Abnormal core functional connectivity on the pathology of MDD and antidepressant treatment: A systematic review
•Mood disorder in MDD is associated with abnormal FC between the AMG, ACC, and PFC.•Impaired cognition manifests as deficits in attention, memory, and rumination.•We proposed a CA-FC set for possible causative principle of MDD.•CA-FC can provide effective treatment recommendations for MDD patients....
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| Published in | Journal of affective disorders Vol. 296; pp. 622 - 634 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier B.V
01.01.2022
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| Abstract | •Mood disorder in MDD is associated with abnormal FC between the AMG, ACC, and PFC.•Impaired cognition manifests as deficits in attention, memory, and rumination.•We proposed a CA-FC set for possible causative principle of MDD.•CA-FC can provide effective treatment recommendations for MDD patients.
Researches have highlighted communication deficits between resting-state brain networks in major depressive disorder (MDD), as reflected in abnormal functional connectivity (FC). However, it is unclear whether impaired FC is associated with MDD pathology or is simply incidental to MDD symptoms. Moreover, there is no generalized theory to analyze the impact of treatment modalities on MDD.
To address the issues, we conducted a systematic review of 49 eligible papers to provide insight into the pathological mechanisms of MDD patients by summarizing resting-state FC alterations involving mood and cognitive abnormalities and the effects of medications on them.
Mood disorders in MDD were characterized by abnormal FC between the amygdala, insula, anterior cingulate cortex (ACC), and prefrontal cortex (PFC). Cognitive impairment manifests as deficits in executive function, attention, memory, and rumination, primarily modulated by dysfunction between the fronto-parietal network and default mode network. Especially, we proposed the set of core abnormal FC (CA-FC) contributing to mood and cognitive impairment in MDD, currently including ACC-left precuneus/amygdala, rostral ACC-left dorsolateral PFC, left subgenual ACC-left cerebellar, left PFC- anterior subcallosal, and left precuneus-left pulvinar. After treatment, patients with normalized CA-FC showed remission of depressive symptoms.
We propose a CA-FC set for possible causative principle of MDD, which unifies the FC results from specific, difficult-to-analyze conditions into one outcome set for screening. Furthermore, CA-FC varies from person to person, and the low success rate of a single treatment may be due to the inability to cover too many CA-FC. |
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| AbstractList | Researches have highlighted communication deficits between resting-state brain networks in major depressive disorder (MDD), as reflected in abnormal functional connectivity (FC). However, it is unclear whether impaired FC is associated with MDD pathology or is simply incidental to MDD symptoms. Moreover, there is no generalized theory to analyze the impact of treatment modalities on MDD.
To address the issues, we conducted a systematic review of 49 eligible papers to provide insight into the pathological mechanisms of MDD patients by summarizing resting-state FC alterations involving mood and cognitive abnormalities and the effects of medications on them.
Mood disorders in MDD were characterized by abnormal FC between the amygdala, insula, anterior cingulate cortex (ACC), and prefrontal cortex (PFC). Cognitive impairment manifests as deficits in executive function, attention, memory, and rumination, primarily modulated by dysfunction between the fronto-parietal network and default mode network. Especially, we proposed the set of core abnormal FC (CA-FC) contributing to mood and cognitive impairment in MDD, currently including ACC-left precuneus/amygdala, rostral ACC-left dorsolateral PFC, left subgenual ACC-left cerebellar, left PFC- anterior subcallosal, and left precuneus-left pulvinar. After treatment, patients with normalized CA-FC showed remission of depressive symptoms.
