PMID- 23800464 OWN - NLM STAT- MEDLINE DCOM- 20140422 LR - 20130910 IS - 1878-4216 (Electronic) IS - 0278-5846 (Linking) VI - 46 DP - 2013 Oct 1 TI - Is there a cerebellar compensatory effort in first-episode, treatment-naive major depressive disorder at rest? PG - 13-8 LID - S0278-5846(13)00120-6 [pii] LID - 10.1016/j.pnpbp.2013.06.009 [doi] AB - BACKGROUND: This study was undertaken to explore whether there is a cerebellar compensatory response in patients with first-episode, treatment-naive major depressive disorder (MDD). The cerebellar compensatory response is defined as a cerebellar hyperactivity which would be inversely correlated with both the activation of the functionally connected cerebral regions and the depression severity. METHODS: Resting-state functional magnetic resonance imaging (fMRI) data of 24 patients with MDD and 24 healthy subjects were analyzed with the fractional amplitude of low-frequency fluctuations (fALFF) and functional connectivity (FC) methods. The structural images were processed with the voxel-based morphometry (VBM) method. RESULTS: Compared to healthy controls, depressed patients had significantly increased fALFF in the left Crus I and the left cerebellar lobule VI. FC analysis of these two seeded regions found that depressed patients had increased FC between the left Crus I and the right hippocampus, but had decreased FC between the left Crus I and the left inferior parietal lobule (IPL), and between the left cerebellar lobule VI and bilateral inferior temporal gyrus. No correlation was observed between the abnormal fALFF of the seeds and their connected regions and the depression severity or the executive function. The VBM results did not show significant reduction in gray or white matter volume in any above-mentioned region. CONCLUSIONS: Our findings suggest that increased cerebellar activity at resting state may be a disease state phenomenon but not a compensatory response to the dysfunction of the default mode network (DMN) in MDD. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Guo, Wenbin AU - Guo W AD - Mental Health Center, the First Affiliated Hospital, Guangxi Medical University; Nanning, Guangxi 530021, China. Electronic address: guowenbin76@163.com. FAU - Liu, Feng AU - Liu F FAU - Liu, Jianrong AU - Liu J FAU - Yu, Liuyu AU - Yu L FAU - Zhang, Zhikun AU - Zhang Z FAU - Zhang, Jian AU - Zhang J FAU - Chen, Huafu AU - Chen H FAU - Xiao, Changqing AU - Xiao C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130623 PL - England TA - Prog Neuropsychopharmacol Biol Psychiatry JT - Progress in neuro-psychopharmacology & biological psychiatry JID - 8211617 SB - IM MH - Adolescent MH - Adult MH - Cerebellum/*metabolism/pathology MH - Depressive Disorder, Major/*diagnosis/*metabolism MH - Executive Function/*physiology MH - Female MH - Humans MH - Magnetic Resonance Imaging/methods MH - Male MH - Rest/*physiology MH - Young Adult OTO - NOTNLM OT - AAL OT - Anatomical Automatic Labeling OT - BOLD OT - CSF OT - Cerebellum OT - DMN OT - DPARSF OT - Data Processing Assistant for Resting-State fMRI OT - Default mode network OT - EPI OT - FC OT - FD OT - FOV OT - FWHM OT - Fractional amplitude of low-frequency fluctuations OT - Functional connectivity OT - GM OT - GRF OT - GSReg OT - Gaussian Random Field OT - HRSD OT - Hamilton Rating Scale for Depression OT - IPL OT - MDD OT - MPFC OT - MPRAGE OT - Major depressive disorder OT - PCC/PCu OT - ROI OT - TI OT - TR/TE OT - VBM OT - VMHC OT - WCST OT - WM OT - Wisconsin Card Sorting Test OT - blood oxygen level-dependent OT - cerebrospinal fluid OT - default mode network OT - echo-planar imaging OT - fALFF OT - fMRI OT - field of view OT - fractional amplitude of low-frequency fluctuations OT - framewise displacement OT - full width at half maximum OT - functional connectivity OT - functional magnetic resonance imaging OT - global signal regression OT - gray matter OT - inferior parietal lobule OT - inversion time OT - magnetization-prepared rapid gradient echo OT - major depressive disorder OT - medial prefrontal cortex OT - posterior cingulate cortex/precuneus OT - region of interest OT - repetition time/echo time OT - voxel-based morphometry OT - voxel-mirrored homotopic connectivity OT - white matter EDAT- 2013/06/27 06:00 MHDA- 2014/04/23 06:00 CRDT- 2013/06/27 06:00 PHST- 2013/05/05 00:00 [received] PHST- 2013/06/04 00:00 [revised] PHST- 2013/06/13 00:00 [accepted] PHST- 2013/06/27 06:00 [entrez] PHST- 2013/06/27 06:00 [pubmed] PHST- 2014/04/23 06:00 [medline] AID - S0278-5846(13)00120-6 [pii] AID - 10.1016/j.pnpbp.2013.06.009 [doi] PST - ppublish SO - Prog Neuropsychopharmacol Biol Psychiatry. 2013 Oct 1;46:13-8. doi: 10.1016/j.pnpbp.2013.06.009. Epub 2013 Jun 23.