Magnetic Resonance Imaging of the Thalamus and Adhesio Interthalamica in Twins With Schizophrenia

CONTEXT Abnormalities of the thalamus are thought to be central to the pathophysiology of schizophrenia. These abnormalities include altered structure and shape of the thalamus itself and possibly changes to the adhesio interthalamica (or massa intermedia), the gray matter bridge connecting the 2 th...

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Veröffentlicht in:Archives of general psychiatry 2007-04, Vol.64 (4), p.401-409
Hauptverfasser: Ettinger, Ulrich, Picchioni, Marco, Landau, Sabine, Matsumoto, Kazunori, van Haren, Neeltje E, Marshall, Nicolette, Hall, Mei-Hua, Schulze, Katja, Toulopoulou, Timothea, Davies, Nadia, Ribchester, Tracy, McGuire, Philip K, Murray, Robin M
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container_end_page 409
container_issue 4
container_start_page 401
container_title Archives of general psychiatry
container_volume 64
creator Ettinger, Ulrich
Picchioni, Marco
Landau, Sabine
Matsumoto, Kazunori
van Haren, Neeltje E
Marshall, Nicolette
Hall, Mei-Hua
Schulze, Katja
Toulopoulou, Timothea
Davies, Nadia
Ribchester, Tracy
McGuire, Philip K
Murray, Robin M
description CONTEXT Abnormalities of the thalamus are thought to be central to the pathophysiology of schizophrenia. These abnormalities include altered structure and shape of the thalamus itself and possibly changes to the adhesio interthalamica (or massa intermedia), the gray matter bridge connecting the 2 thalamic lobes. However, it is not clear to what extent these abnormalities are determined by the genetic liability for schizophrenia. OBJECTIVE To investigate thalamic volume and the presence of the adhesio interthalamica in monozygotic (MZ) twins concordant or discordant for schizophrenia. DESIGN Study of MZ twins. SETTING Patients were drawn from inpatient and outpatient clinics. Twin controls were recruited from a volunteer twin register and through media advertisements. PARTICIPANTS A total of 123 twins participated: 19 MZ twin pairs concordant for schizophrenia, 15 MZ schizophrenic twins and 16 MZ nonschizophrenic twins drawn from 17 pairs discordant for schizophrenia, and 27 MZ twin pairs without schizophrenia. Groups were matched for age, sex, handedness, level of education, parental socioeconomic status, and ethnicity. MAIN OUTCOME MEASURES The volume of the thalamus (including right and left hemispheres) was measured (in cubic centimeters) and the presence of the adhesio interthalamica was ascertained from structural magnetic resonance images. RESULTS Concordant twin pairs displayed significantly reduced thalamic volume compared with control twins, even when covarying for effects of whole-brain volume, age, and sex. There was a significant linear decrease in thalamic volume (control greater than discordant nonschizophrenic greater than discordant schizophrenic greater than concordant). In all groups, right thalamus was larger than left thalamus. There was no difference across groups in the frequency of the adhesio interthalamica. CONCLUSIONS Volumetric thalamic abnormalities in schizophrenia occur in twin pairs concordant for schizophrenia. These abnormalities may mark the substantial genetic contribution to the illness seen in concordant twin pairs, whereas the adhesio interthalamica is unlikely to be affected in schizophrenia.Arch Gen Psychiatry. 2007;64:401-409-->
doi_str_mv 10.1001/archpsyc.64.4.401
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These abnormalities include altered structure and shape of the thalamus itself and possibly changes to the adhesio interthalamica (or massa intermedia), the gray matter bridge connecting the 2 thalamic lobes. However, it is not clear to what extent these abnormalities are determined by the genetic liability for schizophrenia. OBJECTIVE To investigate thalamic volume and the presence of the adhesio interthalamica in monozygotic (MZ) twins concordant or discordant for schizophrenia. DESIGN Study of MZ twins. SETTING Patients were drawn from inpatient and outpatient clinics. Twin controls were recruited from a volunteer twin register and through media advertisements. PARTICIPANTS A total of 123 twins participated: 19 MZ twin pairs concordant for schizophrenia, 15 MZ schizophrenic twins and 16 MZ nonschizophrenic twins drawn from 17 pairs discordant for schizophrenia, and 27 MZ twin pairs without