Altered dynamic functional connectivity in antagonistic state in first-episode, drug-naïve patients with major depressive disorder

Abstract Objective Major depressive disorder (MDD) is known to be characterized by disrupted brain functional network connectivity (FNC) patterns, while the dynamic change mode of different functional networks is unclear. This study aimed to characterize specific dynamic alterations pattern on intri...

Full description

Saved in:
Bibliographic Details
Main Authors: Min Wang, Tao Chen, Zhongyi He, Lawrence Wing-Chi Chan, Qinger Guo, Shuyang Cai, Jingfeng Duan, Danbin Zhang, Xunda Wang, Yu Fang, Hong Yang
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-024-06356-0
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846112332462161920
author Min Wang
Tao Chen
Zhongyi He
Lawrence Wing-Chi Chan
Qinger Guo
Shuyang Cai
Jingfeng Duan
Danbin Zhang
Xunda Wang
Yu Fang
Hong Yang
author_facet Min Wang
Tao Chen
Zhongyi He
Lawrence Wing-Chi Chan
Qinger Guo
Shuyang Cai
Jingfeng Duan
Danbin Zhang
Xunda Wang
Yu Fang
Hong Yang
author_sort Min Wang
collection DOAJ
description Abstract Objective Major depressive disorder (MDD) is known to be characterized by disrupted brain functional network connectivity (FNC) patterns, while the dynamic change mode of different functional networks is unclear. This study aimed to characterize specific dynamic alterations pattern on intrinsic FNC in MDD by combining static FNC (sFNC) and dynamic FNC (dFNC). Methods A total of 48 first-episode drug-naïve MDD and 48 matched healthy controls (HCs) were included in this study. The sFNC and dFNC were analyzed using complete time-series and sliding window approach, respectively. Both sFNC and dFNC differences between groups were analyzed and associations between disease severity and aberrant FNC were explored. Results MDD patients exhibited lower sFNC within and between sensory and motor networks than HC. Four dFNC states were identified, including a globally-weakly-connected state, a cognitive-control-dominated state, a globally-positively-connected state, and an antagonistic state. The antagonistic state was marked by strong positive connections within the sensorimotor domain and their anti-correlations with the executive-motor control domain. Notably, MDD patients exhibited significantly longer dwell time in the globally-weakly-connected state, at the cost of significantly shorter dwell time in the antagonistic state. Further, only the mean dwell time of this antagonistic state was significantly anticorrelated to disease severity measures. Conclusions Our study highlights the altered dynamics of the antagonistic state as a fundamental aspect of disrupted FNC in early MDD.
format Article
id doaj-art-3dda3b71bcbd466a9f89c5ed68ccab12
institution Kabale University
issn 1471-244X
language English
publishDate 2024-12-01
publisher BMC
record_format Article
series BMC Psychiatry
spelling doaj-art-3dda3b71bcbd466a9f89c5ed68ccab122024-12-22T12:40:18ZengBMCBMC Psychiatry1471-244X2024-12-0124111310.1186/s12888-024-06356-0Altered dynamic functional connectivity in antagonistic state in first-episode, drug-naïve patients with major depressive disorderMin Wang0Tao Chen1Zhongyi He2Lawrence Wing-Chi Chan3Qinger Guo4Shuyang Cai5Jingfeng Duan6Danbin Zhang7Xunda Wang8Yu Fang9Hong Yang10Key Laboratory for Biomedical Engineering of Ministry of Education, College of Biomedical Engineering and Instrument Science, Zhejiang UniversityDepartment of Radiology, College of Medicine, The First Affiliated Hospital, Zhejiang UniversityKey Laboratory for Biomedical Engineering of Ministry of Education, College of Biomedical Engineering and Instrument Science, Zhejiang UniversityDepartment of Health Technology and Informatics, Hong Kong Polytechnic UniversityDepartment of Radiology, College of Medicine, The First Affiliated Hospital, Zhejiang UniversityDepartment of Radiology, College of Medicine, The First Affiliated Hospital, Zhejiang UniversityDepartment of Psychiatry, College of Medicine, The First Affiliated Hospital, Zhejiang UniversityDepartment of Radiology, College of Medicine, The First Affiliated Hospital, Zhejiang UniversityDepartment of Psychiatry & Behavioral Sciences, Stanford University School of MedicineDepartment of Radiology, College of Medicine, The First Affiliated Hospital, Zhejiang UniversityDepartment of Radiology, College of Medicine, The First Affiliated Hospital, Zhejiang UniversityAbstract Objective Major depressive disorder (MDD) is known to be characterized by disrupted brain