PMID- 36376250 OWN - NLM STAT- MEDLINE DCOM- 20230123 LR - 20230415 IS - 1600-0447 (Electronic) IS - 0001-690X (Print) IS - 0001-690X (Linking) VI - 147 IP - 2 DP - 2023 Feb TI - White matter microstructure in habit and reward circuits in anorexia nervosa: Insights from a neurite orientation dispersion and density imaging study. PG - 134-144 LID - 10.1111/acps.13521 [doi] AB - BACKGROUND: Behavioral features of anorexia nervosa (AN) suggest abnormalities in reward and habit. Neuroimaging evidence suggests morphometric and functional perturbations within these circuits, although fewer studies have assessed white matter characteristics in AN, and no studies to date have assessed white matter microstructure in AN. METHODS: In this brain imaging study, 29 female adolescents with partially or fully weight-restored AN and 27 healthy controls, all between 10 and 19 years, underwent whole-brain multi-shell diffusion tensor imaging. Utilizing neurite orientation dispersion and density imaging methods, we investigated group differences in white matter neurite density, orientation dispersion, and myelin density in tracts between prominent nodes of the reward circuit (ventral tegmental area (VTA) to nucleus accumbens (NAcc)) and the habit circuit (sensory motor area [SMA] to putamen). RESULTS: Findings revealed reduced neurite (F = 5.20, p = 0.027) and myelin density (F = 5.39, p = 0.025) in the left VTA-NAcc tract, and reduced orientation dispersion in the left (F = 7.00, p = 0.011) and right (F = 6.77, p = 0.012) VTA-NAcc tract. There were no significant group differences in the SMA-putamen tract. Significant relationships, after corrections, were not evident between tract microstructure and reward responsiveness, compulsive behaviors, illness duration, or BMI. CONCLUSIONS: Adolescents with AN exhibit less dense, undermyelinated, and less dispersed white matter tracts connecting prominent reward system nodes, which could potentially signify underutilization of this part of the reward circuit. These results provide a detailed examination of white matter microstructure in tracts underlying instrumental behavioral phenotypes contributing to illness in AN. CI - (c) 2022 The Authors. Acta Psychiatrica Scandinavica published by John Wiley & Sons Ltd. FAU - Murray, Stuart B AU - Murray SB AUID- ORCID: 0000-0002-5588-2915 AD - Department of Psychiatry & Behavioral Sciences, University of Southern California, Los Angeles, California, USA. FAU - Cabeen, Ryan P AU - Cabeen RP AUID- ORCID: 0000-0002-1372-3588 AD - Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles, California, USA. FAU - Jann, Kay AU - Jann K AUID- ORCID: 0000-0003-3574-0538 AD - Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles, California, USA. FAU - Tadayonnejad, Reza AU - Tadayonnejad R AD - Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California, USA. AD - Computation & Neural Systems program, California Institute of Technology, Pasadena, California, USA. FAU - Strober, Michael AU - Strober M AUID- ORCID: 0000-0001-9134-317X AD - Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California, USA. FAU - Feusner, Jamie D AU - Feusner JD AUID- ORCID: 0000-0002-0391-345X AD - Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California, USA. AD - Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. AD - Centre for Addiction and Mental Health, Toronto, Ontario, Canada. AD - Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden. LA - eng GR - K23 MH115184/MH/NIMH NIH HHS/United States GR - R01 MH105662/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20221124 PL - United States TA - Acta Psychiatr Scand JT - Acta psychiatrica Scandinavica JID - 0370364 SB - IM MH - Female MH - Humans MH - *White Matter/diagnostic imaging MH - Neurites MH - Diffusion Tensor Imaging/methods MH - *Anorexia Nervosa/diagnostic imaging MH - Brain MH - Habits MH - Reward PMC - PMC9852024 MID - NIHMS1849568 OTO - NOTNLM OT - anorexia nervosa OT - eating disorders OT - neurite orientatio dispersion density imaging OT - white matter COIS- The authors all declare that they have no competing interests. EDAT- 2022/11/15 06:00 MHDA- 2023/01/24 06:00 PMCR- 2023/04/13 CRDT- 2022/11/14 22:42 PHST- 2022/11/01 00:00 [received] PHST- 2022/11/04 00:00 [accepted] PHST- 2022/11/15 06:00 [pubmed] PHST- 2023/01/24 06:00 [medline] PHST- 2022/11/14 22:42 [entrez] PHST- 2023/04/13 00:00 [pmc-release] AID - ACPS13521 [pii] AID - 10.1111/acps.13521 [doi] PST - ppublish SO - Acta Psychiatr Scand. 2023 Feb;147(2):134-144. doi: 10.1111/acps.13521. Epub 2022 Nov 24.