PMID- 32818534 OWN - NLM STAT- MEDLINE DCOM- 20220120 LR - 20220120 IS - 1878-4216 (Electronic) IS - 0278-5846 (Linking) VI - 108 DP - 2021 Jun 8 TI - Disrupted rich-club network organization and individualized identification of patients with major depressive disorder. PG - 110074 LID - S0278-5846(20)30390-0 [pii] LID - 10.1016/j.pnpbp.2020.110074 [doi] AB - BACKGROUND: Altered structural and functional brain networks have been extensively studied in major depressive disorder (MDD) patients. However, whether the differential connectivity patterns in the rich-club organization, assessed from structural brain network analyses, and the associated connections of these regions are particularly susceptible to depression remain unclear. METHODS: We acquired resting-state functional magnetic resonance imaging (R-fMRI) and diffusion tensor imaging (DTI) from 31 unmedicated MDD patients and 32 cognitively normal (CN) subjects and completed a series of neuropsychological tests. Rich-club organization, network properties, and coupling between structural and functional connectivity (SC-FC) were explored. Furthermore, whether these indices could potentially deliver effective clinical predictive value for MDD patients were examined. RESULTS: The MDD patients showed disrupted structural rich-club organization and modularity, as well as a distinct correlation pattern between global efficiency and rich-club organization. Importantly, reduced SC-FC coupling, reflecting a decreased agreement in the integrity of the networks, was significantly associated with the strength of structural rich-club connections in the MDD patients. Furthermore, the disrupted structural rich-club organization, which was primarily located in the default mode network (DMN) and executive control network (ECN), emerged as a valuable indicator to distinguish between MDD and CN. CONCLUSIONS: Findings of this study identified that the disrupted rich-club structural organization significantly influenced brain structural network modularity and integrity and could serve as a promising biological marker for the identification of MDD patients. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Liu, Xinyi AU - Liu X AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu 210009, China. FAU - He, Cancan AU - He C AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu 210009, China. FAU - Fan, Dandan AU - Fan D AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu 210009, China. FAU - Zhu, Yao AU - Zhu Y AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu 210009, China. FAU - Zang, Feifei AU - Zang F AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu 210009, China. FAU - Wang, Qing AU - Wang Q AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu 210009, China. FAU - Zhang, Haisan AU - Zhang H AD - Psychology School of Xinxiang Medical University, Xinxiang, Henan 453003, China; Xinxiang Key Laboratory of Multimodal Brain Imaging, Henan Provincial Mental Hospital, Xinxiang Medical University, Xinxiang, Henan 45300, China; Department of Psychiatry, Henan Provincial Mental Hospital, Xinxiang Medical University, Xinxiang, Henan 45300, China. FAU - Zhang, Zhijun AU - Zhang Z AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu 210009, China; Neuropsychiatric Institute, Affiliated ZhongDa Hospital, Southeast University, Nanjing, Jiangsu 210009, China. FAU - Zhang, Hongxing AU - Zhang H AD - Psychology School of Xinxiang Medical University, Xinxiang, Henan 453003, China; Xinxiang Key Laboratory of Multimodal Brain Imaging, Henan Provincial Mental Hospital, Xinxiang Medical University, Xinxiang, Henan 45300, China; Department of Psychiatry, Henan Provincial Mental Hospital, Xinxiang Medical University, Xinxiang, Henan 45300, China. Electronic address: ZHX166666@163.com. FAU - Xie, Chunming AU - Xie C AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu 210009, China; Neuropsychiatric Institute, Affiliated ZhongDa Hospital, Southeast University, Nanjing, Jiangsu 210009, China. Electronic address: chmxie@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200818 PL - England TA - Prog Neuropsychopharmacol Biol Psychiatry JT - Progress in neuro-psychopharmacology & biological psychiatry JID - 8211617 SB - IM MH - Adult MH - Brain/*diagnostic imaging/physiopathology MH - Connectome/methods MH - Depressive Disorder, Major/*diagnostic imaging/physiopathology/psychology MH - Diffusion Tensor Imaging/*methods MH - Female MH - Humans MH - Magnetic Resonance Imaging/methods MH - Male MH - Nerve Net/*diagnostic imaging/physiopathology MH - *Support Vector Machine OTO - NOTNLM OT - Brain structural connectome OT - Major depressive disorder OT - Network efficiency OT - Rich club organization EDAT- 2020/08/21 06:00 MHDA- 2022/01/21 06:00 CRDT- 2020/08/21 06:00 PHST- 2020/01/31 00:00 [received] PHST- 2020/07/14 00:00 [revised] PHST- 2020/08/10 00:00 [accepted] PHST- 2020/08/21 06:00 [pubmed] PHST- 2022/01/21 06:00 [medline] PHST- 2020/08/21 06:00 [entrez] AID - S0278-5846(20)30390-0 [pii] AID - 10.1016/j.pnpbp.2020.110074 [doi] PST - ppublish SO - Prog Neuropsychopharmacol Biol Psychiatry. 2021 Jun 8;108:110074. doi: 10.1016/j.pnpbp.2020.110074. Epub 2020 Aug 18.