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Dannlowski, U.

Publications and source records attributed to Dannlowski, U..

At least 19 recordsLinked to original sources

Multi-Methodological Characterization of Sleep Deprivation: From Standard EEG Power Spectra to Aperiodic Dynamics in Humans and Mice.

Sleep deprivation is a potent, rapid-acting therapeutic intervention for major depressive disorder, yet its underlying neural mechanisms remain poorly understood, hindering the development of predictive biomarkers. Here, we systematically characterize the electro-physiological signatures of prolonged wakefulness using a multi-methodological approach across three independent datasets in humans and mice. By integrating standard power spectral density analysis with aperiodic component fitting (SpecParam) and highly compar-ative time-series analysis (HCTSA), we identified robust cross-species biomarkers of sleep pressure. Machine learning models revealed that theta power is the most consistent feature for differentiating control and sleep deprivation states, achieving up to 90% classification accuracy. Sleep deprivation significantly increased the spectral offset - suggesting global cortical hyperexcitation - while simultaneously steepening the spectral slope. We interpret this simultaneous shift as a state uncoordinated state of hyperexcited and inefficient neu-ral processing. These findings establish reproducible EEG markers of sleep deprivation that transcend species. Given the clinical utility of wake therapy, we propose that prefrontal the-ta power and spectral offset/slope may serve as mechanism-based predictors of therapeu-tic response. Our results provide a framework for the clinical validation of these biomarkers, potentially enabling personalized chronotherapeutic interventions for psychiatric disorders.

neuroscience↗

Secure Attachment despite Childhood Maltreatment: Behavioral and Neural Correlates of Interpersonal Resilience

BackgroundChildhood maltreatment is a traumatic interpersonal stressor that increases vulnerability for depression in adulthood. However, some individuals show secure attachment despite childhood maltreatment, a pattern that can be described as interpersonal resilience. The present study examined the behavioral and neural correlates of interpersonal resilience, defined as secure attachment in adults exposed to childhood maltreatment. MethodsWe analyzed structural 3T MRI data from 1,317 adults, including healthy participants and individuals with partially or fully remitted major depression. Gray matter volume was estimated from structural MRI data using voxel-based morphometry. Attachment style and childhood maltreatment were assessed using the Relationship Scales Questionnaire and the Childhood Trauma Questionnaire, respectively. A 2x2 design (childhood maltreatment by attachment style) tested main and interaction effects on behavioral outcomes and brain structure. ResultsInterpersonally resilient individuals with secure attachment and maltreatment reported significantly better mental health outcomes compared to insecurely attached adults with maltreatment. Differences included lower self-reported and rater-based depressive symptoms, lower global symptom severity, and higher global functioning. In the neuroimaging analyses, we identified a significant childhood maltreatment by attachment style interaction in the left supramarginal gyrus, with larger gray matter volume in resilient individuals compared to all other groups. This effect remained robust across multiple sensitivity analyses, controlling for medication load, antidepressant intake, diagnosis group, as well as in a complementary dimensional analysis. ConclusionsThe results identify a potential neural correlate of interpersonal resilience. Larger gray matter volume in the left supramarginal gyrus, a region previously implicated in perspective taking and self-other distinction among other functions, may be relevant to more adaptive interpersonal functioning after early adversity. Together with the robust behavioral effects, these findings are consistent with secure attachment as a protective factor that may be associated with attenuated effects of childhood maltreatment on mental health.

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Brain anatomy and molecular signaling predict neurophysiological dynamics across the lifespan

Neural activity emerges from interactions between local cellular architecture, neuromodulatory systems, and large-scale cortical networks. Yet it remains unclear how this multiscale biological context constrains electrophysiological dynamics in humans and how this changes across the lifespan. We combined resting-state magnetoencephalography (MEG) from 350 adults (18-88 years) with cortical maps reflecting cytoarchitecture, myelination, metabolism, gene expression, and neurotransmitter receptors in a multivariate prediction framework. Specific markers explained most regional variance in MEG power spectra and temporal autocorrelation, similarly for both measures, revealing frequency- and timescale-specific signatures that followed canonical spectral boundaries. Age-related MEG patterns spatially aligned with markers of neuroinflammation, monoaminergic-cholinergic signaling, cortical development and myelination, and cerebrovascular organization. This work identifies key components of an anatomical and molecular scaffold and their relative importance for neural activity across the lifespan, informing future experimental perturbations and generative models.

