Estimating Multimodal Structural Brain Variability in Schizophrenia Spectrum Disorders: A Worldwide ENIGMA Study.
Journal: The American journal of psychiatry
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Affiliated Institutions:
Psychiatric Hospital, University of Zurich, Zurich (Omlor, Rabe, Fuchs, Surbeck, Cecere, Huang, S. Homan, Kallen, Georgiadis, Spiller, Seifritz, Kirschner, P. Homan); Neuroscience Center Zurich, University of Zurich and Swiss Federal Institute of Technology Zurich, Zurich (Huang, P. Homan); Department of Neuroscience and Physiology, Upstate Medical University, Syracuse, NY (T. Weickert, C. Weickert); Edith Collins Centre, Sydney Local Health District, Sydney (Bruggemann); Clinical Translational Neuroscience Laboratory, Department of Psychiatry and Human Behavior (Potkin, van Erp), and Center for the Neurobiology of Learning and Memory (van Erp), University of California Irvine, Irvine; Department of Pathology of Mental Diseases, National Center of Neurology and Psychiatry, National Institute of Mental Health, Tokyo (Hashimoto); Institute of Mental Health, Singapore (Sim); Psychology Department and Neuroscience Institute, Georgia State University, Atlanta (Rootes-Murdy); School of Psychology, University of New South Wales, Sydney (Quide); Hopitaux Universitaires Henri Mondor, Crétail, France (Houenou); Neuropsychiatry Laboratory, Department of Clinical Neuroscience and Neurorehabilitation, Santa Lucia Foundation IRCCS, Rome (Banaj, Vecchio, Fabrizio Piras, Federica Piras, Spalletta); FIDMAG Sisters Hospitallers Research Foundation, Barcelona, Spain (Salvador, Karuk, Pomarol-Clotet); Department of Psychiatry, Boston Children's Hospital, Harvard Medical School, Boston (Rodrigue, Glahn); Department of Psychiatry, Yale University, New Haven, CT, and Olin Neuropsychiatric Research Center, Institute of Living, Hartford Hospital, Hartford, CT (Pearlson); National Institute of Mental Health, Klecany, Czech Republic (Tomecek, Spaniel, Skoch); Division of Adult Psychiatry, Department of Psychiatry, Geneva University Hospitals, Geneva (Kirschner, Kaiser); Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Kochunov); Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical School, Beijing (Fan); NORMENT Center, Division of Mental Health and Addiction, University of Oslo and Oslo University Hospital, and K.G. Jebsen Center for Neurodevelopment, University of Oslo, Oslo (Andreassen, Westlye, Berthet); Neuroscience Institute (Howells) and Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa (Howells, Uhlmann); Department of Child and Adolescent Psychiatry, Technische Universität Dresden, Dresden, Germany (Uhlmann); SA MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, Neuroscience Institute, University of Cape Town, Cape Town, South Africa (Scheffler, Stein); Laboratory of Molecular and Translational Psychiatry and Unit of Treatment Resistant Psychosis, Section of Psychiatry, Reproductive and Odontostomatological Sciences, Department of Neuroscience, University of Naples Federico II, Naples (Iasevoli); Neuroscience Research Australia, Sydney (T. Weickert, C. Weickert, Bruggemann, Quide); School of Psychiatry, University of New South Wales, Sydney (T. Weickert, C. Weickert, Bruggemann); Specialty of Addiction Medicine, Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney (Bruggemann); Department of Psychiatry and Behavioral Health, Wexner Medical Center, Ohio State University, Columbus (Turner); Tri-Institutional Center for Translational Research in Neuroimaging and Data Science, Georgia State University, Georgia Institute of Technology, Emory University, Atlanta (Calhoun); School of Biomedical Sciences and Pharmacy (Cairns, Scott), Centre for Brain and Mental Health Research (Cairns, Loughland, Schall), School of Medicine and Public Health, College of Health, Medicine, and Wellbeing (Henskens, Rasser), Priority Research Centre for Health Behaviour (Henskens), and School of Psychological Sciences (Michie), University of Newcastle, Callaghan, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia (Cairns, Loughland, Schall); School of Clinical Medicine, Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney (Carr, Green); Neuroscience Research Australia, Randwick (Carr, Green); Department of Psychiatry, Monash University, Clayton, Australia (Carr); School of Medicine, University of Queensland, Brisbane, Australia (Catts); Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne and Melbourne Health, Carlton South, Australia (Di Biase, Klauser, Pantelis, Zalesky); Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston (Di Biase); University of Western Australia, Perth (Jablensky); Hunter Medical Research Institute, Newcastle, Australia (Henskens, Michie); Brain and Mental Health Laboratory, Monash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences and Monash Biomedical Imaging, Monash University, Clayton, Australia (Klauser); Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland (Klauser); Queensland Brain Institute and Queensland Centre for Mental Health Research, University of Queensland, Brisbane, Australia (Mowry); Florey Institute of Neuroscience and Mental Health, Parkville, Australia (Pantelis); Melbourne School of Engineering, University of Melbourne, Parkville, Australia (Zalesky); Section of Psychiatry, Department of Neuroscience (de Bartolomeis, Barone, Ciccarelli), Department of Advanced Biomedical Sciences (Brunetti, Cocozza, Pontillo, Tranfa), and Department of Electrical Engineering and Information Technology (Pontillo), University Federico II, Naples; ASST Papa Giovanni XXIII, Mental Health Department, Bergamo, Italy (Di Giorgio); Imaging Genetics Center, Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles (Thomopoulos, Jahanshad, Thompson).
