PMID- 35152053 OWN - NLM STAT- MEDLINE DCOM- 20220519 LR - 20220617 IS - 2213-1582 (Electronic) IS - 2213-1582 (Linking) VI - 34 DP - 2022 TI - Link between structural connectivity of the medial forebrain bundle, functional connectivity of the ventral tegmental area, and anhedonia in unipolar depression. PG - 102961 LID - S2213-1582(22)00026-2 [pii] LID - 10.1016/j.nicl.2022.102961 [doi] LID - 102961 AB - The ventral tegmental area (VTA), nucleus accumbens (NAcc), and prefrontal cortex (PFC) are essential for experiencing pleasure and initiating motivated behaviour. The VTA, NAcc, and PFC are connected through the medial forebrain bundle (MFB). In humans, two branches have been described: an infero-medial branch (imMFB) and a supero-lateral branch (slMFB). This study aimed to explore the associations between structural connectivity of the MFB, functional connectivity (FC) of the VTA, anhedonia, and depression severity in patients with depression. Fifty-six patients with unipolar depression and 22 healthy controls matched for age, sex, and handedness were recruited at the University Hospital of Psychiatry and Psychotherapy in Bern, Switzerland. Diffusion-weighted imaging and resting-state functional magnetic resonance imaging scans were acquired. Using manual tractography, the imMFB and slMFB were reconstructed bilaterally for each participant. Seed-based resting-state FC was computed from the VTA to the PFC. Hedonic tone was assessed using the Fawcett-Clark Pleasure Scale. We identified reduced tract volume and reduced number of tracts in the left slMFB. There was an increase in FC between the VTA and right medial PFC in patients with depression. Depression severity was associated with reduced tract volume and fewer tracts in the left slMFB. Reduced hedonic tone was associated with reduced tract volume. Conversely, reduced hedonic tone was associated with increased FC between the VTA and the PFC. In conclusion, our results suggest reduced structural connectivity of the slMFB in patients with depression. Increases in FC between the VTA and PFC may be associated with anhedonia or compensatory hyperactivity. CI - Copyright (c) 2022 The Author(s). Published by Elsevier Inc. All rights reserved. FAU - Bracht, Tobias AU - Bracht T AD - Translational Research Center, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. Electronic address: tobias.bracht@upd.unibe.ch. FAU - Mertse, Nicolas AU - Mertse N AD - Translational Research Center, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. FAU - Walther, Sebastian AU - Walther S AD - Translational Research Center, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. FAU - Ludi, Karin AU - Ludi K AD - Translational Research Center, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. FAU - Breit, Sigrid AU - Breit S AD - Translational Research Center, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. FAU - Federspiel, Andrea AU - Federspiel A AD - Translational Research Center, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. FAU - Wiest, Roland AU - Wiest R AD - Institute of Diagnostic and Interventional Neuroradiology, University of Bern, Bern, Switzerland. FAU - Denier, Niklaus AU - Denier N AD - Translational Research Center, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220208 PL - Netherlands TA - Neuroimage Clin JT - NeuroImage. Clinical JID - 101597070 SB - IM MH - Anhedonia MH - *Depressive Disorder/diagnostic imaging/pathology MH - Diffusion Magnetic Resonance Imaging MH - Humans MH - Magnetic Resonance Imaging MH - *Medial Forebrain Bundle/pathology MH - Ventral Tegmental Area/diagnostic imaging PMC - PMC8844724 OTO - NOTNLM OT - Anhedonia OT - Depression OT - Diffusion tensor imaging OT - Functional MRI OT - Medial forebrain bundle OT - Reward system COIS- The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/02/14 06:00 MHDA- 2022/05/20 06:00 PMCR- 2022/02/08 CRDT- 2022/02/13 20:32 PHST- 2021/10/19 00:00 [received] PHST- 2022/01/10 00:00 [revised] PHST- 2022/02/06 00:00 [accepted] PHST- 2022/02/14 06:00 [pubmed] PHST- 2022/05/20 06:00 [medline] PHST- 2022/02/13 20:32 [entrez] PHST- 2022/02/08 00:00 [pmc-release] AID - S2213-1582(22)00026-2 [pii] AID - 102961 [pii] AID - 10.1016/j.nicl.2022.102961 [doi] PST - ppublish SO - Neuroimage Clin. 2022;34:102961. doi: 10.1016/j.nicl.2022.102961. Epub 2022 Feb 8.