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Structural Brain Network Alterations in Relation to Treatment and Illness Severity in Bipolar Disorder

BackgroundLarge-scale T1-weighted MRI studies have established grey-matter abnormalities in bipolar disorder (BD), with our group contributing to consensus findings. However, structural connectivity, particularly within emotion- and reward-related circuits, remains poorly understood. Diffusion-weighted MRI (dMRI) enables investigation of white-matter pathways, yet prior work is constrained by small samples, methodological heterogeneity, and unclear medication effects. We conducted the largest dMRI network analysis in BD, relating symptom burden and polypharmacy to tractography-derived connectivity and graph-theoretic metrics. MethodsCross-sectional structural and diffusion MRI scans from 449 individuals with BD (35.7{+/-}12.6 years) and 510 controls (33.3{+/-}12.6 years), aged 18-65, were analyzed across 16 ENIGMA-BD sites. Standardized segmentation/parcellation and constrained spherical deconvolution tractography generated individual structural connectivity matrices. Graph-theoretic metrics of global and subnetwork organization were related to symptom severity and medications. ResultsBD showed widespread network alterations (lower density and efficiency, longer path length, and higher betweenness centrality), altered microstructural organization in a limbic-basal ganglia circuit, and abnormal streamline counts in a default-mode/salience/fronto-limbic-basal ganglia network. Longer illness duration, later onset, and psychosis history were associated with greater abnormalities in network architecture, whereas more manic episodes were associated with greater fronto-limbic connectivity. Antidepressant (particularly SSRI), anticonvulsant, and antipsychotic use related to poorer global and fronto-limbic connectivity; no clear lithium effects emerged. ConclusionsAs the largest structural connectivity study in BD, we reveal widespread disruption in reward and emotion-regulation networks influenced by illness severity and medication use. Results show that multisite harmonization is feasible and highlight ENIGMA-BD as a scalable framework for identifying reproducible neurobiological markers.

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Interpretable Hierarchical RNNs for rs-fMRI: Promise and Limits of Individualized Brain Dynamics

Modeling individual brain dynamics from resting-state fMRI (rs-fMRI) remains challenging due to substantial inter-subject variability, noise, and limited data length per subject. Here, we systematically evaluate whether hierarchical shallow piecewise-linear recurrent neural networks (shPLRNNs), recently introduced as interpretable dynamical system reconstruction models, can generate individualized rs-fMRI time series while preserving subject-specific functional connectivity structure. We applied the framework to 1,423 rs-fMRI samples from healthy participants of the Marburg-Munster Affective Disorders Cohort Study (MACS). Simulated rs-fMRI data reproduced substantial empirical FC structure, with comparable reconstruction accuracy on the validation and held-out test sets. Generalization to unseen individuals was heterogeneous and strongly depended on how typical a subjects connectivity pattern was relative to the training cohort, with template similarity explaining 37% of variance in reconstruction accuracy. Learned subject-specific parameters exhibited significant test-retest stability and higher within-subject than between-subject similarity on longitudinal data from two different timepoints, supporting their interpretation as individualized dynamical markers. Associations between individual parameters and demographic or cognitive variables were statistically significant but modest in effect size, and predictive performance remained below that obtained using empirical rs-fMRI features directly. Empirical FC was used as a reference for static subject information rather than as a target to be outperformed. Together, these results suggest that hierarchical shPLRNNs can extract meaningful and partially stable individual-specific dynamical structure from rs-fMRI data. The findings delineate key trade-offs between model expressivity, generalization and subject specificity, and point to directions for future methodological refinement in individualized brain modeling. Graphical AbstractA hierarchical dynamical RNN captures substantial individual rs-fMRI functional connectivity structure using compact subject-specific parameters embedded in shared population dynamics. The resulting representations generalize to held-out subjects and show test-retest stability, but only modest associations with phenotypic variables. O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=150 SRC="FIGDIR/small/713153v3_ufig1.gif" ALT="Figure 1"> View larger version (61K): org.highwire.dtl.DTLVardef@1b029edorg.highwire.dtl.DTLVardef@90bdd6org.highwire.dtl.DTLVardef@9f6b77org.highwire.dtl.DTLVardef@486c9e_HPS_FORMAT_FIGEXP M_FIG C_FIG

