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Mol Psychiatry. 2021 Oct 22; doi: 10.1038/s41380-021-01302-y. Epub 2021 Oct 22.

Altered functional brain dynamics in chromosome 22q11.2 deletion syndrome during facial affect processing.

Molecular psychiatry

Eli J Cornblath, Arun Mahadevan, Xiaosong He, Kosha Ruparel, David M Lydon-Staley, Tyler M Moore, Ruben C Gur, Elaine H Zackai, Beverly Emanuel, Donna M McDonald-McGinn, Daniel H Wolf, Theodore D Satterthwaite, David R Roalf, Raquel E Gur, Dani S Bassett

Affiliations

  1. Department of Neuroscience, Perelman School of Medicine, Philadelphia, PA, USA.
  2. Department of Bioengineering, School of Engineering & Applied Science, Philadelphia, PA, USA.
  3. Department of Psychiatry, Perelman School of Medicine, Philadelphia, PA, USA.
  4. Department of Neurology, Perelman School of Medicine, Philadelphia, PA, USA.
  5. Department of Radiology, Perelman School of Medicine, Philadelphia, PA, USA.
  6. 22q and You and Clinical Genetics Centers, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
  7. Division of Human Genetics, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
  8. Department of Bioengineering, School of Engineering & Applied Science, Philadelphia, PA, USA. [email protected].
  9. Department of Psychiatry, Perelman School of Medicine, Philadelphia, PA, USA. [email protected].
  10. Department of Neurology, Perelman School of Medicine, Philadelphia, PA, USA. [email protected].
  11. Department of Physics & Astronomy, College of Arts & Sciences, Philadelphia, PA, USA. [email protected].
  12. Department of Electrical & Systems Engineering, School of Engineering & Applied Science, Philadelphia, PA, USA. [email protected].
  13. Santa Fe Institute, Santa Fe, NM, USA. [email protected].
  14. Department of Biostatistics, Epidemiology, & Informatics, Perelman School of Medicine, Philadelphia, PA, USA. [email protected].

PMID: 34686764 DOI: 10.1038/s41380-021-01302-y

Abstract

Chromosome 22q11.2 deletion syndrome (22q11.2DS) is a multisystem disorder associated with multiple congenital anomalies, variable medical features, and neurodevelopmental differences resulting in diverse psychiatric phenotypes, including marked deficits in facial memory and social cognition. Neuroimaging in individuals with 22q11.2DS has revealed differences relative to matched controls in BOLD fMRI activation during facial affect processing tasks. However, time-varying interactions between brain areas during facial affect processing have not yet been studied with BOLD fMRI in 22q11.2DS. We applied constrained principal component analysis to identify temporally overlapping brain activation patterns from BOLD fMRI data acquired during an emotion identification task from 58 individuals with 22q11.2DS and 58 age-, race-, and sex-matched healthy controls. Delayed frontal-motor feedback signals were diminished in individuals with 22q11.2DS, as were delayed emotional memory signals engaging amygdala, hippocampus, and entorhinal cortex. Early task-related engagement of motor and visual cortices and salience-related insular activation were relatively preserved in 22q11.2DS. Insular activation was associated with task performance within the 22q11.2DS sample. Differences in cortical surface area, but not cortical thickness, showed spatial alignment with an activation pattern associated with face processing. These findings suggest that relative to matched controls, primary visual processing and insular function are relatively intact in individuals with 22q11.22DS, while motor feedback, face processing, and emotional memory processes are more affected. Such insights may help inform potential interventional targets and enhance the specificity of neuroimaging indices of cognitive dysfunction in 22q11.2DS.

© 2021. The Author(s).

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