Peripheral Interleukin-18 Is Negatively Correlated With Abnormal Brain Activity In Patients With Depression: A Resting-State fMRI Study

Abstract Background: Interleukin-18 (IL-18) may participate in the development of major depressive disorder, but the specific mechanism remains unclear. This study aimed to explore whether IL-18 correlates with areas of the brain associated with depression.Methods: Using a case-control design, 68 subjects (34 patients and 34 healthy controls) underwent clinical assessment, blood sampling, and resting-state functional Magnetic Resonance Imaging (fMRI). The total Hamilton depression-17 (HAMD-17) score was used to assess depression severity. Enzyme-linked immunosorbent assay (ELISA) was used to detect IL-18 levels. Rest-state fMRI was conducted to explore the spontaneous brain activity. Results: The level of IL-18 was higher in patients with depression in comparison with health controls. IL-18 and degree centrality (DC) were negatively correlated with the left posterior cingulate gyrus in the depression patient group, but no correlation was found in the healthy control group. Conclusion: This study suggests the involvement of IL-18 in the pathophysiological mechanism for depression and interference with brain activity.

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Distinguishing hypochondriasis and schizophrenia using regional homogeneity: a resting-state fMRI study and support vector machine analysis

Acta Neuropsychiatrica ◽

10.1017/neu.2021.9 ◽

2021 ◽

pp. 1-29

Author(s):

Kangyu Jin ◽

Zhe Shen ◽

Guoxun Feng ◽

Zhiyong Zhao ◽

Jing Lu ◽

...

Keyword(s):

Cognitive Function ◽

Resting State ◽

Parietal Lobe ◽

Brain Activity ◽

Resting State Fmri ◽

Brain Regions ◽

Regional Homogeneity ◽

Middle Temporal Gyrus ◽

Support Vector ◽

Fmri Study

Abstract Objective: A few former studies suggested there are partial overlaps in abnormal brain structure and cognitive function between Hypochondriasis (HS) and schizophrenia (SZ). But their differences in brain activity and cognitive function were unclear. Methods: 21 HS patients, 23 SZ patients, and 24 healthy controls (HC) underwent Resting-state functional magnetic resonance imaging (rs-fMRI) with the regional homogeneity analysis (ReHo), subsequently exploring the relationship between ReHo value and cognitive functions. The support vector machines (SVM) were used on effectiveness evaluation of ReHo for differentiating HS from SZ. Results: Compared with HC, HS showed significantly increased ReHo values in right middle temporal gyrus (MTG), left inferior parietal lobe (IPL) and right fusiform gyrus (FG), while SZ showed increased ReHo in left insula, decreased ReHo values in right paracentral lobule. Additionally, HS showed significantly higher ReHo values in FG, MTG and left paracentral lobule but lower in insula than SZ. The higher ReHo values in insula were associated with worse performance in MCCB in HS group. SVM analysis showed a combination of the ReHo values in insula and FG was able to satisfactorily distinguish the HS and SZ patients. Conclusion: our results suggested the altered default mode network (DMN), of which abnormal spontaneous neural activity occurs in multiple brain regions, might play a key role in the pathogenesis of HS, and the resting-state alterations of insula closely related to cognitive dysfunction in HS. Furthermore, the combination of the ReHo in FG and insula was a relatively ideal indicator to distinguish HS from SZ.

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