Abstract
Schizophrenia is a neurodevelopmental disorder associated with subtle abnormal cortical thickness and cortical surface area. However, it is unclear whether these abnormalities exist in neonates associated with genetic risk for schizophrenia. To this end, this preliminary study was conducted to identify possible abnormalities of cortical thickness and surface area in the high-genetic-risk neonates. Structural magnetic resonance images were acquired from offspring of mothers (N = 21) who had schizophrenia (N = 12) or schizoaffective disorder (N = 9), and also matched healthy neonates of mothers who were free of psychiatric illness (N = 26). Neonatal cortical surfaces were reconstructed and parcellated as regions of interest (ROIs), and cortical thickness for each vertex was computed as the shortest distance between the inner and outer surfaces. Comparisons were made for the average cortical thickness and total surface area in each of 68 cortical ROIs. After false discovery rate (FDR) correction, it was found that the female high-genetic-risk neonates had significantly thinner cortical thickness in the right lateral occipital cortex than the female control neonates. Before FDR correction, the high-genetic-risk neonates had significantly thinner cortex in the left transverse temporal gyrus, left banks of superior temporal sulcus, left lingual gyrus, right paracentral cortex, right posterior cingulate cortex, right temporal pole, and right lateral occipital cortex, compared with the control neonates. Before FDR correction, in comparison with control neonates, male high-risk neonates had significantly thicker cortex in the left frontal pole, left cuneus cortex, and left lateral occipital cortex; while female high-risk neonates had significantly thinner cortex in the bilateral paracentral, bilateral lateral occipital, left transverse temporal, left pars opercularis, right cuneus, and right posterior cingulate cortices. The high-risk neonates also had significantly smaller cortical surface area in the right pars triangularis (before FDR correction), compared with control neonates. This preliminary study provides the first evidence that early development of cortical thickness and surface area might be abnormal in the neonates at genetic risk for schizophrenia.
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Aberg KA, Liu Y, Bukszar J, McClay JL, Khachane AN, Andreassen OA, Blackwood D, Corvin A, Djurovic S, Gurling H, Ophoff R, Pato CN, Pato MT, Riley B, Webb T, Kendler K, O’Donovan M, Craddock N, Kirov G, Owen M, Rujescu D, St Clair D, Werge T, Hultman CM, Delisi LE, Sullivan P, van den Oord EJ (2013) A comprehensive family-based replication study of schizophrenia genes. JAMA Psychiatry 70(2):1–9
Black JE, Kodish IM, Grossman AW, Klintsova AY, Orlovskaya D, Vostrikov V, Uranova N, Greenough WT (2004) Pathology of layer V pyramidal neurons in the prefrontal cortex of patients with schizophrenia. Am J Psychiatry 161(4):742–744
Blumenthal JD, Zijdenbos A, Molloy E, Giedd JN (2002) Motion artifact in magnetic resonance imaging: implications for automated analysis. Neuroimage 16(1):89–92
Butler PD, Silverstein SM, Dakin SC (2008) Visual perception and its impairment in schizophrenia. Biol Psychiatry 64(1):40–47
Byun MS, Kim JS, Jung WH, Jang JH, Choi JS, Kim SN, Choi CH, Chung CK, An SK, Kwon JS (2012) Regional cortical thinning in subjects with high genetic loading for schizophrenia. Schizophr Res 141(2–3):197–203
