Disrupted reward circuits is associated with cognitive deficits, depression severity, and trait property in unmedicated major depressive disorder
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

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Figures

Decreased functional connectivity of bilateral nucleus accumbens networks in MDD patients compared with CN subjects.

Whole-brain analyses reveal the effects of cognitive function on the bilateral NAc functional connectivity networks in MDD patients.

Whole-brain analyses reveal the effects of depression severity on the bilateral NAc functional connectivity networks in MDD patients.

Conjunction analysis reveals the overlapped region of neural substrates of MMSE and HAMD scores on the bilateral NAc networks.

Whole-brain analyses reveal the effects of education and course of disease on the bilateral NAc functional connectivity networks in MDD patients.



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
1393