Smoking and schizophrenia independently and additively reduce white matter integrity between striatum and frontal cortex.

Smoking and schizophrenia independently and additively reduce white matter integrity between striatum and frontal cortex.
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DOI:
10.1016/j.biopsych.2010.06.018
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发表时间:
2010-10-01
影响因子:
10.6
通讯作者:
Hong, L. Elliot
Hong, L. Elliot
中科院分区:
医学1区
文献类型:
--
作者:
Zhang, Xiaochu;Stein, Elliot A.;Hong, L. Elliot

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Although schizophrenia patients are at high risk for tobacco use, the neurobiological basis of this comorbid association is not clear. White matter abnormalities have been described independently in schizophrenia and smoking cohorts. We sought to determine whether smoking and schizophrenia are associated with similar white matter abnormalities that could be biomarkers for the high risk of smoking in schizophrenia. Whole brain white matter integrity (fractional anisotropy [FA]) was measured in 46 schizophrenia patients (32 smokers and 14 nonsmokers) and 69 healthy age matched controls (48 smokers and 21 nonsmokers). Schizophrenia and smoking status were independently and additively associated with reduced FA in left anterior thalamic radiation/anterior limb of the internal capsule, while significant FA decreases were identified in the bilateral uncinate fasciculus/inferior fronto-occipital fasciculus in schizophrenia and the left prefrontal area in smoking status separately. Common and distinct patterns of impaired white matter are associated with schizophrenia and smoking. Particularly, the anatomical congruence of an additive white matter abnormality in the anterior thalamic radiation/anterior limb of the internal capsule suggests that this abnormal fiber connectivity between frontal cortex and striatum/thalamus may be a biomarker for the increased comorbid smoking in schizophrenia patients.
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