Cannon TD, van Erp TGM, Huttunen M, Lonnqvist J, Salonen O, Valanne L, Poutanen VP, Standertskjold-Nordenstam CG, Gur RE, Yan M (1998) Regional gray matter, white matter, and cerebrospinal fluid distributions in schizophrenic patients, their siblings, and controls. Arch Gen Psychiatry 55(12):1084–1091
Chen CH, Fiecas M, Gutierrez ED, Panizzon MS, Eyler LT, Vuoksimaa E, Thompson WK, Fennema-Notestine C, Hagler DJ Jr, Jernigan TL, Neale MC, Franz CE, Lyons MJ, Fischl B, Tsuang MT, Dale AM, Kremen WS (2013) Genetic topography of brain morphology. Proc Natl Acad Sci USA 110(42):17089–17094
Desikan RS, Segonne F, Fischl B, Quinn BT, Dickerson BC, Blacker D, Buckner RL, Dale AM, Maguire RP, Hyman BT, Albert MS, Killiany RJ (2006) An automated labeling system for subdividing the human cerebral cortex on MRI scans into gyral based regions of interest. Neuroimage 31(3):968–980
Einarson A, Boskovic R (2009) Use and safety of antipsychotic drugs during pregnancy. J Psychiatr Pract 15(3):183–192
Fischl B, Dale AM (2000) Measuring the thickness of the human cerebral cortex from magnetic resonance images. Proc Natl Acad Sci USA 97(20):11050–11055
Fischl B, Sereno MI, Dale AM (1999) Cortical surface-based analysis. II: inflation, flattening, and a surface-based coordinate system. Neuroimage 9(2):195–207
Gilmore JH, Kang C, Evans DD, Wolfe HM, Smith JK, Lieberman JA, Lin W, Hamer RM, Styner M, Gerig G (2010a) Prenatal and neonatal brain structure and white matter maturation in children at high risk for schizophrenia. Am J Psychiatry 167(9):1083–1091
Gilmore JH, Schmitt JE, Knickmeyer RC, Smith JK, Lin W, Styner M, Gerig G, Neale MC (2010b) Genetic and environmental contributions to neonatal brain structure: a twin study. Hum Brain Mapp 31(8):1174–1182
Gilmore JH, Shi F, Woolson SL, Knickmeyer RC, Short SJ, Lin W, Zhu H, Hamer RM, Styner M, Shen D (2012) Longitudinal development of cortical and subcortical gray matter from birth to 2 years. Cereb Cortex 22(11):2478–2485
Glantz LA, Lewis DA (2000) Decreased dendritic spine density on prefrontal cortical pyramidal neurons in schizophrenia. Arch Gen Psychiatry 57(1):65–73
Goghari VM, Rehm K, Carter CS, Macdonald AW (2007a) Sulcal thickness as a vulnerability indicator for schizophrenia. Brit J Psychiatry 191:229–233
Goghari VM, Rehm K, Carter CS, MacDonald AW 3rd (2007b) Regionally specific cortical thinning and gray matter abnormalities in the healthy relatives of schizophrenia patients. Cereb Cortex 17(2):415–424
Gogtay N, Greenstein D, Lenane M, Clasen L, Sharp W, Gochman P, Butler P, Evans A, Rapoport J (2007) Cortical brain development in nonpsychotic siblings of patients with childhood-onset schizophrenia. Arch Gen Psychiatry 64(7):772–780
Goldman AL, Pezawas L, Mattay VS, Fischl B, Verchinski BA, Chen Q, Weinberger DR, Meyer-Lindenberg A (2009) Widespread reductions of cortical thickness in schizophrenia and spectrum disorders and evidence of heritability. Arch Gen Psychiatry 66(5):467–477
Gutierrez-Galve L, Wheeler-Kingshott CA, Altmann DR, Price G, Chu EM, Leeson VC, Lobo A, Barker GJ, Barnes TR, Joyce EM, Ron MA (2010) Changes in the frontotemporal cortex and cognitive correlates in first-episode psychosis. Biol Psychiatry 68(1):51–60
Hanson JL, Hair N, Shen D, Shi F, Gilmore JH, Wolfe BL, Pollak SD (2013) Family poverty affects the rate of human infant brain growth. PLoS One 8(12):e80954
Honea RA, Meyer-Lindenberg A, Hobbs KB, Pezawas L, Mattay VS, Egan MF, Verchinski B, Passingham RE, Weinberger DR, Callicott JH (2008) Is gray matter volume an intermediate phenotype for schizophrenia? A voxel-based morphometry study of patients with schizophrenia and their healthy siblings. Biol Psychiatry 63(5):465–474
Insel TR (2010) Rethinking schizophrenia. Nature 468(7321):187–193
