Journal article
Widespread white matter microstructural differences in schizophrenia across 4322 individuals: results from the ENIGMA Schizophrenia DTI Working Group
Molecular psychiatry, Vol.23(5), pp.1261-1269
05/2018
DOI: 10.1038/mp.2017.170
PMCID: PMC5984078
PMID: 29038599
Abstract
The regional distribution of white matter (WM) abnormalities in schizophrenia remains poorly understood, and reported disease effects on the brain vary widely between studies. In an effort to identify commonalities across studies, we perform what we believe is the first ever large-scale coordinated study of WM microstructural differences in schizophrenia. Our analysis consisted of 2359 healthy controls and 1963 schizophrenia patients from 29 independent international studies; we harmonized the processing and statistical analyses of diffusion tensor imaging (DTI) data across sites and meta-analyzed effects across studies. Significant reductions in fractional anisotropy (FA) in schizophrenia patients were widespread, and detected in 20 of 25 regions of interest within a WM skeleton representing all major WM fasciculi. Effect sizes varied by region, peaking at (d=0.42) for the entire WM skeleton, driven more by peripheral areas as opposed to the core WM where regions of interest were defined. The anterior corona radiata (d=0.40) and corpus callosum (d=0.39), specifically its body (d=0.39) and genu (d=0.37), showed greatest effects. Significant decreases, to lesser degrees, were observed in almost all regions analyzed. Larger effect sizes were observed for FA than diffusivity measures; significantly higher mean and radial diffusivity was observed for schizophrenia patients compared with controls. No significant effects of age at onset of schizophrenia or medication dosage were detected. As the largest coordinated analysis of WM differences in a psychiatric disorder to date, the present study provides a robust profile of widespread WM abnormalities in schizophrenia patients worldwide. Interactive three-dimensional visualization of the results is available at www.enigma-viewer.org.
Details
- Title: Subtitle
- Widespread white matter microstructural differences in schizophrenia across 4322 individuals: results from the ENIGMA Schizophrenia DTI Working Group
- Creators
- S Kelly - Harvard Medical School, Boston, MA, USAN Jahanshad - Imaging Genetics Center, Stevens Neuroimaging & Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USAA Zalesky - Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne and Melbourne Health, Carlton South, VIC, AustraliaP Kochunov - Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USAI Agartz - Department of Psychiatric Research, Diakonhjemmet Hospital, Oslo, NorwayC Alloza - University of Edinburgh, Edinburgh, UKO A Andreassen - University of Oslo, Oslo, NorwayC Arango - Child and Adolescent Psychiatry Department, Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, Madrid, SpainN Banaj - Laboratory of Neuropsychiatry, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Rome, ItalyS Bouix - Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USAC A Bousman - Swinburne University of Technology, Melbourne, VIC, AustraliaR M Brouwer - Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The NetherlandsJ Bruggemann - Neuroscience Research Australia and School of Psychiatry, University of New South Wales, Sydney, NSW, AustraliaJ Bustillo - University of New Mexico, Albuquerque, NM, USAW Cahn - Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The NetherlandsV Calhoun - The Mind Research Network, Albuquerque, NM, USAD Cannon - Centre for Neuroimaging and Cognitive Genomics (NICOG), Clinical Neuroimaging Laboratory, NCBES Galway Neuroscience Centre, National University of Ireland Galway, Galway, IrelandV Carr - Neuroscience Research Australia and School of Psychiatry, University of New South Wales, Sydney, NSW, AustraliaS Catts - Discipline of Psychiatry, School of Medicine, University of Queensland, Herston, QLD, AustraliaJ Chen - Department of Computer Science and Engineering, The Ohio State University, Columbus, OH, USAJ-X Chen - Beijing Huilongguan Hospital, Beijing, ChinaX Chen - Worldwide Research and Development, Pfizer, Cambridge, MA, USAC Chiapponi - Santa Lucia Foundation, Rome, ItalyKl K Cho - Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of KoreaV Ciullo - Laboratory of Neuropsychiatry, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Rome, ItalyA S Corvin - Department of Psychiatry and Neuropsychiatric Genetics Research Group, Institute of Molecular Medicine, Trinity College Dublin, Dublin, IrelandB Crespo-Facorro - CIBERSAM, Centro Investigación Biomédica en Red Salud