Liang Gong1, Yingying Yin1, Cancan He1, Chunming Xie1, Yonggui Yuan1, Zhijun Zhang1, and Hongxing Zhang2
1Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China, People's Republic of, 2Department of Psychiatry, Henan Provincial Mental Hospital, XingXiang, China, People's Republic of
Synopsis
we employed the resting-state
fMRI technique with voxelwise multivariate regression analysis to identify that
the disrupted topological organization within reward circuits was significantly
associated with cognitive deficits, depression severity, and trait property in major
depressive disorder (MDD) patients. Importantly, distinct and common neural
pathways underlying cognitive deficit and depression were identified, and implied
the independent and synergistic
effects of cognitive deficits and depression severity on reward circuits in MDD
patients.Background
Neuroimaging studies
have demonstrated that major depression disorder (MDD) patients showed blunted
activity response to reward-related tasks. However, whether abnormal reward circuits
affect the cognition, depression, and trait property in MDD patients remains
unknown.
Methods
Seventy
five drug-naive MDD patients and 42 cognitive normal (CN) subjects underwent a
resting-state functional magnetic resonance imaging (R-fMRI) scan. Bilateral
nucleus accumbens (NAc) were selected as seeds to construct reward circuits
across all subjects. Multivariate linear regression analysis
was employed to investigate neural substrates of cognitive function, depression
severity, age, education, and course of disease on the reward circuits in MDD
patients. The common pathway underlying cognitive deficits and depression was
identified with conjunction analysis approach.
Results
Compared
with CN subjects, MDD patients showed decreased reward network connectivity was
primarily located in the prefrontal-striatal regions. Importantly, distinct and
common neural pathways underlying cognition and depression were identified,
implying the independent and synergistic effects of cognitive deficits and
depression severity on reward circuits. Additionally, right NAc and middle
cingulate cortex connectivity positively correlated with education level was
found in CN subjects but not in MDD patients, while decreased connectivity in bilateral
rostral anterior cingulate cortex was negatively correlated with course of
disease in MDD patients.
Conclusions
This
study demonstrated that disrupted topological organization within reward
circuits was significantly associated with cognitive deficits, depression
severity, and trait property in MDD patients. These findings suggest that
besides antidepressant treatment, normalized reward circuits should be focused
and may improve depression and cognitive deficit for MDD patients.
Acknowledgements
This work was supported by the National Natural
Science Foundation of China (30825014, 30971016, ZJZ; 81171323, 91332118, CMX); Six Talent Peaks Project in Jiangsu Province
(2014-WSN-042, CMX), Major International Joint Research Project (81420108012,
ZJZ).References
N/A