PMID- 29272791 OWN - NLM STAT- MEDLINE DCOM- 20180827 LR - 20220330 IS - 1573-2517 (Electronic) IS - 0165-0327 (Linking) VI - 228 DP - 2018 Mar 1 TI - Disrupted functional connectivity of the amygdala is associated with depressive mood in type 2 diabetes patients. PG - 207-215 LID - S0165-0327(17)31493-3 [pii] LID - 10.1016/j.jad.2017.12.012 [doi] AB - BACKGROUND: Type 2 diabetes mellitus (T2DM) and mood disorders share pathophysiological commonalities in the central nervous system. The purpose of this study was to investigate the alterations in amygdala-based emotional processing circuits in T2DM patients with depressive mood using resting-state functional magnetic resonance imaging (rs-fMRI). METHODS: T2DM patients with depressive mood (n = 25), T2DM patients without depressive mood (n = 28) and matched healthy controls (n = 25) underwent neuropsychological testing and rs-fMRI scanning. A seed-based correlation analysis was conducted to reveal the altered functional connectivity (FC) of the amygdala. The bilateral amygdala FC was compared among the three groups. Pearson correlation analyses were performed in a voxel-wise manner to investigate the relationship between amygdala FC and the clinical characteristics. RESULTS: The depressed T2DM patients exhibited the worst performance on the neuropsychological tests among the three groups. Compared to the non-depressed T2DM patients, the depressed T2DM patients showed decreased amygdala FC in the cingulate cortex, inferior frontal gyrus, fusiform gyrus, and precentral gyrus. Moreover, the amygdala FC in the cingulate cortex was associated with the Self-Rating Depression Scale (SDS) score in the T2DM patients. LIMITATIONS: Cross-sectional design. CONCLUSIONS: The current study revealed the cognitive changes and alterations in the amygdala-cingulate functional disconnections in T2DM patients with depressive mood, which will advance the understanding of the neural mechanisms underlying depression in T2DM patients. CI - Copyright (c) 2017 Elsevier B.V. All rights reserved. FAU - Xia, Wenqing AU - Xia W AD - Department of Endocrinology, Nanjing First Hospital, Nanjing Medical University, No. 68, Changle Road, Nanjing 210006, China. FAU - Luo, Yong AU - Luo Y AD - Department of Endocrinology, Nanjing First Hospital, Nanjing Medical University, No. 68, Changle Road, Nanjing 210006, China. FAU - Chen, Yu-Chen AU - Chen YC AD - Department of Radiology, Nanjing First Hospital, Nanjing Medical University, No. 68, Changle Road, Nanjing 210006, China. FAU - Zhang, Danfeng AU - Zhang D AD - Department of Endocrinology, Nanjing First Hospital, Nanjing Medical University, No. 68, Changle Road, Nanjing 210006, China. FAU - Bo, Fan AU - Bo F AD - Department of Radiology, Nanjing First Hospital, Nanjing Medical University, No. 68, Changle Road, Nanjing 210006, China. FAU - Zhou, Peihua AU - Zhou P AD - Department of Endocrinology, Nanjing First Hospital, Nanjing Medical University, No. 68, Changle Road, Nanjing 210006, China. FAU - Chen, Huiyou AU - Chen H AD - Department of Radiology, Nanjing First Hospital, Nanjing Medical University, No. 68, Changle Road, Nanjing 210006, China. FAU - Wang, Fang AU - Wang F AD - Department of Radiology, Nanjing First Hospital, Nanjing Medical University, No. 68, Changle Road, Nanjing 210006, China. FAU - Yin, Xindao AU - Yin X AD - Department of Radiology, Nanjing First Hospital, Nanjing Medical University, No. 68, Changle Road, Nanjing 210006, China. Electronic address: y.163yy@163.com. FAU - Ma, Jianhua AU - Ma J AD - Department of Endocrinology, Nanjing First Hospital, Nanjing Medical University, No. 68, Changle Road, Nanjing 210006, China. Electronic address: majianhua@china.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20171207 PL - Netherlands TA - J Affect Disord JT - Journal of affective disorders JID - 7906073 SB - IM MH - Adult MH - Amygdala/diagnostic imaging/*physiopathology MH - Brain Mapping MH - Cross-Sectional Studies MH - Depression/physiopathology MH - Diabetes Mellitus, Type 2/*physiopathology MH - Emotions/physiology MH - Female MH - Frontal Lobe/physiopathology MH - Gyrus Cinguli/diagnostic imaging/physiopathology MH - Humans MH - Magnetic Resonance Imaging/methods MH - Male MH - Middle Aged MH - Mood Disorders/diagnostic imaging/*physiopathology MH - Neural Pathways/diagnostic imaging/*physiopathology MH - Neuropsychological Tests MH - Prefrontal Cortex/physiopathology MH - Temporal Lobe/diagnostic imaging/physiopathology OTO - NOTNLM OT - Amygdala OT - Depression OT - Functional connectivity OT - Resting-state fMRI OT - Type 2 diabetes mellitus EDAT- 2017/12/23 06:00 MHDA- 2018/08/28 06:00 CRDT- 2017/12/23 06:00 PHST- 2017/07/20 00:00 [received] PHST- 2017/11/18 00:00 [revised] PHST- 2017/12/06 00:00 [accepted] PHST- 2017/12/23 06:00 [pubmed] PHST- 2018/08/28 06:00 [medline] PHST- 2017/12/23 06:00 [entrez] AID - S0165-0327(17)31493-3 [pii] AID - 10.1016/j.jad.2017.12.012 [doi] PST - ppublish SO - J Affect Disord. 2018 Mar 1;228:207-215. doi: 10.1016/j.jad.2017.12.012. Epub 2017 Dec 7.