Ivleva EI, Bidesi AS, Keshavan MS, Pearlson GD, Meda SA, Dodig D, Moates AF, Lu HZ, Francis AN, Tandon N, Schretlen DJ, Sweeney JA, Clementz BA, Tamminga CA (2013) Gray matter volume as an intermediate phenotype for psychosis: bipolar-schizophrenia network on intermediate phenotypes (B-SNIP). Am J Psychiatry 170(11):1285–1296
Keshavan MS, Hogarty GE (1999) Brain maturational processes and delayed onset in schizophrenia. Dev Psychopathol 11(3):525–543
Keshavan M, Montrose DM, Rajarethinam R, Diwadkar V, Prasad K, Sweeney JA (2008) Psychopathology among offspring of parents with schizophrenia: relationship to premorbid impairments. Schizophr Res 103(1–3):114–120
Knickmeyer RC, Gouttard S, Kang C, Evans D, Wilber K, Smith JK, Hamer RM, Lin W, Gerig G, Gilmore JH (2008) A structural MRI study of human brain development from birth to 2 years. J Neurosci 28(47):12176–12182
Kuperberg GR, Broome MR, McGuire PK, David AS, Eddy M, Ozawa F, Goff D, West WC, Williams SC, van der Kouwe AJ, Salat DH, Dale AM, Fischl B (2003) Regionally localized thinning of the cerebral cortex in schizophrenia. Arch Gen Psychiatry 60(9):878–888
Li G, Nie J, Wu G, Wang Y, Shen D (2012) Consistent reconstruction of cortical surfaces from longitudinal brain MR images. Neuroimage 59(4):3805–3820
Li G, Nie J, Wang L, Shi F, Lin W, Gilmore JH, Shen D (2013a) Mapping region-specific longitudinal cortical surface expansion from birth to 2 years of age. Cereb Cortex 23(11):2724–2733
Li G, Wang L, Shi F, Lin W, Shen D (2013b) Multi-atlas based simultaneous labeling of longitudinal dynamic cortical surfaces in infants. In: Mori K, Sakuma I, Sato Y, Barillot C, Navab N (eds) Medical image computing and computer-assisted intervention—MICCAI 2013, vol 8149., Lecture notes in computer scienceSpringer, Berlin Heidelberg, pp 58–65
Li G, Nie J, Wang L, Shi F, Gilmore JH, Lin W, Shen D (2014a) Measuring the dynamic longitudinal cortex development in infants by reconstruction of temporally consistent cortical surfaces. Neuroimage 90:266–279
Li G, Nie J, Wang L, Shi F, Lyall AE, Lin W, Gilmore JH, Shen D (2014b) Mapping longitudinal hemispheric structural asymmetries of the human cerebral cortex from birth to 2 years of age. Cereb Cortex 24(5):1289–1300
Li G, Wang L, Shi F, Lyall AE, Lin W, Gilmore JH, Shen D (2014c) Mapping longitudinal development of local cortical gyrification in infants from birth to 2 years of age. J Neurosci 34(12):4228–4238
Lotfipour S, Ferguson E, Leonard G, Perron M, Pike B, Richer L, Seguin JR, Toro R, Veillette S, Pausova Z, Paus T (2009) Orbitofrontal cortex and drug use during adolescence role of prenatal exposure to maternal smoking and BDNF genotype. Arch Gen Psychiatry 66(11):1244–1252
Lyall AE, Shi F, Geng X, Woolson S, Li G, Wang L, Hamer RM, Shen D, Gilmore JH (2014) Dynamic development of regional cortical thickness and surface area in early childhood. Cereb Cortex. doi:10.1093/cercor/bhu027
Marcus J, Hans SL, Auerbach JG, Auerbach AG (1993) Children at risk for schizophrenia: the Jerusalem Infant Development Study. II. Neurobehavioral deficits at school age. Arch Gen Psychiatry 50(10):797–809
Meng Y, Li G, Lin W, Gilmore JH, Shen D (2014) Spatial distribution and longitudinal development of deep cortical sulcal landmarks in infants. Neuroimage 100C:206–218
Mitelman SA, Shihabuddin L, Brickman AM, Hazlett EA, Buchsbaum MS (2003) MRI assessment of gray and white matter distribution in Brodmann’s areas of the cortex in patients with schizophrenia with good and poor outcomes. Am J Psychiatry 160(12):2154–2168
Montgomery DC (2013) Design and analysis of experiments, 8th edn. Wiley, Hoboken
