PMID- 35250436 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220502 IS - 1662-4548 (Print) IS - 1662-453X (Electronic) IS - 1662-453X (Linking) VI - 15 DP - 2021 TI - Altered Brain Functional Asymmetry in Patients With Major Depressive Disorder Related to Gastrointestinal Symptoms. PG - 797598 LID - 10.3389/fnins.2021.797598 [doi] LID - 797598 AB - OBJECTIVE: Disrupted brain functional asymmetry has been reported in major depressive disorder (MDD). The comorbidity may be a crucial factor to this functional asymmetry. It is quite common that gastrointestinal (GI) symptoms are comorbid with MDD, but limited evidence focuses on the effect of GI comorbidity on the neuropathology of MDD from a functional lateralization perspective. METHODS: Resting-state functional magnetic resonance imaging was obtained in 28 healthy controls (HCs), 35 MDD patients with GI symptoms (GI-MDD patients), and 17 patients with MDD without GI symptoms (nGI-MDD patients). The parameter of asymmetry (PAS) was used to analyze the imaging data and evaluate the changes of functional asymmetry. RESULTS: The GI-MDD patients showed increased PAS scores in the left inferior frontal gyrus (IFG) and superior medial prefrontal cortex (MPFC) and decreased PAS scores in the right postcentral gyrus in comparison with nGI-MDD patients. The PAS scores of the left IFG and left superior MPFC were correlated with the severity of GI problems and could be applied to distinguish GI-MDD patients from nGI-MDD patients with an accuracy, a sensitivity, and a specificity of 92.31, 100, and 76.47%, respectively. Furthermore, GI-MDD and nGI-MDD patients both displayed increased PAS scores in the PCC/precuneus. CONCLUSIONS: This study revealed the influence of concomitant GI symptoms on functional asymmetry in MDD patients. Increased PAS scores of the left IFG and superior MPFC might represent an unbalanced regulation of brain over GI function and had the potential to be regarded as distinctive features related to functional GI symptoms in MDD. CI - Copyright (c) 2022 Fu, Ding, Chen, Liu, Li, Zhao and Guo. FAU - Fu, Xiaoya AU - Fu X AD - National Clinical Research Center for Mental Disorders, Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, China. FAU - Ding, Yudan AU - Ding Y AD - National Clinical Research Center for Mental Disorders, Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, China. FAU - Chen, Jindong AU - Chen J AD - National Clinical Research Center for Mental Disorders, Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, China. FAU - Liu, Feng AU - Liu F AD - Department of Radiology, Tianjin Medical University General Hospital, Tianjin, China. FAU - Li, Huabing AU - Li H AD - Department of Radiology, The Second Xiangya Hospital of Central South University, Changsha, China. FAU - Zhao, Jingping AU - Zhao J AD - National Clinical Research Center for Mental Disorders, Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, China. FAU - Guo, Wenbin AU - Guo W AD - National Clinical Research Center for Mental Disorders, Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, China. AD - Department of Psychiatry, The Third People's Hospital of Foshan, Foshan, China. LA - eng PT - Journal Article DEP - 20220217 PL - Switzerland TA - Front Neurosci JT - Frontiers in neuroscience JID - 101478481 PMC - PMC8891942 OTO - NOTNLM OT - asymmetry OT - gastrointestinal (GI) symptoms OT - interhemispheric connectivity OT - major depressive disorder (MDD) OT - parameter of asymmetry (PAS) COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/03/08 06:00 MHDA- 2022/03/08 06:01 PMCR- 2021/01/01 CRDT- 2022/03/07 06:01 PHST- 2021/10/19 00:00 [received] PHST- 2021/12/22 00:00 [accepted] PHST- 2022/03/07 06:01 [entrez] PHST- 2022/03/08 06:00 [pubmed] PHST- 2022/03/08 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fnins.2021.797598 [doi] PST - epublish SO - Front Neurosci. 2022 Feb 17;15:797598. doi: 10.3389/fnins.2021.797598. eCollection 2021.