Abstract summary
The clinical diversity of schizophrenia is reflected by structural brain variability. It remains unclear how this variability manifests across different gray and white matter features. In this meta- and mega-analysis, the authors investigated how brain heterogeneity in schizophrenia is distributed across multimodal structural indicators.The authors used the ENIGMA dataset of MRI-based brain measures from 22 international sites with up to 6,037 individuals for a given brain measure. Variability and mean values of cortical thickness, cortical surface area, cortical folding index, subcortical volume, and fractional anisotropy were examined in individuals with schizophrenia and healthy control subjects.Individuals with schizophrenia showed greater variability in cortical thickness, cortical surface area, subcortical volume, and fractional anisotropy within the frontotemporal and subcortical network. This increased structural variability was mainly associated with psychopathological symptom domains, and the schizophrenia group frequently displayed lower mean values in the respective structural measures. Unexpectedly, folding patterns were more uniform in individuals with schizophrenia, particularly in the right caudal anterior cingulate region. The mean folding values of the right caudal anterior cingulate region did not differ between the schizophrenia and healthy control groups, and folding patterns in this region were not associated with disease-related parameters.In patients with schizophrenia, uniform folding patterns in the right caudal anterior cingulate region contrasted with the multimodal variability in the frontotemporal and subcortical network. While variability in the frontotemporal and subcortical network was associated with disease-related diversity, uniform folding may indicate a less flexible interplay between genetic and environmental factors during neurodevelopment.
Authors & Co-authors:
Omlor Wolfgang W
Rabe Finn F
Fuchs Simon S
Surbeck Werner W
Cecere Giacomo G
Huang Gao-Yang GY
Homan Stephanie S
Kallen Nils N
Georgiadis Foivos F
Spiller Tobias T
Seifritz Erich E
Weickert Thomas T
Bruggemann Jason J
Weickert Cynthia C
Potkin Steven S
Hashimoto Ryota R
Sim Kang K
Rootes-Murdy Kelly K
Quide Yann Y
Houenou Josselin J
Banaj Nerisa N
Vecchio Daniela D
Piras Fabrizio F
Piras Federica F
Spalletta Gianfranco G
Salvador Raymond R
Karuk Andriana A
Pomarol-Clotet Edith E
Rodrigue Amanda A
Pearlson Godfrey G
Glahn David D
Tomecek David D
Spaniel Filip F
Skoch Antonin A
Kirschner Matthias M
Kaiser Stefan S
Kochunov Peter P
Fan Feng-Mei FM
Andreassen Ole A OA
Westlye Lars T LT
Berthet Pierre P
Calhoun Vince D VD
Howells Fleur F
Uhlmann Anne A
Scheffler Freda F
Stein Dan D
Iasevoli Felice F
Cairns Murray J MJ
Carr Vaughan J VJ
Catts Stanley V SV
Di Biase Maria A MA
Jablensky Assen A
Green Melissa J MJ
Henskens Frans A FA
Klauser Paul P
Loughland Carmel C
Michie Patricia T PT
Mowry Bryan B
Pantelis Christos C
Rasser Paul E PE
Schall Ulrich U
Scott Rodney R
Zalesky Andrew A
de Bartolomeis Andrea A
Barone Annarita A
Ciccarelli Mariateresa M
Brunetti Arturo A
Cocozza Sirio S
Pontillo Giuseppe G
Tranfa Mario M
Di Giorgio Annabella A
Thomopoulos Sophia I SI
Jahanshad Neda N
Thompson Paul M PM
van Erp Theo T
Turner Jessica J
Homan Philipp P
Study Outcome
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