PMID- 25170032 OWN - NLM STAT- MEDLINE DCOM- 20150818 LR - 20220330 IS - 1745-1701 (Electronic) IS - 0586-7614 (Print) IS - 0586-7614 (Linking) VI - 41 IP - 1 DP - 2015 Jan TI - Abnormal causal connectivity by structural deficits in first-episode, drug-naive schizophrenia at rest. PG - 57-65 LID - 10.1093/schbul/sbu126 [doi] AB - Anatomical deficits and resting-state functional connectivity (FC) alterations in prefrontal-thalamic-cerebellar circuit have been implicated in the neurobiology of schizophrenia. However, the effect of structural deficits in schizophrenia on causal connectivity of this circuit remains unclear. This study was conducted to examine the causal connectivity biased by structural deficits in first-episode, drug-naive schizophrenia patients. Structural and resting-state functional magnetic resonance imaging (fMRI) data were obtained from 49 first-episode, drug-naive schizophrenia patients and 50 healthy controls. Data were analyzed by voxel-based morphometry and Granger causality analysis. The causal connectivity of the integrated prefrontal-thalamic (limbic)-cerebellar (sensorimotor) circuit was partly affected by structural deficits in first-episode, drug-naive schizophrenia as follows: (1) unilateral prefrontal-sensorimotor connectivity abnormalities (increased driving effect from the left medial prefrontal cortex [MPFC] to the sensorimotor regions); (2) bilateral limbic-sensorimotor connectivity abnormalities (increased driving effect from the right anterior cingulate cortex [ACC] to the sensorimotor regions and decreased feedback from the sensorimotor regions to the right ACC); and (3) bilateral increased and decreased causal connectivities among the sensorimotor regions. Some correlations between the gray matter volume of the seeds, along with their causal effects and clinical variables (duration of untreated psychosis and symptom severity), were also observed in the patients. The findings indicated the partial effects of structural deficits in first-episode, drug-naive schizophrenia on the prefrontal-thalamic (limbic)-cerebellar (sensorimotor) circuit. Schizophrenia may reinforce the driving connectivities from the left MPFC or right ACC to the sensorimotor regions and may disrupt bilateral causal connectivities among the sensorimotor regions. CI - (c) The Author 2014. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com. FAU - Guo, Wenbin AU - Guo W AD - Mental Health Center, the First Affiliated Hospital, Guangxi Medical University, Nanning, China; guowenbin76@163.com. FAU - Liu, Feng AU - Liu F AD - Key Laboratory for NeuroInformation of Ministry of Education, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, Sichuan, China; FAU - Liu, Jianrong AU - Liu J AD - Mental Health Center, the First Affiliated Hospital, Guangxi Medical University, Nanning, China; FAU - Yu, Liuyu AU - Yu L AD - Mental Health Center, the First Affiliated Hospital, Guangxi Medical University, Nanning, China; FAU - Zhang, Jian AU - Zhang J AD - Mental Health Center, the First Affiliated Hospital, Guangxi Medical University, Nanning, China; FAU - Zhang, Zhikun AU - Zhang Z AD - Mental Health Center, the First Affiliated Hospital, Guangxi Medical University, Nanning, China; FAU - Xiao, Changqing AU - Xiao C AD - Mental Health Center, the First Affiliated Hospital, Guangxi Medical University, Nanning, China; FAU - Zhai, Jinguo AU - Zhai J AD - School of Mental Health, Jining Medical University, Jining, China; FAU - Zhao, Jingping AU - Zhao J AD - Mental Health Institute of the Second Xiangya Hospital, Key Laboratory of Psychiatry and Mental Health of Hunan Province, Central South University, Changsha, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140828 PL - United States TA - Schizophr Bull JT - Schizophrenia bulletin JID - 0236760 SB - IM MH - Adolescent MH - Adult MH - Brain/pathology/physiopathology MH - Brain Mapping MH - Case-Control Studies MH - Causality MH - Cerebellum/*pathology/physiopathology MH - Female MH - Functional Neuroimaging MH - Gyrus Cinguli/*pathology/physiopathology MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Neural Pathways/*pathology/physiopathology MH - Prefrontal Cortex/*pathology/physiopathology MH - Schizophrenia/*pathology/physiopathology MH - Thalamus/*pathology/physiopathology MH - Young Adult PMC - PMC4266300 OTO - NOTNLM OT - Granger causality analysis OT - causal effect OT - first-episode schizophrenia OT - structural deficits OT - voxel-based morphometry EDAT- 2014/08/30 06:00 MHDA- 2015/08/19 06:00 PMCR- 2016/01/01 CRDT- 2014/08/30 06:00 PHST- 2014/08/30 06:00 [entrez] PHST- 2014/08/30 06:00 [pubmed] PHST- 2015/08/19 06:00 [medline] PHST- 2016/01/01 00:00 [pmc-release] AID - sbu126 [pii] AID - 10.1093/schbul/sbu126 [doi] PST - ppublish SO - Schizophr Bull. 2015 Jan;41(1):57-65. doi: 10.1093/schbul/sbu126. Epub 2014 Aug 28.