4.4 Article

Widespread white-matter microstructure integrity reduction in first-episode schizophrenia patients after acute antipsychotic treatment

Journal

SCHIZOPHRENIA RESEARCH
Volume 204, Issue -, Pages 238-244

Publisher

ELSEVIER SCIENCE BV
DOI: 10.1016/j.schres.2018.08.021

Keywords

First-episode schizophrenia; Drug-naive; Antipsychotics; Microstructural integrity; Psychoradiology

Categories

Funding

  1. National Natural Science Foundation [81401477, 81621003, 81761122023, 81220108013, 81227002, 81030027]
  2. Program for Changjiang Scholars and Innovative Research Team (PCSIRT) [IRT16R52]
  3. Changjiang Scholar Professorship Award from the Chinese Ministry of Education [T2014190]
  4. American CMB Distinguished Professorship Award from the Institute of International Education, USA [F510000/G16916411]

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Potential effects of initiating acute antipsychotic treatment on white matter (WM) microstructure in schizophrenia patients remain poorly characterized. Thirty-five drug-naive first-episode schizophrenia patients were scanned before and after six weeks of treatment with second-generation antipsychotic medications. Nineteen demographically matched healthy subjects were scanned twice over the same time interval. Tract-based spatial statistics was used to test for changes in WM microstructural integrity after treatment. Widespread fractional anisotropy (FA) decrease was found in patients after antipsychotic treatment in bilateral posterior corona radiata, anterior corona radiata, superior corona radiata and posterior thalamic radiation, left posterior limb of the internal capsule, and mid-body of the corpus callosum. These effects appeared to result primarily from decreased axial diffusivity. These findings suggest an effect on brain white matter from acute antipsychotic therapy in schizophrenia. (C) 2018 Elsevier B.V. All rights reserved.

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