We propose a CA-FC set for possible causative principle of MDD, which unifies the FC results from specific, difficult-to-analyze conditions into one outcome set for screening. Furthermore, CA-FC varies from person to person, and the low success rate of a single treatment may be due to the inability to cover too many CA-FC. RATIONALE/IMPORTANCEResearches have highlighted communication deficits between resting-state brain networks in major depressive disorder (MDD), as reflected in abnormal functional connectivity (FC). However, it is unclear whether impaired FC is associated with MDD pathology or is simply incidental to MDD symptoms. Moreover, there is no generalized theory to analyze the impact of treatment modalities on MDD. OBJECTIVESTo address the issues, we conducted a systematic review of 49 eligible papers to provide insight into the pathological mechanisms of MDD patients by summarizing resting-state FC alterations involving mood and cognitive abnormalities and the effects of medications on them. RESULTSMood disorders in MDD were characterized by abnormal FC between the amygdala, insula, anterior cingulate cortex (ACC), and prefrontal cortex (PFC). Cognitive impairment manifests as deficits in executive function, attention, memory, and rumination, primarily modulated by dysfunction between the fronto-parietal network and default mode network. Especially, we proposed the set of core abnormal FC (CA-FC) contributing to mood and cognitive impairment in MDD, currently including ACC-left precuneus/amygdala, rostral ACC-left dorsolateral PFC, left subgenual ACC-left cerebellar, left PFC- anterior subcallosal, and left precuneus-left pulvinar. After treatment, patients with normalized CA-FC showed remission of depressive symptoms. CONCLUSIONSWe propose a CA-FC set for possible causative principle of MDD, which unifies the FC results from specific, difficult-to-analyze conditions into one outcome set for screening. Furthermore, CA-FC varies from person to person, and the low success rate of a single treatment may be due to the inability to cover too many CA-FC. •Mood disorder in MDD is associated with abnormal FC between the AMG, ACC, and PFC.•Impaired cognition manifests as deficits in attention, memory, and rumination.•We proposed a CA-FC set for possible causative principle of MDD.•CA-FC can provide effective treatment recommendations for MDD patients. Researches have highlighted communication deficits between resting-state brain networks in major depressive disorder (MDD), as reflected in abnormal functional connectivity (FC). However, it is unclear whether impaired FC is associated with MDD pathology or is simply incidental to MDD symptoms. Moreover, there is no generalized theory to analyze the impact of treatment modalities on MDD. To address the issues, we conducted a systematic review of 49 eligible papers to provide insight into the pathological mechanisms of MDD patients by summarizing resting-state FC alterations involving mood and cognitive abnormalities and the effects of medications on them. Mood disorders in MDD were characterized by abnormal FC between the amygdala, insula, anterior cingulate cortex (ACC), and prefrontal cortex (PFC). Cognitive impairment manifests as deficits in executive function, attention, memory, and rumination, primarily modulated by dysfunction between the fronto-parietal network and default mode network. Especially, we proposed the set of core abnormal FC (CA-FC) contributing to mood and cognitive impairment in MDD, currently including ACC-left precuneus/amygdala, rostral ACC-left dorsolateral PFC, left subgenual ACC-left cerebellar, left PFC- anterior subcallosal, and left precuneus-left pulvinar. After treatment, patients with normalized CA-FC showed remission of depressive symptoms. We propose a CA-FC set for possible causative principle of MDD, which unifies the FC results from specific, difficult-to-analyze conditions into one outcome set for screening. Furthermore, CA-FC varies from person to person, and the low success rate of a single treatment may be due to the inability to cover too many CA-FC. |
| Author | Kong, Wenwen Li, Xiaowei Chen, Junhao Hu, Bin Li, Jianxiu |
| Author_xml | – sequence: 1 givenname: Jianxiu surname: Li fullname: Li, Jianxiu email: lijx18@lzu.edu.cn organization: Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, China – sequence: 2 givenname: Junhao surname: Chen fullname: Chen, Junhao email: chenjh20@lzu.edu.cn organization: Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, China – sequence: 3 givenname: Wenwen surname: Kong fullname: Kong, Wenwen email: kongww20@lzu.edu.cn organization: Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, China – sequence: 4 givenname: Xiaowei surname: Li fullname: Li, Xiaowei email: lixwei@lzu.edu.cn organization: Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, China – sequence: 5 givenname: Bin surname: Hu fullname: Hu, Bin email: bh@lzu.edu.cn organization: Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, China |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34688026$$D View this record in MEDLINE/PubMed |
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| Snippet | •Mood disorder in MDD is associated with abnormal FC between the AMG, ACC, and PFC.•Impaired cognition manifests as deficits in attention, memory, and... Researches have highlighted communication deficits between resting-state brain networks in major depressive disorder (MDD), as reflected in abnormal functional... RATIONALE/IMPORTANCEResearches have highlighted communication deficits between resting-state brain networks in major depressive disorder (MDD), as reflected in... |
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| SubjectTerms | Antidepressive Agents - therapeutic use Brain - diagnostic imaging Brain Mapping CA-FC Depressive Disorder, Major - diagnostic imaging Depressive Disorder, Major - drug therapy Gyrus Cinguli Humans Magnetic Resonance Imaging MDD Mood and cognitive Resting-state FC Treatment |
| Title | Abnormal core functional connectivity on the pathology of MDD and antidepressant treatment: A systematic review |
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