Exploration of neurometabolic alterations in adolescent patients with bipolar depression and non-suicidal self-injury based on proton magnetic resonance spectroscopy

BackgroundAdolescent bipolar depression (ABD) refers to depressive episodes that arise in adolescent patients with bipolar disorder. Its identification and diagnosis are challenging, and it is characterized by a high rate of misdiagnosis and disability. Studies have revealed that patients with ABD a...

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Main Authors: Chengji Wang, Yuan Qu, Xiaoqin Shen, Xiaoxiao Tang, Gaiyu Tong, Meier Wati, Manzeremu Naibi, Cheng Zhang, Shaohong Zou
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1474170/full
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author Chengji Wang
Yuan Qu
Xiaoqin Shen
Xiaoxiao Tang
Xiaoxiao Tang
Gaiyu Tong
Meier Wati
Manzeremu Naibi
Manzeremu Naibi
Cheng Zhang
Shaohong Zou
author_facet Chengji Wang
Yuan Qu
Xiaoqin Shen
Xiaoxiao Tang
Xiaoxiao Tang
Gaiyu Tong
Meier Wati
Manzeremu Naibi
Manzeremu Naibi
Cheng Zhang
Shaohong Zou
author_sort Chengji Wang
collection DOAJ
description BackgroundAdolescent bipolar depression (ABD) refers to depressive episodes that arise in adolescent patients with bipolar disorder. Its identification and diagnosis are challenging, and it is characterized by a high rate of misdiagnosis and disability. Studies have revealed that patients with ABD are more prone to non-suicidal self-injury (NSSI) compared to those with unipolar depression. However, the neuropathophysiological mechanisms behind NSSI in ABD remain unclear. Therefore, this study employed proton magnetic resonance spectroscopy (1H-MRS) technology to investigate the potential relationship between NSSI and neurometabolism in the ventromedial prefrontal cortex (vmPFC) of patients with ABD.MethodsThis study compared brain biochemical metabolism between ABD with and without NSSI. Forty ABD were recruited and divided into groups with (n=21) and without NSSI (n=19). Proton magnetic resonance spectroscopy (1H-MRS) was used to detect the ratio of biochemical metabolites in the ventromedial prefrontal cortex (vmPFC) of all patients.ResultsThere was no statistically significant difference (P>0.05) in the age, gender, only child status, residential status, education level, age of onset, disease course, family history, and 24-item Hamilton Depression Scale (HAMD) score between patients in the NSSI group and those without NSSI group. The N-acetylaspartate (NAA)/creatine (Cr) of patients with NSSI was lower than that of patients without NSSI, and the difference was statistically significant (Z=-4.347,P<0.001). There was no statistically significant difference in choline (Cho)/Cr and myo-inositol (mI)/Cr between the group with NSSI and the group without NSSI (P>0.05).There is a positive correlation (r=0.703,P<0.00625) between Cho/Cr and HAMD scores in patients with NSSI, while there is a varying degree of negative correlation (r=-0.605,P=0.006;r=0.624,P=0.004) between mI/Cr and age and onset age in patients without NSSI. There is no correlation (P>0.05) between other indicators.ConclusionCompared with ABD without NSSI, ABD with NSSI have reduced NAA/Cr metabolism in the vmPFC brain area. The level of membrane phospholipid breakdown metabolism in the vmPFC brain area of ABD with NSSI may be related to the severity of depression. The level of phosphoinositol cycle in the vmPFC brain area of ABD without NSSI may be related to age or onset age. Therefore, further validation was required.
