PMID- 36147981 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230123 IS - 1664-0640 (Print) IS - 1664-0640 (Electronic) IS - 1664-0640 (Linking) VI - 13 DP - 2022 TI - The alternations of nucleus accumbent in schizophrenia patients with auditory verbal hallucinations during low-frequency rTMS treatment. PG - 971105 LID - 10.3389/fpsyt.2022.971105 [doi] LID - 971105 AB - Low-frequency repetitive transcranial magnetic stimulation (rTMS) has been shown to reduce the severity of auditory verbal hallucinations (AVH) and induce beneficial functional and structural alternations of the brain in schizophrenia patients with AVH. The nucleus accumbens (NAcc) as an important component of the ventral striatum is implicated with the pathology in AVH. However, the induced characteristic patterns of NAcc by low-frequency rTMS in schizophrenia with AVH are seldom explored. We investigated the functional and structural characteristic patterns of NAcc by using seed-based functional connectivity (FC) analysis and gray matter volume (GMV) measurement in schizophrenia patients with AVH during 1 Hz rTMS treatment. Although low-frequency rTMS treatment did not affect the volumetric changes of NAcc, the abnormal FC patterns of NAcc, including increased FC of NAcc with the temporal lobes and decreased FC of NAcc with the frontal cortices in the pretreatment patients compared to healthy controls, were normalized or reversed after treatment. These FC changes were associated with improvements in clinical symptoms and neurocognitive functions. Our findings may extend our understanding of the NAcc in the pathology of schizophrenia with AVH and might be a biomarker of clinical effect for low-frequency rTMS treatment in schizophrenia. CI - Copyright (c) 2022 Xie, Cai, Guan, Wang, Ma, Fang and Wang. FAU - Xie, Yuanjun AU - Xie Y AD - School of Education, Xinyang College, Xinyang, China. AD - Department of Radiology, Xijing Hospital, Air Force Medical University, Xi'an, China. FAU - Cai, Yun AU - Cai Y AD - Department of Neurodevelopment Psychology, School of Psychology, Army Medical University, Chongqing, China. FAU - Guan, Muzhen AU - Guan M AD - Department of Mental Health, Xi'an Medical University, Xi'an, China. FAU - Wang, Zhongheng AU - Wang Z AD - Department of Psychiatry, Xijing Hospital, Air Force Medical University, Xi'an, China. FAU - Ma, Zhujing AU - Ma Z AD - Department of Clinical Psychology, Air Force Medical University, Xi'an, China. FAU - Fang, Peng AU - Fang P AD - Department of Military Medical Psychology, Air Force Medical University, Xi'an, China. FAU - Wang, Huaning AU - Wang H AD - Department of Psychiatry, Xijing Hospital, Air Force Medical University, Xi'an, China. LA - eng PT - Journal Article DEP - 20220906 PL - Switzerland TA - Front Psychiatry JT - Frontiers in psychiatry JID - 101545006 EIN - Front Psychiatry. 2023 Jan 04;13:1118275. PMID: 36683987 PMC - PMC9485869 OTO - NOTNLM OT - auditory verbal hallucination OT - functional connectivity OT - gray matter volume OT - nucleus accumbent OT - repetitive transcranial magnetic stimulation OT - schizophrenia 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- 2022/09/24 06:00 MHDA- 2022/09/24 06:01 PMCR- 2022/09/06 CRDT- 2022/09/23 02:51 PHST- 2022/06/16 00:00 [received] PHST- 2022/08/16 00:00 [accepted] PHST- 2022/09/23 02:51 [entrez] PHST- 2022/09/24 06:00 [pubmed] PHST- 2022/09/24 06:01 [medline] PHST- 2022/09/06 00:00 [pmc-release] AID - 10.3389/fpsyt.2022.971105 [doi] PST - epublish SO - Front Psychiatry. 2022 Sep 6;13:971105. doi: 10.3389/fpsyt.2022.971105. eCollection 2022.