functional network connectivity (FNC) patterns, while the dynamic change mode of different functional networks is unclear. This study aimed to characterize specific dynamic alterations pattern on intrinsic FNC in MDD by combining static FNC (sFNC) and dynamic FNC (dFNC). Methods A total of 48 first-episode drug-naïve MDD and 48 matched healthy controls (HCs) were included in this study. The sFNC and dFNC were analyzed using complete time-series and sliding window approach, respectively. Both sFNC and dFNC differences between groups were analyzed and associations between disease severity and aberrant FNC were explored. Results MDD patients exhibited lower sFNC within and between sensory and motor networks than HC. Four dFNC states were identified, including a globally-weakly-connected state, a cognitive-control-dominated state, a globally-positively-connected state, and an antagonistic state. The antagonistic state was marked by strong positive connections within the sensorimotor domain and their anti-correlations with the executive-motor control domain. Notably, MDD patients exhibited significantly longer dwell time in the globally-weakly-connected state, at the cost of significantly shorter dwell time in the antagonistic state. Further, only the mean dwell time of this antagonistic state was significantly anticorrelated to disease severity measures. Conclusions Our study highlights the altered dynamics of the antagonistic state as a fundamental aspect of disrupted FNC in early MDD.https://doi.org/10.1186/s12888-024-06356-0Major depressive disorderDynamic functional connectivityNetwork antagonismResting-state functional magnetic resonance imaging
spellingShingle Min Wang
Tao Chen
Zhongyi He
Lawrence Wing-Chi Chan
Qinger Guo
Shuyang Cai
Jingfeng Duan
Danbin Zhang
Xunda Wang
Yu Fang
Hong Yang
Altered dynamic functional connectivity in antagonistic state in first-episode, drug-naïve patients with major depressive disorder
BMC Psychiatry
Major depressive disorder
Dynamic functional connectivity
Network antagonism
Resting-state functional magnetic resonance imaging
title Altered dynamic functional connectivity in antagonistic state in first-episode, drug-naïve patients with major depressive disorder
title_full Altered dynamic functional connectivity in antagonistic state in first-episode, drug-naïve patients with major depressive disorder
title_fullStr Altered dynamic functional connectivity in antagonistic state in first-episode, drug-naïve patients with major depressive disorder
title_full_unstemmed Altered dynamic functional connectivity in antagonistic state in first-episode, drug-naïve patients with major depressive disorder
title_short Altered dynamic functional connectivity in antagonistic state in first-episode, drug-naïve patients with major depressive disorder
title_sort altered dynamic functional connectivity in antagonistic state in first episode drug naive patients with major depressive disorder
topic Major depressive disorder
Dynamic functional connectivity
Network antagonism
Resting-state functional magnetic resonance imaging
url https://doi.org/10.1186/s12888-024-06356-0
work_keys_str_mv AT minwang altereddynamicfunctionalconnectivityinantagonisticstateinfirstepisodedrugnaivepatientswithmajordepressivedisorder
AT taochen altereddynamicfunctionalconnectivityinantagonisticstateinfirstepisodedrugnaivepatientswithmajordepressivedisorder
AT zhongyihe altereddynamicfunctionalconnectivityinantagonisticstateinfirstepisodedrugnaivepatientswithmajordepressivedisorder
AT lawrencewingchichan altereddynamicfunctionalconnectivityinantagonisticstateinfirstepisodedrugnaivepatientswithmajordepressivedisorder
AT qingerguo altereddynamicfunctionalconnectivityinantagonisticstateinfirstepisodedrugnaivepatientswithmajordepressivedisorder
AT shuyangcai altereddynamicfunctionalconnectivityinantagonisticstateinfirstepisodedrugnaivepatientswithmajordepressivedisorder
AT jingfengduan altereddynamicfunctionalconnectivityinantagonisticstateinfirstepisodedrugnaivepatientswithmajordepressivedisorder
AT danbinzhang altereddynamicfunctionalconnectivityinantagonisticstateinfirstepisodedrugnaivepatientswithmajordepressivedisorder
AT xundawang altereddynamicfunctionalconnectivityinantagonisticstateinfirstepisodedrugnaivepatientswithmajordepressivedisorder
AT yufang altereddynamicfunctionalconnectivityinantagonisticstateinfirstepisodedrugnaivepatientswithmajordepressivedisorder
AT hongyang altereddynamicfunctionalconnectivityinantagonisticstateinfirstepisodedrugnaivepatientswithmajordepressivedisorder