald, Germany
– name: 18 Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, Canada
– name: 13 Department of Psychiatry, University of Münster, Münster, Germany
– name: 23 Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion regulation (ICPE), University Medical Center Groningen, Groningen, The Netherlands
– name: 28 Department of Neurology, University of Magdeburg, Magdeburg, Germany
– name: 2 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia
– name: 53 Sunshine Coast Mind and Neuroscience Thompson Institute, Queensland, Australia
– name: 58 Centre for Youth Mental Health, The University of Melbourne, Australia
– name: 7 Department of Psychiatry, University of Melbourne, Melbourne, Australia
– name: 11 Department of Psychiatry and Weill Institutes of Neurosciences, Division of Child and Adolescent Psychiatry, University of California, San Francisco (UCSF), USA
– name: 33 Department. of Psychiatry, Institute of Biomedical Research Sant Pau, Barcelona, Spain
– name: 51 Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, The Netherlands
– name: 15 Department of Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany
– name: 37 SA MRC Unit on Risk & Resilience, Department of Psychiatry, University of Cape Town, Cape Town, South Africa
– name: 47 Department of Psychology, University of Groningen, the Netherlands
– name: 56 Rehabilitation Services and Care Unit, Swiss Paraplegic Research, Nottwil, Switzerland
– name: 63 German Center for Cardiovascular Research (DZHK), partner site Greifswald, Greifswald, Germany
– name: 36 West Region and Research Division, Institute of Mental Health, Singapore
– name: 45 German Center for Neurodegenerative Diseases (DZNE), Site Rostock/ Greifswald, Germany
– name: 31 Division of Psychiatry, University of Edinburgh, Edinburgh, UK
– name: 32 Psychiatric Genetics, QIMR Berghofer Medical Research Institute, Brisbane, Australia
– name: 54 Strategic Clinical Network for Addictions and Mental Health, Alberta, Canada
– name: 29 Psychiatry and Paediatrics, University of Calgary, Calgary, Canada
– name: 41 Instituto ITACA, Universitat Politècnica de València, València, Spain
– name: 44 Department of Psychology, University of Minnesota, Minneapolis, USA
– name: 43 Department of Psychiatry and Psychotherapy, University of Tübingen, Tübingen , Germany
– name: 50 Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
– name: 40 Division of Mind and Brain Research, Department of Psychiatry and Psychotherapy CCM, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
– name: 34 Department of Radiology and Nuclear Medicine, Amsterdam University Medical Centers , Amsterdam, the Netherlands
– name: 9 Laboratory of Psychiatric Neuroimaging (LIM-21), Departamento e Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil
– name: 25 Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne & Melbourne Health, Melbourne, Australia
– name: 20 Psychopharmacology Research Unit, Department of Psychiatry, University of Oxford, Oxford, UK
– name: 22 Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany
– name: 24 Section for Experimental Psychopathology and Neuroimaging, Department of General Psychiatry, Heidelberg University, Heidelberg, Germany
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Snippet Objective:Asymmetry is a subtle but pervasive aspect of the human brain, and it may be altered in several psychiatric conditions. MRI studies have shown subtle...
Asymmetry is a subtle but pervasive aspect of the human brain, and it may be altered in several psychiatric conditions. MRI studies have shown subtle...
Objective: Asymmetry is a subtle but pervasive aspect of the human brain, and it may be altered in several psychiatric conditions. MRI studies have shown...
Magnetic resonance imaging (MRI) studies have shown subtle differences of brain anatomy between people with major depressive disorder (MDD) and healthy...
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SubjectTerms Adult
Antidepressants
Anxiety
Asymmetry
Brain
Brain - anatomy & histology
Case-Control Studies
Databases, Factual - statistics & numerical data
Depressive Disorder, Major - pathology
Dominance, Cerebral
Female
Humans
Magnetic Resonance Imaging
Male
Mental depression
Meta-Analysis as Topic
Neuroimaging
Young Adult
Title No Alterations of Brain Structural Asymmetry in Major Depressive Disorder: An ENIGMA Consortium Analysis
URI http://dx.doi.org/10.1176/appi.ajp.2019.18101144
https://www.ncbi.nlm.nih.gov/pubmed/31352813
https://www.proquest.com/docview/2322647765
https://www.proquest.com/docview/2266337622
https://pubmed.ncbi.nlm.nih.gov/PMC12038721
Volume 176
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