Narr KL, Bilder RM, Toga AW, Woods RP, Rex DE, Szeszko PR, Robinson D, Sevy S, Gunduz-Bruce H, Wang YP, DeLuca H, Thompson PM (2005a) Mapping cortical thickness and gray matter concentration in first episode schizophrenia. Cereb Cortex 15(6):708–719
Narr KL, Toga AW, Szeszko P, Thompson PM, Woods RP, Robinson D, Sevy S, Wang Y, Schrock K, Bilder RM (2005b) Cortical thinning in cingulate and occipital cortices in first episode schizophrenia. Biol Psychiatry 58(1):32–40
Nie J, Li G, Wang L, Gilmore JH, Lin W, Shen D (2012) A computational growth model for measuring dynamic cortical development in the first year of life. Cereb Cortex 22(10):2272–2284
Nie J, Li G, Shen D (2013) Development of cortical anatomical properties from early childhood to early adulthood. Neuroimage 76:216–224
Panizzon MS, Fennema-Notestine C, Eyler LT, Jernigan TL, Prom-Wormley E, Neale M, Jacobson K, Lyons MJ, Grant MD, Franz CE, Xian H, Tsuang M, Fischl B, Seidman L, Dale A, Kremen WS (2009) Distinct genetic influences on cortical surface area and cortical thickness. Cereb Cortex 19(11):2728–2735
Prasad KM, Goradia D, Eack S, Rajagopalan M, Nutche J, Magge T, Rajarethinam R, Keshavan MS (2010) Cortical surface characteristics among offspring of schizophrenia subjects. Schizophr Res 116(2–3):143–151
Purcell SM, Wray NR, Stone JL, Visscher PM, O’Donovan MC, Sullivan PF, Sklar P (2009) Common polygenic variation contributes to risk of schizophrenia and bipolar disorder. Nature 460(7256):748–752
Radonic E, Rados M, Kalember P, Bajs-Janovic M, Folnegovic-Smalc V, Henigsberg N (2011) Comparison of hippocampal volumes in schizophrenia, schizoaffective and bipolar disorder. Collegium Antropol 35:249–252
Rajarethinam R, Sahni S, Rosenberg DR, Keshavan MS (2004) Reduced superior temporal gyrus volume in young offspring of patients with schizophrenia. Am J Psychiatry 161(6):1121–1124
Rakic P (1988) Specification of cerebral cortical areas. Science 241(4862):170–176
Rapoport JL, Addington AM, Frangou S, Psych MR (2005) The neurodevelopmental model of schizophrenia: update 2005. Mol Psychiatry 10(5):434–449
Reichenberg A, Caspi A, Harrington H, Houts R, Keefe RS, Murray RM, Poulton R, Moffitt TE (2010) Static and dynamic cognitive deficits in childhood preceding adult schizophrenia: a 30-year study. Am J Psychiatry 167(2):160–169
Rimol LM, Nesvag R, Hagler DJ Jr, Bergmann O, Fennema-Notestine C, Hartberg CB, Haukvik UK, Lange E, Pung CJ, Server A, Melle I, Andreassen OA, Agartz I, Dale AM (2012) Cortical volume, surface area, and thickness in schizophrenia and bipolar disorder. Biol Psychiatry 71(6):552–560
Ross RG (2010) Neuroimaging the infant: the application of modern neurobiological methods to the neurodevelopmental hypothesis of schizophrenia. Am J Psychiatry 167(9):1017–1019
Ross RG, Compagnon N (2001) Diagnosis and treatment of psychiatric disorders in children with a schizophrenic parent. Schizophr Res 50(1–2):121–129
Selemon LD, Rajkowska G, Goldman-Rakic PS (1995) Abnormally high neuronal density in the schizophrenic cortex. A morphometric analysis of prefrontal area 9 and occipital area 17. Arch Gen Psychiatry 52(10):805–818 (discussion 819–820)
Shi F, Yap PT, Fan Y, Gilmore JH, Lin W, Shen D (2010) Construction of multi-region-multi-reference atlases for neonatal brain MRI segmentation. Neuroimage 51(2):684–693
Shi F, Yap PT, Wu G, Jia H, Gilmore JH, Lin W, Shen D (2011) Infant brain atlases from neonates to 1- and 2-year-olds. PLoS One 6(4):e18746