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spelling doaj-art-0afde8fd6a7b4e7ebe45f7707cf71db42025-01-24T07:13:37ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.14741701474170Exploration of neurometabolic alterations in adolescent patients with bipolar depression and non-suicidal self-injury based on proton magnetic resonance spectroscopyChengji Wang0Yuan Qu1Xiaoqin Shen2Xiaoxiao Tang3Xiaoxiao Tang4Gaiyu Tong5Meier Wati6Manzeremu Naibi7Manzeremu Naibi8Cheng Zhang9Shaohong Zou10Graduate School, Xinjiang Medical University, Urumqi, Xinjiang, ChinaDepartment of Radiology, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, ChinaDepartment of Clinical Psychology, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, ChinaGraduate School, Xinjiang Medical University, Urumqi, Xinjiang, ChinaDepartment of Clinical Psychology, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, ChinaDepartment of Clinical Psychology, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, ChinaDepartment of Clinical Psychology, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, ChinaGraduate School, Xinjiang Medical University, Urumqi, Xinjiang, ChinaDepartment of Clinical Psychology, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, ChinaDepartment of Clinical Psychology, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, ChinaDepartment of Clinical Psychology, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, ChinaBackgroundAdolescent bipolar depression (ABD) refers to depressive episodes that arise in adolescent patients with bipolar disorder. Its identification and diagnosis are challenging, and it is characterized by a high rate of misdiagnosis and disability. Studies have revealed that patients with ABD are more prone to non-suicidal self-injury (NSSI) compared to those with unipolar depression. However, the neuropathophysiological mechanisms behind NSSI in ABD remain unclear. Therefore, this study employed proton magnetic resonance spectroscopy (1H-MRS) technology to investigate the potential relationship between NSSI and neurometabolism in the ventromedial prefrontal cortex (vmPFC) of patients with ABD.MethodsThis study compared brain biochemical metabolism between ABD with and without NSSI. Forty ABD were recruited and divided into groups with (n=21) and without NSSI (n=19). Proton magnetic resonance spectroscopy (1H-MRS) was used to detect the ratio of biochemical metabolites in the ventromedial prefrontal cortex (vmPFC) of all patients.ResultsThere was no statistically significant difference (P>0.05) in the age, gender, only child status, residential status, education level, age of onset, disease course, family history, and 24-item Hamilton Depression Scale (HAMD) score between patients in the NSSI group and those without NSSI group. The N-acetylaspartate (NAA)/creatine (Cr) of patients with NSSI was lower than that of patients without NSSI, and the difference was statistically significant (Z=-4.347,P<0.001). There was no statistically significant difference in choline (Cho)/Cr and myo-inositol (mI)/Cr between the group with NSSI and the group without NSSI (P>0.05).There is a positive correlation (r=0.703,P<0.00625) between Cho/Cr and HAMD scores in patients with NSSI, while there is a varying degree of negative correlation (r=-0.605,P=0.006;r=0.624,P=0.004) between mI/Cr and age and onset age in patients without NSSI. There is no correlation (P>0.05) between other indicators.ConclusionCompared with ABD without NSSI, ABD with NSSI have reduced NAA/Cr metabolism in the vmPFC brain area. The level of membrane phospholipid breakdown metabolism in the vmPFC brain area of ABD with NSSI may be related to the severity of depression. The level of phosphoinositol cycle in the vmPFC brain area of ABD without NSSI may be related to age or onset age. Therefore, further validation was required.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1474170/fulladolescent bipolar depressionnon-suicidal self-injuryproton magnetic resonance spectroscopyneurometabolicChina
spellingShingle Chengji Wang
Yuan Qu
Xiaoqin Shen
Xiaoxiao Tang
Xiaoxiao Tang
Gaiyu Tong
Meier Wati
Manzeremu Naibi
Manzeremu Naibi
Cheng Zhang
Shaohong Zou
Exploration of neurometabolic alterations in adolescent patients with bipolar depression and non-suicidal self-injury based on proton magnetic resonance spectroscopy
Frontiers in Psychiatry
adolescent bipolar depression
non-suicidal self-injury
proton magnetic resonance spectroscopy
neurometabolic
China
title Exploration of neurometabolic alterations in adolescent patients with bipolar depression and non-suicidal self-injury based on proton magnetic resonance spectroscopy
title_full Exploration of neurometabolic alterations in adolescent patients with bipolar depression and non-suicidal self-injury based on proton magnetic resonance spectroscopy
title_fullStr Exploration of neurometabolic alterations in adolescent patients with bipolar depression and non-suicidal self-injury based on proton magnetic resonance spectroscopy
title_full_unstemmed Exploration of neurometabolic alterations in adolescent patients with bipolar depression and non-suicidal self-injury based on proton magnetic resonance spectroscopy
title_short Exploration of neurometabolic alterations in adolescent patients with bipolar depression and non-suicidal self-injury based on proton magnetic resonance spectroscopy
title_sort exploration of neurometabolic alterations in adolescent patients with bipolar depression and non suicidal self injury based on proton magnetic resonance spectroscopy
topic adolescent bipolar depression
non-suicidal self-injury
proton magnetic resonance spectroscopy
neurometabolic
China
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1474170/full
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