Affiliations: [a] LSUHSC Shreveport, School of Medicine, Shreveport, LA, USA
Department of Neurosurgery, LSUHSC Shreveport, Shreveport, LA, USA
Caddo Parish Magnet High School, Science and Medicine Academic Research Training Program, Shreveport, LA, USA
Department of Neurology, LSUHSC Shreveport, Shreveport, LA, USA
Department of Pharmacology, Toxicology, and Neuroscience, LSUHSC Shreveport, Shreveport, LA, USA
Correspondence to: Elizabeth Disbrow, PhD, Department of Neurology, LSU Health Sciences Center, PO Box 33932, Shreveport, LA 71130-3932, USA. Tel.: +1 318 675 7184; Fax: +1 318 675 6382; E-mail: [email protected].
Abstract: Background:Depression is a common comorbidity of Parkinson’s disease (PD); however, the impact of antidepressant status on cortical function in parkinsonian depression is not fully understood. While studies of resting state functional MRI in major depression have shown that antidepressant treatment affects cortical connectivity, data on connectivity and antidepressant status in PD is sparse. Objective:We tested the hypothesis that cortico-limbic network (CLN) resting state connectivity is abnormal in antidepressant-treated parkinsonian depression. Methods:Thirteen antidepressant-treated depressed PD and 47 non-depressed PD participants from the Parkinson’s Progression Markers Initiative (PPMI) database were included. Data was collected using 3T Siemens TIM Trio MR scanners and analyzed using SPM and CONN functional connectivity toolbox. Volumetric analysis was also performed using BrainSuite. Results:We found decreased connectivity in the antidepressant-treated depressed PD group when compared to non-depressed PD between the left frontal operculum and bilateral insula, and also reduced connectivity between right orbitofrontal cortex and left temporal fusiform structures. Increased depression scores were associated with decreased insular-frontal opercular connectivity. No ROI volumetric differences were found between groups. Conclusion:Given the relationship between depression scores and cortico-limbic connectivity in PD, the abnormal insular-frontal opercular hypoconnectivity in this cohort may be associated with persistent depressive symptoms or antidepressant effects.