Shi F, Yap PT, Gao W, Lin W, Gilmore JH, Shen D (2012) Altered structural connectivity in neonates at genetic risk for schizophrenia: a combined study using morphological and white matter networks. Neuroimage 62(3):1622–1633
Sorensen HJ, Mortensen EL, Schiffman J, Reinisch JM, Maeda J, Mednick SA (2010) Early developmental milestones and risk of schizophrenia: a 45-year follow-up of the Copenhagen Perinatal Cohort. Schizophr Res 118(1–3):41–47
Sowell ER, Mattson SN, Kan E, Thompson PM, Riley EP, Toga AW (2008) Abnormal cortical thickness and brain-behavior correlation patterns in individuals with heavy prenatal alcohol exposure. Cereb Cortex 18(1):136–144
Sprooten E, Papmeyer M, Smyth AM, Vincenz D, Honold S, Conlon GA, Moorhead TW, Job D, Whalley HC, Hall J, McIntosh AM, Owens DC, Johnstone EC, Lawrie SM (2013) Cortical thickness in first-episode schizophrenia patients and individuals at high familial risk: a cross-sectional comparison. Schizophr Res 151(1–3):259–264
Sullivan PF (2005) The genetics of schizophrenia. PLoS Med 2(7):e212
Thermenos HW, Keshavan MS, Juelich RJ, Molokotos E, Whitfield-Gabrieli S, Brent BK, Makris N, Seidman LJ (2013) A review of neuroimaging studies of young relatives of individuals with schizophrenia: a developmental perspective from schizotaxia to schizophrenia. Am J Med Genet B 162(7):604–635
Toro R, Leonard G, Lerner JV, Lerner RM, Perron M, Pike GB, Richer L, Veillette S, Pausova Z, Paus T (2008) Prenatal exposure to maternal cigarette smoking and the adolescent cerebral cortex. Neuropsychopharmacology 33(5):1019–1027
Van Essen DC (2005) A population-average, landmark- and surface-based (PALS) atlas of human cerebral cortex. Neuroimage 28(3):635–662
Wang L, Shi F, Lin W, Gilmore JH, Shen D (2011) Automatic segmentation of neonatal images using convex optimization and coupled level sets. Neuroimage 58:805–817
Wang L, Shi F, Li G, Gao Y, Lin W, Gilmore JH, Shen D (2013) Segmentation of neonatal brain MR images using patch-driven level sets. Neuroimage 84C:141–158
Wang L, Shi F, Gao Y, Li G, Gilmore JH, Lin W, Shen D (2014) Integration of sparse multi-modality representation and anatomical constraint for isointense infant brain MR image segmentation. Neuroimage 89:152–164
Woodberry KA, Giuliano AJ, Seidman LJ (2008) Premorbid IQ in schizophrenia: a meta-analytic review. Am J Psychiatry 165(5):579–587
Yang Y, Roussotte F, Kan E, Sulik KK, Mattson SN, Riley EP, Jones KL, Adnams CM, May PA, O’Connor MJ, Narr KL, Sowell ER (2012) Abnormal cortical thickness alterations in fetal alcohol spectrum disorders and their relationships with facial dysmorphology. Cereb Cortex 22(5):1170–1179
Yap PT, Fan Y, Chen Y, Gilmore JH, Lin W, Shen D (2011) Development trends of white matter connectivity in the first years of life. PLoS One 6(9):e24678
Ziermans TB, Schothorst PF, Schnack HG, Koolschijn PC, Kahn RS, van Engeland H, Durston S (2012) Progressive structural brain changes during development of psychosis. Schizophr Bull 38(3):519–530
Acknowledgments
The authors would like to thank the editor and anonymous reviewers for providing constructive and detailed suggestions that have improved this paper significantly. This work was supported in part by National Institutes of Health (grant numbers EB006733, EB008760, EB008374, EB009634, MH088520, MH070890, MH064065, MH100217, NS055754, and HD053000).
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Li, G., Wang, L., Shi, F. et al. Cortical thickness and surface area in neonates at high risk for schizophrenia. Brain Struct Funct 221, 447–461 (2016). https://doi.org/10.1007/s00429-014-0917-3
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DOI: https://doi.org/10.1007/s00429-014-0917-3