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Lifestyle, Early-life, and Genetic Health Risk Factors Underlying the Brain Age Gap: A Mega-Analysis Across 3,934 Individuals from the ENIGMA MDD Consortium

BackgroundLarge-scale studies show that adults with major depressive disorder (MDD) generally have a higher imaging-predicted age relative to their chronological age (i.e., positive brain age gap) compared to controls, though considerable within-group variation exists. This study examines lifestyle, early-life, and genetic health risk factors contributing to the brain age gap. Identifying risk and resilience factors could help protect brain and mental health. MethodsUsing an established model trained on FreeSurfer-derived brain regions (www.photon-ai.com/enigma_brainage), we generated brain age predictions for 1,846 controls and 2,088 individuals with MDD (aged 18-75) from 12 international cohorts. Polygenic risk scores (PRS) were calculated for major depression, C-reactive protein, and body mass index (BMI) using large-scale GWAS results. Linear mixed models were applied to assess lifestyle (BMI, smoking, education), early-life childhood trauma, and genetic (PRS) health risk associations with the brain age gap. Additionally, we evaluated the link between the brain age gap and peripheral biological age indicators (epigenetic clocks). ResultsHigher brain age gaps were significantly associated with BMI ({beta}=0.01, PFDR=0.02) and smoking ({beta}=0.11, PFDR=0.02), while lower brain age gaps were linked to higher education ({beta}=-0.02, PFDR=0.02). Higher childhood trauma scores predicted a higher brain age gap ({beta}=0.04, P=0.01). Higher brain age gaps were positively associated with all PRS ({beta}s=0.04-0.16, PsFDR=0.02-0.03). There were no significant interactions between diagnosis and assessed factors on the brain age gap. In a multivariable model, only modifiable health factors--BMI, smoking, and education--remained uniquely associated with brain age gaps. ConclusionsGenetic liability for depression and related traits is linked to poorer brain health, but health behaviors potentially offer a key opportunity for intervention. This study underscores the importance of targeting modifiable lifestyle factors to mitigate poor brain health in depressed individuals, an approach perhaps under-recognized in clinical practice.

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Disease Severity Across Psychiatric Disorders Is Linked to Pro-Inflammatory Cytokines

ImportanceNumerous studies indicate that the traditional categorical classification of severe mental disorders (SMD), such as schizophrenia, bipolar disorders, and major depressive disorders, does not align with the underlying biology of those disorders as they frequently overlap in terms of symptoms and risk factors. ObjectiveThis study aimed to identify transdiagnostic patient clusters based on disease severity and explore the underlying biological mechanisms independently of the traditional categorical classification. DesignWe utilized data from 443 participants diagnosed with SMD of the PsyCourse Study, a longitudinal study with deep phenotyping across up to four visits. We performed longitudinal clustering to group patients based on symptom trajectories and cognitive performance. The resulting clusters were compared on cross-sectional variables, including independent measures of severity as well as polygenic risk scores, serum protein quantification, miRNA expression, and DNA methylation. ResultsWe identified two distinct clusters of patients that exhibited marked differences in illness severity but did not differ significantly in age, sex, or diagnostic proportions. We found 19 serum proteins significantly dysregulated between the two clusters. Functional enrichment pointed to a convergence of immune system dysregulation and neurodevelopmental processes. ConclusionThe observed differences in serum protein expression suggest that disease severity is associated with the convergence of immune system dysregulation and neurodevelopmental alterations, particularly involving pathways related to inflammation and brain plasticity. The identification of pro-inflammatory proteins among the differentially expressed markers underscores the potential role of systemic inflammation in the pathophysiology of SMD. These results highlight the importance of considering illness severity as a core dimension in psychiatric research and clinical practice and suggest that targeting immune-related mechanisms may offer promising new therapeutic avenues for patients with SMD. Key points QuestionCan analyzing symptom trajectories and cognitive profiles across diagnostic categories reveal clinically relevant subgroups in severe mental disorders? FindingsIn this longitudinal study of 443 individuals with severe mental disorders, two distinct clusters emerged, differing significantly in illness severity, with the more severe group displaying elevated pro-inflammatory serum proteins, suggesting an association between disease severity and inflammation. MeaningThese findings suggest that transdiagnostic clustering clarifies shared mechanisms, underscores the importance of inflammation in severe mental disorders, and highlights a promising avenue for novel therapeutic approaches.

