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Biotypes of major depressive disorder: Neuroimaging evidence from resting-state default mode network patterns.


ABSTRACT:

Background

Major depressive disorder (MDD) is heterogeneous disorder associated with aberrant functional connectivity within the default mode network (DMN). This study focused on data-driven identification and validation of potential DMN-pattern-based MDD subtypes to parse heterogeneity of the disorder.

Methods

The sample comprised 1397 participants including 690 patients with MDD and 707 healthy controls (HC) registered from multiple sites based on the REST-meta-MDD Project in China. Baseline resting-state functional magnetic resonance imaging (rs-fMRI) data was recorded for each participant. Discriminative features were selected from DMN between patients and HC. Patient subgroups were defined by K-means and principle component analysis in the multi-site datasets and validated in an independent single-site dataset. Statistical significance of resultant clustering were confirmed. Demographic and clinical variables were compared between identified patient subgroups.

Results

Two MDD subgroups with differing functional connectivity profiles of DMN were identified in the multi-site datasets, and relatively stable in different validation samples. The predominant dysfunctional connectivity profiles were detected among superior frontal cortex, ventral medial prefrontal cortex, posterior cingulate cortex and precuneus, whereas one subgroup exhibited increases of connectivity (hyperDMN MDD) and another subgroup showed decreases of connectivity (hypoDMN MDD). The hyperDMN subgroup in the discovery dataset had age-related severity of depressive symptoms. Patient subgroups had comparable demographic and clinical symptom variables.

Conclusions

Findings suggest the existence of two neural subtypes of MDD associated with different dysfunctional DMN connectivity patterns, which may provide useful evidence for parsing heterogeneity of depression and be valuable to inform the search for personalized treatment strategies.

SUBMITTER: Liang S 

PROVIDER: S-EPMC7724374 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Publications

Biotypes of major depressive disorder: Neuroimaging evidence from resting-state default mode network patterns.

Liang Sugai S   Deng Wei W   Li Xiaojing X   Greenshaw Andrew J AJ   Wang Qiang Q   Li Mingli M   Ma Xiaohong X   Bai Tong-Jian TJ   Bo Qi-Jing QJ   Cao Jun J   Chen Guan-Mao GM   Chen Wei W   Cheng Chang C   Cheng Yu-Qi YQ   Cui Xi-Long XL   Duan Jia J   Fang Yi-Ru YR   Gong Qi-Yong QY   Guo Wen-Bin WB   Hou Zheng-Hua ZH   Hu Lan L   Kuang Li L   Li Feng F   Li Kai-Ming KM   Liu Yan-Song YS   Liu Zhe-Ning ZN   Long Yi-Cheng YC   Luo Qing-Hua QH   Meng Hua-Qing HQ   Peng Dai-Hui DH   Qiu Hai-Tang HT   Qiu Jiang J   Shen Yue-Di YD   Shi Yu-Shu YS   Si Tian-Mei TM   Wang Chuan-Yue CY   Wang Fei F   Wang Kai K   Wang Li L   Wang Xiang X   Wang Ying Y   Wu Xiao-Ping XP   Wu Xin-Ran XR   Xie Chun-Ming CM   Xie Guang-Rong GR   Xie Hai-Yan HY   Xie Peng P   Xu Xiu-Feng XF   Yang Hong H   Yang Jian J   Yu Hua H   Yao Jia-Shu JS   Yao Shu-Qiao SQ   Yin Ying-Ying YY   Yuan Yong-Gui YG   Zang Yu-Feng YF   Zhang Ai-Xia AX   Zhang Hong H   Zhang Ke-Rang KR   Zhang Zhi-Jun ZJ   Zhao Jing-Ping JP   Zhou Ru-Bai RB   Zhou Yi-Ting YT   Zou Chao-Jie CJ   Zuo Xi-Nian XN   Yan Chao-Gan CG   Li Tao T  

NeuroImage. Clinical 20201128


<h4>Background</h4>Major depressive disorder (MDD) is heterogeneous disorder associated with aberrant functional connectivity within the default mode network (DMN). This study focused on data-driven identification and validation of potential DMN-pattern-based MDD subtypes to parse heterogeneity of the disorder.<h4>Methods</h4>The sample comprised 1397 participants including 690 patients with MDD and 707 healthy controls (HC) registered from multiple sites based on the REST-meta-MDD Project in Ch  ...[more]

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