schizophrenia. Groups were matched for age, sex, handedness, level of education, parental socioeconomic status, and ethnicity. MAIN OUTCOME MEASURES The volume of the thalamus (including right and left hemispheres) was measured (in cubic centimeters) and the presence of the adhesio interthalamica was ascertained from structural magnetic resonance images. RESULTS Concordant twin pairs displayed significantly reduced thalamic volume compared with control twins, even when covarying for effects of whole-brain volume, age, and sex. There was a significant linear decrease in thalamic volume (control greater than discordant nonschizophrenic greater than discordant schizophrenic greater than concordant). In all groups, right thalamus was larger than left thalamus. There was no difference across groups in the frequency of the adhesio interthalamica. CONCLUSIONS Volumetric thalamic abnormalities in schizophrenia occur in twin pairs concordant for schizophrenia. These abnormalities may mark the substantial genetic contribution to the illness seen in concordant twin pairs, whereas the adhesio interthalamica is unlikely to be affected in schizophrenia.Arch Gen Psychiatry. 2007;64:401-409--&gt;</description><identifier>ISSN: 0003-990X</identifier><identifier>EISSN: 1538-3636</identifier><identifier>DOI: 10.1001/archpsyc.64.4.401</identifier><identifier>PMID: 17404117</identifier><identifier>CODEN: ARGPAQ</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Adult ; Adult and adolescent clinical studies ; Atrophy ; Biological and medical sciences ; Diseases in Twins - genetics ; Diseases in Twins - pathology ; Female ; Functional Laterality - physiology ; Humans ; Magnetic Resonance Imaging - statistics &amp; numerical data ; Male ; Medical sciences ; Neural Pathways - pathology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. 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These abnormalities include altered structure and shape of the thalamus itself and possibly changes to the adhesio interthalamica (or massa intermedia), the gray matter bridge connecting the 2 thalamic lobes. However, it is not clear to what extent these abnormalities are determined by the genetic liability for schizophrenia. OBJECTIVE To investigate thalamic volume and the presence of the adhesio interthalamica in monozygotic (MZ) twins concordant or discordant for schizophrenia. DESIGN Study of MZ twins. SETTING Patients were drawn from inpatient and outpatient clinics. Twin controls were recruited from a volunteer twin register and through media advertisements. PARTICIPANTS A total of 123 twins participated: 19 MZ twin pairs concordant for schizophrenia, 15 MZ schizophrenic twins and 16 MZ nonschizophrenic twins drawn from 17 pairs discordant for schizophrenia, and 27 MZ twin pairs without schizophrenia. Groups were matched for age, sex, handedness, level of education, parental socioeconomic status, and ethnicity. MAIN OUTCOME MEASURES The volume of the thalamus (including right and left hemispheres) was measured (in cubic centimeters) and the presence of the adhesio interthalamica was ascertained from structural magnetic resonance images. RESULTS Concordant twin pairs displayed significantly reduced thalamic volume compared with control twins, even when covarying for effects of whole-brain volume, age, and sex. There was a significant linear decrease in thalamic volume (control greater than discordant nonschizophrenic greater than discordant schizophrenic greater than concordant). In all groups, right thalamus was larger than left thalamus. There was no difference across groups in the frequency of the adhesio interthalamica. CONCLUSIONS Volumetric thalamic abnormalities in schizophrenia occur in twin pairs concordant for schizophrenia. 