Mental, Santander, SpainV Cropley - Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne and Melbourne Health, Carlton South, VIC, AustraliaP De Rossi - Department of Neurology and Psychiatry, Sapienza University of Rome, Rome, ItalyC M Diaz-Caneja - Child and Adolescent Psychiatry Department, Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, Madrid, SpainE W Dickie - Center for Addiction and Mental Health, Toronto, ON, CanadaS Ehrlich - Division of Psychological and Social Medicine and Developmental Neurosciences, Technische Universität Dresden, Faculty of Medicine, University Hospital C.G. Carus, Dresden, GermanyF-M Fan - Beijing Huilongguan Hospital, Beijing, ChinaJ Faskowitz - Imaging Genetics Center, Stevens Neuroimaging & Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USAH Fatouros-Bergman - Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Stockholm, SwedenL Flyckt - The University of Queensland, Queensland Brain Institute and Centre for Advanced Imaging, Brisbane, QLD, AustraliaJ M Ford - University of California, VAMC, San Francisco, CA, USAJ-P Fouche - Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South AfricaM Fukunaga - Division of Cerebral Integration, National Institute for Physiological Sciences, Aichi, JapanM Gill - Department of Psychiatry and Neuropsychiatric Genetics Research Group, Institute of Molecular Medicine, Trinity College Dublin, Dublin, IrelandD C Glahn - Olin Neuropsychiatric Research Center, Institute of Living, Hartford Hospital and Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USAR Gollub - Departments of Psychiatry and Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USAE D Goudzwaard - Department of Psychiatry and Human Behavior, University of California Irvine, Irvine, CA, USAH Guo - Zhumadian Psychiatry Hospital, Henan Province, ChinaR E Gur - Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USAR C Gur - Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USAT P Gurholt - NORMENT, KG Jebsen Centre for Psychosis Research, Division of Mental Health and Addiction, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, NorwayR Hashimoto - Department of Psychiatry, Osaka University Graduate School of Medicine, Osaka, JapanS N Hatton - Brain and Mind Centre, University of Sydney, Sydney, NSW, AustraliaF A Henskens - Hunter Medical Research Institute, Newcastle, NSW, AustraliaD P Hibar - Imaging Genetics Center, Stevens Neuroimaging & Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USAI B Hickie - Brain and Mind Centre, University of Sydney, Sydney, NSW, AustraliaL E Hong - Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USAJ Horacek - Third Faculty of Medicine, Charles University, Prague, Czech RepublicF M Howells - Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South AfricaH E Hulshoff Pol - Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The NetherlandsC L Hyde - Worldwide Research and Development, Pfizer, Cambridge, MA, USAD Isaev - Imaging Genetics Center, Stevens Neuroimaging & Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USAA Jablensky - University of Western Australia, Perth, WA, AustraliaP R Jansen - Erasmus University Medical Center, Rotterdam, The NetherlandsJ Janssen - Child and Adolescent Psychiatry Department, Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, Madrid, SpainE G Jönsson - Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Stockholm, SwedenL A Jung - Laboratory for Neuroimaging, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University, Frankfurt/Main, GermanyR S Kahn - Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The NetherlandsZ Kikinis - Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USAK Liu - Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne and Melbourne Health, Carlton South, VIC, AustraliaP Klauser - Department of Psychiatry, Lausanne University Hospital (CHUV), University of Lausanne, Lausanne, SwitzerlandC Knöchel - Laboratory for Neuroimaging, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University, Frankfurt/Main, GermanyM Kubicki - Departments of Psychiatry and Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USAJ Lagopoulos - Sunshine Coast Mind and Neuroscience Institute, University of the Sunshine Coast QLD, Australia, Brain and Mind Centre, University of Sydney, Sydney, NSW, AustraliaC Langen - Erasmus University Medical Center, Rotterdam, The NetherlandsS Lawrie - University of Edinburgh, Edinburgh, UKR K Lenroot - Neuroscience Research Australia and School of Psychiatry, University of New South Wales, Sydney, NSW, AustraliaK O Lim - Department of Psychiatry, University of Minnesota, Minneapolis, MN, USAC Lopez-Jaramillo - Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, Universidad de Antioquia, Mood Disorder Program, Hospital Universitario San Vicente Fundación, Medellín, ColombiaA Lyall - Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USAV Magnotta - University of Iowa, Iowa City, IA, USAR C W Mandl - Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The NetherlandsD H Mathalon - University of California, VAMC, San Francisco, CA, USAR W McCarley - VABHS, Harvard Medical School, Boston, MA, USAS McCarthy-Jones - Department of Psychiatry, Trinity College Dublin, Dublin, IrelandC McDonald - Centre for Neuroimaging and Cognitive Genomics (NICOG), Clinical Neuroimaging Laboratory, NCBES Galway Neuroscience Centre, National University of Ireland Galway, Galway, IrelandS McEwen - Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USAA McIntosh - University of Edinburgh, Edinburgh, UKT Melicher - Third Faculty of Medicine, Charles University, Prague, Czech RepublicR I Mesholam-Gately - Harvard Medical School and Massachusetts Mental Health Center Public Psychiatry Division of the Beth Israel Deaconess, Medical Center, Boston, MA, USAP T Michie - Hunter Medical Research Institute, Newcastle, NSW, AustraliaB Mowry - Queensland Brain Institute, The University of Queensland, Brisbane, QLD, Australia and Queensland Centre for Mental Health Research, Brisbane and Queensland Centre for Mental Health Research, Brisbane, QLD, AustraliaB A Mueller - Department of Psychiatry, University of Minnesota, Minneapolis, MN, USAD T Newell - Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USAP O'Donnell - Worldwide Research and Development, Pfizer, Cambridge, MA, USAV Oertel-Knöchel - Laboratory for Neuroimaging, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University, Frankfurt/Main, GermanyL Oestreich - Queensland Brain Institute, The University of Queensland, Brisbane, QLD, Australia and Queensland Centre for Mental Health Research, Brisbane and Queensland Centre for Mental Health Research, Brisbane, QLD, AustraliaS A Paciga - Worldwide Research and Development, Pfizer, Cambridge, MA, USAC Pantelis - Schizophrenia Research Institute, Sydney, NSW, AustraliaO Pasternak - Departments of Psychiatry and Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USAG Pearlson - Olin Neuropsychiatric Research Center, Institute of Living, Hartford Hospital and Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USAG R Pellicano - Laboratory of Neuropsychiatry, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Rome, ItalyA Pereira - The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, VIC, AustraliaJ Pineda Zapata - Instituto de Alta Tecnología Médica, Medellín, ColombiaF Piras - School of Biomedical Sciences, Faculty of Health, the University of Newcastle, Callaghan, NSW, AustraliaS G Potkin - Department of Psychiatry and Human Behavior, University of California Irvine, Irvine, CA, USAA Preda - Department of Psychiatry and Human Behavior, University of California Irvine, Irvine, CA, USAP E Rasser - Priority Centre for Brain and Mental Health Research, The University of Newcastle, Newcastle, NSW, AustraliaD R Roalf - Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USAR Roiz - CIBERSAM, Centro Investigación Biomédica en Red Salud Mental, Santander, SpainA Roos - SU/UCT MRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, Stellenbosch University, Stellenbosch, South AfricaD Rotenberg - Center for Addiction and Mental Health, Toronto, ON, CanadaT D Satterthwaite - Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USAP Savadjiev - Departments of Psychiatry and Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USAU Schall - Priority Centre for Brain and Mental Health Research, The University of Newcastle, Newcastle, NSW, AustraliaR J Scott - School of Biomedical Sciences, Faculty of Health, the University of Newcastle, Callaghan, NSW, AustraliaM L Seal - Murdoch Childrens Research Institute, The Royal Children's Hospital, Parkville, VIC, AustraliaL J Seidman - Harvard Medical School and Massachusetts Mental Health Center Public Psychiatry Division of the Beth Israel Deaconess, Medical Center, Boston, MA, USAC Shannon Weickert - School of Psychiatry, University of New South Wales, Sydney, NSW, AustraliaC D Whelan - Imaging Genetics Center, Stevens Neuroimaging & Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USAM E Shenton - VA Boston Healthcare System, Boston, MA, USAJ S Kwon - Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of KoreaG Spalletta - Division of Neuropsychiatry, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USAF Spaniel - Third Faculty of Medicine, Charles University, Prague, Czech RepublicE Sprooten - Olin Neuropsychiatric Research Center, Institute of Living, Hartford Hospital and Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USAM Stäblein - Laboratory for Neuroimaging, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University, Frankfurt/Main, GermanyD J Stein - Department of Psychiatry and MRC Unit on Anxiety and Stress Disorders, University of Cape Town, Cape Town, South AfricaS Sundram - Department of Psychiatry, School of Clinical Sciences, Monash University and Monash Health, Clayton, VIC, AustraliaY Tan - Beijing Huilongguan Hospital, Beijing, ChinaS Tan - Beijing Huilongguan Hospital, Beijing, ChinaS Tang - Chongqing Three Gorges Central Hospital, Chongqing, ChinaH S Temmingh - Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South AfricaL T Westlye - Department of Psychology, University of Oslo, Oslo, NorwayS Tønnesen - NORMENT, KG Jebsen Centre for Psychosis Research, Division of Mental Health and Addiction, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, NorwayD Tordesillas-Gutierrez - Neuroimaging Unit, Technological Facilities, Valdecilla Biomedical Research Institute IDIVAL, Santander, SpainN T Doan - NORMENT, KG Jebsen Centre for Psychosis Research, Division of Mental Health and Addiction, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, NorwayJ Vaidya - Department of Psychiatry, University of Iowa, Iowa City, IA, USAN E M van Haren - Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The NetherlandsC D Vargas - Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, Universidad de Antioquia, Medellín, ColombiaD Vecchio - Laboratory of Neuropsychiatry, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Rome, ItalyD Velakoulis - Neuropsychiatry Unit, Royal Melbourne Hospital, Parkville, VIC, AustraliaA Voineskos - Kimel Family Translational Imaging-Genetics Research Laboratory, Campbell Family Mental Health Research Institute, CAMH Department of Psychiatry, University of Toronto, Toronto, ON, CanadaJ Q Voyvodic - Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The NetherlandsZ Wang - Beijing Huilongguan Hospital, Beijing, ChinaP Wan - Zhumadian Psychiatry Hospital, Henan Province, ChinaD Wei - Luoyang Fifth People's Hospital, Henan Province, ChinaT W Weickert - School of Psychiatry, University of New South Wales, Sydney, NSW, AustraliaH Whalley - University of Edinburgh, Edinburgh, UKT White - Erasmus University Medical Center, Rotterdam, The NetherlandsT J Whitford - University of New South Wales, School of Psychiatry, Sydney, NSW, AustraliaJ D Wojcik - Harvard Medical School and Massachusetts Mental Health Center Public Psychiatry Division of the Beth Israel Deaconess, Medical Center, Boston, MA, USAH Xiang - Chongqing Three Gorges Central Hospital, Chongqing, ChinaZ Xie - Worldwide Research and Development, Pfizer, Cambridge, MA, USAH Yamamori - Department of Psychiatry, Osaka University Graduate School of Medicine, Osaka, JapanF Yang - Beijing Huilongguan Hospital, Beijing, ChinaN Yao - Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USAG Zhang - Department of Computer Science and Electrical Engineering, University of Maryland, Baltimore, MD, USAJ Zhao - School of Psychology, Shaanxi Normal University and Key Laboratory for Behavior and Cognitive Neuroscience of Shaanxi Province, Xi'an, Shaanxi, ChinaT G M van Erp - Department of Psychiatry and Human Behavior, University of California Irvine, Irvine, CA, USAJ Turner - Psychology Department & Neuroscience Institute, Georgia State University, Atlanta, GA, USAP M Thompson - Imaging Genetics Center, Stevens Neuroimaging & Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USAG Donohoe - Centre for Neuroimaging and Cognitive Genomics (NICOG), Clinical Neuroimaging Laboratory, NCBES Galway Neuroscience Centre, National University of Ireland Galway, Galway, Ireland
- Contributors
- ENIGMA Schizophrenia DTI Working Group (Institution)
- Resource Type
- Journal article
- Publication Details
- Molecular psychiatry, Vol.23(5), pp.1261-1269
- Publisher
- England
- DOI
- 10.1038/mp.2017.170
- PMID
- 29038599
- PMCID
- PMC5984078
- ISSN
- 1476-5578
- eISSN
- 1476-5578
- Grant note
- R01 MH112180 / NIMH NIH HHS R21 MH106793 / NIMH NIH HHS U54 EB020403 / NIBIB NIH HHS 104036/Z/14/Z / Wellcome Trust P50 MH080272 / NIMH NIH HHS U24 RR021992 / NCRR NIH HHS U01 MH108148 / NIMH NIH HHS P41 EB015922 / NIBIB NIH HHS R01 EB015611 / NIBIB NIH HHS U24 RR025736 / NCRR NIH HHS
- Language
- English
- Date published
- 05/2018
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Radiology; Psychiatry; University College Courses
- Record Identifier
- 9984003965702771
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