immunology↗

Dissecting heterogeneity in cortical thickness abnormalities in major depressive disorder: a large-scale ENIGMA MDD normative modelling study

ImportanceMajor depressive disorder (MDD) is highly heterogeneous, with marked individual differences in clinical presentation and neurobiology, which may obscure identification of structural brain abnormalities in MDD. To explore this, we used normative modeling to index regional patterns of variability in cortical thickness (CT) across individual patients. ObjectiveTo use normative modeling in a large dataset from the ENIGMA MDD consortium to obtain individualised CT deviations from the norm (relative to age, sex and site) and examine the relationship between these deviations and clinical characteristics. Design, setting, and participantsA normative model adjusting for age, sex and site effects was trained on 35 CT measures from FreeSurfer parcellation of 3,181 healthy controls (HC) from 34 sites (40 scanners). Individualised z-score deviations from this norm for each CT measure were calculated for a test set of 2,119 HC and 3,645 individuals with MDD. For each individual, each CT z-score was classified as being within the normal range (95% of individuals) or within the extreme range (2.5% of individuals with the thinnest or thickest cortices). Main outcome measuresZ-score deviations of CT measures of MDD individuals as estimated from a normative model based on HC. ResultsZ-score distributions of CT measures were largely overlapping between MDD and HC (minimum 92%, range 92-98%), with overall thinner cortices in MDD. 34.5% of MDD individuals, and 30% of HC individuals, showed an extreme deviation in at least one region, and these deviations were widely distributed across the brain. There was high heterogeneity in the spatial location of CT deviations across individuals with MDD: a maximum of 12% of individuals with MDD showed an extreme deviation in the same location. Extreme negative CT deviations were associated with having an earlier onset of depression and more severe depressive symptoms in the MDD group, and with higher BMI across MDD and HC groups. Extreme positive deviations were associated with being remitted, of not taking antidepressants and less severe symptoms. Conclusions and relevanceOur study illustrates a large heterogeneity in the spatial location of CT abnormalities across patients with MDD and confirms a substantial overlap of CT measures with HC. We also demonstrate that individualised extreme deviations can identify protective factors and individuals with a more severe clinical picture. Key points QuestionCan z-scores derived from normative modelling shed light on the heterogeneous group-level findings of cortical thickness abnormalities in major depression and what characterises individuals at the extreme ends of cortical thickness abnormalities? FindingWe confirmed a large overlap in z-score distributions between depressed individuals and healthy controls and a heterogeneous spatial distribution of extreme z-deviations across brain regions across individual patients. Lower z-scores for cortical thickness were related to more severe clinical characteristics. MeaningOur findings confirm the heterogeneity in individual variation in the location and extent of CT abnormalities across patients with MDD and stress the importance of individualised predictions when examining cortical thickness abnormalities.

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Alterations of Task-based fMRI Topology Underlying Cognitive Flexibility and Stability in Schizophrenia

Recently, it has been suggested that brain dysconnectivity in patients with schizophrenia contributes to the wide-ranging cognitive deficits that characterize the disorder. Graph theoretical analysis offers a unique method for studying how architectural alterations in large- scale brain networks may contribute to cognitive impairments in these patients. Implementing this technique, we analyzed the functional brain activity during a predictive switch-drift task from 21 patients with schizophrenia and 22 matched healthy controls. We specifically calculated task-based global graph measures for the functional networks that were activated during expected events, events requiring a flexible updating of predictions, and events that required the stabilization of predictions. By implementing Bayesian multivariate generalized linear models, we found functional network alterations during all event types, which indicated less centralized, less integrated, and simultaneously less segregated network topology in patients with schizophrenia compared to controls. In addition, the rate of correctly detected switches, requiring flexible updating of internal models, predicted global graph measures differently for patients compared to controls. In particular, lower cognitive flexibility in patients was associated with reduced integration of functional networks. Overall, the results indicate an adaptation of network topologies, resulting in less optimal network organization in patients with schizophrenia compared to healthy controls.