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Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychoses</topic><topic>Schizophrenia</topic><topic>Schizophrenia - genetics</topic><topic>Schizophrenia - pathology</topic><topic>Schizophrenia - physiopathology</topic><topic>Sex Factors</topic><topic>Thalamus - pathology</topic><topic>Thalamus - physiopathology</topic><topic>Twins, Monozygotic - genetics</topic><toplevel>online_resources</toplevel><creatorcontrib>Ettinger, Ulrich</creatorcontrib><creatorcontrib>Picchioni, Marco</creatorcontrib><creatorcontrib>Landau, Sabine</creatorcontrib><creatorcontrib>Matsumoto, Kazunori</creatorcontrib><creatorcontrib>van Haren, Neeltje E</creatorcontrib><creatorcontrib>Marshall, Nicolette</creatorcontrib><creatorcontrib>Hall, Mei-Hua</creatorcontrib><creatorcontrib>Schulze, Katja</creatorcontrib><creatorcontrib>Toulopoulou, Timothea</creatorcontrib><creatorcontrib>Davies, Nadia</creatorcontrib><creatorcontrib>Ribchester, Tracy</creatorcontrib><creatorcontrib>McGuire, Philip K</creatorcontrib><creatorcontrib>Murray, Robin M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of general psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ettinger, Ulrich</au><au>Picchioni, Marco</au><au>Landau, Sabine</au><au>Matsumoto, Kazunori</au><au>van Haren, Neeltje E</au><au>Marshall, Nicolette</au><au>Hall, Mei-Hua</au><au>Schulze, Katja</au><au>Toulopoulou, Timothea</au><au>Davies, Nadia</au><au>Ribchester, Tracy</au><au>McGuire, Philip K</au><au>Murray, Robin M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Magnetic Resonance Imaging of the Thalamus and Adhesio Interthalamica in Twins With Schizophrenia</atitle><jtitle>Archives of general psychiatry</jtitle><addtitle>Arch Gen Psychiatry</addtitle><date>2007-04-01</date><risdate>2007</risdate><volume>64</volume><issue>4</issue><spage>401</spage><epage>409</epage><pages>401-409</pages><issn>0003-990X</issn><eissn>1538-3636</eissn><coden>ARGPAQ</coden><abstract>CONTEXT Abnormalities of the thalamus are thought to be central to the pathophysiology of schizophrenia. These abnormalities include altered structure and shape of the thalamus itself and possibly changes to the adhesio interthalamica (or massa intermedia), the gray matter bridge connecting the 2 thalamic lobes. However, it is not clear to what extent these abnormalities are determined by the genetic liability for schizophrenia. OBJECTIVE To investigate thalamic volume and the presence of the adhesio interthalamica in monozygotic (MZ) twins concordant or discordant for schizophrenia. DESIGN Study of MZ twins. SETTING Patients were drawn from inpatient and outpatient clinics. Twin controls were recruited from a volunteer twin register and through media advertisements. PARTICIPANTS A total of 123 twins participated: 19 MZ twin pairs concordant for schizophrenia, 15 MZ schizophrenic twins and 16 MZ nonschizophrenic twins drawn from 17 pairs discordant for schizophrenia, and 27 MZ twin pairs without schizophrenia. Groups were matched for age, sex, handedness, level of education, parental socioeconomic status, and ethnicity. MAIN OUTCOME MEASURES The volume of the thalamus (including right and left hemispheres) was measured (in cubic centimeters) and the presence of the adhesio interthalamica was ascertained from structural magnetic resonance images. RESULTS Concordant twin pairs displayed significantly reduced thalamic volume compared with control twins, even when covarying for effects of whole-brain volume, age, and sex. There was a significant linear decrease in thalamic volume (control greater than discordant nonschizophrenic greater than discordant schizophrenic greater than concordant). In all groups, right thalamus was larger than left thalamus. There was no difference across groups in the frequency of the adhesio interthalamica. CONCLUSIONS Volumetric thalamic abnormalities in schizophrenia occur in twin pairs concordant for schizophrenia. These abnormalities may mark the substantial genetic contribution to the illness seen in concordant twin pairs, whereas the adhesio interthalamica is unlikely to be affected in schizophrenia.Arch Gen Psychiatry. 2007;64:401-409--&gt;</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>17404117</pmid><doi>10.1001/archpsyc.64.4.401</doi><tpages>9</tpages></addata></record>
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subjects Adult
Adult and adolescent clinical studies
Atrophy
Biological and medical sciences
Diseases in Twins - genetics
Diseases in Twins - pathology
Female
Functional Laterality - physiology
Humans
Magnetic Resonance Imaging - statistics & numerical data
Male
Medical sciences
Neural Pathways - pathology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Schizophrenia
Schizophrenia - genetics
Schizophrenia - pathology
Schizophrenia - physiopathology
Sex Factors
Thalamus - pathology
Thalamus - physiopathology
Twins, Monozygotic - genetics
title Magnetic Resonance Imaging of the Thalamus and Adhesio Interthalamica in Twins With Schizophrenia
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