Neurostructural subgroup in 4291 individuals with schizophrenia identified using the subtype and stage inference algorithm

Author:

Jiang YuchaoORCID,Luo ChengORCID,Wang Jijun,Palaniyappan LenaORCID,Chang XiaoORCID,Xiang ShitongORCID,Zhang JieORCID,Duan Mingjun,Huang Huan,Gaser ChristianORCID,Nemoto KiyotakaORCID,Miura KenichiroORCID,Hashimoto RyotaORCID,Westlye Lars T.ORCID,Richard GenevieveORCID,Fernandez-Cabello Sara,Parker NadineORCID,Andreassen Ole A.ORCID,Kircher Tilo,Nenadić IgorORCID,Stein Frederike,Thomas-Odenthal FlorianORCID,Teutenberg Lea,Usemann Paula,Dannlowski Udo,Hahn TimORCID,Grotegerd DominikORCID,Meinert SusanneORCID,Lencer RebekkaORCID,Tang YingyingORCID,Zhang TianhongORCID,Li Chunbo,Yue WeihuaORCID,Zhang YuyananORCID,Yu XinORCID,Zhou Enpeng,Lin Ching-Po,Tsai Shih-JenORCID,Rodrigue Amanda L.ORCID,Glahn David,Pearlson Godfrey,Blangero JohnORCID,Karuk AndrianaORCID,Pomarol-Clotet Edith,Salvador Raymond,Fuentes-Claramonte Paola,Garcia-León María Ángeles,Spalletta GianfrancoORCID,Piras FabrizioORCID,Vecchio Daniela,Banaj NerisaORCID,Cheng JingliangORCID,Liu Zhening,Yang Jie,Gonul Ali Saffet,Uslu Ozgul,Burhanoglu Birce Begum,Uyar Demir AslihanORCID,Rootes-Murdy Kelly,Calhoun Vince D.ORCID,Sim Kang,Green MelissaORCID,Quidé YannORCID,Chung Young Chul,Kim Woo-Sung,Sponheim Scott R.ORCID,Demro Caroline,Ramsay Ian S.,Iasevoli FeliceORCID,de Bartolomeis AndreaORCID,Barone AnnaritaORCID,Ciccarelli MariateresaORCID,Brunetti Arturo,Cocozza SirioORCID,Pontillo GiuseppeORCID,Tranfa Mario,Park Min Tae M.ORCID,Kirschner MatthiasORCID,Georgiadis Foivos,Kaiser Stefan,Van Rheenen Tamsyn E.,Rossell Susan L.,Hughes MatthewORCID,Woods WilliamORCID,Carruthers Sean P.,Sumner Philip,Ringin Elysha,Spaniel Filip,Skoch AntoninORCID,Tomecek David,Homan PhilippORCID,Homan StephanieORCID,Omlor Wolfgang,Cecere Giacomo,Nguyen Dana D.,Preda Adrian,Thomopoulos Sophia I.,Jahanshad Neda,Cui Long-BiaoORCID,Yao DezhongORCID,Thompson Paul M.,Turner Jessica A.ORCID,van Erp Theo G. M.ORCID,Cheng WeiORCID,de Bartolomeis Andrea,Van Rheenen Tamsyn E.,Feng JianfengORCID, ,

Abstract

AbstractMachine learning can be used to define subtypes of psychiatric conditions based on shared biological foundations of mental disorders. Here we analyzed cross-sectional brain images from 4,222 individuals with schizophrenia and 7038 healthy subjects pooled across 41 international cohorts from the ENIGMA, non-ENIGMA cohorts and public datasets. Using the Subtype and Stage Inference (SuStaIn) algorithm, we identify two distinct neurostructural subgroups by mapping the spatial and temporal ‘trajectory’ of gray matter change in schizophrenia. Subgroup 1 was characterized by an early cortical-predominant loss with enlarged striatum, whereas subgroup 2 displayed an early subcortical-predominant loss in the hippocampus, striatum and other subcortical regions. We confirmed the reproducibility of the two neurostructural subtypes across various sample sites, including Europe, North America and East Asia. This imaging-based taxonomy holds the potential to identify individuals with shared neurobiological attributes, thereby suggesting the viability of redefining existing disorder constructs based on biological factors.

Publisher

Springer Science and Business Media LLC

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