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Gray Matter Volume Decrease Distinguishes Schizophrenia From Bipolar Offspring During Childhood and Adolescence - 24/07/15

Doi : 10.1016/j.jaac.2015.05.003 
Gisela Sugranyes, MD, PhD a, , Elena de la Serna, PhD b, Soledad Romero, MD, PhD b, Vanessa Sanchez-Gistau, MD, PhD c, Anna Calvo, MSc e, Dolores Moreno, MD, PhD f, Inmaculada Baeza, MD, PhD c, Covadonga M. Diaz-Caneja, MD g, Teresa Sanchez-Gutierrez, PhD g, Joost Janssen, PhD f, Nuria Bargallo, MD, PhD h, Josefina Castro-Fornieles, MD, PhD c, d
a August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain, and Institute of Neuroscience, Hospital Clínic of Barcelona 
b Institute of Neuroscience, Hospital Clínic of Barcelona, and Biomedical Research Network Centre in Mental Health (CIBERSAM), Madrid 
c IDIBAPS, Institute of Neuroscience, Hospital Clínic of Barcelona, and CIBERSAM 
d University of Barcelona 
e IDIBAPS and Biomedical Research Network Centre in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Grupo de Imagen Biomédica de la Universidad de Barcelona (GIB-UB) 
f CIBERSAM and Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria del Hospital Gregorio Marañón (IiSGM), CIBERSAM, School of Medicine, Complutense University, Madrid 
g Hospital General Universitario Gregorio Marañón, IiSGM, CIBERSAM, School of Medicine, Complutense University, Madrid 
h IDIBAPS, CIBERSAM, and Image Diagnosis Center, Hospital Clinic of Barcelona 

Correspondence to Gisela Sugranyes, MD, PhD, Department of Child and Adolescent Psychiatry and Psychology, Institute of Neuroscience, Hospital Clínic of Barcelona c. Villarroel 170, 08036. Barcelona, Spain

Abstract

Objective

There is increasing support toward the notion that schizophrenia and bipolar disorder share neurodevelopmental underpinnings, although areas of divergence remain. We set out to examine gray matter volume characteristics of child and adolescent offspring of patients with schizophrenia or bipolar disorder comparatively.

Method

In this 2-center study, magnetic resonance structural neuroimaging data were acquired in 198 children and adolescents (aged 6-17 years): 38 offspring of patients with schizophrenia, 77 offspring of patients with bipolar disorder, and 83 offspring of community controls. Analyses of global brain volumes and voxel-based morphometry (using familywise error correction) were conducted.

Results

There was an effect of group on total cerebral gray matter volume (F = 3.26, p = .041), driven by a decrease in offspring of patients with schizophrenia relative to offspring of controls (p = .035). At a voxel-based level, we observed an effect of group in the left inferior frontal cortex/anterior insula (F = 14.7, p < .001), which was driven by gray matter volume reduction in offspring of patients with schizophrenia relative to both offspring of controls (p = .044) and of patients with bipolar disorder (p < .001). No differences were observed between offspring of patients with bipolar disorder and offspring of controls in either global or voxel-based gray matter volumes.

Conclusion

This first comparative study between offspring of patients with schizophrenia and bipolar disorder suggests that gray matter volume reduction in childhood and adolescence may be specific to offspring of patients with schizophrenia; this may index a greater neurodevelopmental impact of risk for schizophrenia relative to bipolar disorder during youth.

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Key Words : schizophrenia, bipolar disorder, magnetic resonance imaging


Plan


 Funding for this study was provided by the Spanish Ministry of Economy and Competitiveness/Instituto de Salud Carlos III (FIS PI 07/0066, PI 11/00683)/European Regional Development Fund, La Marató de TV3 Foundation (091630), Catalonia Government (2009SGR1119), and Madrid Regional Government (S2010/BMD-2422 AGES).
 Disclosure: Dr. Sugranyes has received research funding from the Spanish Ministry of Economy and Competitiveness (MINECO)/Instituto de Salud Carlos III (ISCIII) and the Alicia Koplowitz Foundation. She has also received travel support from Otsuka. Dr. Romero has received research funding from the MINECO/ISCII and the Alicia Koplowitz Foundation. Dr. Sanchez-Gistau has received travel support from Otsuka. Dr. Moreno has received research funding from the MINECO/ISCII and the Madrid Regional Government. Dr. Baeza has received research funding from the MINECO/ISCII, the Alicia Koplowitz Foundation, and the Biomedical Research Networking Center Consortium (CIBER; CCSM). She has also received travel support from Otsuka. Dr. Díaz-Caneja has held a Río Hortega grant from the MINECO/ISCII and from the Alicia Koplowitz Foundation. Dr. Bargalló has received research funding from the MINECO/ISCII and from La Marató de TV3 Foundation. Dr. Castro-Fornieles has received research funding from the Catalonia Government, the European Union's 7th Framework Programme, the MINECO/ISCII, La Marató de TV3 Foundation, Agrupació Mútua Foundation, and CCSM. Drs. de la Serna, Sanchez-Gutierrez, Janssen, and Ms. Calvo report no biomedical financial interests or potential conflicts of interest.


© 2015  American Academy of Child and Adolescent Psychiatry. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 54 - N° 8

P. 677 - août 2015 Retour au numéro
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