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Gray matter correlates of childhood maltreatment in the context of major depression: searching for replicability in a multi-cohort brain-wide association study of 3225 adults

Childhood maltreatment effects on cerebral gray matter have been frequently discussed as a neurobiological pathway for depression. However, localizations are highly heterogeneous, and recent reports have questioned the replicability of mental health neuroimaging findings. Here, we investigate the replicability of gray matter correlates of maltreatment (measured retrospectively via the Childhood Trauma Questionnaire) across three large adult cohorts (total N=3225). Pooling cohorts revealed maltreatment-related gray matter reductions, with most extensive effects when not controlling for depression diagnosis (maximum partial R2=.022). However, none of these effects significantly replicated across cohorts. Non-replicability was consistent across a variety of maltreatment subtypes and operationalizations, as well as subgroup analyses with and without depression, and stratified by sex. In this work we show that there is little evidence for the replicability of gray matter correlates of childhood maltreatment, when adequately controlling for psychopathology. This underscores the need to focus on replicability research in mental health neuroimaging.

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Brain Structural Correlates of an Impending Initial Major Depressive Episode

BackgroundNeuroimaging research has yet to elucidate, whether reported gray matter volume (GMV) alterations in major depressive disorder (MDD) exist already before the onset of the first episode. Recruitment of presently healthy individuals with a known future transition to MDD (converters) is extremely challenging but crucial to gain insights into neurobiological vulnerability. Hence, we compared converters to patients with MDD and sustained healthy controls (HC) to distinguish pre-existing neurobiological markers from those emerging later in the course of depression. MethodsCombining two clinical cohorts (n=1709), voxel-wise GMV of n=45 converters, n=748 patients with MDD, and n=916 HC were analyzed in regions-of-interest approaches. By contrasting the subgroups and considering both remission state and reported recurrence at a 2-year clinical follow-up, we stepwise disentangled effects of 1) vulnerability, 2) the acute depressive state, and 3) an initial vs. a recurrent episode. ResultsAnalyses revealed higher amygdala GMV in converters relative to HC (pTFCE-FWE=.037, d=0.447) and patients (pTFCE-FWE=.005, d=0.508), remaining significant when compared to remitted patients with imminent recurrence. Lower GMV in the dorsolateral prefrontal cortex (pTFCE-FWE<.001, d=0.188) and insula (pTFCE-FWE=.010, d=0.186) emerged in patients relative to HC but not to converters, driven by patients with acute MDD. ConclusionBy examining one of the largest available converter samples in psychiatric neuroimaging, this study allowed a first determination of neural markers for an impending initial depressive episode. Our findings suggest a temporary vulnerability, which in combination with other common risk factors might facilitate prediction and in turn improve prevention of depression.

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Neurophysiological correlates of cortical hierarchy across the lifespan

The brain processes information along a hierarchical structure, forming a gradient of cortical hierarchy from sensorimotor areas to transmodal areas. Here, we aim to understand which aspects of neural dynamics characterize this gradient and whether the respective spatial distribution varies across the lifespan. Therefore, we extracted neurophysiological features from magnetoencephalography recordings in 350 participants between 18 and 88 years during rest. Among traditional features related to the power spectrum, delta power (1-4 Hz) showed the most robust association with cortical hierarchy, increasing along this axis. Beyond traditional features, we employed comprehensive time-series characterization and identified a novel hierarchy-sensitive feature capturing the variability of the signals mean over time. This feature increases along the cortical hierarchy, suggesting that higher-level brain areas exhibit more dynamic and context-dependent activity patterns. Furthermore, we highlight changes in the gradient of brain dynamics across the lifespan. Alpha power distribution, for instance, exhibits a posterior-anterior gradient in young adults that becomes less pronounced with increasing age. Further, the change of the autocorrelation and auto mutual information function along the cortical hierarchy is heavily modulated by age. These findings reveal simple but robust neurophysiological markers of cortical hierarchy and highlight the dynamic nature of the brains organization throughout life.

