دورية أكاديمية

Overlapping and segregating structural brain abnormalities in twins with schizophrenia or bipolar disorder.

التفاصيل البيبلوغرافية
العنوان: Overlapping and segregating structural brain abnormalities in twins with schizophrenia or bipolar disorder.
المؤلفون: Hulshoff Pol HE; Department of Psychiatry, Rudolf Magnus Institute for Neuroscience, University Medical Center Utrecht, the Netherlands. h.e.hulshoff@umcutrecht.nl, van Baal GC, Schnack HG, Brans RG, van der Schot AC, Brouwer RM, van Haren NE, Lepage C, Collins DL, Evans AC, Boomsma DI, Nolen W, Kahn RS
المصدر: Archives of general psychiatry [Arch Gen Psychiatry] 2012 Apr; Vol. 69 (4), pp. 349-59.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't; Twin Study
اللغة: English
بيانات الدورية: Publisher: American Medical Assn Country of Publication: United States NLM ID: 0372435 Publication Model: Print Cited Medium: Internet ISSN: 1538-3636 (Electronic) Linking ISSN: 0003990X NLM ISO Abbreviation: Arch Gen Psychiatry Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Chicago, American Medical Assn.
مواضيع طبية MeSH: Models, Statistical* , Schizophrenic Psychology*, Bipolar Disorder/*pathology , Brain/*pathology , Diseases in Twins/*pathology , Diseases in Twins/*psychology , Schizophrenia/*pathology, Adult ; Atrophy/genetics ; Atrophy/pathology ; Bipolar Disorder/genetics ; Female ; Gene-Environment Interaction ; Genetic Predisposition to Disease/psychology ; Humans ; Hypertrophy/genetics ; Hypertrophy/pathology ; Magnetic Resonance Imaging/methods ; Male ; Nerve Fibers, Myelinated/pathology ; Netherlands ; Neuroimaging/methods ; Neuroimaging/psychology ; Neuroimaging/statistics & numerical data ; Schizophrenia/genetics ; Twins, Dizygotic/psychology ; Twins, Monozygotic/psychology
مستخلص: Context: The nosologic dichotomy between schizophrenia and bipolar disorder (BD) as formulated by Kraepelin is currently being questioned, stimulated by the finding that schizophrenia and BD partly share a common genetic origin. Although both disorders are characterized by changes in brain structure, family studies suggest more segregating than overlapping neuroanatomical abnormalities in both disorders.
Objectives: To investigate whether patients with schizophrenia and patients with BD display overlapping abnormalities in brain volumes and cortical thickness and whether these are caused by shared genetic or environmental influences.
Design: Magnetic resonance imaging findings of monozygotic (MZ) and dizygotic (DZ) twin pairs discordant for schizophrenia, twin pairs concordant and discordant for BD, and healthy twin pairs were compared using structural equation modeling.
Setting: The Netherlands Twin Register and University Medical Center Utrecht.
Participants: A total of 310 individuals from 158 (152 complete and 6 incomplete) twin pairs were included: 26 pairs discordant for schizophrenia (13 MZ and 13 DZ), 49 pairs with BD (9 MZ and 4 DZ concordant; 14 MZ and 22 DZ discordant), and 83 healthy twin pairs (44 MZ and 39 DZ).
Main Outcome Measures: Estimates of additive genetic and unique environmental associations between schizophrenia and BD with overlapping and nonoverlapping volumes and cortical thickness.
Results: Higher genetic liabilities for schizophrenia and BD were associated with smaller white matter volume, thinner right (and left) parahippocampus, thinner right orbitofrontal cortex, and thicker temporoparietal and left superior motor cortices; higher environmental liabilities were associated with thinner right medial occipital cortex. Genetic liability for schizophrenia was associated with thicker right parietal cortex; for BD, with larger intracranial volume.
Conclusions: Brain structures reflect overlapping and segregating genetic liabilities for schizophrenia and BD. The overlapping smaller white matter volume and common areas of thinner cortex suggest that both disorders share genetic (neurodevelopmental) roots.
تواريخ الأحداث: Date Created: 20120405 Date Completed: 20120612 Latest Revision: 20220223
رمز التحديث: 20221213
DOI: 10.1001/archgenpsychiatry.2011.1615
PMID: 22474104
قاعدة البيانات: MEDLINE
الوصف
تدمد:1538-3636
DOI:10.1001/archgenpsychiatry.2011.1615