Task and Resting-State fMRI Reveal Altered Salience Responses to Positive Stimuli in Patients with Major Depressive Disorder

PLoS One. 2016 May 18;11(5):e0155092. doi: 10.1371/journal.pone.0155092. eCollection 2016.

Abstract

Altered brain function in patients with major depressive disorder (MDD) has been repeatedly demonstrated by task-based and resting-state studies, respectively. However, less is known concerning whether overlapped abnormalities in functional activities across modalities exist in MDD patients. To find out the answer, we implemented an fMRI experiment and collected both task and resting-state data from 19 MDD patients and 19 matched, healthy, controls. A distraction paradigm involving emotionally valenced pictures was applied to induce affective responses in subjects. As a result, concurrent deficits were found in arousing activation during a positive task in both the reward circuit and salience network (SN) that is composed of the dorsal part of anterior cingulate cortex (dACC) and bilateral anterior insulae (AI) in only the MDD group. Subsequent amplitude of low frequency fluctuations (ALFF) and functional connectivity analyses based on resting-state data exhibited consistent alterations in the bilateral AI of MDD patients, and indicated patients' difficulties in regulating the balance between central executive network (CEN) and default mode network (DMN) due to altered connectivity among the CEN, DMN, and SN. Our findings provide new evidence demonstrating impaired salience processing and resulting alterations in responses to positive stimuli in MDD patients. Furthermore, brain abnormalities synchronized across functional states in MDD patients can be evidenced by a combination of task and resting-state fMRI analyses.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Brain Mapping*
  • Case-Control Studies
  • Depressive Disorder, Major / diagnostic imaging
  • Depressive Disorder, Major / physiopathology*
  • Executive Function
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Task Performance and Analysis

Grants and funding

This study was supported by the International Science & Technology Cooperation Program of China (2013DFA32180), http://www.istcp.org.cn/index.html, authors who received the funding: YY NZ SL ML HZ GW KL; National Basic Research Program of China (2014CB744600), http://www.973.gov.cn/AreaAppl.aspx, authors who received the funding: YY NZ SL ML HZ GW BH; National Natural Science Foundation of China (61272345), http://www.nsfc.gov.cn/publish/portal1/, authors who received the funding: YY NZ SL ML HZ; National Natural Science Foundation of China (61420106005), http://www.nsfc.gov.cn/publish/portal1/, authors who received the funding: YY NZ SL ML HZ; Grant-in-Aid for Scientific Research (C) from Japan Society for the Promotion of Science (26350994), http://www.jsps.go.jp/english/e-grants/index.html, authors who received the funding: YY NZ KI; Beijing Municipal Commission of Education, http://www.bjedu.gov.cn, authors who received the funding: YY NZ SL ML HZ; Open Research Fund of Beijing Key Lab of Magnetic Resonance Imaging and Brain Informatics (2014CGZC03), authors who received the funding: YY NZ SL ML HZ KL.