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Extensive MEG time-series phenotyping unveils neural markers predictive of age

Understanding the evolving dynamics of the brain throughout life is pivotal for anticipating and evaluating individual health. While previous research has described age effects on spectral properties of neural signals, it remains unclear which ones are most indicative of age-related processes. This study addresses this gap by analyzing resting-state data obtained from magnetoencephalography in 350 adults (18-88 years). We employed advanced time-series analysis at the brain region level and machine learning to predict age. While traditional spectral features achieved low to moderate accuracy, over a hundred novel time-series features proved superior. Notably, temporal autocorrelation emerged as the most robust predictor of age. Distinct patterns of autocorrelation within the visual and temporal cortex were most informative, offering a versatile measure of age-related signal changes for comprehensive health assessments based on brain activity.

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Beyond oscillations - A novel feature space for characterizing brain states

Our moment-to-moment conscious experience is paced by transitions between states, each one corresponding to a change in the electromagnetic brain activity. One consolidated analytical choice is to characterize these changes in the frequency domain, such that the transition from one state to the other corresponds to a difference in the strength of oscillatory power, often in pre-defined, theory-driven frequency bands of interest. Today, the huge leap in available computational power allows us to explore new ways to characterize electromagnetic brain activity and its changes. Here we leveraged an innovative set of features on an MEG dataset with 29 human participants, to test how these features described some of those state transitions known to elicit prominent changes in the frequency spectrum, such as eyes-closed vs eyes-open resting-state or the occurrence of visual stimulation. We then compared the informativeness of multiple sets of features by submitting them to a multivariate classifier (SVM). We found that the new features outperformed traditional ones in generalizing states classification across participants. Moreover, some of these new features yielded systematically better decoding accuracy than the power in canonical frequency bands that has been often considered a landmark in defining these state changes. Critically, we replicated these findings, after pre-registration, in an independent EEG dataset (N=210). In conclusion, the present work highlights the importance of a full characterization of the state changes in the electromagnetic brain activity, which takes into account also other dimensions of the signal on top of its description in theory-driven frequency bands of interest.

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Early life stress-induced miR-708-5p affects bipolar disorder-associated phenotypes through neuronatin downregulation

Mood-disorders (MDs) are caused by a complex interplay of genetic and environmental (GxE) risk factors. However, the molecular pathways engaged by GxE risk factors to trigger specific MD-associated endophenotypes are still poorly understood. Here, by using unbiased small RNA sequencing in peripheral blood mononuclear cells (PBMCs), we identified the BD-associated miR-708-5p as one of the most strongly upregulated microRNAs in peripheral blood of both healthy human subjects with a high genetic or environmental (early life stress) predisposition to develop MDs. miR-708 is also upregulated in the hippocampus of rats which underwent juvenile social isolation, a rodent model of early life stress. Furthermore, ectopic overexpression of miR-708-5p in the hippocampus of adult male mice is sufficient to elicit MD-associated behavioural endophenotypes, demonstrating a causal role for elevated miR-708-5p levels in MD development. We further show that miR-708-5p directly targets Neuronatin (Nnat), an endoplasmic reticulum (ER) resident protein involved in calcium homeostasis. Consequently, restoring Nnat expression in the hippocampus of miR-708-5p overexpressing mice rescues miR-708-5p dependent behavioural phenotypes. Finally, miR-708-5p is strongly upregulated in PBMCs derived from patients diagnosed with MD, in particular BD males. Peripheral expression of miR-708-5p, in conjunction with the previously identified miR-499-5p, allows to differentiate male BD patients from patients suffering from major depressive disorder (MDD) and healthy controls. In summary, we describe a functional role for the miR-708-5p/Nnat pathway in MD etiology and identify miR-708-5p as a potential biomarker for the differential diagnosis of MDs.

