PMID- 26880358 OWN - NLM STAT- MEDLINE DCOM- 20161219 LR - 20181113 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 6 DP - 2016 Feb 16 TI - Individual Variations in Nucleus Accumbens Responses Associated with Major Depressive Disorder Symptoms. PG - 21227 LID - 10.1038/srep21227 [doi] LID - 21227 AB - Abnormal reward-related responses in the nucleus accumbens (NAcc) have been reported for major depressive disorder (MDD) patients. However, variability exists in the reported results, which could be due to heterogeneity in neuropathology of depression. To parse the heterogeneity of MDD we investigated variation of NAcc responses to gain and loss anticipations using fMRI. We found NAcc responses to monetary gain and loss were significantly variable across subjects in both MDD and healthy control (HC) groups. The variations were seen as a hyperactive response subtype that showed elevated activation to the anticipation of both gain and loss, an intermediate response with greater activation to gain than loss, and a suppressed-activity with reduced activation to both gain and loss compared to a non-monetary condition. While these response variability were seen in both MDD and HC subjects, specific symptoms were significantly associated with the right NAcc variation in MDD. Both the hyper- and suppressed-activity subtypes of MDD patients had severe suicidal ideation and anhedonia symptoms. The intermediate subjects had less severity in these symptoms. These results suggest that differing propensities in reward responsiveness in the NAcc may affect the development of specific symptoms in MDD. FAU - Misaki, Masaya AU - Misaki M AD - Laureate Institute for Brain Research, Tulsa, OK, United States. FAU - Suzuki, Hideo AU - Suzuki H AD - Laureate Institute for Brain Research, Tulsa, OK, United States. FAU - Savitz, Jonathan AU - Savitz J AD - Laureate Institute for Brain Research, Tulsa, OK, United States. AD - Faculty of Community Medicine, University of Tulsa, Tulsa, OK, United States. FAU - Drevets, Wayne C AU - Drevets WC AD - Laureate Institute for Brain Research, Tulsa, OK, United States. AD - Janssen Pharmaceuticals, LCC, of Johnson &Johnson, Inc., Titusville, NJ, USA. FAU - Bodurka, Jerzy AU - Bodurka J AD - Laureate Institute for Brain Research, Tulsa, OK, United States. AD - Center for Biomedical Engineering, University of Oklahoma, Norman, OK, United States. AD - College of Engineering, University of Oklahoma, Norman, OK, United States. LA - eng GR - R01 MH098099/MH/NIMH NIH HHS/United States GR - R01MH098099/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20160216 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 SB - IM MH - Adult MH - Case-Control Studies MH - Depressive Disorder, Major/*diagnosis/*physiopathology MH - Female MH - Humans MH - Image Interpretation, Computer-Assisted MH - Image Processing, Computer-Assisted MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Nucleus Accumbens/*physiopathology MH - Young Adult PMC - PMC4754797 COIS- Wayne Drevets, M.D. is an employee of Johnson & Johnson, Inc., Jonathan Savitz, Ph.D. has received research funding from Janssen Pharmaceuticals for an independent study. Other authors have no financial interests to report. EDAT- 2016/02/18 06:00 MHDA- 2016/12/20 06:00 PMCR- 2016/02/16 CRDT- 2016/02/17 06:00 PHST- 2015/11/11 00:00 [received] PHST- 2016/01/18 00:00 [accepted] PHST- 2016/02/17 06:00 [entrez] PHST- 2016/02/18 06:00 [pubmed] PHST- 2016/12/20 06:00 [medline] PHST- 2016/02/16 00:00 [pmc-release] AID - srep21227 [pii] AID - 10.1038/srep21227 [doi] PST - epublish SO - Sci Rep. 2016 Feb 16;6:21227. doi: 10.1038/srep21227.