Dynamic functional connectivity changes associated with psychiatric traits and cognitive deficits in Cushing’s disease
Abstract Cushing’s disease is a rare neuroendocrine disorder with excessive endogenous cortisol, impaired cognition, and psychiatric symptoms. Evidence from resting-state fMRI revealed the abnormalities of static brain connectivity in patients with Cushing’s disease (CD patients). However, it is unk...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nature Publishing Group
2023-10-01
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| Series: | Translational Psychiatry |
| Online Access: | https://doi.org/10.1038/s41398-023-02615-y |
| _version_ | 1797451443316195328 |
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| author | Zhebin Feng Haitao Zhang Tao Zhou Xinguang Yu Yanyang Zhang Xinyuan Yan |
| author_facet | Zhebin Feng Haitao Zhang Tao Zhou Xinguang Yu Yanyang Zhang Xinyuan Yan |
| author_sort | Zhebin Feng |
| collection | DOAJ |
| description | Abstract Cushing’s disease is a rare neuroendocrine disorder with excessive endogenous cortisol, impaired cognition, and psychiatric symptoms. Evidence from resting-state fMRI revealed the abnormalities of static brain connectivity in patients with Cushing’s disease (CD patients). However, it is unknown whether the CD patients’ dynamic functional connectivity would be abnormal and whether the dynamic features are associated with deficits in cognition and psychopathological symptoms. Here, we evaluated 50 patients with Cushing’s disease and 57 healthy participants by using resting-state fMRI and dynamic functional connectivity (dFNC) approach. We focused on the dynamic features of default mode network (DMN), salience network (SN), and central executive network (CEN) because these are binding sites for the cognitive-affective process, as well as vital in understanding the pathophysiology of psychiatric disorders. The dFNC was further clustered into four states by k-mean clustering. CD patients showed more dwell time in State 1 but less time in State 4. Intriguingly, group differences in dwell time in these two states can explain the cognitive deficits of CD patients. Moreover, the inter-network connections between DMN and SN and the engagement time in State 4 negatively correlated with anxiety and depression but positively correlated with cognitive performance. Finally, the classifier trained by the dynamic features of these networks successfully classified CD patients from healthy participants. Together, our study revealed the dynamic features of CD patients’ brains and found their associations with impaired cognition and emotional symptoms, which may open new avenues for understanding the cognitive and affective deficits induced by Cushing’s disease. |
| first_indexed | 2024-03-09T14:53:45Z |
| format | Article |
| id | doaj.art-f6d7c250a8154897aa8f25a9b9dc0578 |
| institution | Directory Open Access Journal |
| issn | 2158-3188 |
| language | English |
| last_indexed | 2024-03-09T14:53:45Z |
| publishDate | 2023-10-01 |
| publisher | Nature Publishing Group |
| record_format | Article |
| series | Translational Psychiatry |
| spelling | doaj.art-f6d7c250a8154897aa8f25a9b9dc05782023-11-26T14:19:17ZengNature Publishing GroupTranslational Psychiatry2158-31882023-10-0113111010.1038/s41398-023-02615-yDynamic functional connectivity changes associated with psychiatric traits and cognitive deficits in Cushing’s diseaseZhebin Feng0Haitao Zhang1Tao Zhou2Xinguang Yu3Yanyang Zhang4Xinyuan Yan5Department of Neurosurgery, Chinese PLA General Hospital, Haidian DistrictDepartment of Respiratory Medicine, Anhui Provincial Children’s HospitalDepartment of Neurosurgery, Chinese PLA General Hospital, Haidian DistrictDepartment of Neurosurgery, Chinese PLA General Hospital, Haidian DistrictDepartment of Neurosurgery, Chinese PLA General Hospital, Haidian DistrictDepartment of Psychiatry, University of Minnesota Medical SchoolAbstract Cushing’s disease is a rare neuroendocrine disorder with excessive endogenous cortisol, impaired cognition, and psychiatric symptoms. Evidence from resting-state fMRI revealed the abnormalities of static brain connectivity in patients with Cushing’s disease (CD patients). However, it is unknown whether the CD patients’ dynamic functional connectivity would be abnormal and whether the dynamic features are associated with deficits in cognition and psychopathological symptoms. Here, we evaluated 50 patients with Cushing’s disease and 57 healthy participants by using resting-state fMRI and dynamic functional connectivity (dFNC) approach. We focused on the dynamic features of default mode network (DMN), salience network (SN), and central executive network (CEN) because these are binding sites for the cognitive-affective process, as well as vital in understanding the pathophysiology of psychiatric disorders. The dFNC was further clustered into four states by k-mean clustering. CD patients showed more dwell time in State 1 but less time in State 4. Intriguingly, group differences in dwell time in these two states can explain the cognitive deficits of CD patients. Moreover, the inter-network connections between DMN and SN and the engagement time in State 4 negatively correlated with anxiety and depression but positively correlated with cognitive performance. Finally, the classifier trained by the dynamic features of these networks successfully classified CD patients from healthy participants. Together, our study revealed the dynamic features of CD patients’ brains and found their associations with impaired cognition and emotional symptoms, which may open new avenues for understanding the cognitive and affective deficits induced by Cushing’s disease.https://doi.org/10.1038/s41398-023-02615-y |
| spellingShingle | Zhebin Feng Haitao Zhang Tao Zhou Xinguang Yu Yanyang Zhang Xinyuan Yan Dynamic functional connectivity changes associated with psychiatric traits and cognitive deficits in Cushing’s disease Translational Psychiatry |
| title | Dynamic functional connectivity changes associated with psychiatric traits and cognitive deficits in Cushing’s disease |
| title_full | Dynamic functional connectivity changes associated with psychiatric traits and cognitive deficits in Cushing’s disease |
| title_fullStr | Dynamic functional connectivity changes associated with psychiatric traits and cognitive deficits in Cushing’s disease |
| title_full_unstemmed | Dynamic functional connectivity changes associated with psychiatric traits and cognitive deficits in Cushing’s disease |
| title_short | Dynamic functional connectivity changes associated with psychiatric traits and cognitive deficits in Cushing’s disease |
| title_sort | dynamic functional connectivity changes associated with psychiatric traits and cognitive deficits in cushing s disease |
| url | https://doi.org/10.1038/s41398-023-02615-y |
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