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Polygenic risk for schizophrenia converges on alternative polyadenylation as molecular mechanism underlying synaptic impairment

Schizophrenia (SCZ) is a genetically heterogenous psychiatric disorder of highly polygenic nature. Correlative evidence from genetic studies indicate that the aggregated effects of distinct genetic risk factor combinations found in each patient converge onto common molecular mechanisms. To prove this on a functional level, we employed a reductionistic cellular model system for polygenic risk by differentiating induced pluripotent stem cells (iPSCs) from 104 individuals with high polygenic risk load and controls into cortical glutamatergic neurons (iNs). Multi-omics profiling identified widespread differences in alternative polyadenylation (APA) in the 3 untranslated region of many synaptic transcripts between iNs from SCZ patients and healthy donors. On the cellular level, 3APA was associated with a reduction in synaptic density of iNs. Importantly, differential APA was largely conserved between postmortem human prefrontal cortex from SCZ patients and healthy donors, and strongly enriched for transcripts related to synapse biology. 3APA was highly correlated with SCZ polygenic risk and affected genes were significantly enriched for SCZ associated common genetic variation. Integrative functional genomic analysis identified the RNA binding protein and SCZ GWAS risk gene PTBP2 as a critical trans-acting factor mediating 3APA of synaptic genes in SCZ subjects. Functional characterization of PTBP2 in iNs confirmed its key role in 3APA of synaptic transcripts and regulation of synapse density. Jointly, our findings show that the aggregated effects of polygenic risk converge on 3APA as one common molecular mechanism that underlies synaptic impairments in SCZ.

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Reduced discrimination between signals of danger and safety but not overgeneralization is linked to exposure to childhood adversity in healthy adults

Childhood adversity is a strong predictor of developing psychopathological conditions. Multiple theories on the mechanisms underlying this association have been suggested which, however, differ in the operationalization of exposure. Altered (threat) learning mechanisms represent central mechanisms by which environmental inputs shape emotional and cognitive processes and ultimately behavior. 1402 healthy participants underwent a fear conditioning paradigm (acquisition training, generalization), while acquiring skin conductance responses (SCRs) and ratings (arousal, valence, and contingency). Childhood adversity was operationalized as (1) dichotomization, and following (2) the specificity model, (3) the cumulative risk model, and (4) the dimensional model. Individuals exposed to childhood adversity showed blunted physiological reactivity in SCRs, but not ratings, and reduced CS+/CS-discrimination during both phases, mainly driven by attenuated CS + responding. The latter was evident across different operationalizations of exposure following the different theories. None of the theories tested showed clear explanatory superiority. Notably, a remarkably different pattern of increased responding to the CS-is reported in the literature for anxiety patients, suggesting that individuals exposed to childhood adversity may represent a specific sub-sample. We highlight that theories linking childhood adversity to (vulnerability to) psychopathology need refinement.

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Quantifying brain connectivity signatures by means of polyconnectomic scoring

A broad range of neuropsychiatric disorders are associated with alterations in macroscale brain circuitry and connectivity. Identifying consistent brain patterns underlying these disorders by means of structural and functional MRI has proven challenging, partly due to the vast number of tests required to examine the entire brain, which can lead to an increase in missed findings. In this study, we propose polyconnectomic score (PCS) as a metric designed to quantify the presence of disease-related brain connectivity signatures in connectomes. PCS summarizes evidence of brain patterns related to a phenotype across the entire landscape of brain connectivity into a subject-level score. We evaluated PCS across four brain disorders (autism spectrum disorder, schizophrenia, attention deficit hyperactivity disorder, and Alzheimers disease) and 14 studies encompassing [~]35,000 individuals. Our findings consistently show that patients exhibit significantly higher PCS compared to controls, with effect sizes that go beyond other single MRI metrics ([min, max]: Cohens d = [0.30, 0.87], AUC = [0.58, 0.73]). We further demonstrate that PCS serves as a valuable tool for stratifying individuals, for example within the psychosis continuum, distinguishing patients with schizophrenia from their first-degree relatives (d = 0.42, p = 4 x 10-3, FDR-corrected), and first-degree relatives from healthy controls (d = 0.34, p = 0.034, FDR-corrected). We also show that PCS is useful to uncover associations between brain connectivity patterns related to neuropsychiatric disorders and mental health, psychosocial factors, and body measurements.

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