PMID- 31009844 OWN - NLM STAT- MEDLINE DCOM- 20200415 LR - 20200415 IS - 1573-2517 (Electronic) IS - 0165-0327 (Linking) VI - 253 DP - 2019 Jun 15 TI - Altered whole brain functional connectivity pattern homogeneity in medication-free major depressive disorder. PG - 18-25 LID - S0165-0327(19)30292-7 [pii] LID - 10.1016/j.jad.2019.04.040 [doi] AB - BACKGROUND: Many previous studies have revealed abnormal functional connectivity patterns between brain areas underlying the onset of major depressive disorder (MDD) using resting-state functional magnetic resonance imaging (rs-fMRI). However, how to exactly characterize the voxel-wise whole brain functional connectivity pattern changes in MDD remains unclear, which will provide more convincing evidence for localizing the exactly functional connectivity abnormality in MDD. METHODS: In this study, we employed our newly developed whole brain functional connectivity homogeneity (FcHo) method to identify the voxel-wise changes of functional connectivity patterns in 27 medication-free MDD patients and 34 gender-, age-, and education level-matched healthy controls (HC). Furthermore, seed-based functional connectivity analysis was then used to identify the alteration of corresponding functional connectivity. RESULTS: Significantly decreased FcHo values in right ventral anterior insula (INS) and medial prefrontal cortex (MPFC) were identified in MDD patients. The ensuing functional connectivity analyses identified decreased functional connectivity between MPFC and left angular gyrus (AG) in MDD patients. Moreover, both decreased FcHo values in INS, MPFC and functional connectivity between MPFC and left AG showed significant negative correlations with Hamilton depression rating scale (HDRS) scores. The FcHo values in INS were also negatively correlated with disease duration. Finally, meta-analysis based functional characterization found that these brain areas are mainly involved in emotion, theory of mind and reward processing. CONCLUSIONS: Our findings revealed abnormal whole brain FcHo in INS and MPFC and functional interactions between MPFC and AG in MDD and suggested that dysfunctions of INS and MPFC play an important role in the neuropathology of MDD. CI - Copyright (c) 2019 Elsevier B.V. All rights reserved. FAU - Wang, Lijie AU - Wang L AD - School of Computer Science and Engineering, University of Electronic Science and Technology of China, Chengdu 611731, China. Electronic address: ljwang@uestc.edu.cn. FAU - Yu, Lin AU - Yu L AD - The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou 510370, China. FAU - Wu, Fengchun AU - Wu F AD - The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou 510370, China; Guangdong Engineering Technology Research Center for Translational Medicine of Mental Disorders, Guangzhou 510370, China. FAU - Wu, Huawang AU - Wu H AD - The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou 510370, China; Guangdong Engineering Technology Research Center for Translational Medicine of Mental Disorders, Guangzhou 510370, China. Electronic address: huawangwu@126.com. FAU - Wang, Jiaojian AU - Wang J AD - School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, 610054, China. Electronic address: jiaojianwang@gmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190408 PL - Netherlands TA - J Affect Disord JT - Journal of affective disorders JID - 7906073 SB - IM MH - Adult MH - Brain/physiopathology MH - Cerebral Cortex/physiopathology MH - Depressive Disorder, Major/*physiopathology/psychology MH - Emotions MH - Female MH - Humans MH - Magnetic Resonance Imaging/*methods MH - Male MH - Middle Aged MH - Parietal Lobe/physiopathology MH - Prefrontal Cortex/physiopathology MH - Reward MH - Theory of Mind OTO - NOTNLM OT - FcHo OT - Functional connectivity OT - Major depressive disorder OT - Resting-state EDAT- 2019/04/23 06:00 MHDA- 2020/04/16 06:00 CRDT- 2019/04/23 06:00 PHST- 2019/02/01 00:00 [received] PHST- 2019/03/11 00:00 [revised] PHST- 2019/04/07 00:00 [accepted] PHST- 2019/04/23 06:00 [pubmed] PHST- 2020/04/16 06:00 [medline] PHST- 2019/04/23 06:00 [entrez] AID - S0165-0327(19)30292-7 [pii] AID - 10.1016/j.jad.2019.04.040 [doi] PST - ppublish SO - J Affect Disord. 2019 Jun 15;253:18-25. doi: 10.1016/j.jad.2019.04.040. Epub 2019 Apr 8.