Convergent imaging-transcriptomic evidence for disturbed iron homeostasis in Gilles de la Tourette syndrome

Gilles de la Tourette syndrome (GTS) is a neuropsychiatric movement disorder with reported abnormalities in various neurotransmitter systems. Considering the integral role of iron in neurotransmitter synthesis and transport, it is hypothesized that iron exhibits a role in GTS pathophysiology. As a s...

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Main Authors: Ahmad Seif Kanaan, Dongmei Yu, Riccardo Metere, Andreas Schäfer, Torsten Schlumm, Berkin Bilgic, Alfred Anwander, Carol A. Mathews, Jeremiah M. Scharf, Kirsten Müller-Vahl, Harald E. Möller
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Neurobiology of Disease
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S096999612300267X
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author Ahmad Seif Kanaan
Dongmei Yu
Riccardo Metere
Andreas Schäfer
Torsten Schlumm
Berkin Bilgic
Alfred Anwander
Carol A. Mathews
Jeremiah M. Scharf
Kirsten Müller-Vahl
Harald E. Möller
author_facet Ahmad Seif Kanaan
Dongmei Yu
Riccardo Metere
Andreas Schäfer
Torsten Schlumm
Berkin Bilgic
Alfred Anwander
Carol A. Mathews
Jeremiah M. Scharf
Kirsten Müller-Vahl
Harald E. Möller
author_sort Ahmad Seif Kanaan
collection DOAJ
description Gilles de la Tourette syndrome (GTS) is a neuropsychiatric movement disorder with reported abnormalities in various neurotransmitter systems. Considering the integral role of iron in neurotransmitter synthesis and transport, it is hypothesized that iron exhibits a role in GTS pathophysiology. As a surrogate measure of brain iron, quantitative susceptibility mapping (QSM) was performed in 28 patients with GTS and 26 matched controls. Significant susceptibility reductions in the patients, consistent with reduced local iron content, were obtained in subcortical regions known to be implicated in GTS. Regression analysis revealed a significant negative association of tic scores and striatal susceptibility. To interrogate genetic mechanisms that may drive these reductions, spatially specific relationships between susceptibility and gene-expression patterns from the Allen Human Brain Atlas were assessed. Correlations in the striatum were enriched for excitatory, inhibitory, and modulatory neurochemical signaling mechanisms in the motor regions, mitochondrial processes driving ATP production and iron‑sulfur cluster biogenesis in the executive subdivision, and phosphorylation-related mechanisms affecting receptor expression and long-term potentiation in the limbic subdivision. This link between susceptibility reductions and normative transcriptional profiles suggests that disruptions in iron regulatory mechanisms are involved in GTS pathophysiology and may lead to pervasive abnormalities in mechanisms regulated by iron-containing enzymes.
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spelling doaj.art-a201deedc1a74284a6ca033aa2163b692023-08-31T05:00:29ZengElsevierNeurobiology of Disease1095-953X2023-09-01185106252Convergent imaging-transcriptomic evidence for disturbed iron homeostasis in Gilles de la Tourette syndromeAhmad Seif Kanaan0Dongmei Yu1Riccardo Metere2Andreas Schäfer3Torsten Schlumm4Berkin Bilgic5Alfred Anwander6Carol A. Mathews7Jeremiah M. Scharf8Kirsten Müller-Vahl9Harald E. Möller10Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany; Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hannover, Germany; Corresponding authors at: Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstraße 1A, 04103 Leipzig, Germany.Center for Human Genetics Research, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USAMax Planck Institute for Human Cognitive and Brain Sciences, Leipzig, GermanyMax Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany; Siemens Healthcare GmbH, Diagnostic Imaging, Magnetic Resonance, Research and Development, Erlangen, GermanyMax Planck Institute for Human Cognitive and Brain Sciences, Leipzig, GermanyHarvard Medical School, Boston, MA, USA; Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, MA, USA; Harvard-MIT Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, USAMax Planck Institute for Human Cognitive and Brain Sciences, Leipzig, GermanyDepartment of Psychiatry, Center for OCD, Anxiety, and Related Disorders, College of Medicine, University of Florida, Gainesville, FL, USACenter for Human Genetics Research, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USADepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hannover, GermanyMax Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany; Corresponding authors at: Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstraße 1A, 04103 Leipzig, Germany.Gilles de la Tourette syndrome (GTS) is a neuropsychiatric movement disorder with reported abnormalities in various neurotransmitter systems. Considering the integral role of iron in neurotransmitter synthesis and transport, it is hypothesized that iron exhibits a role in GTS pathophysiology. As a surrogate measure of brain iron, quantitative susceptibility mapping (QSM) was performed in 28 patients with GTS and 26 matched controls. Significant susceptibility reductions in the patients, consistent with reduced local iron content, were obtained in subcortical regions known to be implicated in GTS. Regression analysis revealed a significant negative association of tic scores and striatal susceptibility. To interrogate genetic mechanisms that may drive these reductions, spatially specific relationships between susceptibility and gene-expression patterns from the Allen Human Brain Atlas were assessed. Correlations in the striatum were enriched for excitatory, inhibitory, and modulatory neurochemical signaling mechanisms in the motor regions, mitochondrial processes driving ATP production and iron‑sulfur cluster biogenesis in the executive subdivision, and phosphorylation-related mechanisms affecting receptor expression and long-term potentiation in the limbic subdivision. This link between susceptibility reductions and normative transcriptional profiles suggests that disruptions in iron regulatory mechanisms are involved in GTS pathophysiology and may lead to pervasive abnormalities in mechanisms regulated by iron-containing enzymes.http://www.sciencedirect.com/science/article/pii/S096999612300267XGene expressionIronMagnetic susceptibilityMRISubcortical brainTourette syndrome
spellingShingle Ahmad Seif Kanaan
Dongmei Yu
Riccardo Metere
Andreas Schäfer
Torsten Schlumm
Berkin Bilgic
Alfred Anwander
Carol A. Mathews
Jeremiah M. Scharf
Kirsten Müller-Vahl
Harald E. Möller
Convergent imaging-transcriptomic evidence for disturbed iron homeostasis in Gilles de la Tourette syndrome
Neurobiology of Disease
Gene expression
Iron
Magnetic susceptibility
MRI
Subcortical brain
Tourette syndrome
title Convergent imaging-transcriptomic evidence for disturbed iron homeostasis in Gilles de la Tourette syndrome
title_full Convergent imaging-transcriptomic evidence for disturbed iron homeostasis in Gilles de la Tourette syndrome
title_fullStr Convergent imaging-transcriptomic evidence for disturbed iron homeostasis in Gilles de la Tourette syndrome
title_full_unstemmed Convergent imaging-transcriptomic evidence for disturbed iron homeostasis in Gilles de la Tourette syndrome
title_short Convergent imaging-transcriptomic evidence for disturbed iron homeostasis in Gilles de la Tourette syndrome
title_sort convergent imaging transcriptomic evidence for disturbed iron homeostasis in gilles de la tourette syndrome
topic Gene expression
Iron
Magnetic susceptibility
MRI
Subcortical brain
Tourette syndrome
url http://www.sciencedirect.com/science/article/pii/S096999612300267X
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