Distinguishable brain networks relate disease susceptibility to symptom expression in schizophrenia
Author(s)
Type
Journal Article
Abstract
Disease association studies have characterized altered resting-state functional connectivities describing schizophrenia, but failed to model symptom expression well. We developed a model that could account for symptom severity and meanwhile relate this to disease-related functional pathology. We correlated BOLD signal across brain regions and tested separately for associations with disease (disease edges) and with symptom severity (symptom edges) in a prediction-based scheme. We then integrated them in an "edge bi-color" graph, and adopted mediation analysis to test for causality between the disease and symptom networks and symptom scores. For first-episode schizophrenics (FES, 161 drug-naïve patients and 150 controls), the disease network (with inferior frontal gyrus being the hub) and the symptom-network (posterior occipital-parietal cortex being the hub) were found to overlap in the temporal lobe. For chronic schizophrenis (CS, 69 medicated patients and 62 controls), disease network was dominated by thalamocortical connectivities, and overlapped with symptom network in the middle frontal gyrus. We found that symptom network mediates the relationship between disease network and symptom scores in FEP, but was unable to define a relationship between them for the smaller CS population. Our results suggest that the disease network distinguishing core functional pathology in resting-state brain may be responsible for symptom expression in FES through a wider brain network associated with core symptoms. We hypothesize that top-down control from heteromodal prefrontal cortex to posterior transmodal cortex contributes to positive symptoms of schizophrenia. Our work also suggests differences in mechanisms of symptom expression between FES and CS, highlighting a need to distinguish between these groups.
Date Issued
2018-09-01
Date Acceptance
2018-04-06
Citation
Human Brain Mapping, 2018, 39 (9), pp.3503-3515
ISSN
1065-9471
Publisher
Wiley
Start Page
3503
End Page
3515
Journal / Book Title
Human Brain Mapping
Volume
39
Issue
9
Copyright Statement
© 2018 Owner. This is the accepted version of the following article: Liu, Z, Zhang, J, Zhang, K, et al. Distinguishable brain networks relate disease susceptibility to symptom expression in schizophrenia. Hum Brain Mapp. 2018; 39: 3503– 3515. https://doi.org/10.1002/hbm.24190, which has been published in final form at https://doi.org/10.1002/hbm.24190.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/29691943
Subjects
disease association study
functional brain network
resting-state fMRI
schizophrenia
symptom association study
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2018-04-24