Striatal functional gradients differentiate people with OCD from controls

Poster No:

413 

Submission Type:

Abstract Submission 

Authors:

Lachlan Webb1, Luke Hearne2, Ye Tian3, Luca Cocchi4

Institutions:

1QIMR Berghofer Medical Research Institute, Brisbane, Queensland, 2QIMR Berghofer Medical Research Institute, Herston, Queensland, 3Department of Psychiatry, The University of Melbourne, Melbourne, Australia, 4Queensland Institute for Medical Research, Brisbane, QLD

First Author:

Lachlan Webb  
QIMR Berghofer Medical Research Institute
Brisbane, Queensland

Co-Author(s):

Luke Hearne  
QIMR Berghofer Medical Research Institute
Herston, Queensland
Ye Tian  
Department of Psychiatry, The University of Melbourne
Melbourne, Australia
Luca Cocchi  
Queensland Institute for Medical Research
Brisbane, QLD

Introduction:

Preclinical and clinical studies have shown that obsessive-compulsive disorder (OCD) is associated with marked alterations in cortico-striatal brain circuit activity. However, if and how these changes map onto context-specific differences in striatal functional gradient topologies that link to clinical status remain poorly understood. Mapping of striatal functional gradients in humans (Tian, Margulies, Breakspear, & Zalesky, 2020) allows the 'fingerprinting' of cortical connectivity patterns between subcortical units and the estimations of functional gradients defining continuous variations across the topography of the striatum. Information on potential changes in OCD striatal topology is important to advance knowledge on the brain basis of the disorder, delineate reliable biomarkers, and orient the development of targeted therapies like neuromodulation.

Methods:

We calculated spatial striatal gradients linked to functional patterns of cortical connectivity in a sample of 52 people with OCD, aged 18-50 who have had a clinical diagnosis of OCD for at least 12 months, and 45 matched controls (Hearne et al., 2023). Data was collected while individuals underwent a 12-minute eyes-open resting state acquisition, and a threat-safety reversal task lasting 17 min. The functional brain images were preprocessed using a combination of fMRIprep (Esteban et al., 2019) and Nilearn. For the fear reversal task, we employed generalised psychophysiological interaction (PPI) analysis to estimate task-based FC changes specifically related to task conditions (Friston et al., 1997).
Striatal similarity matrices were calculated between sub-cortical voxels based on either the correlation of each voxel to the dimensionally reduced resting-state cortical time series or the PPI coefficient t statistics (Tian, Margulies, Breakspear, & Zalesky, 2020; Borne et al., 2023). After averaging the similarity matrices per group, the graph Laplacian was applied to estimate the first and second non-constant gradient. Permutation tests shuffling the group label were used to ascribe significant group differences in gradient magnitude.
Using our unique longitudinal dataset of 47 people with OCD (Cocchi et al., 2023), we investigated possible associations between changes in individual striatal gradient topology at rest and symptom severity. Individual gradients were calculated at the two timepoints, and the spatial correlation to the control group average gradient was calculated. The proportion of people with OCD that increased or decreased in correlation were compared between those who improved or worsened in Y-BOCS.

Results:

The striatal topology in control and OCD (Fig 1A and B) was similar to that observed in previous work (Tian, Margulies, Breakspear, & Zalesky, 2020), with peak gradient magnitude separating the caudate, NAcc, and putamen (Fig 1C and D). However, results showed opposing group differences in the two main gradient topologies at rest. These differences occurred in putamen and caudate clusters (Fig 1E). Gradients linked to the appraisal of safety also showed a marked group difference in the globus plallidus.
A higher proportion of individuals who had an improvement in symptoms showed increased similarity between individual OCD gradients and the average control gradients across time (Fig 1F) compared to individuals who didn't improve, though this trend was not statistically significant (χ2=2.59, p=0.27).

Conclusions:

The current results support core deregulations in the functional organisation of the striatum in OCD pathophysiology. Specifically, our findings suggest that OCD-induced changes in the striatal functional topology are context-specific, and that topological normalisation at rest may mirror an improvement in symptom severity. These results encourage studies assessing neural mechanisms driving changes in the dynamic reorganisation of striatal topology in OCD and the development of therapies targeting striatal plasticity.

Disorders of the Nervous System:

Psychiatric (eg. Depression, Anxiety, Schizophrenia) 1

Modeling and Analysis Methods:

fMRI Connectivity and Network Modeling 2
Other Methods

Keywords:

Obessive Compulsive Disorder
Sub-Cortical
Other - gradient

1|2Indicates the priority used for review
Supporting Image: ChangeHCcor_ChangepercYBOCS_rest_all_stackedbar_forabstract_withCaption_lesswide_20241213.png
 

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Healthy subjects only or patients (note that patient studies may also involve healthy subjects):

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Were any human subjects research approved by the relevant Institutional Review Board or ethics panel? NOTE: Any human subjects studies without IRB approval will be automatically rejected.

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Functional MRI

For human MRI, what field strength scanner do you use?

3.0T

Which processing packages did you use for your study?

Other, Please list  -   fMRIprep, Nilearn

Provide references using APA citation style.

1. Borne, L. et al. (2023). Functional re-organization of hippocampal-cortical gradients during naturalistic memory processes. Neuroimage, 271, 119996. doi:10.1016/j.neuroimage.2023.119996
2. Cocchi, L. et al. (2023). Effects of transcranial magnetic stimulation of the rostromedial prefrontal cortex in obsessive–compulsive disorder: a randomized clinical trial. Nature Mental Health, 1(8), 555-563. doi:10.1038/s44220-023-00094-0
3. Esteban, O. et al. (2019). fMRIPrep: a robust preprocessing pipeline for functional MRI. Nature Methods, 16(1), 111-116. doi:10.1038/s41592-018-0235-4
4. Friston, K. J. et al. (1997). Psychophysiological and modulatory interactions in neuroimaging. Neuroimage, 6(3), 218-229. doi:10.1006/nimg.1997.0291
5. Hearne, L. J. et al. (2023). Revisiting deficits in threat and safety appraisal in obsessive-compulsive disorder. Human Brain Mapping, 44(18), 6418-6428. doi:https://doi.org/10.1002/hbm.26518
6. Naze, S. et al. (2022). Mechanisms of imbalanced frontostriatal functional connectivity in obsessive-compulsive disorder. Brain, 146(4), 1322-1327. doi:10.1093/brain/awac425
7. Tian, Y. et al. (2020). Topographic organization of the human subcortex unveiled with functional connectivity gradients. Nature Neuroscience, 23(11), 1421-1432. doi:10.1038/s41593-020-00711-6

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