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Functional reconfiguration of cerebellum-cerebral neural loop in schizophrenia following electroconvulsive therapy
Journal article   Peer reviewed

Functional reconfiguration of cerebellum-cerebral neural loop in schizophrenia following electroconvulsive therapy

Hao Hu, Yuchao Jiang, Mengqing Xia, Yingying Tang, Tianhong Zhang, Huiru Cui, Junjie Wang, Lihua Xu, Adrian Curtin, Jianhua Sheng, …
Psychiatry research. Neuroimaging, v 320, pp 111441-111441
01 Mar 2022
PMID: 35085957

Abstract

Clinical Neurology Life Sciences & Biomedicine Neuroimaging Neurosciences & Neurology Psychiatry Science & Technology
Recent evidence highlights the role of the cerebellum-cerebral loop in the pathophysiology of schizophrenia (SZ). Electroconvulsive therapy (ECT) is clinically applied to augment the effect of antipsychotic drugs. The study aims to address whether the cerebellum-cerebral loop is involved in the mechanisms of ECT's augmentation effect. Forty-two SZ patients and 23 healthy controls (HC) were recruited and scanned using resting-state functional MRI (rs-fMRI). Twenty-one patients received modified ECT plus antipsychotics (MSZ group), and 21 patients took antipsychotics only (DSZ group). All patients were re-scanned four weeks later. Brain functional network was constructed according to the graph theory. The sub-network exhibited longitudinal changes after ECT or medications were constructed. For the MSZ group, a sub-network involving default-mode network and cerebellum showed significant longitudinal changes. For the DSZ group, a different sub-network involving the thalamus, frontal and occipital cortex was found to be altered in the follow-up scan. In addition, the changing FC of the left cerebellar crus2 region was correlated with the changing scores of the psychotic symptoms only in the MSZ group but not in the DSZ group. In conclusion, the cerebral-cerebellum loop is possibly involved in the antipsychotic mechanisms of ECT for schizophrenia.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Clinical Neurology
Neuroimaging
Psychiatry
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