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    Home > Active Ingredient News > Study of Nervous System > Cereb Cortex—The brain imprint of the default mode network in the treatment of depression in electroconvulsion

    Cereb Cortex—The brain imprint of the default mode network in the treatment of depression in electroconvulsion

    • Last Update: 2022-10-01
    • Source: Internet
    • Author: User
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    Written by Wang Jiaojian, Li Yuanyuan

    Editor-in-Charge – Wang Sizhen Editor – Yang Binwei's
    major depressive disorder (MDD) is a common mental illness characterized
    by low mood, despair, pessimism, lack of pleasure and ruminative thinking.


    According to previous research by Andrews-Hanna et al.
    [9], a total of 11 DMN brain regions were defined, and due to the functional heterogeneity of DMNs, DMNs are divided into three distinct subsystems (Figure 1), the core (core) subsystem, including anterior medial prefrontal cortex (aMPFC) and posterior cingulate cortex,PCC)

    The remaining 9 regions make up 2 subsystems, the medial temporal lobe (MTL) subsystem, including ventral medial prefrontal cortex (VMPFC), posterior inferior parietal lobe (pIPL), and retrosplenial cortex, Rsp), parahippocampal (PHC) and hippocampal formation (HF+); The dorsal medial prefrontal cortex (DMPFC) subsystem, including dMPFC, temporoparietal junction (TPJ), lateral temporal cortex (LTC), and temporal pole (TempP).


    The dMPFC subsystem is primarily concerned with the evaluation and feedback of the outcomes of existing behaviors, which are related to social cognition; The MTL subsystem is related to autobiographical memory, and the MTL subsystem participates when decision-making involves constructing mental scenes based on memory; The core subsystem of the central axis is functionally connected to the remaining two subsystems and is closely related
    to the self-referential effect and emotional decision-making.



    Figure 1 Definition of brain regions and subsystems of the default network (Source: Li, YY.


    (Source: Li,YY.
    et al.
    , Cerebral Cortex, 2022)



    Finally, the authors explore whether sFC and dFC prior to treatment in MDD patients can predict treatment outcomes for ECT
    .


    (Source: Li,YY.



    The study evaluated how electroconvulsive shock therapy (ECT) affects static and dynamic functional interactions within the default mode network (DMN) of patients with major depressive disorder (MDD) and the genetic mechanisms
    of ECT's effect on DMN.


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    References (swipe up and down to read)


    [1] Joshi, S.
    H.
    , et al.
    , Structural Plasticity of the Hippocampus and Amygdala Induced by Electroconvulsive Therapy in Major Depression.
    Biol Psychiatry, 2016.
    79(4): p.
    282-92.

    [2] Wang, J.
    , et al.
    , Improved and residual functional abnormalities in major depressive disorder after electroconvulsive therapy.
    Progress in Neuro-Psychopharmacology and Biological Psychiatry, 2020.
    100: p.
    109888.

    [3] Wang, J.
    , et al.
    , Electroconvulsive therapy selectively enhanced feedforward connectivity from fusiform face area to amygdala in major depressive disorder.
    Soc Cogn Affect Neurosci, 2017.
    12(12): p.
    1983-1992.

    [4] Wang, J.
    , et al.
    , Functional reorganization of intra- and internetwork connectivity in major depressive disorder after electroconvulsive therapy.
    Hum Brain Mapp, 2018.
    39(3): p.
    1403-1411.

    [5] Yan, C.
    G.
    , et al.
    , Reduced default mode network functional connectivity in patients with recurrent major depressive disorder.
    Proc Natl Acad Sci U S A, 2019.
    116(18): p.
    9078-9083.

    [6] Greicius, M.
    D.
    , et al.
    , Resting-state functional connectivity in major depression: abnormally increased contributions from subgenual cingulate cortex and thalamus.
    Biol Psychiatry, 2007.
    62(5): p.
    429-37.

    [7] Kaiser, R.
    H.
    , et al.
    , Large-Scale Network Dysfunction in Major Depressive Disorder: A Meta-analysis of Resting-State Functional Connectivity.
    JAMA Psychiatry, 2015.
    72(6): p.
    603-11.

    [8] Yuanyuan Li, Yue Li, Qiang Wei, Tongjian Bai, Kai Wang, Jiaojian Wang, Yanghua Tian,

    Mapping intrinsic functional network topological architecture in major depression disorder after electroconvulsive therapy,Journal of Affective Disorders, Volume 311,2022, Pages 103-109 ,

    [9] Andrews-Hanna, J.
    R.
    , et al.
    , Functional-anatomic fractionation of the brain's default network.
    Neuron, 2010.
    65(4): p.
    550-62.


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