PMID- 30520409 OWN - NLM STAT- MEDLINE DCOM- 20200805 LR - 20221207 IS - 1469-8978 (Electronic) IS - 0033-2917 (Linking) VI - 49 IP - 15 DP - 2019 Nov TI - Effect of selective serotonin reuptake inhibitor on prefrontal-striatal connectivity is dependent on the level of TNF-alpha in patients with major depressive disorder. PG - 2608-2616 LID - 10.1017/S0033291718003616 [doi] AB - BACKGROUND: We hypothesize that the tumor necrosis factor-alpha (TNF-alpha) may play a role in disturbing the effect of selective serotonin reuptake inhibitor (SSRI) on the striatal connectivity in patients with major depressive disorder (MDD). METHODS: We performed a longitudinal observation by combining resting-state functional magnetic resonance imaging (rs-fMRI) and biochemical analyses to identify the abnormal striatal connectivity in MDD patients, and to evaluate the effect of TNF-alpha level on these abnormal connectivities during SSRI treatment. Eighty-five rs-fMRI scans were collected from 25 MDD patients and 35 healthy controls, and the scans were repeated for all the patients before and after a 6-week SSRI treatment. Whole-brain voxel-wise functional connectivity (FC) was calculated by correlating the rs-fMRI time courses between each voxel and the striatal seeds (i.e. spherical regions placed at the striatums). The level of TNF-alpha in serum was evaluated by Milliplex assay. Factorial analysis was performed to assess the interaction effects of 'TNF-alpha x treatment' in the regions with between-group FC difference. RESULTS: Compared with controls, MDD patients showed significantly higher striatal FC in the medial prefrontal cortex (MPFC) and bilateral middle/superior temporal cortices before SSRI treatment (p < 0.001, uncorrected). Moreover, a significant interaction effect of 'TNF-alpha x treatment' was found in MPFC-striatum FC in MDD patients (p = 0.002), and the significance remained after adjusted for age, gender, head motion, and episode of disease. CONCLUSION: These findings provide evidence that treatment-related brain connectivity change is dependent on the TNF-alpha level in MDD patients, and the MPFC-striatum connectivities possibly serve as an important target in the brain. FAU - Liu, Kai AU - Liu K AD - School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China. AD - Medical Imaging Department, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Zhao, Xiaohua AU - Zhao X AD - School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China. FAU - Lu, Xiaobing AU - Lu X AD - The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China. FAU - Zhu, Xiaoxia AU - Zhu X AD - School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China. FAU - Chen, Hui AU - Chen H AD - Medical Imaging Department, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Wang, Mengmeng AU - Wang M AD - School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China. FAU - Yan, Weixin AU - Yan W AD - School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China. FAU - Jing, Linlin AU - Jing L AD - TCM Integrated Hospital of Southern Medical University, Southern Medical University, Guangzhou, China. FAU - Deng, Yanjia AU - Deng Y AD - Medical Imaging Department, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Yu, Lin AU - Yu L AD - The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China. FAU - Wu, Huawang AU - Wu H AD - The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China. FAU - Wen, Ge AU - Wen G AD - Medical Imaging Department, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Sun, Xuegang AU - Sun X AD - School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China. AD - Key Laboratory of Ministry of Education for TCM Viscera-State Theory and Applications, Liaoning University of Traditional Chinese Medicine, Shenyang, China. FAU - Lv, Zhiping AU - Lv Z AUID- ORCID: 0000-0003-0025-8098 AD - School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China. LA - eng SI - ChiCTR/ChiCTR-IPR-14005427 PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20181206 PL - England TA - Psychol Med JT - Psychological medicine JID - 1254142 RN - 0 (Serotonin Uptake Inhibitors) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Brain Mapping MH - Case-Control Studies MH - Corpus Striatum/*physiopathology MH - Depressive Disorder, Major/blood/drug therapy/*physiopathology MH - Female MH - Humans MH - Longitudinal Studies MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Prefrontal Cortex/*physiopathology MH - Rest MH - Selective Serotonin Reuptake Inhibitors/*pharmacology MH - Tumor Necrosis Factor-alpha/*blood MH - Young Adult OTO - NOTNLM OT - Major depressive disorder OT - resting-state functional connectivity OT - selective serotonin reuptake inhibitor OT - striatum OT - tumor necrosis factor-alpha EDAT- 2018/12/07 06:00 MHDA- 2020/08/06 06:00 CRDT- 2018/12/07 06:00 PHST- 2018/12/07 06:00 [pubmed] PHST- 2020/08/06 06:00 [medline] PHST- 2018/12/07 06:00 [entrez] AID - S0033291718003616 [pii] AID - 10.1017/S0033291718003616 [doi] PST - ppublish SO - Psychol Med. 2019 Nov;49(15):2608-2616. doi: 10.1017/S0033291718003616. Epub 2018 Dec 6.