Dysfunctional Cortico-Limbic Activity and Connectivity in Bipolar Disorder and Li

双相情感障碍和 Li 中功能失调的皮质边缘活动和连接

基本信息

批准号：
8065781
负责人：
Amit Anand
金额：
$ 38.5万
依托单位：
INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-05-14 至 2011-09-13
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8065781
关键词：
Acute Affect Aftercare Age Amygdaloid structure Anterior Antidepressive Agents Area Arts Bipolar Disorder Brain Brain-Derived Neurotrophic Factor Characteristics Chronic Control Groups Data Depressed mood Disease Emotions Ethnic Origin Exhibits Face Frequencies Functional Magnetic Resonance Imaging Functional disorder Funding Future Gender Genetic Genetic Polymorphism Genotype Imaging Techniques Investigation Knowledge Lead Link Literature Lithium Manic Measures Medial Mood stabilizers Moods Other Genetics Patients Pattern Phase Principal Investigator Promoter Regions Publishing Rest Scanning Severity of illness Side Stimulus Subgroup Techniques Thalamic structure Time Unipolar Depression Variant Ventral Striatum arm blood oxygen level dependent cingulate cortex disorder subtype interest mood regulation novel programs promoter response serotonin transporter time use treatment effect

项目摘要

DESCRIPTION (provided by applicant): This is a second resubmission of the proposal to extend our studies in unipolar depression and effects of antidepressants on corticolimbic connectivity and activity, to investigate the pathophysiology of Bipolar Disorder (BD) and effect of lithium treatment. This study will investigate, using functional magnetic resonance imaging (fMRI), corticolimbic activation and connectivity in 80 unmedicated BD patients - 40 in manic phase (BDM) and 40 in depressed phase (BDD), and 40 matched healthy subjects. The a priori defined regions of interest are: the cortical mood regulating region - ventral anterior cingulate cortex (vACC) and the limbic mood generating regions - particularly the amygdala (AMYG) and also ventral striatum (VST) and medial thalamus (MTHAL). The first aim is to measure corticolimbic connectivity in the resting steady- state using a connectivity specific measure - low frequency BOLD fluctuations (LFBF) correlations. The second aim is to measure corticolimbic activation using a passive picture viewing task as well as an active facial emotion recognition task. It is hypothesized that both BD groups will have decreased corticolimbic connectivity compared to healthy subjects. For activation tasks, the hypothesis is that in response to passive viewing of negative vs. neutral pictures BD patients will have decreased activation compared to healthy subjects but BDD patients will have a greater activation than BDM subjects. In the active facial emotion recognition task, BDM patients will have a greater amygdala activation than BDD and healthy subjects. A secondary aim is to investigate the effects of lithium treatment on corticolimbic activation and connectivity abnormalities in patients who agree to take part in the treatment phase arm of the study. It is hypothesized that lithium treatment will normalize corticolimbic activation and connectivity abnormalities seen at baseline. Another secondary aim is to investigate the effect of genetic factors such as the high expressing and low expressing genotypes of serotonin transporter (5-HTT) promoter linked region (5-HTTLPR) polymorphism on fMRI measures of activation and connectivity. Therefore, this study will, to the best of our knowledge, for the first time concurrently study brain activation and connectivity abnormalities in both phases of BD in unmedicated patients and also explore the effect of treatment and genotype. This study will also establish an experimental paradigm to study brain connectivity which could be used to investigate other disorders.

描述（由申请人提供）：这是该提案的第二次重新提出，以扩展我们在单极抑郁症中的研究以及抗抑郁药对皮质脂蛋白的连通性和活性的影响，以研究双相情感障碍（BD）的病理生理学和锂治疗作用。这项研究将使用功能性磁共振成像（fMRI），80名未经药物的BD患者的皮质脂质激活和连通性研究 - 躁狂期40例（BDM）和40个抑郁阶段（BDD）和40个匹配的健康受试者。先验定义的感兴趣区域是：皮质情绪调节区域 - 腹侧扣带回皮层（VEAC）和边缘情绪产生区域，尤其是杏仁核（Amyg）以及腹侧纹状体（VST）和内侧thalamus（Mthal）。第一个目的是使用连通性特定度量 - 低频BOLD波动（LFBF）相关性测量静息稳态中的皮质胶质连通性。第二个目的是使用被动图片观看任务以及主动的面部情感识别任务来测量皮质胶质激活。假设与健康受试者相比，这两个BD组的皮质脂质连通性都会降低。对于激活任务，假设是，与健康受试者相比，BD患者的负面观察与中性图片的被动观察将减少激活，但BDD患者的激活将比BDM受试者更大。在主动的面部情绪识别任务中，BDM患者的杏仁核激活比BDD和健康受试者更大。第二个目的是研究锂治疗对同意参加该研究治疗阶段的患者的皮质唇激活和连通性异常的影响。假设锂治疗将使基线处的皮质脂质激活和连通性异常归一化。另一个次要目的是研究遗传因素的影响，例如5-羟色胺转运蛋白（5-HTT）启动子连接区域（5-HTTLPR）多态性对fMRI激活和连通性量度测量的影响。因此，据我们所知，这项研究将首次同时研究未经药物的BD阶段的大脑激活和连通性异常，并探索治疗和基因型的影响。这项研究还将建立一个实验范式来研究大脑连通性，可用于研究其他疾病。

项目成果

期刊论文数量（13）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Effects of Lithium Monotherapy for Bipolar Disorder on Gene Expression in Peripheral Lymphocytes.

锂单药治疗双相情感障碍对外周淋巴细胞基因表达的影响。

DOI：
10.1159/000446348
发表时间：
2016
期刊：
Molecular neuropsychiatry
影响因子：
0
作者：
Anand,Amit;McClintick,JeanetteN;Murrell,Jill;Karne,Harish;Nurnberger,JohnI;Edenberg,HowardJ
通讯作者：
Edenberg,HowardJ

Lithium monotherapy associated clinical improvement effects on amygdala-ventromedial prefrontal cortex resting state connectivity in bipolar disorder.